Mediation by parent health literacy and behaviour of socioeconomic inequality in child overweight

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2024-07-29 DOI:10.1111/ijpo.13156

Alexander Lepe, Tamool A. S. Muhamed, Sijmen A. Reijneveld, Marlou L. A. de Kroon

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引用次数: 0

Abstract

Background

Socioeconomic inequalities contribute to childhood overweight. Identifying mediators could help reduce these inequalities.

Objective

We assessed to what extent and how parental health literacy and health behaviours mediate the relationship between parental socioeconomic status and childhood overweight.

Methods

Data were taken from the multigenerational prospective Dutch Lifelines Cohort Study. We included 6683 children, baseline age 9.8 years (SD = 2.6), with an average follow-up of 36.2 months (SD = 9.3). Overweight was defined using age- and sex-specific cut-offs. Three indicators of socioeconomic status were included: education, income and occupation. We assessed the mediating role of parental health literacy and health behaviours (smoking, diet, physical activity and alcohol) using causal mediation.

Results

Four additional years of education and an SD-increase in both income and occupation decreased the odds of childhood overweight by 42%, 12% and 20%, respectively. Only parental smoking independently mediated the relationship of both education (6.6%) and occupation (5.7%) with overweight. Parental health behaviours jointly explained 8.4% (education), 19.4% (income) and 9.8% (occupation) per relationship. Lastly, adding parental health literacy explained 10.8% (education), 27.4% (income) and 13.3% (occupation) of these relationships.

Conclusions

We found large socioeconomic inequalities in childhood overweight. Remarkably, parental smoking was a key mediator. Therefore, prevention targeting smoking may reduce socioeconomic inequalities in childhood overweight.

Abstract Image

查看原文本刊更多论文

父母的健康素养和社会经济不平等行为对儿童超重的调解作用。

背景：社会经济不平等导致儿童超重。确定中介因素有助于减少这些不平等现象：我们评估了父母的健康素养和健康行为在多大程度上以及如何调节父母的社会经济地位与儿童超重之间的关系：数据来自多代前瞻性荷兰生命线队列研究。我们纳入了 6683 名儿童，基线年龄为 9.8 岁（SD = 2.6），平均随访时间为 36.2 个月（SD = 9.3）。超重的定义以年龄和性别为分界线。社会经济地位包括三个指标：教育、收入和职业。我们使用因果中介法评估了父母健康素养和健康行为（吸烟、饮食、体育锻炼和酗酒）的中介作用：结果：多接受四年教育以及收入和职业每增加一个标准差，儿童超重的几率就会分别降低 42%、12% 和 20%。只有父母吸烟对教育（6.6%）和职业（5.7%）与超重的关系起到了独立的中介作用。父母的健康行为共同解释了每种关系的 8.4%（教育）、19.4%（收入）和 9.8%（职业）。最后，增加父母的健康素养可以解释这些关系中的 10.8%（教育）、27.4%（收入）和 13.3%（职业）：我们发现在儿童超重方面存在着巨大的社会经济不平等。值得注意的是，父母吸烟是一个关键的中介因素。因此，针对吸烟的预防措施可减少儿童超重的社会经济不平等现象。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.