Socioeconomic inequalities in overweight and obesity among 6-to 9-year-old children in 24 countries from the World Health Organization European region

被引：65

作者：

Buoncristiano, Marta ^{[1
]}

Williams, Julianne ^{[1
]}

Simmonds, Philippa ^{[1
]}

Nurk, Eha ^{[2
]}

Ahrens, Wolfgang ^{[3
,4
]}

Nardone, Paola ^{[5
]}

Rito, Ana Isabel ^{[6
]}

Rutter, Harry ^{[7
]}

Bergh, Ingunn Holden ^{[8
]}

Starc, Gregor ^{[9
]}

Jonsson, Kenisha Russell ^{[10
]}

Spinelli, Angela ^{[5
]}

Vandevijvere, Stefanie ^{[11
]}

Maki, Paivi ^{[12
]}

Milanovic, Sanja Music ^{[13
,14
]}

Salanave, Benoit ^{[15
,16
]}

Yardim, Mahmut S. ^{[17
]}

Hejgaard, Tatjana ^{[18
]}

Fijalkowska, Anna ^{[19
]}

Abdrakhmanova, Shynar ^{[20
,21
]}

Abdurrahmonova, Zulfiya ^{[22
]}

Duleva, Vesselka ^{[23
]}

Farrugia Sant'Angelo, Victoria ^{[24
]}

Garcia-Solano, Marta ^{[25
]}

Gualtieri, Andrea ^{[26
]}

Gutierrez-Gonzalez, Enrique ^{[25
]}

Huidumac-Petrescu, Constanta ^{[27
]}

Hyska, Jolanda ^{[28
]}

Kelleher, Cecily C. ^{[29
]}

Kujundzic, Enisa ^{[30
]}

Peterkova, Valentina ^{[31
]}

Petrauskiene, Ausra ^{[32
]}

Pudule, Iveta ^{[33
]}

Sacchini, Elena ^{[26
]}

Shengelia, Lela ^{[34
]}

Tanrygulyyeva, Maya ^{[35
]}

Taxova Braunerova, Radka ^{[36
]}

Usupova, Zhamilya ^{[37
]}

Maruszczak, Katharina ^{[38
]}

Ostojic, Sergej M. ^{[39
]}

Spiroski, Igor ^{[40
,41
]}

Stojisavljevic, Dragana ^{[42
,43
]}

Wickramasinghe, Kremlin ^{[1
]}

Breda, Joao ^{[1
]}

机构：

[1] WHO, European Off Prevent & Control Noncommunicable Di, Div Country Hlth Programmes, Reg Off Europe, Moscow, Russia

[2] Natl Inst Hlth Dev, Dept Nutr Res, Tallinn, Estonia

[3] Leibniz Inst Prevent Res & Epidemiol, BIPS, Bremen, Germany

[4] Univ Bremen, Fac Math & Comp Sci, Bremen, Germany

[5] Ist Super Sanita, Italian Natl Inst Hlth, Natl Ctr Dis Prevent & Hlth Promot, Rome, Italy

[6] WHO, Natl Inst Hlth Dr Ricardo Jorge, Europe Collaborating Ctr Nutr & Childhood Obes, Food & Nutr Dept, Lisbon, Portugal

[7] Univ Bath, Dept Social & Policy Sci, Bath, Avon, England

[8] Norwegian Inst Publ Hlth, Div Mental & Phys Hlth, Dept Hlth & Inequal, Oslo, Norway

[9] Univ Ljubljana, Fac Sport, Ljubljana, Slovenia

[10] Publ Hlth Agcy Sweden, Dept Living Condit & Lifestyle, Solna, Sweden

[11] Sciensano, Dept Epidemiol & Publ Hlth, Brussels, Belgium

[12] Finnish Inst Hlth & Welf, Publ Hlth & Welf, Helsinki, Finland

[13] Croatian Inst Publ Hlth, Zagreb, Croatia

[14] Univ Zagreb, Sch Med, Zagreb, Croatia

[15] French Publ Hlth Agcy, Sante Publ France, Dept Noncommunicable Dis & Traumatisms, St Maurice, France

[16] Univ Sorbonne Paris Nord, Nutr Surveillance & Epidemiol Team ESEN, Bobigny, France

