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学龄前儿童健康和体重状况的社会决定因素之间的关联:基于人口的研究
Jessica Wijesundera1, Padma Kaul2, Anamaria Savu2
1Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
概括
健康的社会决定因素影响学龄前儿童的体重. 物质和社会贫困与儿童体重不足,超重和肥胖的风险更高有关.
科学领域:
- 儿科健康 儿科健康
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
背景情况:
- 健康的社会决定因素 (SDH) 显著影响儿童的体重状况.
- 了解这些关系对于制定有针对性的健康干预措施至关重要.
研究的目的:
- 检查各种健康的社会决定因素和学龄前儿童的体重状况之间的关联.
- 确定导致儿童早期体重不足,超重和肥胖的特定SDH因素.
主要方法:
- 在加拿大 (2009-2017年) 的169,465名4-6岁儿童进行了回顾性队列研究.
- 使用世卫组织标准对体重状况进行分类;数据与母亲和社区级SDH信息联系在一起.
- 多项逻辑回归用于分析种族,移民身份,收入,贫困和体重状况之间的关联.
主要成果:
- 华裔儿童患超重和肥胖的几率较低.
- 南亚儿童的体重不足和肥胖的几率更高.
- 增加的社区收入和母亲的移民身份与低体重和肥胖的几率较低有关.
- 较高的物质和社会贫困显著与体重不足,超重和肥胖的可能性增加有关.
结论:
- 这些发现强调了SDH在学龄前儿童体重状况中的关键作用.
- 针对SDH的干预和政策对于优化儿童体重和健康结果至关重要.
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