Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Department of Public Health, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Front Public Health. 2023 Sep 19;11:1248639. doi: 10.3389/fpubh.2023.1248639. eCollection 2023.
The study aimed to evaluate the prevalence and correlates of sedentary behavior and combination of sedentary behavior and low physical activity among adults in Afghanistan in 2018.
This was a national representative cross-sectional study. The study utilized the data from Afghanistan STEPS survey 2018, where 3,956 adults (ages between 18 and 69 years) were interviewed at community-dwelling level. Using the Global Physical Activity Questionnaire, we have calculated the sedentary behavior and physical inactivity. Logistic regression was applied to investigate factors associated high sedentary behavior and low physical activity.
Approximately half of the participants (49.8%) exhibited high levels of sedentary behavior, 40.3% low physical activity and 23.5% had both high sedentary behavior and low physical activity. Adjusted logistic regression analysis revealed that individuals who were employed (AOR: 0.34, 95% CI: 0.13-0.88) or self-employed (AOR: 0.60, 95% CI: 0.38-0.94) had significantly lower odds of both high SB and low physical activity than those whose work status was unpaid. Furthermore, older age (AOR: 1.75, 95% CI: 1.35-2.28), urban residence (AOR: 3.17, 95% CI: 1.72-6.05), having 4 or 5 adult household members (AOR: 1.77, 95% CI: 1.21-2.58) and being underweight (AOR: 1.78, 95% CI: 1.02-3.12) were found to be associated with high sedentary behavior. Moreover, factors such as female sex, having 4 or 5 or 6 or more adult household members, urban residence, overweight, and diabetes were positively associated, and male sex (AOR: 0.24, 95% CI: 0.12-0.51), being employed (AOR: 0.34, 95% CI: 0.13-0.88) or self-employed (AOR: 0.60, 95% CI: 0.38-0.94) were negatively associated with the occurrence of combination of high sedentary behavior and low physical activity.
Half of the participants had high sedentary behavior, and one in four had both high sedentary behavior and low physical activity together. These findings emphasize the importance of targeted interventions aimed at reducing sedentary behavior and promoting physical activity, particularly among vulnerable populations such as females, individuals from lower socioeconomic background, urban residents, and those with chronic conditions. Addressing these factors can contribute to improving public health outcomes and reducing negative health impacts of sedentary behavior in Afghanistan.
本研究旨在评估 2018 年阿富汗成年人久坐行为的流行率及其相关因素，以及久坐行为与低体力活动的综合情况。
这是一项全国代表性的横断面研究。本研究利用了 2018 年阿富汗 STEPS 调查的数据，其中对 3956 名成年人（年龄在 18 至 69 岁之间）进行了社区水平的访谈。我们使用全球体力活动问卷计算了久坐行为和体力活动不足。应用逻辑回归分析调查与高久坐行为和低体力活动相关的因素。
大约一半的参与者（49.8%）表现出高水平的久坐行为，40.3%的参与者体力活动不足，23.5%的参与者同时存在久坐行为和体力活动不足。调整后的逻辑回归分析显示，与无报酬工作状态的参与者相比，有薪工作（AOR：0.34，95%CI：0.13-0.88）或自雇（AOR：0.60，95%CI：0.38-0.94）的参与者发生高 SB 和低体力活动的可能性显著降低。此外，年龄较大（AOR：1.75，95%CI：1.35-2.28）、城市居住（AOR：3.17，95%CI：1.72-6.05）、有 4 或 5 个成年家庭成员（AOR：1.77，95%CI：1.21-2.58）和体重不足（AOR：1.78，95%CI：1.02-3.12）与高久坐行为相关。此外，女性、有 4 或 5 个或 6 个或更多成年家庭成员、城市居住、超重和糖尿病等因素与高久坐行为呈正相关，而男性（AOR：0.24，95%CI：0.12-0.51）、有薪工作（AOR：0.34，95%CI：0.13-0.88）或自雇（AOR：0.60，95%CI：0.38-0.94）与高 SB 和低体力活动的综合情况呈负相关。
一半的参与者存在高久坐行为，四分之一的参与者同时存在高久坐行为和低体力活动。这些发现强调了针对减少久坐行为和促进体力活动的有针对性干预措施的重要性，特别是针对女性、社会经济背景较低的人群、城市居民和患有慢性疾病的人群等弱势群体。解决这些因素可以有助于改善阿富汗的公共卫生结果，并减少久坐行为对健康的负面影响。
