Socioeconomic position, macroeconomic environment and overweight among adolescents in 35 countries
Identifieur interne : 008089 ( Main/Exploration ); précédent : 008088; suivant : 008090Socioeconomic position, macroeconomic environment and overweight among adolescents in 35 countries
Auteurs : P. Due [Danemark] ; M. T. Damsgaard [Danemark] ; M. Rasmussen [Danemark] ; B. E. Holstein [Danemark] ; J. Wardle [Royaume-Uni] ; J. Merlo [Suède] ; C. Currie [Royaume-Uni] ; N. Ahluwalia [France] ; Tia S Rensen [Danemark] ; J. Lynch [Australie, Royaume-Uni]Source :
- International journal of obesity [ 0307-0565 ] ; 2009.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Santé publique, Nutrition.
English descriptors
- KwdEn :
Abstract
Objective: It is important to understand levels and social inequalities in childhood overweight within and between countries. This study examined prevalence and social inequality in adolescent overweight in 35 countries, and associations with macroeconomic factors. Design: International cross-sectional survey in national samples of schools. Subjects: A total of 11-, 13- and 15-year-olds from 35 countries in Europe and North America in 2001-2002 (N=162 305). Measurements: The main outcome measure was overweight based on self-reported height and weight (body mass index cut-points corresponding to body mass index of 25 kg/m2 at the age of 18 years). Measures included family and school affluence (within countries), and average country income and economic inequality (between countries). Results: There were large variations in adolescent overweight, from 3.5% in Lithuanian girls to 31.7% in boys from Malta. Prevalence of overweight was higher among, children from less affluent families in 21 of 24 Western and 5 of 10 Central European countries. However, children from more affluent families were at higher risk of overweight in Croatia, Estonia and Latvia. In Poland, Lithuania, Macedonia and Finland, girls from less affluent families were more overweight whereas the opposite was found for boys. Average country income was associated with prevalence and inequality in overweight when considering all countries together. However, economic inequality as measured by the Gini coefficient was differentially associated with prevalence and socioeconomic inequality in overweight among the 23-high income and 10-middle income countries, with a positive relationship among the high income countries and a negative association among the middle income countries. Conclusion: The direction and magnitude of social inequality in adolescent overweight shows large international variation, with negative social gradients in most countries, but positive social gradients, especially for boys, in some Central European countries. Macroeconomic factors are associated with the heterogeneity in prevalence and social inequality of adolescent overweight.
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Affiliations:
- Australie, Danemark, France, Royaume-Uni, Suède
- Angleterre, Grand Londres, Hovedstaden, Midi-Pyrénées, Occitanie (région administrative), Écosse
- Copenhague, Londres, Toulouse, Édimbourg
- University College de Londres, Université d'Édimbourg
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Merlo</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Faculty of Medicine, Social Epidemiology (Department of Clinical Science), Lund University</s1><s2>Malmö</s2><s3>SWE</s3><sZ>6 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>Malmö</wicri:noRegion></affiliation></author><author><name sortKey="Currie, C" sort="Currie, C" uniqKey="Currie C" first="C." last="Currie">C. Currie</name><affiliation wicri:level="4"><inist:fA14 i1="05"><s1>Child and Adolescent Research Unit, University of Edinburgh</s1><s2>Edinburgh, Scotland</s2><s3>GBR</s3><sZ>7 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Édimbourg</settlement><region type="country">Écosse</region></placeName><orgName type="university">Université d'Édimbourg</orgName></affiliation></author><author><name sortKey="Ahluwalia, N" sort="Ahluwalia, N" uniqKey="Ahluwalia N" first="N." last="Ahluwalia">N. Ahluwalia</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Service Médical du Rectorat de Toulouse</s1><s2>Toulouse</s2><s3>FRA</s3><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Midi-Pyrénées</region><settlement type="city">Toulouse</settlement></placeName></affiliation></author><author><name sortKey="S Rensen, Tia" sort="S Rensen, Tia" uniqKey="S Rensen T" first="Tia" last="S Rensen">Tia S Rensen</name><affiliation wicri:level="3"><inist:fA14 i1="07"><s1>Institute of Preventive Medicine, Copenhagen University Hospital, Centre for Health and Society</s1><s2>Copenhagen</s2><s3>DNK</s3><sZ>9 aut.</sZ></inist:fA14><country>Danemark</country><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Lynch, J" sort="Lynch, J" uniqKey="Lynch J" first="J." last="Lynch">J. 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Due</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>National Institute of Public Health, University of Southern Denmark</s1><s2>Copenhagen</s2><s3>DNK</s3><sZ>1 aut.</sZ></inist:fA14><country>Danemark</country><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Damsgaard, M T" sort="Damsgaard, M T" uniqKey="Damsgaard M" first="M. T." last="Damsgaard">M. T. Damsgaard</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Social Medicine, Institute o f Public Health, University of Copenhagen</s1><s2>Copenhagen</s2><s3>DNK</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Danemark</country><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Rasmussen, M" sort="Rasmussen, M" uniqKey="Rasmussen M" first="M." last="Rasmussen">M. Rasmussen</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Social Medicine, Institute o f Public Health, University of Copenhagen</s1><s2>Copenhagen</s2><s3>DNK</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Danemark</country><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Holstein, B E" sort="Holstein, B E" uniqKey="Holstein B" first="B. E." last="Holstein">B. E. Holstein</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Social Medicine, Institute o f Public Health, University of Copenhagen</s1><s2>Copenhagen</s2><s3>DNK</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Danemark</country><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Wardle, J" sort="Wardle, J" uniqKey="Wardle J" first="J." last="Wardle">J. Wardle</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Department of Epidemiology and Public Health, University College London</s1><s2>London</s2><s3>GBR</s3><sZ>5 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region><settlement type="city">Londres</settlement></placeName><orgName type="university">University College de Londres</orgName></affiliation></author><author><name sortKey="Merlo, J" sort="Merlo, J" uniqKey="Merlo J" first="J." last="Merlo">J. Merlo</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Faculty of Medicine, Social Epidemiology (Department of Clinical Science), Lund University</s1><s2>Malmö</s2><s3>SWE</s3><sZ>6 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>Malmö</wicri:noRegion></affiliation></author><author><name sortKey="Currie, C" sort="Currie, C" uniqKey="Currie C" first="C." last="Currie">C. Currie</name><affiliation wicri:level="4"><inist:fA14 i1="05"><s1>Child and Adolescent Research Unit, University of Edinburgh</s1><s2>Edinburgh, Scotland</s2><s3>GBR</s3><sZ>7 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Édimbourg</settlement><region type="country">Écosse</region></placeName><orgName type="university">Université d'Édimbourg</orgName></affiliation></author><author><name sortKey="Ahluwalia, N" sort="Ahluwalia, N" uniqKey="Ahluwalia N" first="N." last="Ahluwalia">N. Ahluwalia</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Service Médical du Rectorat de Toulouse</s1><s2>Toulouse</s2><s3>FRA</s3><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Midi-Pyrénées</region><settlement type="city">Toulouse</settlement></placeName></affiliation></author><author><name sortKey="S Rensen, Tia" sort="S Rensen, Tia" uniqKey="S Rensen T" first="Tia" last="S Rensen">Tia S Rensen</name><affiliation wicri:level="3"><inist:fA14 i1="07"><s1>Institute of Preventive Medicine, Copenhagen University Hospital, Centre for Health and Society</s1><s2>Copenhagen</s2><s3>DNK</s3><sZ>9 aut.</sZ></inist:fA14><country>Danemark</country><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Lynch, J" sort="Lynch, J" uniqKey="Lynch J" first="J." last="Lynch">J. Lynch</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>School of Health Sciences, University of South Australia</s1><s2>Adelaide</s2><s3>AUS</s3><sZ>10 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Adelaide</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Department of Social Medicine, University o f Bristol</s1><s2>Bristol</s2><s3>GBR</s3><sZ>10 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Bristol</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">International journal of obesity</title><title level="j" type="abbreviated">Int. j. obes.</title><idno type="ISSN">0307-0565</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International journal of obesity</title><title level="j" type="abbreviated">Int. j. obes.