Socioeconomic position, macroeconomic environment and overweight among adolescents in 35 countries
Identifieur interne : 002829 ( PascalFrancis/Corpus ); précédent : 002828; suivant : 002830Socioeconomic position, macroeconomic environment and overweight among adolescents in 35 countries
Auteurs : P. Due ; M. T. Damsgaard ; M. Rasmussen ; B. E. Holstein ; J. Wardle ; J. Merlo ; C. Currie ; N. Ahluwalia ; Tia S Rensen ; J. LynchSource :
- International journal of obesity [ 0307-0565 ] ; 2009.
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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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| NO : | PASCAL 10-0127619 INIST |
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| ET : | Socioeconomic position, macroeconomic environment and overweight among adolescents in 35 countries |
| AU : | DUE (P.); DAMSGAARD (M. T.); RASMUSSEN (M.); HOLSTEIN (B. E.); WARDLE (J.); MERLO (J.); CURRIE (C.); AHLUWALIA (N.); SØRENSEN (Tia); LYNCH (J.) |
| AF : | National Institute of Public Health, University of Southern Denmark/Copenhagen/Danemark (1 aut.); Department of Social Medicine, Institute o f Public Health, University of Copenhagen/Copenhagen/Danemark (2 aut., 3 aut., 4 aut.); Department of Epidemiology and Public Health, University College London/London/Royaume-Uni (5 aut.); Faculty of Medicine, Social Epidemiology (Department of Clinical Science), Lund University/Malmö/Suède (6 aut.); Child and Adolescent Research Unit, University of Edinburgh/Edinburgh, Scotland/Royaume-Uni (7 aut.); Service Médical du Rectorat de Toulouse/Toulouse/France (8 aut.); Institute of Preventive Medicine, Copenhagen University Hospital, Centre for Health and Society/Copenhagen/Danemark (9 aut.); School of Health Sciences, University of South Australia/Adelaide/Australie (10 aut.); Department of Social Medicine, University o f Bristol/Bristol/Royaume-Uni (10 aut.) |
| DT : | Publication en série; Niveau analytique |
| SO : | International journal of obesity; ISSN 0307-0565; Coden IJOBDP; Royaume-Uni; Da. 2009; Vol. 33; No. 10; Pp. 1084-1093; Bibl. 43 ref. |
| LA : | Anglais |
| EA : | 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. |
| CC : | 002B22B; 002B30A11 |
| FD : | Statut socioéconomique; Aspect social; Aspect économique; Environnement; Surcharge pondérale; Poids corporel; Adolescent; Pays; Santé publique; Inégalité; International; Monde; Etude comparative; Maladie métabolique; Nutrition; Obésité; Etat nutritionnel |
| FG : | Homme; Biométrie corporelle; Trouble de la nutrition |
| ED : | Socioeconomic status; Social aspect; Economic aspect; Environment; Overweight; Body weight; Adolescent; Countries; Public health; Inequality; International; World; Comparative study; Metabolic diseases; Nutrition; Obesity; Nutritional status |
| EG : | Human; Corporal biometry; Nutrition disorder |
| SD : | Estatuto socioeconómico; Aspecto social; Aspecto económico; Medio ambiente; Sobrecarga ponderal; Peso corporal; Adolescente; País; Salud pública; Desigualdad; Internacional; Mundo; Estudio comparativo; Metabolismo patología; Nutrición; Obesidad; Estado nutricional |
| LO : | INIST-18243.354000170257280020 |
| ID : | 10-0127619 |
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Ahluwalia</name><affiliation><inist:fA14 i1="06"><s1>Service Médical du Rectorat de Toulouse</s1><s2>Toulouse</s2><s3>FRA</s3><sZ>8 aut.