学校-邻里不平等和青少年肥胖的趋势:加州公立学校的重复横断面分析

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2022-12-14 DOI:10.1111/ijpo.12991

Mika Matsuzaki, Emma V. Sanchez-Vaznaugh, Kelsey Alexovitz, Maria E. Acosta, Brisa N. Sánchez

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引用次数: 0

摘要

背景目前尚不清楚学校社区富裕程度与青少年超重/肥胖患病率之间的关系是否在美国的人口亚组和地区背景中是统一的。方法采用多元logistic回归模型，利用2001年和2010年加州公立学校五年级、七年级和九年级学生(n = 1 584 768)的体重指数数据，研究学校社区收入水平与学校超重/肥胖(OVOB)患病率之间的关系。结果总体而言，低收入学校社区的OVOB患病率较高，女孩的收入-OVOB梯度更陡。在男孩中，2010年的梯度比2000年更陡峭。在亚洲和白人女孩中，农村地区的负梯度最大。对于所有地区的非裔美国学生和农村地区的拉丁裔男孩，没有明确的证据表明收入- ovob呈反向梯度。在模型中加入快餐店的可用性并没有改变观察到的反向学校-社区收入-肥胖梯度。研究结果表明，有必要调查这种差异的原因，并考虑到可能导致儿童肥胖差异的社会人口、经济和环境风险因素的组合。

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Trends in school-neighbourhood inequalities and youth obesity: Repeated cross-sectional analyses of the public schools in the state of California

Background

It is currently unknown whether the relationship between affluence of school neighbourhoods and prevalence of youth overweight/obesity is uniform across demographic subgroups and areal context in the United States.

Methods

We examined association between school-neighbourhood income tertiles and school-level overweight/obesity (OVOB) prevalence, using data on body mass index of fifth, seventh, and nineth graders who attended public schools in California in 2001 and 2010 (n = 1 584 768), using multiple logistic regression models.

Results

Overall, OVOB prevalence was higher in lower-income school neighbourhoods, with a steeper income-OVOB gradient for girls. Among boys, the gradient became steeper in 2010 than 2000. Among Asian and White girls, the negative gradients were steepest in rural areas. For African–American students in all areas and Latino boys in rural areas, there was less clear evidence of inverse income-OVOB gradients. Addition of fast-food restaurant availability to the models did not change the observed inverse school-neighbourhood income–obesity gradients.

Conclusions

The findings suggest the needs to investigate reasons for this variability with consideration to combinations of sociodemographic, economic, and environmental risk factors that may contribute to disparities in childhood obesity.

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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.