The aim of this cross-sectional study was to explore which variables were associated with physical inactivity in people living with HIV living in a fishing community in Uganda. Secondary aims were to explore the reasons for and barriers to physical activity (PA). Two hundred and fifty-six individuals living with HIV (77 men, 40.5 ± 10.3 years) completed the Physical Activity Vital Sign (PAVS), Patient Health Questionnaire-9 (PHQ-9), and the Alcohol Use Disorders Identification Test. Women had a 1.62 (95% CI = 1.01–2.57), those not having a job a 2.81 (95% CI = 2.00–3.94), and those with depression a 5.67 (95% CI = 2.27–14.17) higher odds for not being physically active for 150 min/week at moderate intensity. Employment and depression status were the only independent significant predictors explaining 27.2% of the PAVS variance. Becoming more healthy and energetic again and reducing stress were the most important PA motives, and musculoskeletal pain, body weakness, and lack of time were the most important PA barriers.
World Health Organization. Global update on HIV treatment 2013: results, impact and opportunities.
Geneva:
World Health Organization, 2013.
2.
OommanNBernsteinMRosenzweigS.Following the funding for HIV/AIDS: a comparative analysis of the funding practices of PEPFAR the Global Fund and World Bank MAP in Mozambique Uganda and Zambia.
Washington, DC:
World Bank, 2007.
3.
BaggaleyRHensenBAjoseO, et al.
From caution to urgency: the evolution of HIV testing and counselling in Africa. Bull World Health Organ2012;
90: 652–658.
4.
AtunRChangAYOgbuojiO, et al.
Long-term financing needs for HIV control in sub-Saharan Africa in 2015–2050: a modelling study. BMJ Open2016;
6: e009656.
5.
KisslingEAllisonEHSeeleyJA, et al.
Fisherfolk are among groups most at risk of HIV: cross-country analysis of prevalence and numbers infected. AIDS2005;
19: 1939–1946.
6.
SeeleyJTumwekwaseGGrosskurthH.Fishing for a living but catching HIV: AIDS and changing patterns of the organization of work in fisheries in Uganda. Anthropol Work Rev2009;
30: 66–76.
7.
ChangLWGrabowskiMKSsekubuguR, et al.
Heterogeneity of the HIV epidemic in agrarian, trading, and fishing communities in Rakai, Uganda: an observational epidemiological study. Lancet HIV2016;
3: e388–e396.
8.
MacallanDCNobleCBaldwinC, et al.
Energy expenditure and wasting in human immunodeficiency virus infection. N Engl J Med1995;
333: 83–88.
9.
VancampfortDMugishaJDe HertM, et al.
Global physical activity levels among people living with HIV: a systematic review and meta-analysis. Disabil Rehabil2016; 1–10.
10.
VancampfortDMugishaJDe HertM, et al.
Sedentary behaviour in people living with HIV: a systematic review and meta-analysis. J Phys Act Health2017;
1: 20.
11.
VancampfortDMugishaJRosenbaumS, et al.
Cardiorespiratory fitness levels and moderators in people with HIV: a systematic review and meta-analysis. Prev Med2016;
93: 106–114.
12.
PetersenC.Educating and training out of poverty? Adult provision and the informal sector in fishing communities, South Africa. Int J Educ Dev2007;
27: 446–457.
13.
VancampfortDMugishaJRichardsJ, et al.
Physical activity correlates in people living with HIV: a systematic review of 44 studies. Disabil Rehabil2018;
40: 1618–1629.
14.
TumwesigyeNMAtuyambeLWanyenzeRK, et al.
Alcohol consumption and risky sexual behaviour in the fishing communities: evidence from two fish landing sites on Lake Victoria in Uganda. BMC Public Health2012;
12: 1069.
15.
KieneSMLuleHSileoKM, et al.
Depression, alcohol use, and intimate partner violence among outpatients in rural Uganda: vulnerabilities for HIV, STIs and high risk sexual behavior. BMC Infect Dis2017;
17: 88.
16.
VancampfortDFirthJSchuchFB, et al.
Sedentary behavior and physical activity levels in people with schizophrenia, bipolar disorder and major depressive disorder: a global systematic review and meta‐analysis. World Psychiatry2017;
16: 308–315.
17.
SchuchFVancampfortDFirthJ, et al.
Physical activity and sedentary behavior in people with major depressive disorder: a systematic review and meta-analysis. J Affect Disord2017;
210: 139–150.
18.
VancampfortDVandaelHHallgrenM, et al.
Physical fitness and physical activity levels in people with alcohol use disorder versus matched healthy controls: a pilot study. Alcohol2019;
76: 73–79.
19.
Uganda AIDS Commission. The Uganda HIV and AIDS country progress report.
Kampala:
Uganda AIDS, 2016.
20.
Government Buikwe District Level. District development plan II: FYs 2015/2016–2019/2020.
Kampala:
The Ugandan Government, 2015.
21.
GreenwoodJLJoyEAStanfordJB.The Physical Activity Vital Sign: a primary care tool to guide counseling for obesity. J Phys Act Health2010;
7: 571–576.
22.
SallisRFranklinBJoyL, et al.
