O'Loughlin Jennifer, Paradis Gilles, Meshefedjian Garbis, Eppel Ayelet, Belbraouet Slimane, Gray-Donald Katherine
Joint Departments of Epidemiology and Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.
Ethn Dis. 2004 Summer;14(3):340-50.
To describe the prevalence of lifestyle risk factors (LRF) for chronic disease by family origin (FO) among children in multiethnic, low-income, urban neighborhoods.
Cross-sectional analysis.
16 elementary schools located in disadvantaged, multiethnic neighborhoods in Montreal, Canada.
4659 schoolchildren aged 9-12 in grades 4-6.
Smoking, level of physical activity, dietary habits, body mass index, sedentary behavior.
Subjects completed self-report questionnaires on sociodemographic characteristics and lifestyle behaviors; height and weight were measured in a standardized protocol. Fourteen FO groupings were identified based on language(s) spoken and countries of birth of both subjects and parents. We tested FO as an independent correlate of having 2 or more LRF, using the generalized estimating equations method.
Relative to Canadian children, a higher proportion of Haitian, Portuguese, and other Central American/Caribbean children had 2 or more LRF, the proportion was similar among Cambodian, Vietnamese, Chinese, South American, East European, Arabic, Italian, and South Asian children, and lower among Salvadorean children.
Prevention programs for youth should take differential distribution of LRF by ethnicity into account.
描述多民族、低收入城市社区儿童中按家庭出身（FO）划分的慢性病生活方式风险因素（LRF）的流行情况。
横断面分析。
加拿大蒙特利尔处于弱势地位的多民族社区的16所小学。
4659名4至6年级的9至12岁学童。
吸烟、身体活动水平、饮食习惯、体重指数、久坐行为。
受试者完成关于社会人口学特征和生活方式行为的自我报告问卷；按照标准化方案测量身高和体重。根据受试者及其父母所讲语言和出生国家确定了14个家庭出身分组。我们使用广义估计方程法将家庭出身作为具有2种或更多生活方式风险因素的独立相关因素进行检验。
与加拿大儿童相比，海地、葡萄牙以及其他中美洲/加勒比儿童中有2种或更多生活方式风险因素的比例更高，柬埔寨、越南、中国、南美、东欧、阿拉伯、意大利和南亚儿童中的这一比例相似，而萨尔瓦多儿童中的比例较低。
青少年预防项目应考虑按种族划分的生活方式风险因素的差异分布。
