Potentially modifiable mediators for socioeconomic disparities in childhood obesity in the United States.
Potentially modifiable mediators for socioeconomic disparities in childhood obesity in the United States.
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DOI：
10.1002/oby.23379
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Bartashevskyy M
中科院分区：
文献类型：
--
作者：
Wen X;Mi B;Wang Y;Taveras EM;Bartashevskyy M
本研究的目的是检查美国儿童肥胖的社会经济差异的可修改调节因素。这项研究使用了美国全国出生队列中 1,211 名母子二人从怀孕到产后 6 年的数据。社会经济地位由母亲受教育程度（大学毕业生与以下）和家庭收入（>贫困线的185%与≤185%）来衡量。针对 6 岁时儿童肥胖的社会经济差异进行了单因素和多因素中介分析，并根据人口统计数据进行了调整。母亲教育程度低的儿童肥胖的混杂因素调整相对风险为 1.79，家庭收入低的儿童肥胖相对风险为 1.42。母亲受教育程度低相关的肥胖是由母亲孕前体重指数（间接影响百分比，8.8%）、怀孕期间吸烟（7.0%）、婴儿体重增加（14.4%）、儿童睡眠时间（11.4%）和6岁时工作日看电视（4.9%）单独介导的。与低家庭收入相关的肥胖是由母亲孕前BMI（18.5%）、怀孕期间吸烟（6.3%）、儿童睡眠时间（12.8%）和6岁时的家庭学习环境（26.2%）介导的。在多中介分析中，显着中介共同调节了 54.0% 的母亲教育相关差异或 39.4% 的家庭收入相关差异。母亲先入为主的体重指数、怀孕期间吸烟、婴儿体重增加、儿童睡眠、看电视和家庭学习环境在很大程度上介导了美国儿童肥胖的社会经济差异。
The aim of this study was to examine modifiable mediators for socioeconomic disparities in childhood obesity in the United States. This study used the data of 1,211 mother-child dyads from a US national birth cohort from pregnancy to 6 years post partum. Socioeconomic status was indicated by maternal education (college graduate vs. less) and family income (>185% vs. ≤185% of the poverty line). Single- and multiple-factor mediation analyses were conducted for socioeconomic disparities in childhood obesity at 6 years, adjusting for demographics. The confounder-adjusted relative risk of childhood obesity was 1.79 for low maternal education and 1.42 for low family income. Low-maternal-education-related obesity was individually mediated by maternal preconception BMI (percentage of indirect effect, 8.8%), smoking during pregnancy (7.0%), infant weight gain (14.4%), child sleep duration (11.4%), and TV viewing during weekdays at 6 years (4.9%). Low-family-income-related obesity was mediated by maternal preconception BMI (18.5%), smoking during pregnancy (6.3%), child sleep duration (12.8%), and the home learning environment at 6 years (26.2%). In multiple-mediator analysis, significant mediators together mediated 54.0% of maternal-education-related or 39.4% of family-income-related disparities. Maternal preconception BMI, smoking during pregnancy, infant weight gain, child sleep, TV viewing, and the home learning environment substantially mediated socioeconomic disparities in childhood obesity in the United States.
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DOI：
10.1097/00001648-199001000-00010
发表时间：
1990-01-01
期刊：
Epidemiology (Cambridge, Mass.)
影响因子：
--
作者：
Rothman, K J
通讯作者：
Rothman, K J
影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
2.1
作者：
Marschner, Ian C.;Gillett, Alexandra C.
通讯作者：
Gillett, Alexandra C.
DOI：
10.1073/pnas.1321355110
发表时间：
2014-01-28
影响因子：
11.1
作者：
Frederick, Carl B.;Snellman, Kaisa;Putnam, Robert D.
通讯作者：
Putnam, Robert D.
影响因子：
5.1
作者：
Lumeng, Julie C.;Burke, Lori M.
通讯作者：
Burke, Lori M.