</sZ></inist:fA14></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><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></affiliation></author><author><name sortKey="Lynch, J" sort="Lynch, J" uniqKey="Lynch J" first="J." last="Lynch">J. Lynch</name><affiliation><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></affiliation><affiliation><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></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">10-0127619</idno><date when="2009">2009</date><idno type="stanalyst">PASCAL 10-0127619 INIST</idno><idno type="RBID">Pascal:10-0127619</idno><idno type="wicri:Area/PascalFrancis/Corpus">002829</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Socioeconomic position, macroeconomic environment and overweight among adolescents in 35 countries</title><author><name sortKey="Due, P" sort="Due, P" uniqKey="Due P" first="P." last="Due">P. Due</name><affiliation><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></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><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></affiliation></author><author><name sortKey="Rasmussen, M" sort="Rasmussen, M" uniqKey="Rasmussen M" first="M." last="Rasmussen">M. Rasmussen</name><affiliation><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></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><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></affiliation></author><author><name sortKey="Wardle, J" sort="Wardle, J" uniqKey="Wardle J" first="J." last="Wardle">J. Wardle</name><affiliation><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></affiliation></author><author><name sortKey="Merlo, J" sort="Merlo, J" uniqKey="Merlo J" first="J." last="Merlo">J. Merlo</name><affiliation><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></affiliation></author><author><name sortKey="Currie, C" sort="Currie, C" uniqKey="Currie C" first="C." last="Currie">C. Currie</name><affiliation><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></affiliation></author><author><name sortKey="Ahluwalia, N" sort="Ahluwalia, N" uniqKey="Ahluwalia N" first="N." last="Ahluwalia">N. Ahluwalia</name><affiliation><inist:fA14 i1="06"><s1>Service Médical du Rectorat de Toulouse</s1><s2>Toulouse</s2><s3>FRA</s3><sZ>8 aut.</sZ></inist:fA14></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><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></affiliation></author><author><name sortKey="Lynch, J" sort="Lynch, J" uniqKey="Lynch J" first="J." last="Lynch">J. Lynch</name><affiliation><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></affiliation><affiliation><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></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></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><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0307-0565</s0></fA01><fA02 i1="01"><s0>IJOBDP</s0></fA02><fA03 i2="1"><s0>Int. j. obes.</s0></fA03><fA05><s2>33</s2></fA05><fA06><s2>10</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Socioeconomic position, macroeconomic environment and overweight among adolescents in 35 countries</s1></fA08><fA11 i1="01" i2="1"><s1>DUE (P.)</s1></fA11><fA11 i1="02" i2="1"><s1>DAMSGAARD (M. T.)</s1></fA11><fA11 i1="03" i2="1"><s1>RASMUSSEN (M.)</s1></fA11><fA11 i1="04" i2="1"><s1>HOLSTEIN (B. E.)</s1></fA11><fA11 i1="05" i2="1"><s1>WARDLE (J.)</s1></fA11><fA11 i1="06" i2="1"><s1>MERLO (J.)</s1></fA11><fA11 i1="07" i2="1"><s1>CURRIE (C.)</s1></fA11><fA11 i1="08" i2="1"><s1>AHLUWALIA (N.)</s1></fA11><fA11 i1="09" i2="1"><s1>SØRENSEN (Tia)</s1></fA11><fA11 i1="10" i2="1"><s1>LYNCH (J.)</s1></fA11><fA14 i1="01"><s1>National Institute of Public Health, University of Southern Denmark</s1><s2>Copenhagen</s2><s3>DNK</s3><sZ>1 aut.</sZ></fA14><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></fA14><fA14 i1="03"><s1>Department of Epidemiology and Public Health, University College London</s1><s2>London</s2><s3>GBR</s3><sZ>5 aut.</sZ></fA14><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></fA14><fA14 i1="05"><s1>Child and Adolescent Research Unit, University of Edinburgh</s1><s2>Edinburgh, Scotland</s2><s3>GBR</s3><sZ>7 aut.</sZ></fA14><fA14 i1="06"><s1>Service Médical du Rectorat de Toulouse</s1><s2>Toulouse</s2><s3>FRA</s3><sZ>8 aut.</sZ></fA14><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></fA14><fA14 i1="08"><s1>School of Health Sciences, University of South Australia</s1><s2>Adelaide</s2><s3>AUS</s3><sZ>10 aut.