Heidi Ullmann S, Buttenheim Alison M, Goldman Noreen, Pebley Anne R, Wong Rebeca
Princeton University, Office of Population Research, Princeton, NJ, USA.
Int J Pediatr Obes. 2011 Jun;6(2-2):e373-80. doi: 10.3109/17477166.2010.498520. Epub 2010 Oct 1.
We investigate socioeconomic disparities in adolescent obesity in Mexico. Three questions are addressed. First, what is the social patterning of obesity among Mexican adolescents? Second, what are the separate and joint associations of maternal and paternal education with adolescent obesity net of household wealth? Third, are there differences in socioeconomic status (SES) gradients among Mexican boys and girls, rural residents and non-rural residents?
Using data from the Mexican National Health Survey 2000 we examined the slope and direction of the association between SES and adolescent obesity. We also estimated models for sub-populations to examine differences in the social gradients in obesity by sex and non-rural residence.
We find that household economic status (asset ownership and housing quality) is positively associated with adolescent obesity. High paternal education is related to lower obesity risk, whereas the association between maternal education and obesity is positive, but not always significant.
The household wealth components of SES appear to predispose Mexican adolescents to higher obesity risk. The effects of parental education are more complex. These findings have important policy implications in Mexico and the United States.
我们研究了墨西哥青少年肥胖问题中的社会经济差异。探讨了三个问题。第一,墨西哥青少年肥胖的社会模式是怎样的?第二,在扣除家庭财富因素后,母亲和父亲的教育程度与青少年肥胖之间分别以及共同的关联是什么?第三,墨西哥男孩和女孩、农村居民和非农村居民在社会经济地位(SES)梯度上是否存在差异?
利用2000年墨西哥国家健康调查的数据,我们研究了SES与青少年肥胖之间关联的斜率和方向。我们还为亚人群估计了模型,以研究肥胖的社会梯度在性别和非农村居住方面的差异。
我们发现家庭经济状况(资产所有权和住房质量)与青少年肥胖呈正相关。父亲受教育程度高与较低的肥胖风险相关,而母亲教育程度与肥胖之间的关联是正向的,但并不总是显著。
SES中的家庭财富因素似乎使墨西哥青少年面临更高的肥胖风险。父母教育的影响更为复杂。这些发现对墨西哥和美国具有重要的政策意义。