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Journal Article

Citation

DiGuiseppi CG, Roberts I, Li L, Allen DN. Br. Med. J. BMJ 1998; 316(7142): 1426-1428.

Affiliation

Child Health Monitoring Unit, Department of Epidemiology and Public Health, Institute of Child Health, University College London Medical School, London WC1N 1EH. C.DiGuiseppi@ich.ucl.ac.uk

Copyright

(Copyright © 1998, BMJ Publishing Group)

DOI

10.1136/bmj.316.7142.1426

PMID

9572753

PMCID

PMC28541

Abstract

The annual distance walked by children has fallen 28% since 1972, partly because car travel has replaced walking on many school journeys. Increasing car use has been linked with obesity, adverse health effects in later life, limitations on children's independence, traffic congestion, and pollution. To inform the development of strategies to reduce school related car travel, we surveyed the travel patterns of urban primary school children.
Methods and results

The survey was conducted in the inner London boroughs of Camden and Islington. The questionnaire—based partly on published surveys and prepared in English, Bengali, Turkish, Greek, and Cantonese (first languages of 85% of eligible pupils)—asked about that day's school journey, children's independent travel, and parental concerns. From the sampling frame of all primary schools (excluding pilot, boarding, and special schools), 31 of the 100 eligible schools were randomly selected. We weighted sampling probability by combined class sizes in year 2 (ages 6-7 years) and year 5 (ages 9-10). Questionnaires, with a letter from the head teacher and a multilingual request form for translation, were distributed to pupils for completion at home. Questionnaires were left for absentees. One week later, we collected completed questionnaires, gave new questionnaires to non-respondents, and distributed requested translations. All pupils were given pencil cases.

We used logistic regression, including a random effect (school) to account for cluster sampling, to estimate odds ratios and 95% confidence intervals for determinants of car travel versus walking. We excluded pupils who used public transport.

Thirty schools (97%) agreed to participate. Of 2476 enrolled children, 2086 (84%) returned usable questionnaires: 96% English, 2% Bengali, 1% Turkish, and 1% English and Bengali (duplicate versions returned). Response rates were highest in independent schools (96%) and lowest in local authority schools (81%). Excluding independent schools, for which the information was unavailable, the respondents' ethnic distribution (54% white, 18% black, 14% Asian, and 15% other) was similar to that of the school population (50% white, 18% black, 15% Asian, 17% other).


Comment

Distance to school and car ownership were principal determinants of car travel. After adjustment for these factors, children at independent schools were still more likely to travel by car. Parental fear about “stranger danger” also influenced the decision to drive children to school.

Although few translated questionnaires were requested, the study population adequately represented the ethnic distribution of children attending school in the two boroughs. Our results might appropriately be generalisable to other urban primary school populations.

Increasing emphasis on school choice has been accompanied by a 20% increase in average distance travelled to school. Policies that encourage children to attend nearby schools are likely to reduce car travel and increase walking. Parents who currently drive their children might forgo the car for safe, convenient alternatives that address their fears. Unless such alternatives are developed, parents who do not currently drive to school are likely to do so when the option becomes available.

KW: SR2S


Language: en

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