</sZ></fA14><fA14 i1="09"><s1>Department of Social Medicine, University o f Bristol</s1><s2>Bristol</s2><s3>GBR</s3><sZ>10 aut.</sZ></fA14><fA17 i1="01" i2="1"><s1>HBSC obesity writing group</s1><s3>INC</s3></fA17><fA20><s1>1084-1093</s1></fA20><fA21><s1>2009</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>18243</s2><s5>354000170257280020</s5></fA43><fA44><s0>0000</s0><s1>© 2010 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>43 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>10-0127619</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>International journal of obesity</s0></fA64><fA66 i1="01"><s0>GBR</s0></fA66><fC01 i1="01" l="ENG"><s0>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.</s0></fC01><fC02 i1="01" i2="X"><s0>002B22B</s0></fC02><fC02 i1="02" i2="X"><s0>002B30A11</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Statut socioéconomique</s0><s5>02</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Socioeconomic status</s0><s5>02</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Estatuto socioeconómico</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Aspect social</s0><s5>03</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Social aspect</s0><s5>03</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Aspecto social</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Aspect économique</s0><s5>05</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Economic aspect</s0><s5>05</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Aspecto económico</s0><s5>05</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Environnement</s0><s5>06</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Environment</s0><s5>06</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Medio ambiente</s0><s5>06</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Surcharge pondérale</s0><s5>08</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Overweight</s0><s5>08</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Sobrecarga ponderal</s0><s5>08</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Poids corporel</s0><s5>09</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Body weight</s0><s5>09</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Peso corporal</s0><s5>09</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Adolescent</s0><s5>11</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Adolescent</s0><s5>11</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Adolescente</s0><s5>11</s5></fC03><fC03 i1="08" i2="X" l="FRE"><s0>Pays</s0><s5>12</s5></fC03><fC03 i1="08" i2="X" l="ENG"><s0>Countries</s0><s5>12</s5></fC03><fC03 i1="08" i2="X" l="SPA"><s0>País</s0><s5>12</s5></fC03><fC03 i1="09" i2="X" l="FRE"><s0>Santé publique</s0><s5>17</s5></fC03><fC03 i1="09" i2="X" l="ENG"><s0>Public health</s0><s5>17</s5></fC03><fC03 i1="09" i2="X" l="SPA"><s0>Salud pública</s0><s5>17</s5></fC03><fC03 i1="10" i2="X" l="FRE"><s0>Inégalité</s0><s5>18</s5></fC03><fC03 i1="10" i2="X" l="ENG"><s0>Inequality</s0><s5>18</s5></fC03><fC03 i1="10" i2="X" l="SPA"><s0>Desigualdad</s0><s5>18</s5></fC03><fC03 i1="11" i2="X" l="FRE"><s0>International</s0><s5>19</s5></fC03><fC03 i1="11" i2="X" l="ENG"><s0>International</s0><s5>19</s5></fC03><fC03 i1="11" i2="X" l="SPA"><s0>Internacional</s0><s5>19</s5></fC03><fC03 i1="12" i2="X" l="FRE"><s0>Monde</s0><s2>NG</s2><s5>20</s5></fC03><fC03 i1="12" i2="X" l="ENG"><s0>World</s0><s2>NG</s2><s5>20</s5></fC03><fC03 i1="12" i2="X" l="SPA"><s0>Mundo</s0><s2>NG</s2><s5>20</s5></fC03><fC03 i1="13" i2="X" l="FRE"><s0>Etude comparative</s0><s5>21</s5></fC03><fC03 i1="13" i2="X" l="ENG"><s0>Comparative study</s0><s5>21</s5></fC03><fC03 i1="13" i2="X" l="SPA"><s0>Estudio comparativo</s0><s5>21</s5></fC03><fC03 i1="14" i2="X" l="FRE"><s0>Maladie métabolique</s0><s5>22</s5></fC03><fC03 i1="14" i2="X" l="ENG"><s0>Metabolic diseases</s0><s5>22</s5></fC03><fC03 i1="14" i2="X" l="SPA"><s0>Metabolismo