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

BMC Public Health

Gerald Mutungi¹  Ayesha A. Motala²  Naby Balde³  David Guwatudde⁴  Elizabeth H. Young⁵  Manjinder S. Sandhu⁵  Anna Louise Barr⁵  Uttara Partap⁵  Jutta M. Adelin Jørgensen⁶  Benjamin Longo-Mbenza⁷  Chea S. Wesseh⁸  Silver K. Bahendeka⁹  Mary T. Mayige^1,10  Gibson B. Kagaruki^1,11  Kokou Agoudavi^1,12  Pascal Bovet^1,13  Omar Mwalim^1,14 

[1] Control of Non-Communicable Diseases Desk, Ministry of Health;Department of Diabetes and Endocrinology, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal;Department of Endocrinology and Diabetes, Donka University Hospital;Department of Epidemiology and Biostatistics, School of Public Health, Makerere University;Department of Medicine, University of Cambridge;Department of Public Health, University of Copenhagen;Faculty of Health Sciences, Walter Sisulu University;Ministry of Health;Mother Kevin Postgraduate Medical School (MKPGMS), Uganda Martyrs University;National Institute for Medical Research, Headquarter Research Centre;National Institute for Medical Research, Tukuyu Research Centre;Togo Ministry of Health;University Center for Primary Care and Public Health (Unisanté);Zanzibar Ministry of Health;

关键词: Leisure-time physical activity;    Physical activity;    Sub-Saharan Africa;    Occupational physical activity;    Active travel;    Global physical activity questionnaire;   

DOI  :  10.1186/s12889-020-08987-w

来源: DOAJ

【 摘 要 】

Abstract 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; I 2 = 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 2 = 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 2 = 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.

【 授权许可】

Unknown