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Original Article
Decomposing Gender Disparity in Total Physical Activity among Iranian Adults
Ebrahim Rahimi, Seyed Saeed Hashemi-Nazari, Koorosh Etemad, Hamid Soori
Epidemiol Health. 2017;39:e2017044.   Published online October 16, 2017
DOI: https://doi.org/10.4178/epih.e2017044
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  • 6 Web of Science
  • 5 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
While gender differences in physical activity (PA) have been reported, their origin is not well understood. The present study aimed to identify factors contributing to this disparity.
METHODS
This was a population-based cross-sectional study based on the 2011 surveillance of risk factors of non-communicable diseases that was conducted among Iranian adults. Multi-staged sampling was performed to obtain the required study sample. The primary outcome was gender differences in the prevalence of sufficient physical activity (SPA). Total physical activity (TPA) was calculated as metabolic equivalents (MET) per minute during a typical week, as recommended by the World Health Organization. On this basis, achieving 600 MET-min/wk or more was defined as SPA. The nonlinear Blinder-Oaxaca decomposition technique was used to explain the disparity.
RESULTS
The predicted gap was 19.50%. About one-third of the gap was due to differences in the level of observable covariates. Among them, work status contributed the most (29.61%). A substantial portion of the gap remained unexplained by such differences, of which about 40.41% was related to unobservable variables. The differential effects of standard of living, ethnicity, and smoking status made the largest contribution, accounting for 37.36, 35.47, and 28.50%, respectively.
CONCLUSIONS
Interventions to reduce the gender gap in PA should focus on increasing TPA among housewives and women with chronic diseases, as well as those with a higher standard of living. In addition, it is essential to explore the impact of ethnicity and smoking status on women’s TPA in order to promote health.
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Citations

Citations to this article as recorded by  
  • Gender differences in cardiac rehabilitation participation and outcomes: an 18-year retrospective study in Iran
    Marzieh Najafi, Zahra Teimouri-Jervekani, Marjan Jamalian, Hamidreza Roohafza, Mohammad Hossein Paknahad, Mohammad mahdi Hadavi, Neda Dorostkar, Masoumeh Sadeghi
    The Egyptian Heart Journal.2024;[Epub]     CrossRef
  • Perioperative Exercise Intention and Influencing Factors: A Multi-Centered Cross-Sectional Study
    Feng Lv, Yuxi Zhang, Su Min, Ping Li, Lihua Peng, Li Ren, Jian Yu, Bin Wang, Yiwei Shen, Shanshan Tong, Juying Jin, Xi Luo, Jing Chen, Yingrui Chen, Yuanyuan Li, Jin Chen, Xing Zeng, Fuquan Luo, Qiuju Xiong, Lei Zou, Yuanyuan Guo, Jun Cao, Qibin Chen, Bin
    Frontiers in Public Health.2021;[Epub]     CrossRef
  • Health-Related Quality of Life and Physical Activity in a Community Setting
    Marta Gil-Lacruz, Ana Isabel Gil-Lacruz, Paola Domingo-Torrecilla, Miguel Angel Cañete-Lairla
    International Journal of Environmental Research and Public Health.2021; 18(14): 7301.     CrossRef
  • A detailed explanation and graphical representation of the Blinder-Oaxaca decomposition method with its application in health inequalities
    Ebrahim Rahimi, Seyed Saeed Hashemi Nazari
    Emerging Themes in Epidemiology.2021;[Epub]     CrossRef
  • Sex-related Disparities in Access of Patients with STEMI to PCI Hospitals in Brazil: The Contribution of Blinder–Oaxaca Decomposition Method
    Marcos Antonio Almeida-Santos, Taciana Silveira Passos, Jeferson Cunha-Oliveira, Laís Costa Souza Oliveira, Ticiane Clair Remacre Munareto Lima, Larissa Andreline Maia Arcelino, Jussiely Cunha Oliveira, Antonio Carlos Sobral Sousa, José Augusto Soares Bar
    Journal of Health Management.2020; 22(1): 3.     CrossRef

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