National Institute of Public Health, University of Southern Denmark, Studiestræde 6, 1455, Copenhagen, Denmark.
Int J Public Health. 2020 Jun;65(5):607-616. doi: 10.1007/s00038-020-01342-1. Epub 2020 Feb 20.
The aim was to analyze trends in overweight and obesity in relation to socioeconomic position among Danish adolescents in the 20-year period 1998-2018.
The study used data on self-reported height and weight and parents' occupational social class (OSC) from 11-, 13- and 15-year-old schoolchildren in 1998, 2002, 2006, 2010, 2014 and 2018, n = 22,177. The analyses included absolute social inequality in overweight/obesity (prevalence difference between low and high OSC) and relative social inequality (OR for overweight/obesity).
In the total sample, the prevalence of overweight and obesity was 9.7% and 1.4%, respectively, with significantly higher prevalence in low than high OSC. There were significantly increasing trends in both overweight and obesity 1998-2018 in low OSC and no significant increase in high OSC. The OR for overweight was 1.59 (1.42-1.74) in middle and 2.16 (1.89-2.46) in low OSC, OR for obesity 1.74 (1.29-2.34) in middle and 2.97 (2.15-4.11) in low OSC. Associations were not modified by survey year.
There was a persistent absolute and relative social inequality in overweight and obesity 1998-2018 among Danish adolescents.
分析丹麦青少年在 1998 年至 2018 年 20 年间超重和肥胖与社会经济地位的关系趋势。
该研究使用了 1998 年、2002 年、2006 年、2010 年、2014 年和 2018 年 11 岁、13 岁和 15 岁在校学生自我报告的身高和体重以及父母职业社会阶层（OSC）的数据，共纳入 22177 名学生。分析包括超重/肥胖的绝对社会不平等（低 OSC 和高 OSC 之间的流行率差异）和相对社会不平等（超重/肥胖的 OR）。
在总样本中，超重和肥胖的患病率分别为 9.7%和 1.4%，低 OSC 的患病率明显高于高 OSC。1998 年至 2018 年，低 OSC 的超重和肥胖均呈显著上升趋势，而高 OSC 则无显著增加。超重的 OR 分别为中 OSC 的 1.59（1.42-1.74）和低 OSC 的 2.16（1.89-2.46），肥胖的 OR 分别为中 OSC 的 1.74（1.29-2.34）和低 OSC 的 2.97（2.15-4.11）。这些关联不受调查年份的影响。
1998 年至 2018 年，丹麦青少年超重和肥胖存在持续的绝对和相对社会不平等。
