Rising Social Inequalities in US Childhood Obesity, 2003-2007
Rising Social Inequalities in US Childhood Obesity, 2003-2007
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DOI：
10.1016/j.annepidem.2009.09.008
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发表时间：
2010-01-01
影响因子：
5.6
通讯作者：
Kogan, Michael D.
中科院分区：
文献类型：
--
作者：
Singh, Gopal K.;Siahpush, Mohammad;Kogan, Michael D.
目得：本研究调查了2003年至2007年美国10至17岁儿童和青少年中肥胖和超重患病率的变化，这些儿童和青少年来自详细的种族/民族和社会经济群体。2003年（N = 46 707）和2007年（N = 44，101）使用全国儿童健康调查来计算超重和肥胖患病率（体重指数[BMI]分别>= 85和>= 95）。结果：2007年，16.4%的美国儿童肥胖，31.6%的儿童超重。从2003年到2007年，所有美国儿童的肥胖患病率增加了10%，但在低教育、低收入和高失业率家庭中，肥胖患病率增加了23%-33%。西班牙裔儿童和单亲母亲家庭儿童的肥胖患病率显著增加。2007年，西班牙裔、非西班牙裔白色和美洲印第安儿童肥胖和超重的几率比亚洲儿童高3.0-3.8倍;低收入和低教育水平家庭的儿童肥胖的几率比社会经济地位较高的家庭的儿童高3.4-4.3倍。肥胖和超重患病率的种族/民族和社会经济差异的幅度增加，2003年和2007年之间，与大量的社会不平等持续存在，即使在控制行为factors.CONCLUSIONS：肥胖和超重患病率的社会不平等增加，因为更快速的增长，在较低的社会经济群体的儿童中的患病率。Ann Epidemiol 2010;20：40-52. (C)2010年由Elsevier Inc.出版
PURPOSE: This study examines changes between 2003 and 2007 in obesity and overweight prevalence among U.S. children and adolescents 10 to 17 years of age from detailed racial/ethnic and socioeconomic groups.METHODS: The 2003 (N = 46,707) and 2007 (N = 44,101) National Survey of Children's Health were used to calculate overweight and obesity prevalence (body mass index [BMI] >= 85th and >= 95th percentiles, respectively). Logistic regression was used to model odds of obesity.RESULTS: In 2007, 16.4% of U.S. children were obese and 31.6% were overweight. From 2003 to 2007, obesity prevalence increased by 10% for all U.S. children but increased by 23%-33% for children in low-education, low-income, and higher unemployment households. Obesity prevalence increased markedly among Hispanic children and children from single-mother households. In 2007, Hispanic, non-Hispanic White, and American Indian children had 3.0-3.8 times higher odds of obesity and overweight than Asian children; children from low-income and low-education households had 3.4-4.3 times higher odds of obesity than children from higher socioeconomic households. The magnitude of racial/ethnic and socioeconomic disparities in obesity and overweight prevalence increased between 2003 and 2007, with substantial social inequalities persisting even after controlling for behavioral factors.CONCLUSIONS: Social inequalities in obesity and overweight prevalence increased because of more rapid increases in prevalence among children in lower socioeconomic groups. Ann Epidemiol 2010;20:40-52. (C) 2010 Published by Elsevier Inc.