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Intergenerational educational mobility and obesity in adolescence: Findings from the cross-sectional German KiGGS study

机译:代际教育流动性和青春期肥胖:德国KiGGS横断面研究的发现

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Aim: The objective of this study is to analyze the meaning of intergenerational educational transmission and intergenerational educational mobility on adolescents' obesity risk. In particular, the paper investigates if upward social mobility is a protective factor against obesity for children of lower educated parents. Subject and methods: Representative data was derived from a subsample (12-17 years, n = 5,111) of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Body height and weight were measured in a standardized way. Obesity (>97th percentile) was defined due to the national reference system that is based upon percentiles of the body mass index (BMI). Intergenerational educational mobility was defined as: stable high (parents and participant have high education), potentially upwardly mobile (participant's education is higher than parents' education), potentially downwardly mobile (participant's education is lower than parents' education), and stable low (parents and participant have low education). Results: The highest prevalence of obesity was found in adolescents with a stable low education, the lowest prevalence in adolescents with a stable high education. The educational gradient was steeper in girls than in boys. Compared to the "stable high" reference category, potentially upwardly mobile adolescents had no significant increased risk of obesity, while the risk for potentially downwardly mobile adolescents was only significant in girls (OR 2.32; 95 % CI 1.23-4.37). The obesity risk in boys and girls with a stable low education was significantly elevated (1.68; 1.04-2.73 and 3.06; 1.89-4.94). Conclusion: Parental education and adolescents' own educational status have cumulative effects on obesity risk. The fact that potentially upwardly mobile boys and girls are not more likely to be obese than adolescents with a stable high education and less often than adolescents with a stable low education can be interpreted as a protective effect of upward social mobility even though health selection might have played a role.
机译:目的:本研究的目的是分析代际教育传播和代际教育流动对青少年肥胖风险的意义。特别是,本文调查了向上的社会流动性是否是低学历父母子女肥胖的保护因素。主题和方法:代表性数据来自德国儿童和青少年健康访谈和检查调查(KiGGS)的子样本(12-17岁,n = 5,111)。身高和体重以标准化方式测量。由于国家参考系统是基于体重指数(BMI)的百分位数,因此定义了肥胖(> 97%百分位数)。代际教育流动性的定义为:稳定的高(父母和参与者受过高等教育),潜在的向上流动(参与者的教育程度高于父母的教育程度),潜在的向下移动(参与者的教育程度低于父母的教育程度)和稳定的较低(父母和参与者文化程度较低)。结果:肥胖的患病率在稳定的低学历的青少年中最高,而在稳定的高等教育学历的青少年中最低。女孩的教育梯度比男孩的陡峭。与“稳定的高”参考类别相比,可能向上运动的青少年肥胖的风险没有显着增加,而可能向下运动的青少年的风险仅在女孩中显着(OR 2.32; 95%CI 1.23-4.37)。受过稳定教育的男孩和女孩的肥胖风险显着升高(1.68; 1.04-2.73和3.06; 1.89-4.94)。结论:父母教育和青少年自身的教育状况对肥胖风险有累积影响。尽管健康选择可能具有向上流动性的男孩和女孩比受稳定的高学历的青少年更不容易肥胖,而受教育水平稳定的青少年比肥胖的人少发生的事实可以被解释为向上社会流动的保护作用。发挥了作用。

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