Socioeconomic inequalities in childhood overweight: heterogeneity across five countries in the WHO European Childhood Obesity Surveillance Initiative (COSI-2008)
2016 (English)In: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 40, no 5, 796-802 p.Article in journal (Refereed) Published
BACKGROUND: Excess risk of childhood overweight and obesity occurring in socioeconomically disadvantaged families has been demonstrated in numerous studies from high-income regions, including Europe. It is well known that socioeconomic characteristics such as parental education, income and occupation are etiologically relevant to childhood obesity. However, in the pan-European setting, there is reason to believe that inequalities in childhood weight status may vary among countries as a function of differing degrees of socioeconomic development and equity.
SUBJECTS AND METHODS: In this cross-sectional study, we have examined socioeconomic differences in childhood obesity in different parts of the European region using nationally representative data from Bulgaria, the Czech Republic, Lithuania, Portugal and Sweden that were collected in 2008 during the first round of the World Health Organization ( WHO) European Childhood Obesity Surveillance Initiative.
RESULTS: Heterogeneity in the association between parental socioeconomic indicators and childhood overweight or obesity was clearly observed across the five countries studied. Positive as well as negative associations were observed between parental socioeconomic indicators and childhood overweight, with statistically significant interactions between country and parental indicators.
CONCLUSIONS: These findings have public health implications for the WHO European Region and underscore the necessity to continue documenting socioeconomic inequalities in obesity in all countries through international surveillance efforts in countries with diverse geographic, social and economic environments. This is a prerequisite for universal as well as targeted preventive actions.
Place, publisher, year, edition, pages
Nature Publishing Group , 2016. Vol. 40, no 5, 796-802 p.
Nutrition and Dietetics
Research subject Nutrition
IdentifiersURN: urn:nbn:se:uu:diva-304913DOI: 10.1038/ijo.2016.12ISI: 000377616500010PubMedID: 27136760ScopusID: 2-s2.0-84966397604OAI: oai:DiVA.org:uu-304913DiVA: diva2:1034350
FunderSwedish Research Council
Ministry of Health
National Center of Public Health and Analyses
Regional Health Inspectorates
Internal Grant Agency of the Ministry of Health IGA NS/9832-4
Lithuanian State Science and Studies Foundation
Lithuanian University of Health Sciences
Research Council of Lithuania SIN-17/2012
Ministry of Health and Regional Health Directorates
Swedish Research Council for Health, Working Life and Welfare (FORTE)
Directorate-General for Health of Portugal
National Health Institute Doutor Ricardo Jorge in Lisbon, Portugal
National Institute of Health in Rome, Italy
Norwegian Institute of Public Health in Oslo, Norway
Hellenic Medical Association for Obesity in Athens, Greece
Directorate-General for Health of France
Karolinska Institute in Huddinge, Sweden2016-07-272016-10-112016-10-11