- Title
- Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis
- Creator
- Longo-Mbenza, Benjamin
- Creator
- Barr, Anna Louise
- Creator
- Partap, Uttara
- Creator
- Young, Elizabeth H
- Creator
- Agoudavi, Kokou
- Creator
- Balde, Naby
- Creator
- Kagaruki, Gibson B
- Creator
- Mayige, Mary T
- Creator
- Mutungi, Gerald
- Creator
- Mwalim, Omar
- Creator
- Wesseh, Chea S
- Creator
- Bahendeka, Silver K
- Creator
- Guwatudde, David
- Creator
- Jørgensen, Jutta M Adelin
- Creator
- Bovet, Pascal
- Creator
- Motala, Ayesha A
- Creator
- Sandhu, Manjinder S
- Description
- 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 subSaharan 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; 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 less than 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. 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.
- Date
- 2020-06-15
- Subject
- Recreation. Use of leisure time
- Subject
- Occupational therapy
- Subject
- Health surveys
- Type
- text, article
- Identifier
- http://hdl.handle.net/11260/3378
- Identifier
- vital:43337
- Identifier
- https://doi.org/10.1186/s12889-020-08987-w
- Format
- 13 pages, pdf
- Publisher
- BMC Public Health
- Language
- English
- Relation
- BMC Public Health, Barr, A.L., Partap, U., Young, E.H. et al. Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis. BMC Public Health 20, 927 (2020). https://doi.org/10.1186/s12889-020-08987-w, BMC Public Health volume 20 Issue 927 2020 1471-2458
- Rights
- Barr et al. BMC Public Health, © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
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