Strategies for promoting physical activity in clinical practice. Prog Cardiovasc Dis2015;
57: 375–386.
23.
ColemanKJNgorEReynoldsK, et al.
Initial validation of an exercise “vital sign” in electronic medical records. Med Sci Sports Exerc2012;
44: 2071–2076.
24.
VancampfortDHertMDSkjervenLH, et al.
International Organization of Physical Therapy in Mental Health consensus on physical activity within multidisciplinary rehabilitation programmes for minimising cardio-metabolic risk in patients with schizophrenia. Disabil Rehabil2012;
34: 1–12.
25.
SpitzerRLKroenkeKWilliamsJB, et al.
Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. JAMA1999;
282: 1737–1744.
26.
NakkuJRathodSKizzaD, et al.
Validity and diagnostic accuracy of the Luganda version of the 9-item and 2-item patient health questionnaire for detecting major depressive disorder in rural Uganda. Glob Ment Health2016;
3.
27.
BaborTFHiggins-BiddleJSaundersJ, et al. The Alcohol Use Disorders Identification Test – guidelines for use in. Primary care. 2nd ed.
Geneva:
World Health Organization, 2001.
28.
NalwaddaORathodSDNakkuJ, et al.
Alcohol use in a rural district in Uganda: findings from community-based and facility-based cross-sectional studies. Int J Ment Health Syst2018;
12: 12.
29.
KleinbaumDKupperLNizamA, et al. Applied regression analysis and other multivariable methods.
Boston, MA:
Cengage Learning, 2013.
30.
KinsmanJNorrisSAKahnK, et al.
A model for promoting physical activity among rural South African adolescent girls. Glob Health Action2014;
8: 28790.
31.
SsetaalaANakiyingi-MiiroJAsiimweS, et al.
Recruitment and retention of women in fishing communities in HIV prevention research. Pan Afr Med J2015;
21.
32.
GuwatuddeDKirundaBEWesongaR, et al.
Physical activity levels among adults in Uganda: findings from a countrywide cross-sectional survey. J Phys Act Health2016;
13: 938–945.
33.
WoodheadAJAbernethyKESzaboovaL, et al.
Health in fishing communities: a global perspective. Fish Fish2018;
19: 839–852.
34.
NanniMGCarusoRMitchellAJ, et al.
Depression in HIV infected patients: a review. Curr Psychiatry Rep2015;
17: 530.
35.
StubbsBKoyanagiASchuchF, et al.
Physical activity and depression: a large cross‐sectional, population‐based study across 36 low‐and middle‐income countries. Acta Psychiatr Scand2016;
134: 546–556.
36.
LeasureJLNeighborsCHendersonCE, et al.
Exercise and alcohol consumption: what we know, what we need to know, and why it is important. Front Psychiatry2014;
6: 156.
37.
VancampfortDStubbsBVeroneseN, et al.
Correlates of physical activity among depressed older people in six low‐income and middle‐income countries: a community‐based cross‐sectional study. Int J Geriatr Psychiatry2018;
33: e314–e322.
38.
VancampfortDStubbsBHallgrenM, et al.
Correlates of physical activity among middle-aged and older adults with hazardous drinking habits in six low-and middle-income countries. J Aging Phys Act2018; 1–32.
39.
VancampfortDStubbsBKoyanagiA.Physical activity correlates in people with anxiety: data from 46 low-and middle-income countries. Gen Hosp Psychiatry2017;
49: 26–31.
40.
SuetaniSWaterreusAMorganV, et al.
Correlates of physical activity in people living with psychotic illness. Acta Psychiatr Scand2016;
134: 129–137.
41.
SarkarSTaylorWCLaiD, et al.
Social support for physical activity: comparison of family, friends, and coworkers. Work2016;
55: 893–899.
42.
BöhmAWMielkeGIda CruzMF, et al.
Social support and leisure-time physical activity among the elderly: a population-based study. J Phys Act Health2016;
13: 599–605.
43.
NetoMGConceiçãoCSCarvalhoVO, et al.
Effects of combined aerobic and resistance exercise on exercise capacity, muscle strength and quality of life in HIV-infected patients: a systematic review and meta-analysis. PLoS One2015;
10: e0138066.
44.
SoundyARoskellCStubbsB, et al.
Selection, use and psychometric properties of physical activity measures to assess individuals with severe mental illness: a narrative synthesis. Arch Psychiatr Nurs2014;
28: 135–151.
45.
StubbsBFirthJBerryA, et al.
How much physical activity do people with schizophrenia engage in? A systematic review, comparative meta-analysis and meta-regression. Schizophr Res2016;
176: 431–440.
46.
AinsworthBEMaceraCAJonesDA, et al.
Comparison of the 2001 BRFSS and the IPAQ physical activity questionnaires. MedSci Sports Exerc2006;
38: 1584–1592.
47.
MugishaJSsebunnyaJKigoziFN.Towards understanding governance issues in integration of mental health into primary health care in Uganda. Int J Ment Health Syst2016;
10: 1.
48.
LofgrenSMNakasujjaNBoulwareD, et al.
Systematic review of interventions for depression for people living with HIV in Africa. AIDS Behav2018;
22: 1–8.
