Area-based socioeconomic environment, obesity risk behaviours, area facilities and childhood overweight and obesity Socioeconomic environment and childhood overweight
Area-based socioeconomic environment, obesity risk behaviours, area facilities and childhood overweight and obesity Socioeconomic environment and childhood overweight
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DOI：
10.1016/j.ypmed.2012.05.012
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发表时间：
2012-08-01
影响因子：
5.1
通讯作者：
Astasio, Paloma
中科院分区：
文献类型：
--
作者：
Navalpotro, Lourdes;Regidor, Enrique;Astasio, Paloma
Objective.本研究的目的是评估家庭社会经济地位、肥胖相关风险行为和地区设施是否可以解释地区社会经济环境与儿童肥胖之间的关系。2006年，在4529名西班牙儿童和青少年的样本中，对基于财富和贫困的社会经济环境的两个指标进行了估计。采用多水平logit模型计算各指标与肥胖的关系。在调整社会经济地位和风险行为后，财富和超重之间没有关系;然而，生活在低财富地区的受试者的肥胖患病率是生活在高财富地区的受试者的1.45倍。调整这些变量后，生活在贫困地区的受试者超重和肥胖的患病率分别比生活在非贫困地区的受试者高1.26和1.63。体育设施的数量与身体活动不足的发生率之间存在等级关系，但水果和蔬菜的价格与消费频率之间没有相关性。社会经济环境与儿童肥胖的关系不能用家庭社会经济地位或肥胖相关的危险行为来解释。体育设施的可用性可以调解这种关系。(C)2012 Elsevier Inc. All rights reserved.
Objective. The objective of this study is to evaluate whether the relation between area-based socioeconomic environment and childhood obesity can be explained by household socioeconomic position, obesity-related risk behaviours and area facilities.Methods. Two indicators of socioeconomic environment based on wealth and deprivation were estimated in a sample of 4529 Spanish children and adolescents in 2006. Multilevel logit models were used to calculate the relation between each indicator and obesity.Results. After adjusting for socioeconomic position and risk behaviours, no relation was observed between wealth and overweight; however, obesity prevalence was 1.45 times higher in subjects living in areas with lower wealth than in those living in areas with higher wealth. After adjusting for these variables, the prevalence of overweight and obesity in subjects living in deprived areas was, respectively, 1.26 and 1.63 higher than in those living in non-deprived areas. There was a graded association between number of sports facilities and prevalence of physical inactivity, but no relation was found between the price of fruits and vegetables and frequency of consumption.Conclusion. The relation of socioeconomic environment with childhood obesity could not be explained by household socioeconomic position or obesity-related risk behaviours. Availability of sport facilities may mediate this relation. (C) 2012 Elsevier Inc. All rights reserved.