Department of Sport and Physical Activity, Edge Hill University, Ormskirk, UK.
J Public Health (Oxf). 2019 Sep 30;41(3):456-461. doi: 10.1093/pubmed/fdy139.
The study aims were to: (i) examine associations between deprivation at age 7 and health outcomes at age 7 and 14, (ii) determine whether a deprivation gradient to health outcomes exists at age 7 and 14, and (iii) assess the extent to which health outcomes at age 7 are associated with health outcomes at age 14.
Data were from wave four and six of the Millennium Cohort Study. Health outcome measures were weight status, and Strengths and Difficulties Questionnaire measured mental health problems. Deprivation was determined using the 2004 English Indices of Multiple Deprivation. Adjusted logistic and multinomial logistic regressions were conducted.
A total of 6109 children (1890 girls) had complete data. Overweight, obesity and mental health problems were greatest among children in the highest deprivation decile at age 7 and 14 (P < 0.001). Health outcomes at age 7 were significantly associated with health outcomes at age 14 (P < 0.001).
A marked social gradient to weight status and mental health was evident at age 7 and 14, and no evidence of equalization was found. Weight status and mental health in childhood is strongly associated with weight status and mental health in adolescence.
本研究旨在：（i）检验 7 岁时的贫困状况与 7 岁和 14 岁时的健康结果之间的关联；（ii）确定 7 岁和 14 岁时是否存在健康结果的贫困梯度；（iii）评估 7 岁时的健康结果与 14 岁时的健康结果之间的关联程度。
数据来自千禧年队列研究的第四和第六波。健康结果测量指标包括体重状况和 Strengths and Difficulties Questionnaire（SDQ）评估心理健康问题。贫困状况采用 2004 年英国多维度贫困指数（English Indices of Multiple Deprivation）来确定。采用调整后的逻辑回归和多项逻辑回归进行分析。
共有 6109 名儿童（1890 名女孩）具有完整数据。在 7 岁和 14 岁时，处于最高贫困十分位数的儿童超重、肥胖和心理健康问题最为严重（P<0.001）。7 岁时的健康结果与 14 岁时的健康结果显著相关（P<0.001）。
在 7 岁和 14 岁时，体重状况和心理健康状况存在明显的社会梯度，且没有均等化的迹象。儿童时期的体重状况和心理健康与青少年时期的体重状况和心理健康密切相关。
