Social inequalities and children's height in Trinidad and Tobago
Social inequalities and children's height in Trinidad and Tobago
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DOI：
10.1038/sj.ejcn.1601508
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发表时间：
2003-01-01
影响因子：
4.7
通讯作者：
Gulliford, MC
中科院分区：
文献类型：
--
作者：
Rona, RJ;Mahabir, D;Gulliford, MC
目的：本研究的目的是报告社会经济因素与儿童身高的关系。设计：基于一个有代表性的国家公立学校样本的横断面研究。设置：特立尼达和托巴哥，1999年。男、女2608例，平均年龄5.8岁，范围4.38- 6.99岁;男、女3080例，平均年龄8.6岁，范围7.00- 10.44岁。在分析中，身高表示为标准差评分（s.d.s.）结果：民族、父母身高、出生体重、母亲年龄、家庭子女数是影响儿童身高的主要因素。家中缺乏自来水供应是唯一与身高相关的社会经济因素（平均差异为s.d.s.）。仅针对年龄组、性别和种族进行调整-0. 192，95% CI-0. 257至-0. 127，另外针对上述变量进行调整-0. 080，95% CI-0. 141至-0. 019）。在部分调整模型中，父母教育程度、家庭拥挤程度和就业状况与身高相关性较弱。严重的增长失败的分析给出了类似的results.Conclusion：社会经济因素对身高的影响是边际在特立尼达和托巴哥。由于社会经济因素可能对广泛的健康指标产生影响，身高和营养不良率不应作为评估在减少社会不平等造成的健康差异方面取得进展的唯一标准。
Objective: The aim of the study was to report the association of socio-economic factors with child's height.Design: Cross-sectional study based on a representative national sample of government schools.Setting: Trinidad and Tobago in 1999.Subjects: A total of 2608 boys and girls mean age 5.8y, range 4.38-6.99y and 3080 mean age 8.6y, range 7.00-10.44y olds.Outcome: Measurement of height and a questionnaire completed by parents. In the analysis height was expressed as standard deviation scores (s.d.s.) based on the British height curves (1990) or height below -1.5 s.d.s.Results: Ethnicity, parental heights, birthweight, maternal age at child's birth and number of children in the family were the main factors associated with children's height. Lack of piped water supply in the home was the only socio-economic factor consistently associated with height (mean difference in s.d.s. adjusted only for age group, gender and ethnicity -0.192, 95% Cl -0.257 to -0.127 and in addition adjusted for the variables listed above - 0.080, 95% Cl -0.141 to -0.019). Parental education, household overcrowding and employment status were weakly associated with height in the partially adjusted model only. Analysis of severe growth failure gave similar results.Conclusion: The impact of socio-economic factors on height is marginal in Trinidad and Tobago. As socio-economic factors may have an impact on a broad range of health indicators, height and rates of undernutrition should not be used as sole criteria for assessing progress in decreasing health differentials caused by social inequalities.Sponsorship: None.