Patrick Ip|Frederick Ka Wing Ho|Hung-Kwan So|Dicken Chan|Mandy Ho|Winnie W. Y. Tso|E. Anthony S. Nelson
Socioeconomic Gradient in Childhood Obesity and Hypertension: A Multilevel Population-Based Study in a Chinese Community
University of Hong Kong|University of Hong Kong|Chinese University of Hong Kong|Chinese University of Hong Kong|University of Hong Kong|University of Hong Kong|Chinese University of Hong Kong
background study aims assess evidence socioeconomic gradients childhood obesity hypertension populationrepresentative sample hong kong china methods data stratified random sampled growth survey collected 20052006 matched population bycensus obesity defined using international obesity task force standard hypertension defined using hong kong norm table family socioeconomic status ses measured maternal education level neighbourhood ses measured median household income neighbourhood multilevel poisson regression models robust standard error used test association body mass indices childrens parents included potential confounders intraschoolneighbourhood correlations adjusted using random factors results totally 14842 children age 619 years included analysis 166 overweight obese children whose mother completed secondary school higher risk childhood obesity rr 141 95 ci 113176 p 0003 hypertension rr 118 95 ci 101136 p 003 meanwhile children lowest neighbourhood ses group higher risk childhood underweight rr 161 95 ci 104249 p 003 overweight rr 135 95 ci 105172 p 002 obesity rr 207 95 ci 111388 p 002 conclusions socioeconomic gradient childhood obesity hypertension existed hong kong one developed cities china results implications policymakers public health experts highlight need monitor trends parts china