Child Overweight and Obesity in Shanghai, China: Contextualizing Chinese Socioeconomic and Gender Differences
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Childhood overweight and obesity is on the rise in China and in Chinese cities in particular. The aim of this study is to explore the extent of income differences in childhood overweight in Shanghai, China, and examine demographic, social, and behavioral explanations for these differences.
Using the 2014 Child Well-Being Study of Shanghai, China—a survey that included extensive contextual information on children and their families in China’s most populous city, prevalence rates and adjusted odds ratios of child overweight and obesity at age 7 were calculated by income tercile controlling for a wide variety of sociodemographic variables.
District aggregate income increases the odds of child overweight/obesity, but only for boys. In contrast, rural hukou status was associated with lower odds of overweight/obesity for girls.
Boys at age 7 are more likely to be overweight and obese than girls. District income further increases this likelihood for boys, while rural hukou status decreases this likelihood for girls, suggesting that preferences for boys and thinness ideals for girls may play a role in the income patterning of childhood overweight and obesity.
KeywordsOverweight and obesity Children China
Compliance with Ethical Standards
This article uses secondary data and is exempt from human participant protocols. The original data collection was approved through the Institutional Review Board at New York University.
Conflict of Interest
The authors declare that they have no conflict of interest.
- 4.OECD. Health at a glance, 2013. 2014; https://doi.org/10.1787/health_glance-2013-en.
- 14.World Health Organization. China: health, poverty and economic development. Beijing: Office of the WHO Representative in China and Social Development Department of the China State Council Development Research Center; 2015.Google Scholar
- 15.Osnos E. Age of ambition: chasing fortune, truth, and faith in the new China. Macmillan. 2014;Google Scholar
- 20.Zhang M, Guo F, Tu Y, et al. Further increase of obesity prevalence in Chinese children and adolescents—cross-sectional data of two consecutive samples from the city of shanghai from 2003 to 2008. Pediatr Diabetes. 2012;13(7):572–7. https://doi.org/10.1111/j.1399-5448.2012.00877.x.CrossRefPubMedGoogle Scholar
- 21.Han W-J, Wen J. Child well-being study, Shanghai, China. NYU_ECNU Institute for Social Development at NYU Shanghai; 2014. http://shanghai.nyu.edu/sites/default/files/media/ChildWellBeingStudy0908.pdf. Accessed 10 Mar 2015.
- 22.World Obesity Federation. Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity in children. 2015. http://www.worldobesity.org/aboutobesity/child-obesity/newchildcutoffs. Accessed 3 Jul 2015.
- 26.OECD. What are equivalence scales? 2011. http://www.oecd.org/eco/growth/OECD-Note-EquivalenceScales.pdf. Accessed 1 Sep 2015.
- 31.Stata 12 Multiple-Imputation Reference Manual. College Station: Stata Press. 2011.Google Scholar
- 33.Cheah BC. Clustering standard errors or modeling multilevel data. 2009. Retrieved from http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.169.6644