Socioeconomic disparities in unhealthy weight: A need for health promotion among school‑aged children
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چکیده
INTRODUCTION: Overweight and obesity as a major public health issue can lead to adversehealth consequences during the life span. This study aimed to measure socioeconomic inequalityin unhealthy weight among school students in Kermanshah, west of Iran.METHODS: The cross‑sectional study measured the socioeconomic‑related inequalities in unhealthyweight among 1404 secondary school students aged 11–16 years in Kermanshah in 2018. Unhealthyweight is defined as body mass index of >25 kg/m2 in the study. Socioeconomic‑related inequalityin unhealthy weight was calculated using the concentration index (Cn). A logistic regression modelwas used to estimate the marginal effect of independent variables.RESULTS: The prevalence of unhealthy weight for the total sample was 0.13 (95% confidenceinterval [CI]: 0.11–0.14). Of these, the prevalence of unhealthy weight for girls and boys was0.11 (95% CI: 0.09–0.14) and 0.15 (95% CI: 0.12–0.18), respectively. The value of Cn for thetotal sample was 0.12 (95% CI: 0.03–0.2), which indicates a higher concentration of unhealthyweight among the high socioeconomic status (SES) students. Two factors of SES (49.11%) andgender (40.08%) had the largest contribution to socioeconomic inequality in unhealthy weight amongthe study students.CONCLUSIONS: Socioeconomic‑related inequality in unhealthy weight was concentered amonghigh‑SES students in the study. Thus, public health policies need to be formulated to change sedentarylifestyles and unhealthy dietary patterns among students with higher SES.