Cross-sectional associations between mental health indicators and social vulnerability, with physical activity, sedentary behaviour and sleep in urban African young women
| dc.contributor.author | Draper, Catherine E | |
| dc.contributor.author | Cook, Caylee J | |
| dc.contributor.author | Redinger, Stephanie | |
| dc.contributor.author | Rochat, Tamsen | |
| dc.contributor.author | Prioreschi, Alessandra | |
| dc.contributor.author | Rae, Dale E | |
| dc.contributor.author | Ware, Lisa J | |
| dc.contributor.author | Lye, Stephen J | |
| dc.contributor.author | Norris, Shane A | |
| dc.date.accessioned | 2022-10-24T10:54:18Z | |
| dc.date.available | 2022-10-24T10:54:18Z | |
| dc.date.issued | 2022-07-10 | |
| dc.date.updated | 2022-07-17T03:16:10Z | |
| dc.description.abstract | Background Relationships between mental health and multiple health behaviours have not been explored in young South African women experiencing social constraints. The aim of this study was to identify associations between mental health indicators and risk factors with physical activity, sedentary behaviour, and sleep, amongst young women living in Soweto, a predominantly low-income, urban South African setting. Methods For this cross-sectional study, baseline measurements for participants (n = 1719, 18.0–25.9 years old) recruited for the Healthy Life Trajectories Initiative were used including: physical activity, sedentary behaviour (sitting, screen and television time), sleep (duration and quality), depression and anxiety indicators, emotional health, adverse childhood experiences, alcohol-use risk; social vulnerability, self-efficacy, and social support. Results Multiple regression analyses showed that depression (β = 0.161, p < 0.001), anxiety (β = 0.126, p = 0.001), adverse childhood experiences (β = 0.076, p = 0.014), and alcohol-use risk (β = 0.089, p = 0.002) were associated with poor quality sleep. Alcohol-use risk was associated with more screen time (β = 0.105, p < 0.001) and television time (β = 0.075, p < 0.016). Social vulnerability was associated with lower sitting time (β = − 0.187, p < 0001) and screen time (β = − 0.014, p < 0.001). Higher self-efficacy was associated with more moderate- to vigorous-intensity physical activity (β = 0.07, p = 0.036), better-quality sleep (β = − 0.069, p = 0.020) and less television time (β = − 0.079, p = 0.012). Having no family support was associated with more sitting time (β = 0.075, p = 0.022). Binomial logistic regression analyses supported these findings regarding sleep quality, with anxiety and depression risk doubling the risk of poor-quality sleep (OR = 2.425, p < 0.001, OR = 2.036, p = 0.003 respectively). Conclusions These findings contribute to our understanding of how mental health indicators and risk factors can be barriers to health behaviours of young women in Soweto, and that self-efficacy and social support can be protective for certain of these behaviours for these women. Our results highlight the uniqueness of this setting regarding associations between mental health and behaviours associated with non-communicable diseases risk. | en_US |
| dc.identifier.apacitation | Draper, C. E., Cook, C. J., Redinger, S., Rochat, T., Prioreschi, A., Rae, D. E., ... Norris, S. A. (2022). Cross-sectional associations between mental health indicators and social vulnerability, with physical activity, sedentary behaviour and sleep in urban African young women. <i>International Journal of Behavioral Nutrition and Physical</i>, 19(1), 82. http://hdl.handle.net/11427/36873 | en_ZA |
| dc.identifier.chicagocitation | Draper, Catherine E, Caylee J Cook, Stephanie Redinger, Tamsen Rochat, Alessandra Prioreschi, Dale E Rae, Lisa J Ware, Stephen J Lye, and Shane A Norris "Cross-sectional associations between mental health indicators and social vulnerability, with physical activity, sedentary behaviour and sleep in urban African young women." <i>International Journal of Behavioral Nutrition and Physical</i> 19, 1. (2022): 82. http://hdl.handle.net/11427/36873 | en_ZA |
| dc.identifier.citation | Draper, C.E., Cook, C.J., Redinger, S., Rochat, T., Prioreschi, A., Rae, D.E., Ware, L.J. & Lye, S.J. et al. 2022. Cross-sectional associations between mental health indicators and social vulnerability, with physical activity, sedentary behaviour and sleep in urban African young women. <i>International Journal of Behavioral Nutrition and Physical.</i> 19(1):82. http://hdl.handle.net/11427/36873 | en_ZA |
