Associations between social determinants of health and weight status in preschool children: a population-based study.

IF 2.2 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice Pub Date : 2023-06-01 DOI:10.24095/hpcdp.43.6.02

Jessica Wijesundera, Padma Kaul, Anamaria Savu, Sunjidatul Islam, Douglas C Dover, Linn E Moore, Andrea M Haqq, Geoff D C Ball

{"title":"Associations between social determinants of health and weight status in preschool children: a population-based study.","authors":"Jessica Wijesundera, Padma Kaul, Anamaria Savu, Sunjidatul Islam, Douglas C Dover, Linn E Moore, Andrea M Haqq, Geoff D C Ball","doi":"10.24095/hpcdp.43.6.02","DOIUrl":null,"url":null,"abstract":"Introduction: Social determinants of health (SDH) may influence children's weight status. Our objective was to examine relationships between SDH and preschoolers' weight status.Methods: This retrospective cohort study included 169 465 children (aged 4-6 years) with anthropometric measurements taken at immunization visits from 2009 to 2017 in Edmonton and Calgary, Canada. Children were categorized by weight status based on WHO criteria. Maternal data were linked to child data. The Pampalon Material and Social Deprivation Indexes were used to assess deprivation. We used multinomial logistic regression to generate relative risk ratios (RRRs) to examine associations between ethnicity, maternal immigrant status, neighbourhood-level household income, urban/ rural residence and material and social deprivation with child weight status.Results: Children of Chinese ethnicity were less likely than those in the General Population to have overweight (RRR = 0.64, 95% CI: 0.61-0.69) and obesity (RRR = 0.51, 0.42-0.62). Children of South Asian ethnicity were more likely than those in the General Population to have underweight (RRR = 4.14, 3.54-4.84) and more likely to have obesity (RRR = 1.39, 1.22-1.60). Children with maternal immigrant status were less likely than those without maternal immigrant status to have underweight (RRR = 0.72, 0.63-0.82) and obesity (RRR = 0.71, 0.66-0.77). Children were less likely to have overweight (RRR = 0.95, 0.94-0.95) and obesity (RRR = 0.88, 0.86-0.90) for every CAD 10 000 increase in income. Relative to the least deprived quintile, children in the most materially deprived quintile were more likely to have underweight (RRR = 1.36, 1.13-1.62), overweight (RRR = 1.52, 1.46-1.58) and obesity (RRR = 2.83, 2.54-3.15). Relative to the least deprived quintile, children in the most socially deprived quintile were more likely to have overweight (RRR = 1.21, 1.17-1.26) and obesity (RRR = 1.40, 1.26-1.56). All results are significant to p < 0.001.Conclusion: Our findings suggest the need for interventions and policies to address SDH in preschoolers to optimize their weight and health.","PeriodicalId":51316,"journal":{"name":"Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice","volume":"43 6","pages":"281-289"},"PeriodicalIF":2.2000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10364580/pdf/43_6_2.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.24095/hpcdp.43.6.02","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Social determinants of health (SDH) may influence children's weight status. Our objective was to examine relationships between SDH and preschoolers' weight status.

Methods: This retrospective cohort study included 169 465 children (aged 4-6 years) with anthropometric measurements taken at immunization visits from 2009 to 2017 in Edmonton and Calgary, Canada. Children were categorized by weight status based on WHO criteria. Maternal data were linked to child data. The Pampalon Material and Social Deprivation Indexes were used to assess deprivation. We used multinomial logistic regression to generate relative risk ratios (RRRs) to examine associations between ethnicity, maternal immigrant status, neighbourhood-level household income, urban/ rural residence and material and social deprivation with child weight status.

Results: Children of Chinese ethnicity were less likely than those in the General Population to have overweight (RRR = 0.64, 95% CI: 0.61-0.69) and obesity (RRR = 0.51, 0.42-0.62). Children of South Asian ethnicity were more likely than those in the General Population to have underweight (RRR = 4.14, 3.54-4.84) and more likely to have obesity (RRR = 1.39, 1.22-1.60). Children with maternal immigrant status were less likely than those without maternal immigrant status to have underweight (RRR = 0.72, 0.63-0.82) and obesity (RRR = 0.71, 0.66-0.77). Children were less likely to have overweight (RRR = 0.95, 0.94-0.95) and obesity (RRR = 0.88, 0.86-0.90) for every CAD 10 000 increase in income. Relative to the least deprived quintile, children in the most materially deprived quintile were more likely to have underweight (RRR = 1.36, 1.13-1.62), overweight (RRR = 1.52, 1.46-1.58) and obesity (RRR = 2.83, 2.54-3.15). Relative to the least deprived quintile, children in the most socially deprived quintile were more likely to have overweight (RRR = 1.21, 1.17-1.26) and obesity (RRR = 1.40, 1.26-1.56). All results are significant to p < 0.001.

Conclusion: Our findings suggest the need for interventions and policies to address SDH in preschoolers to optimize their weight and health.

查看原文本刊更多论文

学龄前儿童健康和体重状况的社会决定因素之间的关系:一项基于人群的研究

健康的社会决定因素(SDH)可能影响儿童的体重状况。我们的目的是研究SDH和学龄前儿童体重状况之间的关系。方法:这项回顾性队列研究纳入了2009年至2017年加拿大埃德蒙顿和卡尔加里的169465名儿童(4-6岁)，并在免疫访问时进行了人体测量。根据世卫组织标准按体重状况对儿童进行分类。产妇数据与儿童数据相关联。用Pampalon物质和社会剥夺指数来评估剥夺程度。我们使用多项逻辑回归来生成相对风险比(RRRs)，以检验种族、母亲移民身份、邻里家庭收入、城市/农村居住以及物质和社会剥夺与儿童体重状况之间的关系。结果:华人儿童超重(RRR = 0.64, 95% CI: 0.61-0.69)和肥胖(RRR = 0.51, 0.42-0.62)的可能性低于普通人群。南亚裔儿童比普通人群更容易出现体重不足(RRR = 4.14, 3.54-4.84)，更容易出现肥胖(RRR = 1.39, 1.22-1.60)。母亲有移民身份的儿童体重不足(RRR = 0.72, 0.63-0.82)和肥胖(RRR = 0.71, 0.66-0.77)的可能性低于母亲没有移民身份的儿童。收入每增加1万加元，儿童超重(RRR = 0.95, 0.94-0.95)和肥胖(RRR = 0.88, 0.86-0.90)的可能性就会降低。相对于最不贫困的五分之一，物质最贫困的五分之一的儿童更容易出现体重不足(RRR = 1.36, 1.13-1.62)、超重(RRR = 1.52, 1.46-1.58)和肥胖(RRR = 2.83, 2.54-3.15)。与最贫困的五分之一相比，最贫困的五分之一的儿童更容易超重(RRR = 1.21, 1.17-1.26)和肥胖(RRR = 1.40, 1.26-1.56)。所有结果均显著至p < 0.001。结论:我们的研究结果表明，需要采取干预措施和政策来解决学龄前儿童的SDH问题，以优化他们的体重和健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

40 weeks

期刊介绍： Health Promotion and Chronic Disease Prevention in Canada: Research, Policy and Practice (the HPCDP Journal) is the monthly, online scientific journal of the Health Promotion and Chronic Disease Prevention Branch of the Public Health Agency of Canada. The journal publishes articles on disease prevention, health promotion and health equity in the areas of chronic diseases, injuries and life course health. Content includes research from fields such as public/community health, epidemiology, biostatistics, the behavioural and social sciences, and health services or economics.