Parental-Perceived Home and Neighborhood Environmental Correlates of Accelerometer measured Physical Activity among School-going Children in Uganda

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dc.contributor.authorNakabazziI, Bernadette
dc.contributor.authorWachira, Lucy-Joy M.
dc.contributor.authorOyeyemi, Adewale L.
dc.contributor.authorSsenyonga, Ronald
dc.contributor.authorOnywera, Vincent O.
dc.date.accessioned2023-11-30T12:27:48Z
dc.date.available2023-11-30T12:27:48Z
dc.date.issued2021
dc.descriptionArticleen_US
dc.description.abstractThe benefits of physical activity (PA) on children’s health and well-being are well established. However, many children do not meet the PA recommendations, increasing their risk of being overweight, obese, and non-communicable diseases. Environmental characteristics of homes and neighborhoods may constrain a child’s ability to engage in PA, but evidence is needed to inform country-specific interventions in understudied low-income countries. This study assessed the associations between parental-perceived home and neighbourhood, built environment characteristics, and moderate-to-vigorous physical activity (MVPA) among children in Kampala city, Uganda. In this cross-sectional study, data were obtained from 256 children (55.5% girls) aged between 10 and 12 years and their parents. Children’s MVPA was measured using waist-worn ActiGraph accelerometers. The environments were assessed using a valid self-reported parent survey. Linear regression models with standard errors (clusters) were used to analyze the relationship between environmental variables and children’s MVPA. Sex-specific relationships were assessed using sex-stratified models. Play equipment at home (β = -2.37, p <0.001; unexpected direction), residential density (β = 2.70, p<0.05), and crime safety (β = -5.29, p <0.05; unexpected direction) were associated with children’s MVPA. The sex-specific analyses revealed more inconsistent patterns of results with a higher perception of land use mix associated with less MVPA in girls (irrespective of school type attended), and higher perceptions of sidewalk infrastructure (β = -12.01, p <0.05) and walking and cycling infrastructure (β = -14.72, p <0.05) associated with less MVPA in girls attending public schools only. A better perception of crime safety was associated with less MVPA among boys and girls attending private schools (β = -3.80, p <0.05). Few environmental characteristics were related to children’s MVPA in Uganda, and findings were largely inconsistent, especially among girls. Future studies are needed to understand the ecological determinants of health-related PA behaviors among children in Uganda.en_US
dc.description.sponsorshipAfrican Development Bank-Higher Education in science and Technology (AfDB-HEST) Makerere University Kampala, Ugandaen_US
dc.identifier.citationNakabazzi, B., Wachira, L. J. M., Oyeyemi, A. L., Ssenyonga, R., & Onywera, V. O. (2021). Parental-perceived home and neighborhood environmental correlates of accelerometer-measured physical activity among school-going children in Uganda. PLOS Global Public Health, 1(12), e0000089.en_US
dc.identifier.urihttps://doi.org/10.1371/journal.pgph.0000089
dc.identifier.urihttps://ir-library.ku.ac.ke/handle/123456789/27232
dc.language.isoenen_US
dc.publisherPlos Global Public Healthen_US
dc.titleParental-Perceived Home and Neighborhood Environmental Correlates of Accelerometer measured Physical Activity among School-going Children in Ugandaen_US
dc.typeArticleen_US
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