Socioeconomic and gendered inequities in travel behaviour in Africa: Mixed-method systematic review and meta-ethnography

Foley, Louise; Brugulat-Panés, Anna; Woodcock, James; Govia, Ishtar; Hambleton, Ian; Turner-Moss, Eleanor; Mogo, Ebele; Awinja, Alice Charity; Dambisya, Philip Mbulalina; Matina, Sostina Spiwe; Micklesfield, Lisa K.; Karim, Safura Abdool; Ware, Lisa J.; Tulloch‐Reid, Marshall K.; Assah, Félix; Pley, Caitlin; Bennett, Natalie; Pujol-Busquets, Georgina; Okop, Kufre; Anand, Tanmay; Camille, Michael; Kwan, Haowen; Mukoma, Gudani; Anil, Megha; Tatah, Lambed; Randall, Lee

doi:10.1016/j.socscimed.2021.114545

Cited by 21 publications

(13 citation statements)

References 104 publications

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“…Although pedestrian travel time was associated with using mobile TB screening units located in one’s own neighborhood compared with using screening units either anywhere else or outside a health facility, these two outcomes yielded different associations with sex and age. When considering all possible screening sites, females were more likely to use screening units within their neighborhoods than males, perhaps suggesting more limited mobility in general, as has been observed elsewhere ( Foley et al, 2022 , Navarrete-Reyes et al, 2017 ). However, when we compared individuals using screening units in their own neighborhoods with individuals using screening units outside health facilities, males were more likely to use those in their neighborhoods.…”

Section: Discussionmentioning

confidence: 74%

Geographic accessibility to health facilities predicts uptake of community-based tuberculosis screening in an urban setting

Jenkins

Ayuk

Puma

et al. 2022

International Journal of Infectious Diseases

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Section: Discussionmentioning

confidence: 74%

Geographic accessibility to health facilities predicts uptake of community-based tuberculosis screening in an urban setting

Jenkins

Ayuk

Puma

et al. 2022

International Journal of Infectious Diseases

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“…The GPAQ estimates PA from work, leisure, and transport domains and is being used in many LMICs [ 11 , 12 , 13 ]. Travel diaries capture travel behaviour—how people move to places in terms of the modes used, such as walking and cycling, duration of travel, and purpose for doing so—but are less common in LMICs [ 14 , 15 ]. Both instruments attempt to capture daily active travel duration but accomplish this in different ways.…”

Section: Introductionmentioning

confidence: 99%

Physical Activity Behaviour and Comparison of GPAQ and Travel Diary Transport-Related Physical Activity in Accra, Ghana

Tatah

Pearce

Goel

et al. 2022

IJERPH

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There is a lack of data on physical activity (PA), active travel, and the comparison of measurement instruments in low-resource settings. The objective of this paper is to describe PA behaviour and the agreement of walking estimates from the Global Physical Activity Questionnaire (GPAQ) and the travel diary in a low-resource setting. We used a cross-sectional survey design to capture data from the residents of Accra (Ghana) between May 2020 and March 2021. Of the 863 participants aged 15+ years, 65% were females, and 86% reported PA. The median weekly PA was 18 (interquartile range: 5–75) metabolic equivalent of task hours, with 50% of females and 37% of males achieving low PA levels. In the GPAQ, 80% of participants reported weekly walking; the mean number of days walked was 3.8 (standard deviation (SD): 2.5); hence, 54% of participants reported walking on any day, and the mean daily walking duration was 51 (SD: 82) minutes. In the diary, 56% of participants reported walking for over 24 h, with a mean walking duration of 31 (SD: 65) minutes. The correlation of walking duration between instruments was weak (rho: 0.31; 95% Confidence Interval: 0.25–0.37); the mean bias was 20 min, with GPAQ estimates being 0.1 to 9 times higher than diary estimates. We concluded that low PA is prevalent in Accra, and while the travel diary and GPAQ estimate similar walking prevalence, their walking duration agreement is poor. We recommend accompanying PA questionnaires with objective measures for calibration.

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“…We primarily intend to use the appraisal tool to identify and communicate recurring quality issues in the literature to inform the design of future initiatives. This approach parallels that taken in a previous study on gender and socioeconomic dimensions of public space use for transport in urban Africa [ 35 ] conducted by the research team.…”

Section: Methods and Analysismentioning

confidence: 85%

A protocol for a systematic review on intersectoral interventions to reduce non-communicable disease risk factors in African cities

Mogo

Brugulat-Panés

Micklesfield

et al. 2022

Public Health in Practice

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Socioeconomic and gendered inequities in travel behaviour in Africa: Mixed-method systematic review and meta-ethnography

Cited by 21 publications

References 104 publications

Geographic accessibility to health facilities predicts uptake of community-based tuberculosis screening in an urban setting

Geographic accessibility to health facilities predicts uptake of community-based tuberculosis screening in an urban setting

Physical Activity Behaviour and Comparison of GPAQ and Travel Diary Transport-Related Physical Activity in Accra, Ghana

A protocol for a systematic review on intersectoral interventions to reduce non-communicable disease risk factors in African cities

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