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Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis.
Barr, Anna Louise; Partap, Uttara; Young, Elizabeth H; Agoudavi, Kokou; Balde, Naby; Kagaruki, Gibson B; Mayige, Mary T; Longo-Mbenza, Benjamin; Mutungi, Gerald; Mwalim, Omar; Wesseh, Chea S; Bahendeka, Silver K; Guwatudde, David; Jørgensen, Jutta M Adelin; Bovet, Pascal; Motala, Ayesha A; Sandhu, Manjinder S.
Afiliación
  • Barr AL; Department of Medicine, University of Cambridge, Cambridge, UK.
  • Partap U; Department of Medicine, University of Cambridge, Cambridge, UK.
  • Young EH; Wellcome Sanger Institute, Genome Campus, Hinxton, UK.
  • Agoudavi K; Department of Medicine, University of Cambridge, Cambridge, UK.
  • Balde N; Wellcome Sanger Institute, Genome Campus, Hinxton, UK.
  • Kagaruki GB; Togo Ministry of Health, Lome, Togo.
  • Mayige MT; Department of Endocrinology and Diabetes, Donka University Hospital, Conakry, Guinea.
  • Longo-Mbenza B; National Institute for Medical Research, Tukuyu Research Centre, Tukuyu, Tanzania.
  • Mutungi G; National Institute for Medical Research, Headquarter Research Centre, Dar es Salaam, Tanzania.
  • Mwalim O; Faculty of Health Sciences, Walter Sisulu University, Mthatha, Eastern Cape, South Africa.
  • Wesseh CS; LOMO University of Research, Kinshasa, Democratic Republic of Congo.
  • Bahendeka SK; Control of Non-Communicable Diseases Desk, Ministry of Health, Kampala, Uganda.
  • Guwatudde D; Zanzibar Ministry of Health, Mnazi Mmoja, Tanzania.
  • Jørgensen JMA; Ministry of Health, Monrovia, Liberia.
  • Bovet P; Mother Kevin Postgraduate Medical School (MKPGMS), Uganda Martyrs University, Kampala, Uganda.
  • Motala AA; St. Francis Hospital, Nsambya, Kampala, Uganda.
  • Sandhu MS; Department of Epidemiology and Biostatistics, School of Public Health, Makerere University, Kampala, Uganda.
BMC Public Health ; 20(1): 927, 2020 Jun 15.
Article en En | MEDLINE | ID: mdl-32539702
BACKGROUND: 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. METHODS: 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. RESULTS: Across the 10 populations (N = 26,022), 18.9% (95%CI: 14.3, 24.1; I2 = 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; I2 = 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; I2 = 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. CONCLUSIONS: 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Factores Socioeconómicos / Ejercicio Físico / Promoción de la Salud / Actividades Recreativas Tipo de estudio: Etiology_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies / Systematic_reviews Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Factores Socioeconómicos / Ejercicio Físico / Promoción de la Salud / Actividades Recreativas Tipo de estudio: Etiology_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies / Systematic_reviews Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido