Regional, socioeconomic and urban‐rural disparities in child and adolescent obesity in China: a multilevel analysis

Chen, Tian-Jiao; Modin, Bitte; Ji, Chuanyi; Hjern, Anders

doi:10.1111/j.1651-2227.2011.02397.x

Cited by 56 publications

(50 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similarly, a study conducted in Portugal claimed that age is not a risk factor for obesity (30). Some studies indicate that being overweight is more prevalent among children 7 -11 or 7 -12 years of age (14,25,28). The results of the studies on the relationship between age group and being obese or overweight are not consistent with ours.…”

Section: Discussioncontrasting

confidence: 55%

“…Similarly, other studies conducted in the same age group showed that males are more likely to be overweight than females (13,14,25,26). However, there are also studies claiming that obesity risk is higher in girls than boys (25,27,28). This study found no significant relationship between gender and obesity.…”

Section: Discussioncontrasting

confidence: 54%

“…This study determined that being overweight is more prevalent in males, and being male is an important risk factor. Similarly, other studies conducted in the same age group showed that males are more likely to be overweight than females (13,14,25,26). However, there are also studies claiming that obesity risk is higher in girls than boys (25,27,28).…”

Section: Discussionmentioning

confidence: 83%

“…Many studies conducted in Turkey have emphasized that as SES rises, obesity risk also rises (8,11,31). Similarly, a study conducted in China in 2011 indicated that moderate and higher SES increased obesity risk (25). The rise in SES can lead to a home-centered lifestyle for children, spending too much time on the computer, no more playing outdoors, traveling to school by car or bus and eating excessively.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence and Risk Factors of Obesity and Overweight in Elementary School-Age (5 to 15 Years Old) Children in South-eastern Turkey

et al. 2017

View full text Add to dashboard Cite

Background: Obesity in children and adolescents is a serious public-health concern, and obesity research has become an important field of study. Objectives: The aim of this study was to determine the prevalence and risk factors of overweight and obesity in elementary-school children from the first to eighth grade. Methods: This is a descriptive, cross-sectional study. The research sample included 3,028 children from seven elementary schools selected according to stratified random sampling. The data were obtained using a demographic form and a 25-question survey. Each child's height and weight were measured by the researchers. The data were analyzed by frequency and logistic regression in the statistical package for the social sciences and Excel programs. Results:The children were all between 5 and 15 years old. 51.2% of the children were male, 13.4% were overweight (between 85 and 95th percentile) according to the Body Mass Index, and 8.7% were obese (above 95th percentile).

show abstract

Section: Discussioncontrasting

confidence: 55%

Section: Discussioncontrasting

confidence: 54%

Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence and Risk Factors of Obesity and Overweight in Elementary School-Age (5 to 15 Years Old) Children in South-eastern Turkey

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In countries at later stages of development, for example Mexico or Brazil, the socioeconomic (SES) pattern in overweight/obesity looks more like that of wealthy countries, where high-calorie foods are inexpensive and more likely to be available to low-income families [12]. In China, it is quite likely that these patterns are variable by the region of the country, so studies focusing on the whole country may exclude detail on important regional differences [13]. Complicating this picture is the variation between urban and rural settings in China, where residents of a city such as Shanghai are likely to have greater access to high-calorie foods.…”

Section: Introductionmentioning

confidence: 99%

Child Overweight and Obesity in Shanghai, China: Contextualizing Chinese Socioeconomic and Gender Differences

et al. 2017

View full text Add to dashboard Cite

Purpose Childhood overweight and obesity is on the rise in China and in Chinese cities in particular. The aim of this study is to explore the extent of income differences in childhood overweight in Shanghai, China, and examine demographic, social, and behavioral explanations for these differences. Methods Using the 2014 Child Well-Being Study of Shanghai, China-a survey that included extensive contextual information on children and their families in China's most populous city, prevalence rates and adjusted odds ratios of child overweight and obesity at age 7 were calculated by income tercile controlling for a wide variety of sociodemographic variables. Results District aggregate income increases the odds of child overweight/obesity, but only for boys. In contrast, rural hukou status was associated with lower odds of overweight/obesity for girls. Conclusions Boys at age 7 are more likely to be overweight and obese than girls. District income further increases this likelihood for boys, while rural hukou status decreases this likelihood for girls, suggesting that preferences for boys and thinness ideals for girls may play a role in the income patterning of childhood overweight and obesity.

