Examining the environmental influences on physical activity among children in rural Northern Ontario

Low levels of physical activity (PA) among children in Canada have been a primary health concern over the last decade. Higher levels of PA are associated with numerous social, physical, and mental health benefits, and research has also shown that different social, built, and natural elements of local environments are associated with varying levels of PA. Despite growing evidence around the connection between a child’s environment and PA, little research has examined the influence of the environment on the PA of rural Canadian children. Broadly based on the ecological systems theory, this dissertation used data from the Spatial Temporal Environment and Activity Monitoring (STEAM) project. The STEAM project used a multi-method design to gather both quantitative and qualitative health data on a geographically diverse group of children aged 8-14 years in Ontario. Analyses using logistic regression indicated that correlates of PA differ from weekdays to weekends and that on weekends children from rural Northern Ontario were more active than children from different neighbourhood types (urban, suburban, rural) in Southern Ontario. This established difference between rural Southern and Northern Ontario children provided evidence to support a more in-depth analysis of the factors associated with PA levels among rural Northern children. A cross-classified model was used to explore correlates of PA among rural children from Northern Ontario, specifically focusing on weather. Boys were more active than girls, children were more active on weekdays, children were less active on days with precipitation, and higher temperature led to higher levels of PA. Qualitative methods were used to further explore the environmental influences on rural children’s PA. Based on a thematic analysis of focus groups, three important themes were identified as having an impact on children’s PA: physical environment, social environment, and perceptions of safety. This dissertation demonstrated the temporal and contextual nuances of children’s PA. Specifically, temporal factors like day type and season and contextual factors including, fear of wildlife, had an impact on children’s PA. This work provided important evidence for policymakers and decision-makers to help guide future interventions and policies for increasing PA levels among children in rural communities

The economic impact of rural healthcare on rural economies: A rapid review

This is the final published version of Button BL, Taylor K, McArthur M, Newbery S, Cameron E. The economic impact of rural healthcare on rural economies: A rapid review. Can J Rural Med 2022; 27(4):158-68. DOI: 10.4103/cjrm.cjrm_70_21 Deposited by shareyourpaper.org and openaccessbutton.org. We've taken reasonable steps to ensure this content doesn't violate copyright. However, if you think it does, you can request a takedown by emailing [email protected]

Intake of Fruits, Vegetables, and Sugar-Sweetened Beverages among a Sample of Children in Rural Northern Ontario, Canada

There is evidence to suggest that dietary intake of children differs by rural/urban place of residence: rural children may have a higher intake of foods high in fat and sugar than those living in urban environments. The aim of this study was to examine the intake of fruits and vegetables (FV) and the frequency of sugar-sweetened beverage (SSB) consumption, among a sample of rural children in Northern Ontario, Canada, in two different seasons. Sociodemographic factors and children’s FV and SSB intake were measured using two repeated cross-sectional surveys, and seasonal information was based on the month of data collection. Logistic regressions were used to examine the odds of children eating five or more FVs, and the odds of ‘frequently or always’ consuming SSBs. During the fall, children reported eating five or more FV more often, when compared to winter (53.9% vs. 48.3%). In the fall, 25.8% of children reported ‘frequently or always’ drinking SSB, compared with 16.9% in winter. Indigenous children were less likely to eat five or more FV (OR 0.34 (95% CI 0.12–0.95)) in the fall when compared to non-Indigenous children. Findings indicate that intake of FV among rural students in this region is low, and the frequency of SSB is high, when compared with national recommendations

Measuring Temporal Differences in Rural Canadian Children’s Moderate-to-Vigorous Physical Activity

The purpose of this study was to measure the factors that influence children’s moderate-to-vigorous physical activity (MVPA) during school curriculum time, recess time, and outside school time in a rural area. During the Fall and Winter of 2016, 34 boys and 55 girls aged 8–14 years from rural communities in rural Northwestern Ontario participated in the Spatial Temporal Environment and Activity Monitoring project. The children’s MVPA was measured using an accelerometer, and child-level demographic, behavioral, and environmental data were gathered from surveys, passively logging global positioning units, and municipal datasets. Data on daily temperature and precipitation were gathered from the closest Environment Canada weather station. A mixed model was used to assess the relationship between child- and day-level factors and children’s MVPA. On average, children were getting 12.9 min of MVPA during recess, 17.7 min during curriculum time, and 29.0 min of MVPA outside school time. During all three time points, boys were more active than girls. During curriculum time, children in lower grades were more active, and the weather had differing impacts depending on the time of day. The findings of this study illustrate the differences in MVPA and the factors that influence MVPA by time of day. Examining different time segments provides valuable information for understanding children’s MVPA patterns

Examining Factors of Accelerometer-Measured Sedentary Time in a Sample of Rural Canadian Children

The aim of this study was to examine potential child-level and day-level factors of accelerometer-measured sedentary time in a sample of rural Canadian children. Children (n = 86) from rural Northwestern Ontario participated in this study. Children’s sedentary times were identified and logged using an accelerometer. Child-level data (socio-demographic, household, and environment) came from surveys of children and their parents and a passively logging global positioning unit. Day-level data on day type (weekday/weekend) and weather (temperature, precipitation) were based on the dates of data collection and meteorological data came from the closest Environment Canada weather station. Cross-classified regression models were used to assess the relationship between child-level and day-level correlates of sedentary time. Boys were less sedentary than girls (b = −30.53 p = 0.01). For each one-year age increase, children’s sedentary time increased (b = 12.79 p < 0.01). This study indicates a difference in sedentary time based on a child’s age and gender. However, family, environmental, and weather characteristics did not influence sedentary time in this sample. Health practitioners who deliver care for northern rural youth can provide targeted health advice regarding sedentary time and consider gender and age to be risk factors for these behaviors