ArticleBMJ open2021
Relationships between social spending and childhood obesity in OECD countries: an ecological study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Article
- A Linear Regression Analysis of Factors Affecting Social Determinants of Health Indicators.Acta medica Philippina · 2025Article
- Caesarean section and childhood obesity at age 3 years derived from the Japan Environment and Children's Study.Scientific reports · 2023Article
- Household income and maternal education in early childhood and risk of overweight and obesity in late childhood: Findings from seven birth cohort studies in six high-income countries.International journal of obesity (2005) · 2022Article
- Prevalence of Obesity and Associated Risk Factors among Children and Adolescents in the Eastern Cape Province.International journal of environmental research and public health · 2022Article
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4 authors.
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Abstract
objectivesThe burden of childhood obesity is clustered among children in low-socioeconomic groups. Social spending on children-public welfare expenditure on families and education-may curb childhood obesity by reducing socioeconomic disadvantages. The objective of this study was to examine the relationship between social spending on children and childhood obesity across the Organisation for Economic Cooperation and Development (OECD) countries.
designEcological study.
settingData on social spending on children were obtained from the OECD Social Expenditure Database and the OECD educational finance indicators dataset during 2000-2015. Data on childhood obesity were obtained from the NCD Risk Factor Collaboration database.
participantsAggregated statistics on obesity among children aged 5-19 years, estimated for OECD 35 countries based on the measured height and weight on 31.5 million children. OUTCOME MEASURES: Country-level prevalence of obesity among children aged 5-19 years.
resultsIn cross-sectional analyses in 2015, social spending on children was inversely associated with the prevalence of childhood obesity after adjusting for potential confounders (the gross domestic product per capita, unemployment rate, poverty rate, percentage of children aged <20 years and prevalence of childhood obesity in 2000). In addition, when we focused on changes from 2000 to 2015, an average annual increase of US$100 in social spending per child was associated with a decrease in childhood obesity by 0.6 percentage points for girls (p=0.007) and 0.7 percentage points for boys (p=0.04) between 2000 and 2015, after adjusting for the potential confounders. The dimensions of social spending that contributed to these associations between the changes in social spending on children and childhood obesity were early childhood education and care (ECEC) and school education for girls and ECEC for boys.
conclusionCountries that increase social spending on children tend to experience smaller increases in childhood obesity.
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