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Double disadvantage : the influence of ethnicity over socioeconomic position on childhood overweight and obesity: findings from an inner urban population of primary school children

Waters, Elizabeth, Ashbolt, Rosie, Gibbs, Lisa, Booth, Michael, Margarey, Anthea, Gold, Lisa, Lo, Sing Kai, Gibbons, Kay, Green, Julie, O'Connor, Thea, Garrard, Jan and Swinburn, Boyd 2008, Double disadvantage : the influence of ethnicity over socioeconomic position on childhood overweight and obesity: findings from an inner urban population of primary school children, International journal of pediatric obesity, vol. 3, no. 4, pp. 196-204.


Title Double disadvantage : the influence of ethnicity over socioeconomic position on childhood overweight and obesity: findings from an inner urban population of primary school children
Author(s) Waters, Elizabeth
Ashbolt, Rosie
Gibbs, Lisa
Booth, Michael
Margarey, Anthea
Gold, Lisa
Lo, Sing Kai
Gibbons, Kay
Green, Julie
O'Connor, Thea
Garrard, Jan
Swinburn, Boyd
Journal name International journal of pediatric obesity
Volume number 3
Issue number 4
Start page 196
End page 204
Publisher Informa Healthcare
Place of publication Abingdon, England
Publication date 2008
ISSN 1747-7166
1747-7174
Keyword(s) children
ethnicity
obesity
cluster randomised controlled trial
school
socioeconomic position
Summary Objective: To examine the relationship between overweight/obesity in children, socioeconomic status and ethnicity/cultural background.

Design: Cross-sectional survey of children aged 4–13 years.

Setting: A total of 23 primary (elementary) schools in an inner urban municipality of Melbourne, Australia.

Participants: A total of 2685 children aged 4–13 years and their parents.

Main exposure measures: Ethnicity/cultural background – maternal region of birth; socioeconomic position (SEP) indicators – maternal and paternal educational attainment, family employment status, possession of a healthcare card, ability to buy food, indicator of disadvantage (Socioeconomic Index for Areas, SEIFA) score for school; parental weight status.

Main outcome measure: Prevalence of overweight/obesity.

Results: Prevalence of overweight/obesity approached 1 in 3 (31%) in this sample. Prevalence of overweight/obesity was greater for children of both North Africa and Middle Eastern background and children of Southern, South Eastern and Eastern European background compared with children of Australian background. This difference remained after adjusting for age, sex, height, clustering by school, SEP indicators and parental weight status; odds ratio, OR=1.57 (95% confidence interval, CI 1.12–2.19) and 1.88 (95%CI 1.24–2.85), respectively.

Conclusions: There is a clear independent effect of ethnicity above and beyond the effect of socioeconomic status on overweight and obesity in children. Further research is required to explore the mediators of this gradient.
Language eng
Field of Research 111704 Community Child Health
HERDC Research category C1 Refereed article in a scholarly journal
HERDC collection year 2008
Copyright notice ©2008 Informa UK Ltd
Persistent URL http://hdl.handle.net/10536/DRO/DU:30017723

Document type: Journal Article
Collection: School of Health and Social Development
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Created: Fri, 14 Aug 2009, 13:56:28 EST