Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis.

Détails

Ressource 1Télécharger: 32539702_BIB_9885BF37F49D.pdf (968.24 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_9885BF37F49D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis.
Périodique
BMC public health
Auteur(s)
Barr A.L., Partap U., Young E.H., Agoudavi K., Balde N., Kagaruki G.B., Mayige M.T., Longo-Mbenza B., Mutungi G., Mwalim O., Wesseh C.S., Bahendeka S.K., Guwatudde D., Jørgensen JMA, Bovet P., Motala A.A., Sandhu M.S.
ISSN
1471-2458 (Electronic)
ISSN-L
1471-2458
Statut éditorial
Publié
Date de publication
15/06/2020
Peer-reviewed
Oui
Volume
20
Numéro
1
Pages
927
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Leisure-time physical activity (LTPA) is an important contributor to total physical activity and the focus of many interventions promoting activity in high-income populations. Little is known about LTPA in sub-Saharan Africa (SSA), and with expected declines in physical activity due to rapid urbanisation and lifestyle changes we aimed to assess the sociodemographic differences in the prevalence of LTPA in the adult populations of this region to identify potential barriers for equitable participation.
A two-step individual participant data meta-analysis was conducted using data collected in SSA through 10 population health surveys that included the Global Physical Activity Questionnaire. For each sociodemographic characteristic, the pooled adjusted prevalence and risk ratios (RRs) for participation in LTPA were calculated using the random effects method. Between-study heterogeneity was explored through meta-regression analyses and tests for interaction.
Across the 10 populations (N = 26,022), 18.9% (95%CI: 14.3, 24.1; I <sup>2</sup> = 99.0%) of adults (≥ 18 years) participated in LTPA. Men were more likely to participate in LTPA compared with women (RR for women: 0.43; 95%CI: 0.32, 0.60; P < 0.001; I <sup>2</sup> = 97.5%), while age was inversely associated with participation. Higher levels of education were associated with increased LTPA participation (RR: 1.30; 95%CI: 1.09, 1.55; P = 0.004; I <sup>2</sup> = 98.1%), with those living in rural areas or self-employed less likely to participate in LTPA. These associations remained after adjusting for time spent physically active at work or through active travel.
In these populations, participation in LTPA was low, and strongly associated with sex, age, education, self-employment and urban residence. Identifying the potential barriers that reduce participation in these groups is necessary to enable equitable access to the health and social benefits associated with LTPA.
Mots-clé
Active travel, Equity, Global physical activity questionnaire, Leisure-time physical activity, Mechanisation, Occupational physical activity, Physical activity, Recreation, Sub-Saharan Africa, Urbanisation
Pubmed
Web of science
Open Access
Oui
Création de la notice
25/06/2020 15:26
Dernière modification de la notice
15/01/2021 8:10
Données d'usage