Association of Public Physical Activity Facilities and Participation in Community Programs with Leisure-time Physical Activity: does the Association differ according to Educational Level and Income?
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Date
2022
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Publisher
BMC Public Health
Abstract
Background: Our aim was to analyze the association of the presence of public physical activity (PA) facilities and
participation in public PA programs with leisure-time PA, with an emphasis on the moderating role of educational
level and income.
Methods: We used data of 88,531 adults (46,869 women), with a mean age of 47.2±17.1y, from the 2019 Brazilian National Health Survey. Leisure-time PA (dichotomized considering 150min/week), the presence of a public PA
facility near the household (yes or no), participation in public PA programs (yes or no), educational level (divided into
quintiles) and per capita income (divided into quintiles) were all self-reported through interviews. Adjusted logistic
regression models were used for the analyses.
Results: The presence of public PA facilities near the household and the participation in public PA programs were
associated with higher leisure-time PA among all quintiles of income and educational level. However, multiplicative
interactions revealed that participating in PA programs [Quintile (Q)1: OR: 13.99; 95%CI: 6.89–28.38 vs. Q5: OR: 3.48;
95%CI: 2.41–5.01] and the presence of public PA facilities near the household (Q1: OR: 3.07; 95%CI: 2.35–4.01 vs. Q5:
OR: 1.38; 95%CI: 1.22–1.55) were more associated with higher odds of being active in the leisure-time among the lowest quintile of educational level.
Conclusions: The presence of public PA facilities and participation in public PA programs are environmental correlates that may be relevant for designing efective public health interventions to reduce social inequalities in leisuretime PA among adults in low-income areas
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Keywords
Exercise, Education,, Sedentary lifestyle, Inequalities, Built environment