ArticlePublic health nutrition2021
Relationship between childhood obesity and socio-economic status among primary school children in Costa Rica.
Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Health inequalities in a middle-income country: a systematic review of the Costa Rican case.Frontiers in public health · 2024Pooled it
- Effects of Infant Formula Type on Early Childhood Growth Outcomes: A Retrospective Cohort Study.Nutrients · 2025Article
- Overweight and obesity and its determinants in primary school students: a population-based study from Iran.Scientific reports · 2025Article
- Article
- Exploring the multifaceted factors influencing overweight and obesity: a scoping review.Frontiers in public health · 2025Article
- Social gradient and rural-urban disparities in cancer mortality in Costa Rica.Cancer epidemiology · 2024Article
- Bayesian spatial modeling of childhood overweight and obesity prevalence in Costa Rica.BMC public health · 2023Article
- Health inequalities in cause-specific mortality in Costa Rica: a population-based cohort study.Revista de saude publica · 2023Article
- Disparities in Childhood Obesity Prevalence and Spatial Clustering Related to Socioeconomic Factors in Isaan, Thailand.International journal of environmental research and public health · 2022Article
- Intrauterine and Extrauterine Environmental PMToxics · 2022Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis article analyses the relationship between socio-economic status and the prevalence of overweight and obesity in the primary school population in Costa Rica.
designA National School Weight/Height Census was disseminated across Costa Rica in 2016. The percentage of children who were overweight or obese was calculated by sex, age and socio-economic indicators (type of institution: private, public, mix; type of geographic location: rural, urban and the level of development of the district of residence: quartiles). A mixed-effects multinomial logistic regression model and mixed-effects logistic regression model were used to analyse the association between the prevalence of being overweight or obese and district socio-economic status.
settingThe survey was carried out in public and private primary schools across Costa Rica in 2016.
participantsIn total, 347 366 students from 6 to 12 years were enrolled in public and private primary schools.
resultsThe prevalence of overweight and obesity among children was 34·0 %. Children in private schools were more likely to be overweight or obese than students in public schools (OR = 1·10 [1·07, 1·13]). Additionally, children were less likely to be overweight or obese if attending a school in a district of the lowest socio-economic quartile compared with the highest socio-economic quartile (OR = 0·79 [0·75, 0·83]) and in a rural area compared with the urban area (OR = 0·92 [0·87, 0·97]).
conclusionsChildhood obesity in Costa Rica continues to be a public health problem. Prevalence of overweight and obesity in children was associated with indicators of higher socio-economic status.
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