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Int. J. Environ. Res. Public Health 2017, 14(3), 252; doi:10.3390/ijerph14030252

Unequal Distribution of Overweight Adolescents in Immigrant-Rich Areas: Analysis of Disparities among Public and Private School Students in Shanghai, China

1
Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China
2
School of Medicine, Tongji University, Shanghai 200092, China
3
The Fifth Affiliated Hospital of Southern Medical University, Guangzhou 510900, China
4
College of Economic and Management, Tongji University, Shanghai 200092, China
5
Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai 200072, China
6
Department of Emergency, Shanghai Changhai Hospital, Second Military Medical University, Shanghai 200433, China
*
Authors to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 25 November 2016 / Revised: 21 February 2017 / Accepted: 23 February 2017 / Published: 2 March 2017
(This article belongs to the Section Global Health)
View Full-Text   |   Download PDF [286 KB, uploaded 2 March 2017]

Abstract

Accelerated urbanization and rising immigration to the big cities in China has resulted in education policies that produce disparate treatment of immigrant and non-immigrant students. The two types of students frequently wind up in different types of junior high schools. However, there is little research on whether disparities exist between students in public and private schools with regard to overweight. This study aims to address this gap through a comparison of the overweight status of junior high school students in public and private schools in Shanghai and explore the possible reasons for the observed differences. Students from two public and two private junior high schools were measured. In order to determine what factors might shape overweight among adolescents. Logistic regression analysis was used to assess associations between overweight and personal characteristics, birth-related factors, levels of physical activity, diet, family socioeconomic status and school environment. Students in private schools proved more likely to be overweight (15.20%, p < 0.05) than public school students (10.18%). Similarly, gender, breastfeeding, parental care and number of classes excluding physical education per day were found to be significant factors. However, private school students were also influenced by gestational age (yes/no: OR = 4.50, p < 0.001), frequency of snacks (sometimes/often: OR = 0.53, p < 0.01) and family income (¥6001–12,000/below ¥6000: OR = 3.27, p < 0.05). Time for lunch was the sole risk factor for public school students in the study (p < 0.05). To reduce the unequal distribution of overweight students between the two types of schools, interventions that consider different multiple risk factors should be implemented. View Full-Text
Keywords: adolescent overweight; immigrant students; education; developing regions adolescent overweight; immigrant students; education; developing regions
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Shi, J.; Tan, D.; Xie, H.; Yang, B.; Liu, R.; Yu, D.; Lu, Y.; Mei, B.; Wang, Z. Unequal Distribution of Overweight Adolescents in Immigrant-Rich Areas: Analysis of Disparities among Public and Private School Students in Shanghai, China. Int. J. Environ. Res. Public Health 2017, 14, 252.

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