show abstract

Time Trends and Sociodemographic Factors Associated With Overweight and Obesity in Children and Adolescents in Spain

et al. 2020

View full text Add to dashboard Cite

IMPORTANCE Time-trend studies of overweight and obesity in childhood by sociodemographic factors are important for prioritizing public health initiatives. However, little is known about these trends in Spain, where high levels of obesity are found and where important demographic changes have occurred during the last 2 decades. OBJECTIVE To examine how time trends in the prevalence and incidence of overweight and obesity among children and adolescents differ by age, sex, socioeconomic status, urban/rural residence, and nationality. DESIGN, SETTING, AND PARTICIPANTS This cohort study included 1.1 million children and adolescents (aged 2-17 years) with at least 1 measure of height and weight in Catalonia, Spain, from 2006 to 2016. Electronic health records were accessed from the Information System for Research in Primary Care. Data analysis was conducted from January to December 2018. MAIN OUTCOMES AND MEASURES Prevalence and incidence rates and trends of overweight/ obesity and obesity (overweight/obesity defined as having of BMI z score greater than 2.0 among children aged <5 years and greater than 1.0 among children aged Ն5 years; obesity defined as having of BMI z score greater than 3.0 among children aged <5 years and greater than 2.0 among children aged Ն5 years) between 2006 and 2016 were calculated and stratified by sociodemographic characteristics (ie, age, sex, deprivation index, urban/rural residence, and nationality). RESULTS The study population included 1 166 609 children and adolescents (570 982 [48.9%] girls; median [interquartile range] age at entry to electronic health record system, 2.4 [0-7.7] years; 1 006 892 [86.3%] with Spanish nationality). Of 941 041 children (80.7%) who lived in urban areas, 197 427 (20.7%) lived in the most deprived areas. Overall, the prevalence of overweight/obesity and obesity decreased between 2006 and 2016 in all sex and age groups; for example, among boys and girls aged 6 to 11 years, overweight/obesity prevalence decreased from 41.9% (95% CI, 41.5%-42.2%) to 39.9% (95% CI, 39.6%-40.3%) and from 39.7% (95% CI, 39.3%-40.2%) to 37.6% (95% CI, 37.3%-38.0%), respectively. Incidence rates of overweight/obesity and obesity were highest among children aged 6 to 7 years (overweight/obesity among boys: 11.9 [95% CI, 11.8-12.0] new cases per 100 person-years; obesity among boys: 4.9 [95% CI, 4.8-4.9] new cases per 100 person-years). Prevalence and incidence rates were highest in the most deprived areas, in urban areas, and among children with North, Central, or South American nationalities. Between 2006 and 2016, prevalence increased in the most deprived areas in almost all sex and age groups. Among girls aged 6 to 11 years living in the most deprived areas, the obesity prevalence ratio increased from 1.59 (95% CI, 1.46-1.74) to 2.03 (95% CI, 1.88-2.19) compared with those living in the least deprived areas. Furthermore, during this period, prevalence increased among children with non-Spanish nationalities, especially in the African and Asian nationality groups (eg, boys aged ...

show abstract

Regional, socioeconomic and urban‐rural disparities in child and adolescent obesity in China: a multilevel analysis

Cited by 56 publications

References 25 publications

Prevalence and Risk Factors of Obesity and Overweight in Elementary School-Age (5 to 15 Years Old) Children in South-eastern Turkey

Prevalence and Risk Factors of Obesity and Overweight in Elementary School-Age (5 to 15 Years Old) Children in South-eastern Turkey

Child Overweight and Obesity in Shanghai, China: Contextualizing Chinese Socioeconomic and Gender Differences

Time Trends and Sociodemographic Factors Associated With Overweight and Obesity in Children and Adolescents in Spain

Contact Info

Product

Resources

About