Measuring health disparities: trends in racial-ethnic and socioeconomic disparities in obesity among 2- to 18-year old youth in the United States, 2001-2010
Measuring health disparities: trends in racial-ethnic and socioeconomic disparities in obesity among 2- to 18-year old youth in the United States, 2001-2010
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DOI：
10.1016/j.annepidem.2012.07.005
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发表时间：
2012-10-01
影响因子：
5.6
通讯作者：
Schoendorf, Kenneth C.
中科院分区：
文献类型：
--
作者：
Rossen, Lauren M.;Schoendorf, Kenneth C.
目的：尽管消除种族、民族和社会经济地位(SES)的健康差距是国际和美国公共卫生的首要任务，但在美国成年人和儿童中，与体重相关的种族/民族和SES差异仍然存在。很少有研究研究这些差异是如何随着时间的推移而变化的；这些研究受到依赖比率差异或比率来衡量差异的限制。我们试图通过使用一套绝对和相对尺度上的差异度量来检验儿童肥胖差异随时间的变化趋势，从而推动现有研究的发展。方法：利用国家健康和营养检查调查中7066名2-18岁儿童的数据，使用一套不同的差异度量来探索2001年至2010年儿童肥胖的种族/民族和社会经济地位差异的趋势。结果：从2001年到2010年，儿童肥胖的种族/民族和社会经济地位相关的差异没有显著变化，而且仍然显著。结论：肥胖的差异在过去10年中没有改善。使用不同的差异指标可能会导致关于差异如何随时间变化的不同结论，从而突出了使用各种指标评估差异的必要性。由爱思唯尔公司出版。
Purpose: Although eliminating health disparities by race, ethnicity, and socioeconomic status (SES) is a top public health priority internationally and in the United States, weight-related racial/ethnic and SES disparities persist among adults and children in the United States. Few studies have examined how these disparities have changed over time; these studies are limited by the reliance on rate differences or ratios to measure disparities. We sought to advance existing research by using a set of disparity metrics on both the absolute and relative scales to examine trends in childhood obesity disparities over time.Methods: Data from 7066 children, ages 2 to 18 years, in the National Health and Nutrition Examination Surveys were used to explore trends in racial/ethnic and SES disparities in pediatric obesity from 2001 to 2010 using a set of different disparity metrics.Results: Racial/ethnic and SES-related disparities in pediatric obesity did not change significantly from 2001 to 2010 and remain significant.Conclusions: Disparities in obesity have not improved during the past decade. The use of different disparity metrics may lead to different conclusions with respect to how disparities have changed over time, highlighting the need to evaluate disparities using a variety of metrics. Published by Elsevier Inc.