Parental education and neighbourhood socioeconomic status in the prediction of childhood overweight: A multilevel analysis.
children
cross‐level interaction
overweight
parental education
socioeconomic status
spatial disadvantage
Journal
Pediatric obesity
ISSN: 2047-6310
Titre abrégé: Pediatr Obes
Pays: England
ID NLM: 101572033
Informations de publication
Date de publication:
14 Oct 2024
14 Oct 2024
Historique:
revised:
16
08
2024
received:
26
02
2024
accepted:
20
09
2024
medline:
15
10
2024
pubmed:
15
10
2024
entrez:
14
10
2024
Statut:
aheadofprint
Résumé
This study examined cross-level interaction between parental education and neighbourhood SES in predicting overweight including obesity among school-aged children. This analysis used data from 19 984 children aged 5-6 years participating in the school-entry examination of the years 2015 to 2019 in the Aachen city region in Germany. We employed multilevel logistic regression models to predict overweight based on parental education and neighbourhood SES, along with their cross-level interaction, while controlling for several characteristics of the child. Children from families with intermediate (OR: 1.99; 95% CI, 1.65-2.40) and low parental education (OR: 2.55; 95% CI, 1.92-3.39) and from neighbourhoods with intermediate (OR: 1.25; 95% CI, 1.02-1.53) and low SES (OR: 1.61; 95% CI, 1.29-2.02) were at significantly higher odds for overweight. There was an indication of a cross-level interaction effect (p-value <0.10) to the disadvantage of children with higher parental education, suggesting that inequalities in overweight decrease in more deprived neighbourhoods. The predicted probability of overweight for children with high parental education increased from 6.4% in high SES neighbourhoods to 7.8% in intermediate and 9.9% in low SES neighbourhoods. Sensitivity analyses for obesity and a higher context level of spatial SES confirmed the results. The results highlight the crucial role of both individual and contextual socioeconomic conditions in predicting childhood overweight. They also suggest that the impact of neighbourhood socioeconomic status on childhood overweight varies by parental education, particularly disadvantaging children with higher parental education, indicating a social contagion of overweight through spatial disadvantage.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13181Informations de copyright
© 2024 World Obesity Federation.
Références
Pulgarón ER. Childhood obesity: a review of increased risk for physical and psychological comorbidities. Clin Ther. 2013;35(1):A18‐A32.
Rankin J, Matthews L, Cobley S, et al. Psychological consequences of childhood obesity: psychiatric comorbidity and prevention. Adolesc Health Med Ther. 2016;7:125‐146.
Juonala M, Magnussen CG, Berenson GS, et al. Childhood adiposity, adult adiposity, and cardiovascular risk factors. N Engl J Med. 2011;365(20):1876‐1885.
Barton M. Childhood obesity: a life‐long health risk. Acta Pharmacol Sin. 2012;33(2):189‐193.
Park MH, Falconer C, Viner RM, Kinra S. The impact of childhood obesity on morbidity and mortality in adulthood: a systematic review. Obes Rev. 2012;13(11):985‐1000.
Gallagher C, Waidyatillake N, Pirkis J, et al. The effects of weight change from childhood to adulthood on depression and anxiety risk in adulthood: a systematic review. Obes Rev. 2023;24(7):e13566.
He J, Chen X, Fan X, Cai Z, Huang F. Is there a relationship between body mass index and academic achievement? A meta‐analysis. Public Health. 2019;167:111‐124.
Santana CCA, Hill JO, Azevedo LB, Gunnarsdottir T, Prado WL. The association between obesity and academic performance in youth: a systematic review. Obes Rev. 2017;18(10):1191‐1199.
Jebeile H, Kelly AS, O'Malley G, Baur LA. Obesity in children and adolescents: epidemiology, causes, assessment, and management. Lancet Diabetes Endocrinol. 2022;10(5):351‐365.
Vazquez CE, Cubbin C. Socioeconomic status and childhood obesity: a review of literature from the past decade to inform intervention research. Curr Obes Rep. 2020;9(4):562‐570.
Wang Y, Lim H. The global childhood obesity epidemic and the association between socio‐economic status and childhood obesity. Int Rev Psychiatry. 2012;24(3):176‐188.
Wang Y. Cross‐national comparison of childhood obesity: the epidemic and the relationship between obesity and socioeconomic status. Int J Epidemiol. 2001;30(5):1129‐1136.
Barriuso L, Miqueleiz E, Albaladejo R, Villanueva R, Santos JM, Regidor E. Socioeconomic position and childhood‐adolescent weight status in rich countries: a systematic review, 1990–2013. BMC Pediatr. 2015;15:129.
Dunton GF, Kaplan J, Wolch J, Jerrett M, Reynolds KD. Physical environmental correlates of childhood obesity: a systematic review. Obes Rev. 2009;10(4):393‐402.
