Correlates of leisure-time sedentary behavior among 181,793 adolescents aged 12-15 years from 66 low- and middle-income countries

Vancampfort, Davy; Damme, Tine Van; Firth, Joseph; Hallgren, Mats; Smith, Lee; Stubbs, Brendon; Rosenbaum, Simon; Koyanagi, Ai

doi:10.1371/journal.pone.0224339

Cited by 29 publications

(28 citation statements)

References 43 publications

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“…Finally, physical inactivity was a risky health behavior found in each of the profiles observed. A known and common problem in most low- or moderate-income countries, especially in Africa [ 61 ], as several studies have previously shown, is the existence of associations between a sedentary lifestyle and suicidality [ 62 , 63 , 64 ].…”

Section: Discussionmentioning

confidence: 99%

A Latent Class Analysis of Health Lifestyles in Relation to Suicidality among Adolescents in Mauritius

Hoogstoel

Samadoulougou

Lorant

et al. 2021

IJERPH

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Suicidality, which includes suicidal thoughts, planning, and suicide attempts, results mainly from a combination of psychological, sociological, and environmental factors. Despite a high prevalence of suicidality among adolescents in Africa, only a few studies have considered these factors simultaneously. The objective of the study was to identify the prevalence of suicidality, to draw up profiles of concomitant risks, and to examine the associations between these profiles and suicidality in Mauritius. This study used data from the 2017 Mauritian Global School-based Student Health Survey including 3012 adolescents with a mean age of 14.9 ± 1.4 years. Factors related to lifestyle such as consumptions of alcohol and tobacco, physical activity, violence, parental support, anxiety, and loneliness were considered. A latent class analysis was performed to identify the profiles. Finally, a modified Poisson regression analysis with generalized estimating equations, adjusted with sociodemographic characteristics, was used to assess the association between these profiles and suicidality. Overall, more than one in ten adolescents had at least one of the suicidality behaviors. Three profiles were identified: 1 = “low risk group” (63.9%); 2 = “problems with violence” (15.2%); 3 = “problems with violence, alcohol, tobacco and psychological distress” (20.9%). Profiles 2 and 3 were mainly made up of males. Adolescents under 15 represented the majority of individuals in profile 2. Finally, the risk of suicidality was higher in adolescents belonging to profiles 2 and 3 compared to profile 1 for the three suicidality behaviors (profile 3: Prevalence ratio (PR) for suicidal thoughts = 1.26, 95% CI = 1.19–1.34; PR for planning = 1.23, 95% CI = 1.17–1.30; PR for attempt = 1.23, 95% CI = 1.17–1.29). This study highlights the high prevalence of suicidality and a list of concomitant risks, emphasizing this suicidality in Mauritian adolescents. Therefore, these results recommend focusing preventive efforts toward a simultaneous consideration of these factors.

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Section: Discussionmentioning

confidence: 99%

A Latent Class Analysis of Health Lifestyles in Relation to Suicidality among Adolescents in Mauritius

Hoogstoel

Samadoulougou

Lorant

et al. 2021

IJERPH

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“…When the distribution of physical activity is analyzed within a particular country (i.e., not between countries), based on the GSHS conducted from 2009 to 2016, Vancampfort et al found that adolescents from poor families were less likely to meet the recommended sufficient physical activity [ 39 ].This question was not assessed in the present study, as we did not have socio-economic indicators at the individual level for all students included in this study. However, it is known, for example, that students from families with high socio-economic status are more likely to attend gym memberships and to live in a favorable environment, like an area with green areas, sports facilities, bike trails, and adequately connected streets [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…A review of 130 surveillance studies showed ≥50% of children and adolescents engaged in sedentary behavior for ≥2 h/day in recent years [ 11 ]. Based on the GSHS in 2006–2016, it was estimated that 26.4% of adolescents had sedentary behavior for ≥3 h/day during their leisure time [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Physical Activity and Sedentary Behavior among Young Adolescents in 68 LMICs, and Their Relationships with National Economic Development

