highly significantp < 0.001
More analytically, the prevalence of participation in OPA was 62.3% (95% CI: 61.3–63.7%) in primary schools and 44.6% (95% CI: 42.7–47.4%) in secondary schools, reflecting a dramatic decrease in OPA participation from primary to secondary school and these differences were highly significant ( p < 0.001) (Table 2 ).