Leisure-Time Physical Activity in a Southern Brazilian City (2004-2021): Applying an Equity Lens to Time-Trend Analyses.

IF 2.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of physical activity & health Pub Date : 2023-10-31 Print Date: 2024-01-01 DOI:10.1123/jpah.2023-0259

Andrea Wendt, Alan G Knuth, Bruno P Nunes, Mario Renato de Azevedo, Helen Gonçalves, Pedro C Hallal, Inácio Crochemore-Silva

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Abstract

Background: This study aimed to verify leisure-time physical activity trends over 15 years and monitor inequalities according to gender, self-reported skin color, and socioeconomic position in a Southern Brazilian city. A secondary aim is to evaluate intersectionalities in physical activity.

Methods: Trend analysis using 3 population-based surveys carried out in 2004, 2010, and 2021. Main outcome assessed was the prevalence of physical activity according to recommendations (150 min/wk). Inequalities dimensions measured were sex, self-reported skin color, and wealth. Intersectionalities were evaluated using Jeopardy index combining all inequality dimensions. Trend analysis was performed using least-squares weighted regression.

Results: We included data from 3090, 2656, and 5696 adults in 2004, 2010, and 2021, respectively. Prevalence of physical activity remains stable around 25% in the 3 years. In the 3 periods evaluated, men presented a prevalence in average 10 percentage points higher than women (SII2004 = -11.1 [95% confidence interval, CI, -14.4 to -7.8], SII2021 = -10.7 [95% CI, -13.7 to -7.7]). Skin color inequalities did not present a clear pattern. Richest individuals, in general presented a prevalence of leisure-time physical activity level 20pp higher than poorest ones (SII2004 = 20.5 [95% CI, 13.7 to 27.4]; SII2021 = 16.7 [95% CI, 11.3 to 22.0]). Inequalities were widely marked, comparing the most privileged group (represented by men, the wealthiest, and White) and the most socially vulnerable group (represented by women, the poorest, and Black/Brown). The Slope Index of Inequality for intersectionalities was -24.5 (95% CI, -31.1 to -17.9) in 2004 and -18.8 in 2021 (95% CI, -24.2 to -13.4).

Conclusions: Our analysis shows that women, Black/Brown, and poor present lower leisure-time physical activity level. This group is often neglected regarding other health and social outcomes.

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巴西南部城市的休闲时间体育活动（2004-2021）：将公平视角应用于时间趋势分析。

背景：本研究旨在验证15年来休闲时间体育活动的趋势，并根据性别、自我报告的肤色和巴西南部城市的社会经济地位监测不平等现象。第二个目的是评估体育活动的交叉性。方法：使用2004年、2010年和2021年进行的3项基于人群的调查进行趋势分析。评估的主要结果是根据建议进行体育活动的患病率（150分钟/周）。衡量不平等的维度是性别、自我报告的肤色和财富。交叉性使用危险指数结合所有不平等维度进行评估。使用最小二乘加权回归进行趋势分析。结果：我们纳入了2004年、2010年和2021年分别来自3090名、2656名和5696名成年人的数据。体育活动的患病率在3年内稳定在25%左右。在评估的3个时期中，男性的患病率平均比女性高10个百分点（SII2004=-11.1[95%置信区间，CI，-14.4-7.8]，SII2021=-10.7[95%CI，-13.7-7.7]）。肤色不平等没有表现出明显的模式。总的来说，最富有的人的休闲时间体育活动水平比最贫穷的人高20pp（SII2004=20.5[95%CI，13.7-27.4]；SII2021=116.7[95%CI，11.3-22.0]），比较最有特权的群体（以男性、最富有的人和白人为代表）和最易受社会伤害的群体（由女性、最贫穷的人和黑人/棕色人种为代表）。交叉性不平等的斜率指数在2004年为-24.5（95%置信区间，-31.1至-17.9），在2021年为-18.8（95%可信区间，-24.2至-13.4）。结论：我们的分析表明，女性、黑人/棕色人种和穷人在休闲时间的体育活动水平较低。在其他健康和社会结果方面，这一群体往往被忽视。

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来源期刊

Journal of physical activity & health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

5.50

自引率

3.20%

发文量

100

期刊介绍： The Journal of Physical Activity and Health (JPAH) publishes original research and review papers examining the relationship between physical activity and health, studying physical activity as an exposure as well as an outcome. As an exposure, the journal publishes articles examining how physical activity influences all aspects of health. As an outcome, the journal invites papers that examine the behavioral, community, and environmental interventions that may affect physical activity on an individual and/or population basis. The JPAH is an interdisciplinary journal published for researchers in fields of chronic disease.