</title><idno type="ISSN">0307-0565</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Body weight</term><term>Comparative study</term><term>Countries</term><term>Economic aspect</term><term>Environment</term><term>Inequality</term><term>International</term><term>Metabolic diseases</term><term>Nutrition</term><term>Nutritional status</term><term>Obesity</term><term>Overweight</term><term>Public health</term><term>Social aspect</term><term>Socioeconomic status</term><term>World</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Statut socioéconomique</term><term>Aspect social</term><term>Aspect économique</term><term>Environnement</term><term>Surcharge pondérale</term><term>Poids corporel</term><term>Adolescent</term><term>Pays</term><term>Santé publique</term><term>Inégalité</term><term>International</term><term>Monde</term><term>Etude comparative</term><term>Maladie métabolique</term><term>Nutrition</term><term>Obésité</term><term>Etat nutritionnel</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Santé publique</term><term>Nutrition</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: It is important to understand levels and social inequalities in childhood overweight within and between countries. This study examined prevalence and social inequality in adolescent overweight in 35 countries, and associations with macroeconomic factors. Design: International cross-sectional survey in national samples of schools. Subjects: A total of 11-, 13- and 15-year-olds from 35 countries in Europe and North America in 2001-2002 (N=162 305). Measurements: The main outcome measure was overweight based on self-reported height and weight (body mass index cut-points corresponding to body mass index of 25 kg/m<sup>2</sup> at the age of 18 years). Measures included family and school affluence (within countries), and average country income and economic inequality (between countries). Results: There were large variations in adolescent overweight, from 3.5% in Lithuanian girls to 31.7% in boys from Malta. Prevalence of overweight was higher among, children from less affluent families in 21 of 24 Western and 5 of 10 Central European countries. However, children from more affluent families were at higher risk of overweight in Croatia, Estonia and Latvia. In Poland, Lithuania, Macedonia and Finland, girls from less affluent families were more overweight whereas the opposite was found for boys. Average country income was associated with prevalence and inequality in overweight when considering all countries together. However, economic inequality as measured by the Gini coefficient was differentially associated with prevalence and socioeconomic inequality in overweight among the 23-high income and 10-middle income countries, with a positive relationship among the high income countries and a negative association among the middle income countries. Conclusion: The direction and magnitude of social inequality in adolescent overweight shows large international variation, with negative social gradients in most countries, but positive social gradients, especially for boys, in some Central European countries. Macroeconomic factors are associated with the heterogeneity in prevalence and social inequality of adolescent overweight.</div></front></TEI><affiliations><list><country><li>Australie</li><li>Danemark</li><li>France</li><li>Royaume-Uni</li><li>Suède</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Hovedstaden</li><li>Midi-Pyrénées</li><li>Occitanie (région administrative)</li><li>Écosse</li></region><settlement><li>Copenhague</li><li>Londres</li><li>Toulouse</li><li>Édimbourg</li></settlement><orgName><li>University College de Londres</li><li>Université d'Édimbourg</li></orgName></list><tree><country name="Danemark"><region name="Hovedstaden"><name sortKey="Due, P" sort="Due, P" uniqKey="Due P" first="P." last="Due">P. Due</name></region><name sortKey="Damsgaard, M T" sort="Damsgaard, M T" uniqKey="Damsgaard M" first="M. T." last="Damsgaard">M. T. Damsgaard</name><name sortKey="Holstein, B E" sort="Holstein, B E" uniqKey="Holstein B" first="B. E." last="Holstein">B. E. Holstein</name><name sortKey="Rasmussen, M" sort="Rasmussen, M" uniqKey="Rasmussen M" first="M." last="Rasmussen">M. Rasmussen</name><name sortKey="S Rensen, Tia" sort="S Rensen, Tia" uniqKey="S Rensen T" first="Tia" last="S Rensen">Tia S Rensen</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Wardle, J" sort="Wardle, J" uniqKey="Wardle J" first="J." last="Wardle">J. Wardle</name></region><name sortKey="Currie, C" sort="Currie, C" uniqKey="Currie C" first="C." last="Currie">C. Currie</name><name sortKey="Lynch, J" sort="Lynch, J" uniqKey="Lynch J" first="J." last="Lynch">J. Lynch</name></country><country name="Suède"><noRegion><name sortKey="Merlo, J" sort="Merlo, J" uniqKey="Merlo J" first="J." last="Merlo">J. Merlo</name></noRegion></country><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Ahluwalia, N" sort="Ahluwalia, N" uniqKey="Ahluwalia N" first="N." last="Ahluwalia">N. Ahluwalia</name></region></country><country name="Australie"><noRegion><name sortKey="Lynch, J" sort="Lynch, J" uniqKey="Lynch J" first="J." last="Lynch">J. Lynch</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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