[17] Hacettepe Univ, Fac Med, Ankara, Turkey

[18] Danish Hlth Author, Hlth Promot & Inequal, Copenhagen, Denmark

[19] Inst Mother & Child Hlth, Dept Cardiol, Warsaw, Poland

[20] Minist Hlth Republ Kazakhstan, Dept Sci & Profess Dev, Natl Ctr Publ Hlth, Alma Ata, Kazakhstan

[21] Kazakhstans Med Univ, Kazakhstan Sch Publ Hlth, Alma Ata, Kazakhstan

[22] Minist Hlth & Social Protect Populat, Republican Ctr Nutr, Dushanbe, Tajikistan

[23] Natl Ctr Publ Hlth & Anal, Dept Food & Nutr, Sofia, Bulgaria

[24] Primary Hlth Care, Primary Child Hlth Unit, Floriana, Malta

[25] Minist Consumer Affairs, Spanish Agcy Food Safety & Nutr, Madrid, Spain

[26] Minist Hlth, Hlth Author, San Marino, San Marino

[27] Natl Inst Publ Hlth, Natl Ctr Hlth Assessment & Promot, Bucharest, Romania

[28] Inst Publ Hlth, Nutr & Food Safety Sect, Tirana, Albania

[29] Univ Coll Dublin, Coll Hlth & Agr Sci, Dublin, Ireland

[30] Inst Publ Hlth, Ctr Hlth Ecol, Podgorica, Montenegro

[31] Minist Hlth Russian Federat, Inst Paediat Endocrinol, Natl Med Res Ctr Endocrinol, Moscow, Russia

[32] Lithuanian Univ Hlth Sci, Dept Prevent Med, Kaunas, Lithuania

[33] Ctr Dis & Prevent Control, Dept Res & Hlth Stat, Riga, Latvia

[34] Natl Ctr Dis Control & Publ Hlth Georgia, Maternal Child & Reprod Hlth, Tbilisi, Georgia

[35] Sci Res Inst Maternal & Child Hlth, Ashkhabad, Turkmenistan

[36] Inst Endocrinol, Obes Management Ctr, Prague, Czech Republic

[37] Minist Hlth Kyrgyz Republ, Republican Ctr Hlth Promot & Mass Commun, Bishkek, Kyrgyzstan

[38] Paracelsus Med Univ, Dept Pediat, Salzburg, Austria

[39] Univ Novi Sad, Fac Sport & Phys Educ, Biomed Sci Dept, Novi Sad, Serbia

[40] Inst Publ Hlth, Skopje, North Macedonia

[41] SS Cyril & Methodius Univ, Fac Med, Skopje, North Macedonia

[42] Univ Banja Luka, Fac Med, Banja Luka, Bosnia & Herceg

[43] Publ Hlth Inst Republ Srpska, Banja Luka, Bosnia & Herceg

来源：

OBESITY REVIEWS | 2021年 / 22卷

基金：

美国国家卫生研究院;

关键词：

children; obesity; overweight; socioeconomic status; CHILDHOOD OBESITY; RISK-FACTORS; ADOLESCENT OBESITY; UNITED-STATES; PREVALENCE; ASSOCIATION; IMPACT; DETERMINANTS; MALNUTRITION; EDUCATION;

D O I：

10.1111/obr.13213

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Childhood overweight and obesity have significant short- and long-term negative impacts on children's health and well-being. These challenges are unequally distributed according to socioeconomic status (SES); however, previous studies have often lacked standardized and objectively measured data across national contexts to assess these differences. This study provides a cross-sectional picture of the association between SES and childhood overweight and obesity, based on data from 123,487 children aged 6-9 years in 24 countries in the World Health Organization (WHO) European region. Overall, associations were found between overweight/obesity and the three SES indicators used (parental education, parental employment status, and family-perceived wealth). Our results showed an inverse relationship between the prevalence of childhood overweight/obesity and parental education in high-income countries, whereas the opposite relationship was observed in most of the middle-income countries. The same applied to family-perceived wealth, although parental employment status appeared to be less associated with overweight and obesity or not associated at all. This paper highlights the need for close attention to context when designing interventions, as the association between SES and childhood overweight and obesity varies by country economic development. Population-based interventions have an important role to play, but policies that target specific SES groups are also needed to address inequalities.

引用

页数：15

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