Titre
Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Barr, A.L.
Auteure/Auteur
Partap, U.
Auteure/Auteur
Young, E.H.
Auteure/Auteur
Agoudavi, K.
Auteure/Auteur
Balde, N.
Auteure/Auteur
Kagaruki, G.B.
Auteure/Auteur
Mayige, M.T.
Auteure/Auteur
Longo-Mbenza, B.
Auteure/Auteur
Mutungi, G.
Auteure/Auteur
Mwalim, O.
Auteure/Auteur
Wesseh, C.S.
Auteure/Auteur
Bahendeka, S.K.
Auteure/Auteur
Guwatudde, D.
Auteure/Auteur
Jørgensen, JMA
Auteure/Auteur
Bovet, P.
Auteure/Auteur
Motala, A.A.
Auteure/Auteur
Sandhu, M.S.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1471-2458
Statut éditorial
Publié
Date de publication
2020-06-15
Volume
20
Numéro
1
Première page
927
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
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.
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.
PID Serval
serval:BIB_9885BF37F49D
PMID
Open Access
Oui
Date de création
2020-06-25T13:26:22.124Z
Date de création dans IRIS
2025-05-21T04:49:27Z
Fichier(s)![Vignette d'image]()
En cours de chargement...
Nom
32539702_BIB_9885BF37F49D.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by/4.0
Taille
968.24 KB
Format
Adobe PDF
PID Serval
serval:BIB_9885BF37F49D.P001
URN
urn:nbn:ch:serval-BIB_9885BF37F49D2
Somme de contrôle
(MD5):b2b55e684dc3ea61c1e8f4cb64ad60b9