Accumulation of childhood poverty on young adult overweight or obese status: race/ethnicity and gender disparities
Accumulation of childhood poverty on young adult overweight or obese status: race/ethnicity and gender disparities
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DOI：
10.1136/jech-2013-203062
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发表时间：
2014-05-01
影响因子：
6.3
通讯作者：
Pressler, Emily
中科院分区：
文献类型：
--
作者：
Hernandez, Daphne C.;Pressler, Emily
研究背景儿童期贫困与儿童期、青少年期和成年期超重状况呈正相关。反复暴露的童年贫困可能会导致种族/民族和性别差异，在年轻的成年人超重/肥胖（OV/OB）weight status.MethodsYoung成人出生于1980年和1990年之间，谁参加了1979年全国青年纵向研究的青年成人文件进行了检查（N=3901）。通过从产前到18岁的每个调查年度的贫困暴露情况，了解儿童贫困的累积情况。计算体重指数，并将其归类为疾病控制中心概述的成人参考标准。逻辑回归模型分层的种族/民族，包括一个长期的相互作用的贫困和性别，沿着一些协变量，包括各种纵向社会经济地位的措施和指标的代际传递的经济劣势和体重。黑人和西班牙裔年轻成年女性与白色年轻成年男性呈负相关。没有发现黑人和西班牙裔年轻成年男子的儿童贫困和OV/OB之间的直接关系的积累。ConclusionsHelping家庭摆脱贫困可能会改善长期的健康状况的白色，黑人和西班牙裔女性儿童作为年轻的成年人。旨在改变贫困社区环境和帮助低收入家庭的社区干预措施，减少家庭层面的贫困相关因素，可能有助于减少在年轻成年人中观察到的体重差异。
BackgroundChildhood poverty is positively correlated with overweight status during childhood, adolescence and adulthood. Repeated exposure of childhood poverty could contribute to race/ethnicity and gender disparities in young adult overweight/obese (OV/OB) weight status.MethodsYoung adults born between 1980 and 1990 who participated in the Young Adult file of the 1979 National Longitudinal Study of Youth were examined (N=3901). The accumulation of childhood poverty is captured via poverty exposure from each survey year from the prenatal year through age 18 years. Body mass index was calculated and categorised into the reference criteria for adults outlined by the Center for Disease Control. Logistic regression models were stratified by race/ethnicity and included a term interacting poverty and gender, along with a number of covariates, including various longitudinal socioeconomic status measures and indicators for the intergenerational transmission of economic disadvantage and body weight.ResultsReoccurring exposure to childhood poverty was positively related to OV/OB for white, black and Hispanic young adult women and inversely related for white young adult men. A direct relationship between the accumulation of childhood poverty and OV/OB was not found for black and Hispanic young adult men.ConclusionsHelping families move out of poverty may improve the long-term health status of white, black and Hispanic female children as young adults. Community area interventions designed to change impoverished community environments and assist low-income families reduce family level correlates of poverty may help to reduce the weight disparities observed in young adulthood.