An Increasing Socioeconomic Gap in Childhood Overweight and Obesity in China

Overview

Journal Am J Public Health

Specialty Public Health

Date 2013 Nov 16

PMID 24228657

Citations 31

Authors

Wei He

Sherman A James

M Giovanna Merli

Hui Zheng

Affiliations

Soon will be listed here.

Abstract

We used a new conceptual framework that integrates tenets from health economics, social epidemiology, and health behavior to analyze the impact of socioeconomic forces on the temporal changes in the socioeconomic status (SES) gap in childhood overweight and obesity in China. In data from the China Health and Nutrition Survey for 1991 to 2006, we found increased prevalence of childhood overweight and obesity across all SES groups, but a greater increase among higher-SES children, especially after 1997, when income inequality dramatically increased. Our findings suggest that for China, the increasing SES gap in purchasing power for obesogenic goods, associated with rising income inequality, played a prominent role in the country's increasing SES gap in childhood obesity and overweight.

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References

Monteiro C, Moura E, Conde W, Popkin B . Socioeconomic status and obesity in adult populations of developing countries: a review. Bull World Health Organ. 2005; 82(12):940-6. PMC: 2623095. DOI: /S0042-96862004001200011. View

Merli M, Smith H . Has the Chinese family planning policy been successful in changing fertility preferences?. Demography. 2002; 39(3):557-72. DOI: 10.1353/dem.2002.0029. View

Hsu Y, Johnson C, Chou C, Unger J, Sun P, Xie B . Correlates of overweight status in Chinese youth: an East-West paradox. Am J Health Behav. 2011; 35(4):496-506. DOI: 10.5993/ajhb.35.4.11. View

Bandura A . Health promotion by social cognitive means. Health Educ Behav. 2004; 31(2):143-64. DOI: 10.1177/1090198104263660. View

Brownell K, Kaye F . A school-based behavior modification, nutrition education, and physical activity program for obese children. Am J Clin Nutr. 1982; 35(2):277-83. DOI: 10.1093/ajcn/35.2.277. View

Drewnowski A, Specter S . Poverty and obesity: the role of energy density and energy costs. Am J Clin Nutr. 2003; 79(1):6-16. DOI: 10.1093/ajcn/79.1.6. View

FRANKLIN F, Lee J, von Almen T, Suskind R . Feasibility of a clinic-based hypocaloric dietary intervention implemented in a school setting for obese children. Obes Res. 1996; 4(5):419-29. DOI: 10.1002/j.1550-8528.1996.tb00250.x. View

Hesketh T, Lu L, Xing Z . The effect of China's one-child family policy after 25 years. N Engl J Med. 2005; 353(11):1171-6. DOI: 10.1056/NEJMhpr051833. View

Drewnowski A . Fat and sugar: an economic analysis. J Nutr. 2003; 133(3):838S-840S. DOI: 10.1093/jn/133.3.838S. View

10.

Xie B, Chou C, Spruijt-Metz D, Reynolds K, Clark F, Palmer P . Socio-demographic and economic correlates of overweight status in Chinese adolescents. Am J Health Behav. 2007; 31(4):339-52. DOI: 10.5555/ajhb.2007.31.4.339. View

11.

Jones-Smith J, Gordon-Larsen P, Siddiqi A, Popkin B . Cross-national comparisons of time trends in overweight inequality by socioeconomic status among women using repeated cross-sectional surveys from 37 developing countries, 1989-2007. Am J Epidemiol. 2011; 173(6):667-75. PMC: 3105263. DOI: 10.1093/aje/kwq428. View

12.

Burke V, Milligan R, Thompson C, Taggart A, Dunbar D, Spencer M . A controlled trial of health promotion programs in 11-year-olds using physical activity "enrichment" for higher risk children. J Pediatr. 1998; 132(5):840-8. DOI: 10.1016/s0022-3476(98)70315-4. View

13.

Kac G, Velasquez-Melendez G, Schlussel M, Segall-Correa A, Silva A, Perez-Escamilla R . Severe food insecurity is associated with obesity among Brazilian adolescent females. Public Health Nutr. 2012; 15(10):1854-60. DOI: 10.1017/S1368980011003582. View

14.

Zeger S, Liang K . Longitudinal data analysis for discrete and continuous outcomes. Biometrics. 1986; 42(1):121-30. View

15.

Bell A, Ge K, Popkin B . The road to obesity or the path to prevention: motorized transportation and obesity in China. Obes Res. 2002; 10(4):277-83. DOI: 10.1038/oby.2002.38. View

16.

Tudor-Locke C, Ainsworth B, Adair L, Du S, Lee N, Popkin B . Cross-sectional comparison of physical activity and inactivity patterns in Chinese and Filipino youth. Child Care Health Dev. 2006; 33(1):59-66. DOI: 10.1111/j.1365-2214.2006.00612.x. View

17.

Popkin B . The nutrition transition and obesity in the developing world. J Nutr. 2001; 131(3):871S-873S. DOI: 10.1093/jn/131.3.871S. View

18.

Phelan J, Link B, Diez-Roux A, Kawachi I, Levin B . "Fundamental causes" of social inequalities in mortality: a test of the theory. J Health Soc Behav. 2004; 45(3):265-85. DOI: 10.1177/002214650404500303. View

19.

Sobal J . Obesity and socioeconomic status: a framework for examining relationships between physical and social variables. Med Anthropol. 1991; 13(3):231-47. DOI: 10.1080/01459740.1991.9966050. View

20.

Luo Y, Parish W, Laumann E . A population-based study of body image concerns among urban Chinese adults. Body Image. 2007; 2(4):333-45. DOI: 10.1016/j.bodyim.2005.09.003. View