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家庭社会经济地位与儿童超重肥胖的关系
作者:翟屹 夏代提古丽·苏拉衣曼 李伟荣 沈冲 赵文华 施小明
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摘要:

   目的分析家庭社会经济地位(socioeconomic status,SES)与儿童超重肥胖的关系。方法2010年9—11月,采用分层随机整群抽样方法,根据地理特征、社会经济发展水平等因素,以中国内地8省(市、自治区)为抽样框,抽取19 934名7~12岁儿童作为研究对象,测量其超重肥胖状况。采用Green综合分析方法确定家庭SES。采用多因素logistic回归逐步法分析家庭SES对儿童超重肥胖的影响。结果Green评分低、中、高家庭的儿童超重率分别为74%(538/7295)、93%(560/6013)和126%(832/6626),肥胖率分别为44%(321/7295)、64%(387/6013)和102%(677/6626),差异均有统计学意义(χ2值分别为13382、18027,P值均<001)。在调整年龄、城乡、经济类型地区后,多因素logistic回归结果显示,与低SES儿童相比,高SES男童和女童患超重肥胖的OR(95%CI)值分别为183(161~208)和167(142~200);中SES的男童和女童患超重肥胖的OR(95%CI)值分别为130(115~148)和123(104~146)。结论儿童超重率和肥胖率随家庭社会经济地位水平的升高而升高,呈正相关关系。

关键词:社会阶级;儿童;超重;肥胖

Abstract:

   ObjectiveTo analyze the relationship between socioeconomic status (SES) and overweight and obesity among elementary school children MethodsThis crosssectional study was conducted from September to November, 2010 A stratified random cluster sampling was used from sampling frame of eight provinces by the geographical and economic development distributions in mainland China A total of 19 934 students aged 7-12 years old participated in this study All subjects were evaluated the status of overweight and obesity Green′s scoring SES was used to evaluate the SES of the participants Multivariate logistic regression analysis was performed to examine the relationship between SES and overweight and obesity among children ResultsAccording to the scores of Green′s SES, the participants′ SES were divided into three levels, the prevalence of overweight were 74%(538/7295), 93%(560/6013) and 126%(832/6626), and the prevalence of obesity were 44%(321/7295), 64%(387/6013) and 102%(677/6626) from low to high SES level, respectively (χ2 value were 13382, 18027, respectively, P<001) After adjusted by age, urban and rural and economic regions, compared with the participants  with low SES, the OR  (95%CI) of having overweight and obesity among participants  with high SES were 183(161-208) for boys and 167(142-200) for girls; the OR (95%CI)  with middle SES were 130(115-148) for boys and 123(104-146) for girls ConclusionThe prevalence of overweight and obesity rises with the family′s SES levels There was a positive correlation between SES and overweight and obesity among schoolaged children

Key words: Social class;Child;Overweight;Obesity

发表日期:2013/10

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