期刊
PEDIATRICS
卷 129, 期 5, 页码 E1173-E1179出版社
AMER ACAD PEDIATRICS
DOI: 10.1542/peds.2011-2456
关键词
cumulative risk; food insecurity; housing insecurity; obesity; social risk factors; social stress; violence
类别
资金
- National Heart, Lung, and Blood Institute [7K01HL103199-03]
- National Institute of Child Health and Human Development [R21HD056170, R01HD36916]
- William T. Grant Foundation
- Boston University, Building Interdisciplinary Research Careers in Women's Health, Office of Research on Women's Health [K12 HD043444]
- National Institutes of Health (NIH)
OBJECTIVES: The goal of this study was to examine the relationship between cumulative social adversity and childhood obesity among preschool-aged children (N = 1605) in the Fragile Families and Child Wellbeing Study. METHODS: Maternal reports of intimate partner violence, food insecurity, housing insecurity, maternal depressive symptoms, maternal substance use, and father's incarceration were obtained when the child was 1 and 3 years of age. Two cumulative social risk scores were created by summing the 6 factors assessed at ages 1 and 3 years. Child height and weight were measured at 5 years of age. Logistic regression models stratified according to gender were used to estimate the association between cumulative social risk and obesity, adjusting for sociodemographic factors. RESULTS: Seventeen percent of children were obese at age 5 years, and 57% had at least 1 social risk factor. Adjusting for sociodemographic factors, girls experiencing high cumulative social risk (>= 2 factors) at age 1 year only (odds ratio [OR]: 2.1 [95% confidence interval [CI]: 1.1-4.1]) or at 3 years only (OR: 2.2 [95% CI: 1.2-4.2]) were at increased odds of being obese compared with girls with no risk factors at either time point. Those experiencing high cumulative risk at age 1 and 3 years were not at statistically significant odds of being obese (OR: 1.9 [95% CI: 0.9-4.0]). No significant associations were noted among boys. CONCLUSIONS: There seems to be gender differences in the effects of cumulative social risk factors on the prevalence of obesity at 5 years of age. Understanding the social context of families could make for more effective preventive efforts to combat childhood obesity.
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