دورية أكاديمية

Obesity diagnoses in children and adolescents in Norway by immigrant background.

التفاصيل البيبلوغرافية
العنوان: Obesity diagnoses in children and adolescents in Norway by immigrant background.
المؤلفون: Kjøllesdal MKR; Norwegian Institute of Public Health, Norway.; Department of Public Health Science, Faculty of Landscape and Society, Norwegian University of Lifesciences, Norway., Shah SMB; Division of Paediatric and Adolescent Medicine, Paediatric Research Institute, University of Oslo and Oslo University Hospital, Norway., Labberton AS; Norwegian Institute of Public Health, Norway., Bergh IH; Norwegian Institute of Public Health, Norway., Qureshi S; Norwegian Institute of Public Health, Norway., Surén P; Norwegian Institute of Public Health, Norway.
المصدر: Scandinavian journal of public health [Scand J Public Health] 2024 Jun; Vol. 52 (4), pp. 450-460. Date of Electronic Publication: 2023 Mar 08.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: Sweden NLM ID: 100883503 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1651-1905 (Electronic) Linking ISSN: 14034948 NLM ISO Abbreviation: Scand J Public Health Subsets: MEDLINE
أسماء مطبوعة: Publication: <2008->: London, England : Sage Publications
Original Publication: Stockholm ; Boston : Scandinavian University Press, c1999-
مواضيع طبية MeSH: Emigrants and Immigrants*/statistics & numerical data , Pediatric Obesity*/ethnology , Pediatric Obesity*/epidemiology, Humans ; Norway/epidemiology ; Adolescent ; Child ; Female ; Male ; Child, Preschool ; Socioeconomic Factors ; Registries
مستخلص: Aim: Relatively few obese children and adolescents receive specialist treatment. Our aim was to assess associations between risk of receiving an obesity diagnosis in secondary/tertiary health services by socio-economic position and immigrant background in order ultimately to improve equity in health services.
Methods: The study population comprised Norwegian-born children aged 2-18 years between 2008 and 2018 ( N =1,414,623), identified via the Medical Birth Registry. Cox regressions were used to calculate hazard ratios (HR) of an obesity diagnosis from secondary/tertiary health services (Norwegian Patient Registry) by parental education and household income and by immigrant background.
Results: Higher parental education and household income were associated with a lower hazard of obesity diagnosis regardless of Norwegian versus immigrant background. Compared to having a Norwegian background, having a Latin American (HR=4.12; 95% confidence interval (CI) 3.18-5.34), African (HR=1.54; 95% CI 1.34-1.76) and Asian (HR=1.60; 95% CI 1.48-1.74) background was associated with higher hazard of obesity diagnosis. Adjusted for parental education and household income, corresponding HRs were 3.28 (95% CI 2.95-3.65) for Latin America, 0.95 (95% CI 0.90-1.01) for Africa and 1.08 (95% CI 1.04-1.11) for Asia. Within Asia, those with a background from Pakistan, Turkey, Iraq and Iran had higher hazards than those with a Norwegian background, while those with a background from Vietnam had lower hazards, even after adjusting for parental education and household income.
Conclusions: To ensure more equitable treatment, more knowledge is warranted about health-service access and referral patterns, and underlying population prevalence rates, for obese children and adolescents with different immigrant backgrounds.
Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.
فهرسة مساهمة: Keywords: Children; Norway; adolescents; diagnosis; immigrant; obesity
تواريخ الأحداث: Date Created: 20230308 Date Completed: 20240613 Latest Revision: 20240613
رمز التحديث: 20240613
DOI: 10.1177/14034948231157951
PMID: 36883735
قاعدة البيانات: MEDLINE
الوصف
تدمد:1651-1905
DOI:10.1177/14034948231157951