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首页> 外文期刊>Annals of epidemiology >Racial/ethnic, socioeconomic, and behavioral determinants of childhood and adolescent obesity in the United States: analyzing independent and joint associations.
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Racial/ethnic, socioeconomic, and behavioral determinants of childhood and adolescent obesity in the United States: analyzing independent and joint associations.

机译：美国儿童和青少年肥胖的种族/种族，社会经济和行为决定因素：分析独立和联合协会。

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PURPOSE: This study examines independent and joint associations between several socioeconomic, demographic, and behavioral characteristics and obesity prevalence among 46,707 children aged 10-17 years in the United States. METHODS: The 2003 National Survey of Children's Health was used to calculate obesity prevalence. Logistic regression was used to estimate odds of obesity and adjusted prevalence. RESULTS: Ethnic minority status, non-metropolitan residence, lower socioeconomic status (SES) and social capital, higher television viewing, and higher physical inactivity levels were all independently associated with higher obesity prevalence. Adjusted obesity prevalence varied by age, gender, race/ethnicity, and SES. Compared with affluent white children, the odds of obesity were 2.7, 1.9 and 3.2 times higher for the poor Hispanic, white, and black children, respectively. Hispanic, white, and black children watching television 3 hours or more per day had 1.8, 1.9, and 2.5 times higher odds of obesity than white children who watched television less than 1 hour/day, respectively. Poor children with a sedentary lifestyle had 3.7 times higher odds of obesity than their active, affluent counterparts (adjusted prevalence, 19.8% vs. 6.7%). CONCLUSIONS: Race/ethnicity, SES, and behavioral factors are independently related to childhood and adolescent obesity. Joint effects by gender, race/ethnicity, and SES indicate the potential for considerable reduction in the existing disparities in childhood obesity in the United States.
机译：目的：本研究调查了美国40,707名10-17岁儿童的几种社会经济，人口统计学和行为特征与肥胖患病率之间的独立和联合关联。方法：使用2003年全国儿童健康调查来计算肥胖发生率。使用Logistic回归估计肥胖率和调整患病率。结果：少数族裔身份，非大都市居民，较低的社会经济地位（SES）和社会资本，较高的电视收看率和较高的身体活动水平均与肥胖症患病率较高独立相关。调整后的肥胖患病率因年龄，性别，种族/民族和SES而异。与富裕的白人儿童相比，贫穷的西班牙裔，白人和黑人儿童的肥胖几率分别高出2.7、1.9和3.2倍。每天看电视3小时或更长时间的西班牙裔，白人和黑人儿童的肥胖几率分别比每天看电视少于1小时的白人儿童高1.8、1.9和2.5倍。久坐不动的贫困儿童的肥胖几率比活跃，富裕的同龄人高3.7倍（调整后患病率，分别为19.8％和6.7％）。结论：种族/民族，SES和行为因素与儿童和青少年肥胖症独立相关。性别，种族/民族和SES的共同影响表明，美国儿童肥胖的现有差距可能会大大减少。

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