Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis
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...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-020-08987-w |
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| author | Anna Louise Barr Uttara Partap Elizabeth H. Young Kokou Agoudavi Naby Balde Gibson B. Kagaruki Mary T. Mayige Benjamin Longo-Mbenza Gerald Mutungi Omar Mwalim Chea S. Wesseh Silver K. Bahendeka David Guwatudde Jutta M. Adelin Jørgensen Pascal Bovet Ayesha A. Motala Manjinder S. Sandhu |
| author_facet | Anna Louise Barr Uttara Partap Elizabeth H. Young Kokou Agoudavi Naby Balde Gibson B. Kagaruki Mary T. Mayige Benjamin Longo-Mbenza Gerald Mutungi Omar Mwalim Chea S. Wesseh Silver K. Bahendeka David Guwatudde Jutta M. Adelin Jørgensen Pascal Bovet Ayesha A. Motala Manjinder S. Sandhu |
| author_sort | Anna Louise Barr |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T12:51:00Z |
| format | Article |
| id | doaj.art-d0b7df79720d4c6ab84e4845d1cce5a8 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-12T12:51:00Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-d0b7df79720d4c6ab84e4845d1cce5a82022-12-22T00:24:00ZengBMCBMC Public Health1471-24582020-06-0120111310.1186/s12889-020-08987-wSociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysisAnna Louise Barr0Uttara Partap1Elizabeth H. Young2Kokou Agoudavi3Naby Balde4Gibson B. Kagaruki5Mary T. Mayige6Benjamin Longo-Mbenza7Gerald Mutungi8Omar Mwalim9Chea S. Wesseh10Silver K. Bahendeka11David Guwatudde12Jutta M. Adelin Jørgensen13Pascal Bovet14Ayesha A. Motala15Manjinder S. Sandhu16Department of Medicine, University of CambridgeDepartment of Medicine, University of CambridgeDepartment of Medicine, University of CambridgeTogo Ministry of HealthDepartment of Endocrinology and Diabetes, Donka University HospitalNational Institute for Medical Research, Tukuyu Research CentreNational Institute for Medical Research, Headquarter Research CentreFaculty of Health Sciences, Walter Sisulu UniversityControl of Non-Communicable Diseases Desk, Ministry of HealthZanzibar Ministry of HealthMinistry of HealthMother Kevin Postgraduate Medical School (MKPGMS), Uganda Martyrs UniversityDepartment of Epidemiology and Biostatistics, School of Public Health, Makerere UniversityDepartment of Public Health, University of CopenhagenUniversity Center for Primary Care and Public Health (Unisanté)Department of Diabetes and Endocrinology, Nelson R. Mandela School of Medicine, University of KwaZulu-NatalDepartment of Medicine, University of CambridgeAbstract 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.http://link.springer.com/article/10.1186/s12889-020-08987-wLeisure-time physical activityPhysical activitySub-Saharan AfricaOccupational physical activityActive travelGlobal physical activity questionnaire |
| spellingShingle | Anna Louise Barr Uttara Partap Elizabeth H. Young Kokou Agoudavi Naby Balde Gibson B. Kagaruki Mary T. Mayige Benjamin Longo-Mbenza Gerald Mutungi Omar Mwalim Chea S. Wesseh Silver K. Bahendeka David Guwatudde Jutta M. Adelin Jørgensen Pascal Bovet Ayesha A. Motala Manjinder S. Sandhu Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis BMC Public Health Leisure-time physical activity Physical activity Sub-Saharan Africa Occupational physical activity Active travel Global physical activity questionnaire |
| title | Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis |
| title_full | Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis |
| title_fullStr | Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis |
| title_full_unstemmed | Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis |
| title_short | Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis |
| title_sort | sociodemographic inequities associated with participation in leisure time physical activity in sub saharan africa an individual participant data meta analysis |
| topic | Leisure-time physical activity Physical activity Sub-Saharan Africa Occupational physical activity Active travel Global physical activity questionnaire |
| url | http://link.springer.com/article/10.1186/s12889-020-08987-w |
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