Gordon‐Larsen P, Nelson MC, Page P, Popkin BM. Inequality in the built environment underlies key health disparities in physical activity and obesity. Pediatrics. 2006;117(2):417‐424.
Mohammed SH, Habtewold TD, Birhanu MM, et al. Neighbourhood socioeconomic status and overweight/obesity: a systematic review and meta‐analysis of epidemiological studies. BMJ Open. 2019;9(11):e028238.
Kranjac AW, Denney JT, Kimbro RT, Moffett BS, Lopez KN. Child obesity and the interaction of family and neighborhood socioeconomic context. Popul Res Policy Rev. 2019;38(3):347‐369.
Rossen LM. Neighbourhood economic deprivation explains racial/ethnic disparities in overweight and obesity among children and adolescents in the U.S.A. J Epidemiol Community Health. 2014;68(2):123‐129.
Nguyen TH, Götz S, Kreffter K, Lisak‐Wahl S, Dragano N, Weyers S. Neighbourhood deprivation and obesity among 5656 pre‐school children‐findings from mandatory school enrollment examinations. Eur J Pediatr. 2021;180(6):1947‐1954.
Kromeyer‐Hauschild K, Wabitsch M, Kunze D, et al. Perzentile für den Body‐mass‐Index für das Kindes‐ und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr Kinderheilkd. 2001;149(8):807‐818.
Jöckel K‐H, Babitsch B, Bellach B‐M, et al., eds. Messung und Quantifizierung soziodemographischer Merkmale in epidemiologischen Studien. Empfehlungen. Messung soziographischer Merkmale in der Epidemiologie. RKI‐Schriften. MMV Medizin Verlag; 1998.
Diez‐Roux AV. Multilevel analysis in public health research. Annu Rev Public Health. 2000;21:171‐192.
Rabe‐Hesketh S, Skrondal A. Multilevel and Longitudinal Modeling Using Stata. StataCorp LP; 2022.
Snijders TAB, Bosker RJ. Multilevel Analysis. An Introduction to Basic and Advanced Multilevel Modeling. 2nd ed. Sage; 2012.
Larsen K, Merlo J. Appropriate assessment of neighborhood effects on individual health: integrating random and fixed effects in multilevel logistic regression. Am J Epidemiol. 2005;161(1):81‐88.
Shrewsbury V, Wardle J. Socioeconomic status and adiposity in childhood: a systematic review of cross‐sectional studies 1990–2005. Obesity. 2008;16(2):275‐284.
Chari R, Warsh J, Ketterer T, Hossain J, Sharif I. Association between health literacy and child and adolescent obesity. Patient Educ Couns. 2014;94(1):61‐66.
DeWalt DA, Hink A. Health literacy and child health outcomes: a systematic review of the literature. Pediatrics. 2009;124(Suppl 3):S265‐S274.
Chrissini MK, Panagiotakos DB. Health literacy as a determinant of childhood and adult obesity: a systematic review. Int J Adolesc Med Health. 2021;33(3):9‐39.
Schroeder K, Kulage KM, Lucero R. Beyond positivism: understanding and addressing childhood obesity disparities through a critical theory perspective. J Spec Pediatr Nurs. 2015;20(4):259‐270.
Benton D. Role of parents in the determination of the food preferences of children and the development of obesity. Int J Obes Relat Metab Disord. 2004;28(7):858‐869.
Gätjens I, Hasler M, Di Giuseppe R, Bosy‐Westphal A, Plachta‐Danielzik S. Family and lifestyle factors mediate the relationship between socioeconomic status and fat mass in children and adolescents. Obes Facts. 2020;13(6):596‐607.
Adams J. Addressing socioeconomic inequalities in obesity: democratising access to resources for achieving and maintaining a healthy weight. PLoS Med. 2020;17(7):e1003243.
Tester JM, Rosas LG, Leung CW. Food insecurity and pediatric obesity: a double whammy in the era of COVID‐19. Curr Obes Rep. 2020;9(4):442‐450.
Evans GW, Jones‐Rounds ML, Belojevic G, Vermeylen F. Family income and childhood obesity in eight European cities: the mediating roles of neighborhood characteristics and physical activity. Soc Sci Med. 2012;75(3):477‐481.
Singh GK, Siahpush M, Kogan MD. Neighborhood socioeconomic conditions, built environments, and childhood obesity. Health Aff. 2010;29(3):503‐512.
Babey SH, Wolstein J, Diamant AL. Adolescent physical activity. Environ Behav. 2016;48(1):172‐191.
Holz G, Laubstein C, Sthamer E. Für Forschung schwer erreichbar? SozA. 2013;62(3):105‐115.
Geyer S, Wedegärtner F. Variabilität von Arzturteilen in Schuleingangsuntersuchungen. Gesundheitswesen. 2007;69(11):621‐627.