PDF(Pubmed)
Abstract：
UNASSIGNED: To our knowledge, no previous study has examined the role of index of economic freedom (IEF) in the prevalence of excess weight and obesity in adolescents. The aim of this study was to determine the association between both individual and contextual economic factors and the prevalence of overweight and obesity (i.e. excess weight) or obesity in adolescents from different countries.
UNASSIGNED: A cross-sectional study was carried out using data from the 2017/2018 wave of the Health Behaviour School-Aged Children study. Body mass index z-score was determined following the International Obesity Task Force criteria and, subsequently, excess weight and obesity were computed. The Family Affluence Scale was used to assess socioeconomic status. The index of IEF was used to estimate the benefits of economic freedom, both for individuals and for society as a whole.
UNASSIGNED: An inverse association was shown between socioeconomic status (SES) and excess weight or obesity, with adolescents with high SES and medium SES being less likely to have excess weight compared to adolescents with low SES (medium SES: odds ratio (OR) = 0.79; 95% confidence interval (CI) = 0.77-0.82, P < 0.001; high SES: OR = 0.65; 95% CI = 0.62-0.68, P < 0.001). For obesity, lower odds were also found for adolescents with medium SES (medium SES: OR = 0.74; 95% CI = 0.69-0.80, P < 0.001) or high SES (high SES: OR = 0.55; 95% CI 0.49-0.61, P < 0.001), in comparison with their counterparts with low SES. On the other hand, it was observed a greater likelihood of having excess weight and obesity in mostly unfree countries (excess weight: OR = 0.72; 95% CI = 0.51-1.00, P = 0.052; obesity: OR = 0.60; 95% CI = 0.39-0.92, P = 0.019) compared to free/mostly free countries. These results remained significant after adjusting for several sociodemographic and lifestyle covariates.
UNASSIGNED: Both individual and contextual factors seem to have a crucial role in the prevalence of excess weight and obesity in adolescents.
UNASSIGNED: A cross-sectional study was carried out using data from the 2017/2018 wave of the Health Behaviour School-Aged Children study. Body mass index z-score was determined following the International Obesity Task Force criteria and, subsequently, excess weight and obesity were computed. The Family Affluence Scale was used to assess socioeconomic status. The index of IEF was used to estimate the benefits of economic freedom, both for individuals and for society as a whole.
UNASSIGNED: An inverse association was shown between socioeconomic status (SES) and excess weight or obesity, with adolescents with high SES and medium SES being less likely to have excess weight compared to adolescents with low SES (medium SES: odds ratio (OR) = 0.79; 95% confidence interval (CI) = 0.77-0.82, P < 0.001; high SES: OR = 0.65; 95% CI = 0.62-0.68, P < 0.001). For obesity, lower odds were also found for adolescents with medium SES (medium SES: OR = 0.74; 95% CI = 0.69-0.80, P < 0.001) or high SES (high SES: OR = 0.55; 95% CI 0.49-0.61, P < 0.001), in comparison with their counterparts with low SES. On the other hand, it was observed a greater likelihood of having excess weight and obesity in mostly unfree countries (excess weight: OR = 0.72; 95% CI = 0.51-1.00, P = 0.052; obesity: OR = 0.60; 95% CI = 0.39-0.92, P = 0.019) compared to free/mostly free countries. These results remained significant after adjusting for several sociodemographic and lifestyle covariates.
UNASSIGNED: Both individual and contextual factors seem to have a crucial role in the prevalence of excess weight and obesity in adolescents.
摘要：
■据我们所知，以前没有研究过经济自由指数(IEF)在青少年超重和肥胖患病率中的作用.这项研究的目的是确定个人和背景经济因素与来自不同国家的青少年超重和肥胖（即超重）或肥胖的患病率之间的关联。
■使用2017/2018年健康行为学龄儿童研究浪潮的数据进行了横断面研究。根据国际肥胖工作组的标准确定体重指数z评分，随后,计算超重和肥胖。家庭富裕程度量表用于评估社会经济地位。IEF指数被用来估计经济自由的好处，无论是个人还是整个社会。
■社会经济地位（SES）与超重或肥胖之间呈负相关，与SES低的青少年相比,SES高和SES中等的青少年体重过重的可能性较小(中等SES:比值比(OR)=0.79;95%置信区间(CI)=0.77-0.82,P<0.001;高SES:OR=0.65;95%CI=0.62-0.68,P<0.001)。对于肥胖，对于患有中等SES（中等SES：OR=0.74;95％CI=0.69-0.80，P<0.001）或高SES（高SES：OR=0.55;95％CI0.49-0.61，P<0.001）的青少年，与SES较低的同行相比。另一方面,与自由/自由国家相比,在大多数非自由国家(超重:OR=0.72;95%CI=0.51~1.00,P=0.052;肥胖:OR=0.60;95%CI=0.39~0.92,P=0.019)发现超重和肥胖的可能性更大.在调整了几个社会人口统计学和生活方式协变量后，这些结果仍然很重要。
■个体和背景因素似乎都在青少年超重和肥胖的患病率中起着至关重要的作用。
■使用2017/2018年健康行为学龄儿童研究浪潮的数据进行了横断面研究。根据国际肥胖工作组的标准确定体重指数z评分，随后,计算超重和肥胖。家庭富裕程度量表用于评估社会经济地位。IEF指数被用来估计经济自由的好处，无论是个人还是整个社会。
■社会经济地位（SES）与超重或肥胖之间呈负相关，与SES低的青少年相比,SES高和SES中等的青少年体重过重的可能性较小(中等SES:比值比(OR)=0.79;95%置信区间(CI)=0.77-0.82,P<0.001;高SES:OR=0.65;95%CI=0.62-0.68,P<0.001)。对于肥胖，对于患有中等SES（中等SES：OR=0.74;95％CI=0.69-0.80，P<0.001）或高SES（高SES：OR=0.55;95％CI0.49-0.61，P<0.001）的青少年，与SES较低的同行相比。另一方面,与自由/自由国家相比,在大多数非自由国家(超重:OR=0.72;95%CI=0.51~1.00,P=0.052;肥胖:OR=0.60;95%CI=0.39~0.92,P=0.019)发现超重和肥胖的可能性更大.在调整了几个社会人口统计学和生活方式协变量后，这些结果仍然很重要。
■个体和背景因素似乎都在青少年超重和肥胖的患病率中起着至关重要的作用。