patología</s0><s5>22</s5></fC03><fC03 i1="15" i2="X" l="FRE"><s0>Nutrition</s0><s5>23</s5></fC03><fC03 i1="15" i2="X" l="ENG"><s0>Nutrition</s0><s5>23</s5></fC03><fC03 i1="15" i2="X" l="SPA"><s0>Nutrición</s0><s5>23</s5></fC03><fC03 i1="16" i2="X" l="FRE"><s0>Obésité</s0><s5>24</s5></fC03><fC03 i1="16" i2="X" l="ENG"><s0>Obesity</s0><s5>24</s5></fC03><fC03 i1="16" i2="X" l="SPA"><s0>Obesidad</s0><s5>24</s5></fC03><fC03 i1="17" i2="X" l="FRE"><s0>Etat nutritionnel</s0><s5>25</s5></fC03><fC03 i1="17" i2="X" l="ENG"><s0>Nutritional status</s0><s5>25</s5></fC03><fC03 i1="17" i2="X" l="SPA"><s0>Estado nutricional</s0><s5>25</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Homme</s0></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Human</s0></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Hombre</s0></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Biométrie corporelle</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Corporal biometry</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Biometría corporal</s0><s5>37</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Trouble de la nutrition</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Nutrition disorder</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Trastorno nutricíon</s0><s5>38</s5></fC07><fN21><s1>081</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard><server><NO>PASCAL 10-0127619 INIST</NO><ET>Socioeconomic position, macroeconomic environment and overweight among adolescents in 35 countries</ET><AU>DUE (P.); DAMSGAARD (M. T.); RASMUSSEN (M.); HOLSTEIN (B. E.); WARDLE (J.); MERLO (J.); CURRIE (C.); AHLUWALIA (N.); SØRENSEN (Tia); LYNCH (J.)</AU><AF>National Institute of Public Health, University of Southern Denmark/Copenhagen/Danemark (1 aut.); Department of Social Medicine, Institute o f Public Health, University of Copenhagen/Copenhagen/Danemark (2 aut., 3 aut., 4 aut.); Department of Epidemiology and Public Health, University College London/London/Royaume-Uni (5 aut.); Faculty of Medicine, Social Epidemiology (Department of Clinical Science), Lund University/Malmö/Suède (6 aut.); Child and Adolescent Research Unit, University of Edinburgh/Edinburgh, Scotland/Royaume-Uni (7 aut.); Service Médical du Rectorat de Toulouse/Toulouse/France (8 aut.); Institute of Preventive Medicine, Copenhagen University Hospital, Centre for Health and Society/Copenhagen/Danemark (9 aut.); School of Health Sciences, University of South Australia/Adelaide/Australie (10 aut.); Department of Social Medicine, University o f Bristol/Bristol/Royaume-Uni (10 aut.)</AF><DT>Publication en série; Niveau analytique</DT><SO>International journal of obesity; ISSN 0307-0565; Coden IJOBDP; Royaume-Uni; Da. 2009; Vol. 33; No. 10; Pp. 1084-1093; Bibl. 43 ref.</SO><LA>Anglais</LA><EA>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.</EA><CC>002B22B; 002B30A11</CC><FD>Statut socioéconomique; Aspect social; Aspect économique; Environnement; Surcharge pondérale; Poids corporel; Adolescent; Pays; Santé publique; Inégalité; International; Monde; Etude comparative; Maladie métabolique; Nutrition; Obésité; Etat nutritionnel</FD><FG>Homme; Biométrie corporelle; Trouble de la nutrition</FG><ED>Socioeconomic status; Social aspect; Economic aspect; Environment; Overweight; Body weight; Adolescent; Countries; Public health; Inequality; International; World; Comparative study; Metabolic diseases; Nutrition; Obesity; Nutritional status</ED><EG>Human; Corporal biometry; Nutrition disorder</EG><SD>Estatuto socioeconómico; Aspecto social; Aspecto económico; Medio ambiente; Sobrecarga ponderal; Peso corporal; Adolescente; País; Salud pública; Desigualdad; Internacional; Mundo; Estudio comparativo; Metabolismo patología; Nutrición; Obesidad; Estado nutricional</SD><LO>INIST-18243.354000170257280020</LO><ID>10-0127619</ID></server></inist></record>Pour manipuler ce document sous Unix (Dilib)
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