ArticlePloS one2016
Socioeconomic Gradient in Childhood Obesity and Hypertension: A Multilevel Population-Based Study in a Chinese Community.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Psychosocial Correlates of Childhood Body Mass Index: Racial and Ethnic Differences.Global journal of cardiovascular diseases · 2025Article
- Obesity and hypertension in children and adolescents.Clinical hypertension · 2024Review
- Social vulnerabilities as risk factor of childhood obesity development and their role in prevention programs.International journal of obesity (2005) · 2021Review
- Prevalence of short stature and malnutrition among Egyptian primary school children and their coexistence with Anemia.Italian journal of pediatrics · 2020Article
- Prevalence and risk factors of childhood hypertension from birth through childhood: a retrospective cohort study.Journal of human hypertension · 2020Article
- Family Income Gradients in Adolescent Obesity, Overweight and Adiposity Persist in Extremely Deprived and Extremely Affluent Neighbourhoods but Not in Middle-Class Neighbourhoods: Evidence from the UK Millennium Cohort Study.International journal of environmental research and public health · 2020Article
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- Parental overweight and hypertension are associated with their children's blood pressure.Nutrition & metabolism · 2019Article
- A prospective cohort study to investigate parental stress and child health in low-income Chinese families: protocol paper.BMJ open · 2018Observational
- Prevalence of overweight in Hong Kong Chinese children: Its associations with family, early-life development and behaviors-related factors.Journal of exercise science and fitness · 2017Article
- Multilevel Correlates of Healthy BMI Maintenance and Return to a Healthy BMI among Children in Massachusetts.Childhood obesity (Print) · 2017Article
- Unequal Distribution of Overweight Adolescents in Immigrant-Rich Areas: Analysis of Disparities among Public and Private School Students in Shanghai, China.International journal of environmental research and public health · 2017Article
- Prevalence of hypertension and prehypertension in schoolchildren from Central India.Annals of pediatric cardiologyArticle
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Authors and funding
7 authors.
Funding
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Abstract
backgroundThis study aims to assess evidence for any socioeconomic gradients in childhood obesity and hypertension in a population-representative sample in Hong Kong, China.
methodsThe data of a stratified random sampled growth survey collected in 2005-2006 was matched with a population by-census. Obesity was defined using the International Obesity Task Force standard and hypertension was defined using the Hong Kong norm table. Family socioeconomic status (SES) was measured by maternal education level. Neighbourhood SES was measured by median household income of the neighbourhood. Multilevel Poisson regression models with robust standard error were used to test the association. Body mass indices of children's parents were included as potential confounders. Intra-school/neighbourhood correlations were adjusted using random factors.
resultsTotally 14842 children (age 6-19 years) included in the analysis, in which 16.6% of them were overweight or obese. Children whose mother only completed secondary school or below had higher risk of childhood obesity (RR 1.41, 95% CI 1.13-1.76, p = 0.003) and hypertension (RR 1.18, 95% CI 1.01-1.36, p = 0.03). Meanwhile, children in the lowest neighbourhood SES group had higher risk of childhood underweight (RR 1.61, 95% CI 1.04-2.49, p = 0.03), overweight (RR 1.35, 95% CI 1.05-1.72, p = 0.02), and obesity (RR 2.07, 95% CI 1.11-3.88, p = 0.02).
conclusionsSocioeconomic gradient in childhood obesity and hypertension existed in Hong Kong, one of the most developed cities in China. These results have implications for policymakers and public health experts and highlight the need to monitor trends in other parts of China.
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