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Socioeconomic position, macroeconomic environment and overweight among adolescents in 35 countries

Due, P.; Damsgaard, M. T.; Rasmussen, M.; Holstein, B. E.; Wardle, J.; Merlo, Juan LU ; Currie, C.; Ahluwalia, N.; Sorensen, T. I. A. and Lynch, J. (2009) In International Journal of Obesity 33(10). p.1084-1093
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/m(2) at the age of 18 years). Measures included family and school affluence (within countries), and average country... (More)
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(2) 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. International Journal of Obesity (2009) 33, 1084-1093; doi:10.1038/ijo.2009.128; published online 21 July 2009 (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
international comparisons, adolescents, overweight, social inequality, macroeconomic factors
in
International Journal of Obesity
volume
33
issue
10
pages
1084 - 1093
publisher
Nature Publishing Group
external identifiers
  • wos:000270694700002
  • scopus:70349970674
ISSN
1476-5497
DOI
10.1038/ijo.2009.128
language
English
LU publication?
yes
id
f08fb5ef-1c62-474e-9824-8c061c201a3e (old id 1507339)
date added to LUP
2009-11-20 11:11:16
date last changed
2017-10-22 03:54:31
@article{f08fb5ef-1c62-474e-9824-8c061c201a3e,
  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/m(2) 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. International Journal of Obesity (2009) 33, 1084-1093; doi:10.1038/ijo.2009.128; published online 21 July 2009},
  author       = {Due, P. and Damsgaard, M. T. and Rasmussen, M. and Holstein, B. E. and Wardle, J. and Merlo, Juan and Currie, C. and Ahluwalia, N. and Sorensen, T. I. A. and Lynch, J.},
  issn         = {1476-5497},
  keyword      = {international comparisons,adolescents,overweight,social inequality,macroeconomic factors},
  language     = {eng},
  number       = {10},
  pages        = {1084--1093},
  publisher    = {Nature Publishing Group},
  series       = {International Journal of Obesity},
  title        = {Socioeconomic position, macroeconomic environment and overweight among adolescents in 35 countries},
  url          = {http://dx.doi.org/10.1038/ijo.2009.128},
  volume       = {33},
  year         = {2009},
}