Gender Difference in Health Condition Among Emirati Adolescent: Role of Environment and Parent Perceptions
Abstract Background: The United Arab Emirates (UAE) is one of the developed nations in the middle-east with the obesity rate among the youth two to three times greater than the international standards. Therefore, this research aims to study the variation of perception of the built environment among Emirati male and female adolescents and their parents. Also, the role of determinants of the health condition of Emirati adolescents is analyzed. Method: A total of 335 students (aged 14-20) from six schools in the Al Ain region of Abu Dhabi Emirate and 250 parent responses were used to conduct the mean-test of perception of hindrances and multinomial logit of the health condition using the perception, behavior and built environment measures. Results: Emirati males perceive the built environment factors as barriers more than female adolescents. Parents perceive street-crossing (p<0.016) and sidewalk characteristics (p<0.020) to be more of a hindrance to walking to school than students. Traffic exposure and walkability at home and schools report a significant effect on the health condition of the Emirati adolescents along with the self-reported physical activity. Marginal effect reports sedentary and low-levels of activity predicts the probability of an Emirati adolescent being not just overweight or obese (p<0.001), but also underweight (p<0.05)Conclusion: Recommendations for parents and school authorities, Abu Dhabi Municipality and Urban Planning department, and to enhance the built environment are discussed. Also recommendation to address both, levels of obesity and being underweight, are discussed.