Laxmi Kant Dwivedi, Mukesh Ranjan, Rahul Mishra, Waquar Ahmed, Mrigesh Bhatia
Clustering of child deaths among families in low and middle-income countries: A meta-analysis
Health science reports
active school travel ast influenced multiple factors including built social environments households individual variables holistic theory mitras behavioural model school transportation bmst vital comprehensively understand complex interrelationships study aimed assess direct indirect associations childrens ast environmental household child factors based bmst using structural equation modelling sem data drawn neighbourhoods active kids nfak crosssectional study 1102 children aged 813 years school years 58 parents nine intermediate 10 primary schools auckland new zealand february 2015 december 2016 data collected using online participatory mapping survey softgis children computerassisted telephone interviewing survey cati parents arcgis built environment attributes based bmst conceptual model childrens school travel behaviour specified sem analyses hypothesised sem model modification made improve model modified sem sem analyses using mplus performed test hypothesisedmodified sem assess direct indirect relationships among variables overall fit modified sem acceptable n 542 root mean square error approximation 004 comparative fit index 094 tuckerlewis index 092 ast positively associated child independent mobility childperceived neighbourhood safety parentperceived importance social interaction neighbourhood social environment distance school parental perceptions convenience concerns traffic safety negatively associated ast parental fears stranger danger indirectly related ast traffic safety distance school child independent mobility mediated relationships ast child school year sex increasing childrens ast requires action multiple fronts including communities support independent mobility providing child friendly social built environments safety traffic policies promote local schools safe vehiclefree zones around school