ArticleBMC obesity2016
Neighbourhood socioeconomic context, individual socioeconomic position, and overweight in young children: a multilevel study in a large German city.
Article in BMC obesity, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Neighbourhood socioeconomic status and overweight/obesity: a systematic review and meta-analysis of epidemiological studies.BMJ open · 2019Pooled it
- Role of Impulsivity in Explaining Social Gradient in Youth Tobacco Use Initiation: Does Race Matter?Open journal of neuroscience · 2024Article
- Socioeconomic Status, Overweight, and Obesity in Childhood and Adolescence—Secular Trends From the Nationwide German Kiggs StudyDeutsches Arzteblatt international · 2022Article
- Article
- Income and neighbourhood deprivation in relation to obesity in urban dwelling children 0-12 years of age: a cross-sectional study from 2013 to 2019.Journal of epidemiology and community health · 2022Article
- Global relationship between parent and child obesity: a systematic review and meta-analysis.Clinical and experimental pediatrics · 2022Article
- Neighbourhood deprivation and obesity among 5656 pre-school children-findings from mandatory school enrollment examinations.European journal of pediatrics · 2021Article
- Hotspots of childhood obesity in a large metropolitan area: does neighbourhood social and built environment play a part?International journal of epidemiology · 2020Article
- Mobile home residence as a risk factor for adverse events among children in a mixed rural-urban community: A case for geospatial analysis.Journal of clinical and translational science · 2020Article
- Effectiveness of a socially adapted intervention in reducing social inequalities in adolescence weight. The PRALIMAP-INÈS school-based mixed trial.International journal of obesity (2005) · 2020Article
- Decomposing ethnic differences in body mass index and obesity rates among New Zealand pre-schoolers.International journal of obesity (2005) · 2019Article
- Reducing social inequalities in access to overweight and obesity care management for adolescents: The PRALIMAP-INÈS trial protocol and inclusion data analysis.Contemporary clinical trials communications · 2017Article
- Multilevel Correlates of Healthy BMI Maintenance and Return to a Healthy BMI among Children in Massachusetts.Childhood obesity (Print) · 2017Article
- Transforming Life: A Broad View of the Developmental Origins of Health and Disease Concept from an Ecological Justice Perspective.International journal of environmental research and public health · 2016Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe context of the close neighbourhood environment in which children live has gained increasing attention in epidemiological research. This study aimed to investigate if contextual neighbourhood socioeconomic position (SEP) was independently associated with overweight in young children aged 5-7 years while simultaneously considering a wide range of individual socioeconomic determinants and known risk factors for overweight.
methodsObjectively measured body mass index (BMI) data from 3499 children (53 % boys and 47 % girls) from three surveys between 2004 and 2007 clustered in 18 school enrolment zones in the city of Munich, Germany, were analysed with hierarchical logistic regression models. An index of neighbourhood SEP was calculated with principal component analysis using aggregated data. Individual socioeconomic data, maternal BMI, and birth weight were collected with parental questionnaires. We analysed how much of the between neighbourhood variance of overweight was attributable to individual factors and how much was explained by neighbourhood SEP.
resultsThe prevalence of overweight, including obesity, was 14.1 %. In the final adjusted model low neighbourhood SEP was independently associated with overweight (odds ratio (OR) = 1.42, 95 % confidence interval (CI) = 1.00-2.00) compared to high neighbourhood SEP. On the individual level low parental education (OR = 1.99, 95 % CI = 1.49-2.65) or middle parental education (OR = 1.50, 95 % CI = 1.16-1.95) compared to high parental education and nationality of the child other than German (OR = 1.53, 95 % CI = 1.17-1.99) compared to German nationality were independently associated with overweight.
conclusionsWhereas individual determinants were the main drivers in explaining between neighbourhood variance, neighbourhood SEP additionally explained differences in overweight between neighbourhoods. Thus, considering neighbourhood context in intervention planning could result in more effective strategies compared to measures only focusing on individual determinants of overweight.
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