OBJECTIVES: The aim was to assess the association between physical activity and screen-based activities in adolescents and selected school factors and urbanization and whether these associations were modified by degree of urbanization. METHODS: We obtained data regarding the fifth-ninth grade students from 130 schools in 2014 via the Health Behaviour in School-aged Children cross-sectional study in Slovakia (n = 9743, mean age = 13.5, 50.3% boys). We explored the associations using multilevel logistic regression. RESULTS: We found significant associations between physical activity and the accessibility of an area for skating/tennis court [odds ratio (OR) = 1.20 and 95% confidence interval (CI) 1.01-1.42], and between physical activity and active breaks (OR = 0.83 and 95% CI 0.69-0.99). The rates of screen-based activities were higher in small towns (OR = 1.63, 95% CI 1.29-2.06), towns (OR = 1.30, 95% CI 1.08-1.57), and cities (OR = 1.40, 95% CI 1.04-1.87) than in villages. CONCLUSIONS: School environment and degree of urbanization are associated with adolescents' physical activity and screen-based activities. This holds positively for access to an area for skating/tennis court and negatively for active breaks regarding physical activity and for living in villages regarding less use of screens.

Department of Community and Occupational Medicine University Medical Center Groningen University of Groningen A Deusinglaan 1 9713 AV Groningen The Netherlands

Department of Health Psychology Faculty of Medicine P J Safarik University in Kosice Tr SNP 1 040 11 Kosice Slovak Republic

Graduate School Kosice Institute for Society and Health P J Safarik University in Kosice Tr SNP 1 040 11 Kosice Slovak Republic

Institute of Mathematics Faculty of Natural Sciences P J Safarik University in Kosice Jesenná 5 040 01 Kosice Slovak Republic

Olomouc University Social Health Institute Palacky University in Olomouc Univerzitní 22 771 11 Olomouc Czech Republic

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Pediatrics. 2001 Feb;107(2):423-6 PubMed

BMC Public Health. 2010 Jun 09;10:324 PubMed

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Pediatrics. 2000 Jun;105(6):E83 PubMed

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Lancet. 2012 Jun 2;379(9831):2079-108 PubMed

Health Educ Res. 2004 Apr;19(2):138-47 PubMed

Health Promot Int. 2010 Mar;25(1):63-72 PubMed

Int J Public Health. 2015 Mar;60(3):291-300 PubMed

Pediatr Exerc Sci. 2011 Nov;23(4):487-503 PubMed

Appl Physiol Nutr Metab. 2011 Feb;36(1):59-64; 65-71 PubMed

Annu Rev Public Health. 2006;27:297-322 PubMed

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Pediatrics. 2006 Dec;118(6):e1627-34 PubMed

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