• Zhaohui Cui, Adrian Bauman, and Michael J Dibley.
• Sydney School of Public Health, Sydney Medical School, University of Sydney, NSW 2006, Australia. cuizhaohui2008@yahoo.com.cn
• Prev Med. 2011 Jun 1; 52 (6): 423-7.

ObjectiveTo examine trends and correlates of passive (inactive) commuting to school among Chinese children aged 6-18 years in nine provinces.MethodsThe trends analysis used school commuting data from the China Health and Nutrition Surveys in 1997 (n=2454), 2000 (n=1978), 2004 (n=1549) and 2006 (n=1236). Generalized estimating equations examined trends after adjusting for age, sex and region, and also explored the correlates of passive commuting to school in urban and rural areas (n=6935).ResultsAn increase in passive commuting to school was noted (3.6% in 1997, 14.1% in 2006, P<0.0001). Children attending schools not located in their local community were more likely to passively commute. In urban areas, maternal education was associated with increased passive commuting (AOR=1.41, 95% CI: 1.03-1.92). In rural areas, family income (AOR(high/low)=2.12, 95% CI: 1.52-2.96), paternal education (AOR(high/low)=1.56, 95%CI: 1.17-2.07), and motorcycle ownership (AOR=1.57, 95%CI: 1.19-2.07) were associated with passive commuting.ConclusionPassive commuting to school increased in China over a decade and was associated with family socioeconomic status, school location, and in rural children, with access to motorized vehicles.Copyright © 2011 Elsevier Inc. All rights reserved.

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