Childhood obesity inequality in northeast China: joint effect of social economic status and school neighborhood environment.
Childhood obesity inequality in northeast China: joint effect of social economic status and school neighborhood environment.
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DOI：
10.1186/s12889-023-15194-w
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发表时间：
2023-02-13
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
肥胖环境是推动肥胖流行的重要因素。孩子们在学校里花了大量的时间。需要探索学校邻里环境及其与社会经济地位的相互作用，为儿童肥胖预防政策提供依据。目的对东北地区26所学校的3 670名9~12岁儿童进行人体测量、家庭结构问卷调查和学校地理空间分析。根据家庭财富、父母教育程度、父母职业等因素，建立SES范畴间交叉小组，检验其与学校邻里环境的交互作用对儿童身体质量指数z分数(z-BMI)和腰臀比z分数(z-WHR)的影响。家庭财富、父母文化程度和父母职业构成的自闭症群体与女孩的z-BMI和z-WHR相关。在所有SES组中，中等财富个体户(M&S)的调整后的z-BMI和z-WHR最高。学校邻里环境因素与SES群体之间存在交互作用，并与女生的WHR相关。社区超市和住宅点的数量与M&S家庭女孩的腰围比呈负相关(超市β=-0.45(95%CI：-0.76，-0.15)；住宅点β=-0.01(95%CI：-0.03，0.00))。学校附近便利店和公共交通站点的数量与M&S家庭女孩的腰臀比呈正相关(便利店的β = 为0.02(95%CI：0.00，0.03)；公共交通站点的β = 为0.23(95%CI：0.15，0.31)。而蔬菜店的数量则没有发现显著的相关性。中等收入和个体户家庭的女孩可能是受学校周边环境影响的群体。旨在改善学校附近环境的地方政策可能是减少肥胖，特别是女孩肥胖的社会经济差距的途径之一。网上版载有补充材料，可在10.1186/s12889-023-15194-w查阅。
Obesogenic environment is important in driving obesity epidemic. Children spend large amount of their time in schools. School neighborhood environment, as well as its interaction with socioeconomic status (SES) needs to be explored to provide evidence for children obesity prevention policies. Objective anthropometric measurement, a household structured questionnaire, and school geospatial analyses were carried out on 3670 children (aged 9–12 years) of 26 schools in northeast China. Interaction between SES inter-categorical intersectionality group and school neighborhood environment was tested for the effect on children’s body mass index z scores (z-BMI) and waist–hip ratio z scores (z-WHR), following formulation of SES inter-categorical intersectionality group based on household wealth, parental education, and parental occupation. SES groups formed by household wealth, parental education and parental occupation was associated with z-BMI and z-WHR for girls. Those from moderate wealth & self-employed (M&S) families had the highest adjusted z-BMI and z-WHR among all SES groups. School neighborhood environment factors interacted with SES groups in association with WHR for girls. Number of school neighborhood supermarkets and residential sites were negatively associated with z-WHR for girls from M&S families (β= -0.45 (95%CI: -0.76, -0.15) for supermarkets; β= -0.01 (95%CI: -0.03, 0.00) for residential sites). Number of school neighborhood convenience stores and public transport stops were positively associated with z-WHR for girls from M&S families (β = 0.02 (95%CI: 0.00, 0.03) for convenience stores; β = 0.23 (95%CI: 0.15, 0.31) for public transport stops). While non-significant association was found for number of vegetable stores. Girls from moderate wealth & self-employed families may be the group susceptible to school neighborhood environment. Local policies targeted at improving the school neighborhood environment may be one avenue for reducing socioeconomic disparities in obesity especially for girls. The online version contains supplementary material available at 10.1186/s12889-023-15194-w.
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DOI：
10.1186/1479-5868-12-s1-s5
发表时间：
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影响因子：
8.7
作者：
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影响因子：
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