Zhang

Zhao

et al. 2020

IJERPH

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It is unclear whether physical activity and sedentary behavior are associated with economic development in low- and middle-income countries (LMICs). We aimed to assess the association between these two behaviors and country economic development among young adolescents in LMICs. Data came from the Global School-based Student Health Survey (GSHS) conducted between 2009 and 2016 in 68 LMICs. A total of 180,298 adolescents aged 12–15 years were included; 15.3% of young adolescents achieved the recommended level for sufficient physical activity (≥60 min/day of physical activity of any kind per week according to WHO) and 64.6% achieved a low sedentary behavior (≤2 h of sitting activities/day according to some guidelines, not accounting for sitting time at school or for doing homework). However, only 9.1% of young adolescents met the recommended levels of both behaviors. Comparing the lowest to the highest quintiles of a country’s purchasing power parity per capita (PPP), mean values of both physical activity (boys: 2.55 to 2.96 days/week; girls: 2.10 to 2.31 days/week) and sedentary behavior(boys: 1.86 to 3.13 h/day; girls: 1.83 to 3.53 h/day) increased. The prevalence of having both recommended behaviors decreased among boys (12.0% to 10.0%) and girls (9.6% to 4.9%) (p < 0.001). Although there might be an ecological fallacy, the findings emphasize the need for interventions to increase physical activity and reduce sedentary behavior among children and young adolescents.

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“…Alcohol and substance use has been observed to have the combined effects of complicating the course of depression and impairing judgement of a person experiencing depression, and at the same time resulting in high impulsivity which leads to acute life-threatening behaviours such as attempted suicide [51]. Leisure-time sedentary behaviour is now a common problem across most lowand middle-income countries, including those in Africa [52]. As a risk factor, leisure-time sedentary behaviour is associated with elevated levels of depressive symptoms, which in turn increases that risk for suicidal behaviour among young people [43,53].…”

Section: Factors Associated With Suicidal Behavioursmentioning

confidence: 99%

Suicidal behaviours among adolescents in Liberia

2020

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Background Whereas suicide remains in the top 12 leading causes of death among young people aged 10–24 in sub-Saharan Africa, little is known about suicidal behaviours among adolescents in Liberia. We aimed to estimate the 12-month prevalence and describe some of the correlates of suicide behaviours (ideation, planning, and attempt) among school-going adolescents in Liberia. Methods We analysed data from the 2017 Liberia Global School-based Student Health Survey conducted nationwide among secondary school students. We performed bivariate and multivariable analyses to assess the correlates of suicidal ideation, planning, and attempt in the previous 12 months. Results Of the 2744 students, 26.8% reported suicidal ideation, 36.5% made a specific plan to attempt suicide and 33.7% attempted suicide during the 12 months preceding the survey. In the final adjusted logistic models, bullying victimisation and food insecurity were associated with increased odds of ideation, planning, and attempt. Whereas no factor was uniquely associated with suicidal ideation, having many close friends, and parental monitoring were associated with the increased odds of suicidal planning only. Leisure-time sedentary behaviour was associated with increased odds of suicidal planning and attempt. Cannabis use, alcohol drunkenness, being physically attacked, and parental supervision were uniquely associated with increased odds of suicidal attempt, while parental understanding and having a smaller number of close friends were uniquely associated with reduced odds of suicidal attempt. Conclusions The relatively high prevalence estimates of suicide behaviours and the multi-contextual nature of the associated factors warrant the need for the design and implementation of universal and multi-level, collaborative targeted intervention efforts towards the prevention of the onset of ideation, planning, and attempt, and the possible transition to deaths by suicide among school-going adolescents in Liberia.

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Correlates of leisure-time sedentary behavior among 181,793 adolescents aged 12-15 years from 66 low- and middle-income countries

Cited by 29 publications

References 43 publications

A Latent Class Analysis of Health Lifestyles in Relation to Suicidality among Adolescents in Mauritius

A Latent Class Analysis of Health Lifestyles in Relation to Suicidality among Adolescents in Mauritius

Physical Activity and Sedentary Behavior among Young Adolescents in 68 LMICs, and Their Relationships with National Economic Development

Suicidal behaviours among adolescents in Liberia

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