Socioeconomic inequalities in overweight and obesity among 6- to 9-year-old children in 24 countries from the World Health Organization European region

Autor: Ana Isabel Rito, Enrique Gutiérrez-González, Ausra Petrauskiene, Shynar Abdrakhmanova, Eha Nurk, João Breda, Katharina Maruszczak, Andrea Gualtieri, Benoît Salanave, Dragana Stojisavljević, Enisa Kujundžić, Igor Spiroski, Tatjana Hejgaard, Gregor Starc, Marta García-Solano, Anna Fijałkowska, Philippa Simmonds, Stefanie Vandevijvere, Sanja Musić Milanović, Mahmut S. Yardim, Vesselka Duleva, Kremlin Wickramasinghe, Sergej M. Ostojic, Zhamilya Usupova, Iveta Pudule, Angela Spinelli, Maya Tanrygulyyeva, Ingunn Holden Bergh, Marta Buoncristiano, Harry Rutter, Paola Nardone, Julianne Williams, Constanta Huidumac-Petrescu, Radka Taxová Braunerová, Lela Shengelia, Zulfiya Abdurrahmonova, Wolfgang Ahrens, Valentina Peterkova, Jolanda Hyska, Päivi Mäki, Kenisha Russell Jonsson, Victoria Farrugia Sant'Angelo, Cecily Kelleher, Elena Sacchini
Rok vydání: 2021
Předmět:
Pediatric Obesity
Inequality
children
obesity
overweight
socioeconomic status
Endocrinology
Diabetes and Metabolism
media_common.quotation_subject
Population
Psychological intervention
030209 endocrinology & metabolism
Context (language use)
Overweight
Saúde Pública
World Health Organization
World health
03 medical and health sciences
0302 clinical medicine
Childhood Obesity Surveillance Initiative
Environmental health
medicine
Prevalence
Humans
030212 general & internal medicine
Obesity
education
Child
Socioeconomic status
Children
media_common
education.field_of_study
Portugal
Public Health
Environmental and Occupational Health
medicine.disease
Socioeconomic Status
Europe
Cross-Sectional Studies
Social Class
Socioeconomic Factors
COSI
medicine.symptom
Psychology
Estilos de Vida e Impacto na Saúde
Zdroj: Obesity Reviews
S6
ISSN: 1467-789X
Popis: Childhood overweight and obesity have significant short- and long-term negative impacts on children's health and well-being. These challenges are unequally distributed according to socioeconomic status (SES); however, previous studies have often lacked standardized and objectively measured data across national contexts to assess these differences. This study provides a cross-sectional picture of the association between SES and childhood overweight and obesity, based on data from 123,487 children aged 6–9 years in 24 countries in the World Health Organization (WHO) European region. Overall, associations were found between overweight/obesity and the three SES indicators used (parental education, parental employment status, and family-perceived wealth). Our results showed an inverse relationship between the prevalence of childhood overweight/obesity and parental education in high-income countries, whereas the opposite relationship was observed in most of the middle-income countries. The same applied to family-perceived wealth, although parental employment status appeared to be less associated with overweight and obesity or not associated at all. This paper highlights the need for close attention to context when designing interventions, as the association between SES and childhood overweight and obesity varies by country economic development. Population-based interventions have an important role to play, but policies that target specific SES groups are also needed to address inequalities. The authors gratefully acknowledge support through a grant from the Russian Government in the context of the WHO European Office for the Prevention and Control of NCDs. The Ministries of health of Austria, Croatia, Greece, Italy, Malta, Norway, and the Russian Federation provided financial support for the meetings at which the protocol, data collection procedures, and analyses were discussed. Data collection in the countries was made possible through funding from: Albania: World Health Organization (WHO) Country Office Albania and the WHO Regional Office for Europe. Bulgaria: WHO Regional Office for Europe. Croatia: Ministry of Health, Croatian Institute of Public Health and WHO Regional Office for Europe. Czechia: Ministry of Health of the Czech Republic, grant nr. 17-31670A and MZCR—RVO EU 00023761. Denmark: The Danish Ministry of Health. France: Santé publique France, the French Agency for Public Health. Georgia: WHO. Ireland: Health Service Executive. Italy: Italian Ministry of Health; Italian National Institute of Health (Istituto Superiore di Sanità). Kazakhstan: the Ministry of Health of the Republic of Kazakhstan within the scientific and technical program. Kyrgyzstan: World Health Organization. Latvia: Centre for Disease Prevention and Control, Ministry of Health, Latvia. Lithuania: Science Foundation of Lithuanian University of Health Sciences and Lithuanian Science Council and WHO. Malta: Ministry of Health; Montenegro: WHO and Institute of Public Health of Montenegro. Poland, National Health Program, Ministry of Health. Portugal: Ministry of Health Institutions, the National Institute of Health, Directorate General of Health, Regional Health Directorates and the kind technical support from the Center for Studies and Research on Social Dynamics and Health (CEIDSS). Romania: Ministry of Health; Russian Federation: WHO. San Marino: Health Ministry, Educational Ministry, Social Security Institute and Health Authority. Spain: the Spanish Agency for Food Safety & Nutrition. Tajikistan: WHO Country Office in Tajikistan and Ministry of Health and Social Protection. Turkmenistan: WHO Country Office in Turkmenistan and Ministry of Health. Turkey: Turkish Ministry of Health and World Bank. info:eu-repo/semantics/publishedVersion
Databáze: OpenAIRE
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