2023-09-28 14:46:10 +00:00
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abstract: 'BackgroundLeisure-time physical activity (LTPA) is an important
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contributor to total physical activity and the focus of many
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interventions promoting activity in high-income populations. Little is
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known about LTPA in sub-Saharan Africa (SSA), and with expected declines
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in physical activity due to rapid urbanisation and lifestyle changes we
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aimed to assess the sociodemographic differences in the prevalence of
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LTPA in the adult populations of this region to identify potential
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barriers for equitable participation.MethodsA two-step individual
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participant data meta-analysis was conducted using data collected in SSA
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through 10 population health surveys that included the Global Physical
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Activity Questionnaire. For each sociodemographic characteristic, the
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pooled adjusted prevalence and risk ratios (RRs) for participation in
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LTPA were calculated using the random effects method. Between-study
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heterogeneity was explored through meta-regression analyses and tests
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for interaction.ResultsAcross the 10 populations (N =26,022), 18.9\%
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(95\%CI: 14.3, 24.1; I-2 =99.0\%) of adults (>= 18years) participated in
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LTPA. Men were more likely to participate in LTPA compared with women
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(RR for women: 0.43; 95\%CI: 0.32, 0.60; P <0.001; I-2 =97.5\%), while
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age was inversely associated with participation. Higher levels of
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education were associated with increased LTPA participation (RR: 1.30;
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95\%CI: 1.09, 1.55; P =0.004; I-2 =98.1\%), with those living in rural
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areas or self-employed less likely to participate in LTPA. These
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associations remained after adjusting for time spent physically active
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at work or through active travel.ConclusionsIn these populations,
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participation in LTPA was low, and strongly associated with sex, age,
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education, self-employment and urban residence. Identifying the
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potential barriers that reduce participation in these groups is
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necessary to enable equitable access to the health and social benefits
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associated with LTPA.'
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affiliation: 'Sandhu, MS (Corresponding Author), Univ Cambridge, Dept Med, Cambridge,
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England.
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Barr, Anna Louise; Partap, Uttara; Young, Elizabeth H.; Sandhu, Manjinder S., Univ
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Cambridge, Dept Med, Cambridge, England.
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Partap, Uttara; Young, Elizabeth H., Wellcome Sanger Inst, Genome Campus, Hinxton,
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England.
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Agoudavi, Kokou, Togo Minist Hlth, Lome, Togo.
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Balde, Naby, Donka Univ Hosp, Dept Endocrinol \& Diabet, Conakry, Guinea.
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Kagaruki, Gibson B., Natl Inst Med Res, Tukuyu Res Ctr, Tukuyu, Tanzania.
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Mayige, Mary T., Natl Inst Med Res, Headquarter Res Ctr, Dar Es Salaam, Tanzania.
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Longo-Mbenza, Benjamin, Walter Sisulu Univ, Fac Hlth Sci, Mthatha, Eastern Cape,
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South Africa.
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Longo-Mbenza, Benjamin, LOMO Univ Res, Kinshasa, DEM REP CONGO.
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Mutungi, Gerald, Minist Hlth, Control Noncommunicable Dis Desk, Kampala, Uganda.
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Mwalim, Omar, Zanzibar Minist Hlth, Mnazi Mmoja, Tanzania.
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Wesseh, Chea S., Minist Hlth, Monrovia, Liberia.
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Bahendeka, Silver K., Uganda Martyrs Univ, Mother Kevin Postgrad Med Sch MKPGMS,
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Kampala, Uganda.
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Bahendeka, Silver K., St Francis Hosp, Kampala, Uganda.
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Guwatudde, David, Makerere Univ, Sch Publ Hlth, Dept Epidemiol \& Biostat, Kampala,
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Uganda.
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Jorgensen, Jutta M. Adelin, Univ Copenhagen, Dept Publ Hlth, Copenhagen, Denmark.
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Bovet, Pascal, Univ Ctr Primary Care \& Publ Hlth Unisante, Lausanne, Switzerland.
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Bovet, Pascal, Minist Hlth, Victoria, Seychelles.
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Motala, Ayesha A., Univ KwaZulu Natal, Nelson R Mandela Sch Med, Dept Diabet \&
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Endocrinol, Durban, South Africa.'
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author: Barr, Anna Louise and Partap, Uttara and Young, Elizabeth H. and Agoudavi,
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Kokou and Balde, Naby and Kagaruki, Gibson B. and Mayige, Mary T. and Longo-Mbenza,
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Benjamin and Mutungi, Gerald and Mwalim, Omar and Wesseh, Chea S. and Bahendeka,
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Silver K. and Guwatudde, David and Jorgensen, Jutta M. Adelin and Bovet, Pascal
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and Motala, Ayesha A. and Sandhu, Manjinder S.
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author-email: mss31@cam.ac.uk
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author_list:
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- family: Barr
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given: Anna Louise
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- family: Partap
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given: Uttara
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- family: Young
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given: Elizabeth H.
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- family: Agoudavi
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given: Kokou
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- family: Balde
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given: Naby
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- family: Kagaruki
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given: Gibson B.
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- family: Mayige
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given: Mary T.
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- family: Longo-Mbenza
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given: Benjamin
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- family: Mutungi
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given: Gerald
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- family: Mwalim
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given: Omar
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- family: Wesseh
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given: Chea S.
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- family: Bahendeka
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given: Silver K.
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- family: Guwatudde
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given: David
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- family: Jorgensen
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given: Jutta M. Adelin
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- family: Bovet
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given: Pascal
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- family: Motala
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given: Ayesha A.
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- family: Sandhu
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given: Manjinder S.
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da: '2023-09-28'
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doi: 10.1186/s12889-020-08987-w
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eissn: 1471-2458
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files: []
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journal: BMC PUBLIC HEALTH
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keywords: 'Leisure-time physical activity; Physical activity; Sub-Saharan Africa;
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Occupational physical activity; Active travel; Global physical activity
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questionnaire; Recreation; Equity; Urbanisation; Mechanisation'
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keywords-plus: 'ORGANIZATION STEPWISE APPROACH; HEALTH; ADULTS; RISK; PATTERNS; DISEASE;
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OBESITY; TRENDS; URBAN; ENVIRONMENTS'
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language: English
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month: JUN 15
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number: '1'
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number-of-cited-references: '80'
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orcid-numbers: 'Mayige, Mary Theodory/0000-0003-4861-7870
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Bovet, Pascal/0000-0002-0242-4259
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Guwatudde, David/0000-0003-3563-0224
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Agoudavi, Kokou/0000-0002-3139-9777
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Silver, Bahendeka/0000-0001-8080-7872
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Mwalim, Omar/0000-0002-0791-1937'
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papis_id: 5ed2a23394168525dfe263a9999eba3a
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ref: Barr2020sociodemographicineq
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researcherid-numbers: 'Mayige, Mary Theodory/L-5342-2016
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Bovet, Pascal/F-4477-2011
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'
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times-cited: '15'
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title: 'Sociodemographic inequities associated with participation in leisure-time
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physical activity in sub-Saharan Africa: an individual participant data meta-analysis'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000542634700002
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usage-count-last-180-days: '0'
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usage-count-since-2013: '7'
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volume: '20'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2020'
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