| dc.identifier.ris | TY - Journal Article AU - Draper, Catherine E AU - Cook, Caylee J AU - Redinger, Stephanie AU - Rochat, Tamsen AU - Prioreschi, Alessandra AU - Rae, Dale E AU - Ware, Lisa J AU - Lye, Stephen J AU - Norris, Shane A AB - Background Relationships between mental health and multiple health behaviours have not been explored in young South African women experiencing social constraints. The aim of this study was to identify associations between mental health indicators and risk factors with physical activity, sedentary behaviour, and sleep, amongst young women living in Soweto, a predominantly low-income, urban South African setting. Methods For this cross-sectional study, baseline measurements for participants (n = 1719, 18.0–25.9 years old) recruited for the Healthy Life Trajectories Initiative were used including: physical activity, sedentary behaviour (sitting, screen and television time), sleep (duration and quality), depression and anxiety indicators, emotional health, adverse childhood experiences, alcohol-use risk; social vulnerability, self-efficacy, and social support. Results Multiple regression analyses showed that depression (β = 0.161, p < 0.001), anxiety (β = 0.126, p = 0.001), adverse childhood experiences (β = 0.076, p = 0.014), and alcohol-use risk (β = 0.089, p = 0.002) were associated with poor quality sleep. Alcohol-use risk was associated with more screen time (β = 0.105, p < 0.001) and television time (β = 0.075, p < 0.016). Social vulnerability was associated with lower sitting time (β = − 0.187, p < 0001) and screen time (β = − 0.014, p < 0.001). Higher self-efficacy was associated with more moderate- to vigorous-intensity physical activity (β = 0.07, p = 0.036), better-quality sleep (β = − 0.069, p = 0.020) and less television time (β = − 0.079, p = 0.012). Having no family support was associated with more sitting time (β = 0.075, p = 0.022). Binomial logistic regression analyses supported these findings regarding sleep quality, with anxiety and depression risk doubling the risk of poor-quality sleep (OR = 2.425, p < 0.001, OR = 2.036, p = 0.003 respectively). Conclusions These findings contribute to our understanding of how mental health indicators and risk factors can be barriers to health behaviours of young women in Soweto, and that self-efficacy and social support can be protective for certain of these behaviours for these women. Our results highlight the uniqueness of this setting regarding associations between mental health and behaviours associated with non-communicable diseases risk. DA - 2022-07-10 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - International Journal of Behavioral Nutrition and Physical KW - Low- and middle-income country KW - Physical activity KW - Sedentary behaviour KW - Sleep KW - Mental health LK - https://open.uct.ac.za PY - 2022 T1 - Cross-sectional associations between mental health indicators and social vulnerability, with physical activity, sedentary behaviour and sleep in urban African young women TI - Cross-sectional associations between mental health indicators and social vulnerability, with physical activity, sedentary behaviour and sleep in urban African young women UR - http://hdl.handle.net/11427/36873 ER - | en_ZA |
| dc.identifier.uri | https://doi.org/10.1186/s12966-022-01325-w | |
| dc.identifier.uri | http://hdl.handle.net/11427/36873 | |
| dc.identifier.vancouvercitation | Draper CE, Cook CJ, Redinger S, Rochat T, Prioreschi A, Rae DE, et al. Cross-sectional associations between mental health indicators and social vulnerability, with physical activity, sedentary behaviour and sleep in urban African young women. International Journal of Behavioral Nutrition and Physical. 2022;19(1):82. http://hdl.handle.net/11427/36873. | en_ZA |
| dc.language.iso | en | en_US |
| dc.language.rfc3066 | en | |
| dc.rights.holder | The Author(s) | |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en_US |
| dc.source | International Journal of Behavioral Nutrition and Physical | en_US |
| dc.source.journalissue | 1 | en_US |
| dc.source.journalvolume | 19 | en_US |
| dc.source.pagination | 82 | en_US |
| dc.source.uri | https://ijbnpa.biomedcentral.com/ | |
| dc.subject | Low- and middle-income country | en_US |
| dc.subject | Physical activity | en_US |
| dc.subject | Sedentary behaviour | en_US |
| dc.subject | Sleep | en_US |
| dc.subject | Mental health | en_US |
| dc.title | Cross-sectional associations between mental health indicators and social vulnerability, with physical activity, sedentary behaviour and sleep in urban African young women | en_US |
| dc.type | Journal Article | en_US |