Rising Social Inequalities in US Childhood Obesity, 2003–2007

Singh, Gopal K.; Siahpush, Mohammad; Kogan, Michael D.

doi:10.1016/j.annepidem.2009.09.008

Cited by 340 publications

(297 citation statements)

References 15 publications

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“…To our knowledge, no studies have been conducted explicitly focusing on multi-ethnic low-income adolescents examining eating behaviors, weight bias, and psychological functioning with both a non-overweight and overweight sample. With obesity rates highest for multi-ethnic and low-income adolescents (Babey, Hastert, Wolstein, & Diamant, 2010;Barlow, 2007;Hastert, Babey, Diamant, & Brown, 2008;Singh, Siahpush, & Kogan, 2010), efforts to improve our understanding of eating behaviors, WB, and psychological distress in this population are warranted. Only by elucidating the correlations of these variables can effective multidisciplinary and multi-ethnic interventions be designed.…”

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confidence: 99%

Eating Behaviors, Weight Bias, and Psychological Functioning in Multi-ethnic Low-income Adolescents

Najjar

Jacob

Evangelista

2018

Journal of Pediatric Nursing

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confidence: 99%

Eating Behaviors, Weight Bias, and Psychological Functioning in Multi-ethnic Low-income Adolescents

Najjar

Jacob

Evangelista

2018

Journal of Pediatric Nursing

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“…There is an established interest in the relationship between socio-economic status and obesity and there is a general assumption of a linear relationship in children, such that the prevalence of obesity is highest in the more deprived groups (9)(10)(11)(12)(13)(14)(15). Furthermore, data on time trends of socio economic disparities in childhood obesity prevalence suggest that inequalities in childhood obesity increase with age (12,(16)(17)(18)(19).…”

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confidence: 99%

Area-level deprivation and adiposity in children: is the relationship linear?

2013

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Objective: It has been suggested that childhood obesity is inversely associated with deprivation, such that the prevalence is higher in more deprived groups. However, comparatively few studies actually use an area level measure of deprivation limiting the scope to assess trends in the association with obesity for this indicator. Furthermore, most assume a linear relationship. Therefore, the aim of this study was to investigate associations between area level deprivation and three measures of adiposity: body mass index (BMI), waist circumference (WC) and waist-to-height ratio (WHtR) in children.Design: Cross sectional study, data collected on 3 occasions a year apart (2005 -2007) Subjects: Data was available for 13333 children, typically aged 11-12 years from 37 schools and 542 Lower Super Output Areas (LSOAs).Measures: Stature, mass and WC. Obesity was defined as a BMI and WC exceeding the 95 th centile according to British reference data. WHtR exceeding 0.5 defined obesity. The Index of Multiple Deprivation affecting children (IDACI) was used to determine area level deprivation.Results: Considerable differences in the prevalence of obesity exist between the three different measures. However, for all measures of adiposity the highest probability of being classified obese is in the middle of the IDACI range. This relationship is more marked in girls, such that the probability of being obese for girls living in areas at the two extremes of deprivation is around half that at the peak, occurring in the middle. Conclusion:These data confirm the high prevalence of obesity in children and suggest that the relationship between obesity and residential area level deprivation is not linear. This is contrary to the 'deprivation theory' and questions the current understanding and interpretation of the relationship between obesity and deprivation in children. These results could help make informed decisions at the local level.

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“…Indeed, some studies have suggested that socioeconomic gaps in the prevalence of obesity among youth have increased (16)(17)(18)(19), whereas other research has suggested that disparities have not changed (20) or have even decreased (21,22). To address this question, we examined socioeconomic disparities in the prevalence of obesity among adolescents aged 12-17 y using data from two large, nationally representative federal health surveys, …”

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Increasing socioeconomic disparities in adolescent obesity

Frederick

Snellman

Putnam

2014

Proc. Natl. Acad. Sci. U.S.A.

262

173

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Significance Childhood and youth obesity represent significant US public health challenges. Recent findings that the childhood obesity ‘‘epidemic’’ may have slightly abated have been met with relief from health professionals and popular media. However, we document that the overall trend in youth obesity rates masks a significant and growing class gap between youth from upper and lower socioeconomic status (SES) backgrounds. Until 2002, obesity rates increased at similar rates for all adolescents, but since then, obesity has begun to decline among higher SES youth but continued to increase among lower SES youth. These results underscore the need to target public health interventions to disadvantaged youth who remain at risk, as well as to examine how health information circulates through class-biased channels.

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Rising Social Inequalities in US Childhood Obesity, 2003–2007

Cited by 340 publications

References 15 publications

Eating Behaviors, Weight Bias, and Psychological Functioning in Multi-ethnic Low-income Adolescents

Eating Behaviors, Weight Bias, and Psychological Functioning in Multi-ethnic Low-income Adolescents

Area-level deprivation and adiposity in children: is the relationship linear?

Increasing socioeconomic disparities in adolescent obesity

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