Intersections of Adolescent Well-Being: School, Work, and Weight Status in Brazil.

Intersections of Adolescent Well-Being: School, Work, and Weight Status in Brazil.
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青少年幸福的交叉点:巴西的学校、工作和体重状况。

DOI:
10.1177/0022146520985540
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发表时间:
2021-03
影响因子:
5
通讯作者:
Donnelly R
Donnelly R
中科院分区:
医学2区
文献类型:
--
作者:
Marteleto LJ;Dondero M;Van Hook J;Gama LCD;Donnelly R

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社会经济和健康方面的不利因素可能出现在生命过程的早期,使青春期成为考察社会经济地位与健康之间关系的关键时期。过去对青春期肥胖的研究侧重于家庭对社会经济地位的衡量,忽视了个人层面的社会经济劣势指标的作用。使用来自巴西全国代表性数据的测量身高和体重,我们估计兄弟姐妹固定效应模型,以检查新生的社会经济特征-学校入学和工作状况-对青少年超重和肥胖的独立影响,考虑到兄弟姐妹共有的未观察到的遗传和环境因素。结果表明,入学人数与超重和肥胖的几率较低有关。工作与超重/肥胖风险没有显著关联。然而,没有入学但有工作的青少年面临着最高的超重/肥胖风险。研究结果表明,青少年因失学而面临更多的不利因素,这对健康不利因素的积累具有重要影响。
Socioeconomic and health disadvantages can emerge early in the life course, making adolescence a key period to examine the association between socioeconomic status and health. Past research on obesity in adolescence has focused on family measures of socioeconomic status, overlooking the role of individual-level nascent indicators of socioeconomic disadvantage. Using measured height and weight from nationally representative data from Brazil, we estimate sibling fixed effects models to examine the independent effects of nascent socioeconomic characteristics—school enrollment and work status—on adolescent overweight and obesity, accounting for unobserved genetic and environmental factors shared by siblings. Results show that school enrollment is associated with lower odds of overweight and obesity. Working is not significantly associated with overweight/obesity risk. However, adolescents not enrolled but working face the highest risk of overweight/obesity. Findings suggest that adolescents face added layers of disadvantage from being out of school, with important implications for the accumulation of health disadvantages.
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