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Socioeconomic Patterning of Childhood Overweight Status in Europe
London School of Hygiene & Tropical Medicine, 15–17 Tavistock Place, London WC1H 9SH, UK
International Association for the Study of Obesity, Charles Darwin House, 12 Roger Street, London WCIN 2JU, UK
INRA, UMR1260, INSERM, UMR1062, Nutrition, Obesity and Risk of Thrombosis, Faculté de Médecine, Aix-Marseille University, F-13385, Marseille, France
* Author to whom correspondence should be addressed.
Received: 17 February 2012; in revised form: 8 March 2012 / Accepted: 16 March 2012 / Published: 16 April 2012
Abstract: There is growing evidence of social disparities in overweight among European children. This paper examines whether there is an association between socioeconomic inequality and prevalence of child overweight in European countries, and if socioeconomic disparities in child overweight are increasing. We analyse cross-country comparisons of household inequality and child overweight prevalence in Europe and review within-country variations over time of childhood overweight by social grouping, drawn from a review of the literature. Data from 22 European countries suggest that greater inequality in household income is positively associated with both self-reported and measured child overweight prevalence. Moreover, seven studies from four countries reported on the influence of socioeconomic factors on the distribution of child overweight over time. Four out of seven reported widening social disparities in childhood overweight, a fifth found statistically significant disparities only in a small sub-group, one found non-statistically significant disparities, and a lack of social gradient was reported in the last study. Where there is evidence of a widening social gradient in child overweight, it is likely that the changes in lifestyles and dietary habits involved in the increase in the prevalence of overweight have had a less favourable impact in low socio-economic status groups than in the rest of the population. More profound structural changes, based on population-wide social and environmental interventions are needed to halt the increasing social gradient in child overweight in current and future generations.
Keywords: overweight; social gradient; child; Europe
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MDPI and ACS Style
Knai, C.; Lobstein, T.; Darmon, N.; Rutter, H.; McKee, M. Socioeconomic Patterning of Childhood Overweight Status in Europe. Int. J. Environ. Res. Public Health 2012, 9, 1472-1489.
Knai C, Lobstein T, Darmon N, Rutter H, McKee M. Socioeconomic Patterning of Childhood Overweight Status in Europe. International Journal of Environmental Research and Public Health. 2012; 9(4):1472-1489.
Knai, Cécile; Lobstein, Tim; Darmon, Nicole; Rutter, Harry; McKee, Martin. 2012. "Socioeconomic Patterning of Childhood Overweight Status in Europe." Int. J. Environ. Res. Public Health 9, no. 4: 1472-1489.