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Grandchild care, inadequate medical insurance protection, and inequalities in socioeconomic factors exacerbate childhood obesity in China

This study examines the influences of grandchild care and medical insurance on childhood obesity. Nationally representative longitudinal data—from the China Family Panel Studies 2010–2020—of 26,902 school-age children and adolescents aged 6–16 years and China's new reference standard (“WS/T586-...

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Autores principales: Yang, Jing, Shen, Yun, Deng, Yue, Liao, Zangyi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9453265/
https://www.ncbi.nlm.nih.gov/pubmed/36091537
http://dx.doi.org/10.3389/fpubh.2022.950870
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author Yang, Jing
Shen, Yun
Deng, Yue
Liao, Zangyi
author_facet Yang, Jing
Shen, Yun
Deng, Yue
Liao, Zangyi
author_sort Yang, Jing
collection PubMed
description This study examines the influences of grandchild care and medical insurance on childhood obesity. Nationally representative longitudinal data—from the China Family Panel Studies 2010–2020—of 26,902 school-age children and adolescents aged 6–16 years and China's new reference standard (“WS/T586-2018”) are used to identify a child's obesity status. Using binary mixed-effects logistic regression models and the Blinder–Oaxaca decomposition method, this study explores the roots of obesity inequalities and finds that at least 15% of Chinese children aged 6–16 were obese in the 2010s. The logistic regression analysis results indicate that grandchild care, public medical insurance, and commercial medical insurance are key risk factors of child obesity. However, the influences are heterogeneous in different groups: Grandchild care and public medical insurance increase urban–rural obesity inequalities because of a distribution effect, and grandchild care may also exacerbate children obesity inequalities between left-behind and non-left-behind children owing to the event shock of parental absence. Inequalities in socioeconomic status (SES) factors such as income, education, and region also cause obesity inequalities. These results indicate that child obesity and its inequalities are rooted in multidimensional environmental inequalities, including medical protection policies and its benefit incidence; intergenerational behavior and family SES factors; and urban–rural and left-behind risk shocks. This study provides new evidence for the development of population-based interventions and equitable medical insurance policies to prevent the deterioration of child obesity among Chinese school-age children and adolescents.
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spelling pubmed-94532652022-09-09 Grandchild care, inadequate medical insurance protection, and inequalities in socioeconomic factors exacerbate childhood obesity in China Yang, Jing Shen, Yun Deng, Yue Liao, Zangyi Front Public Health Public Health This study examines the influences of grandchild care and medical insurance on childhood obesity. Nationally representative longitudinal data—from the China Family Panel Studies 2010–2020—of 26,902 school-age children and adolescents aged 6–16 years and China's new reference standard (“WS/T586-2018”) are used to identify a child's obesity status. Using binary mixed-effects logistic regression models and the Blinder–Oaxaca decomposition method, this study explores the roots of obesity inequalities and finds that at least 15% of Chinese children aged 6–16 were obese in the 2010s. The logistic regression analysis results indicate that grandchild care, public medical insurance, and commercial medical insurance are key risk factors of child obesity. However, the influences are heterogeneous in different groups: Grandchild care and public medical insurance increase urban–rural obesity inequalities because of a distribution effect, and grandchild care may also exacerbate children obesity inequalities between left-behind and non-left-behind children owing to the event shock of parental absence. Inequalities in socioeconomic status (SES) factors such as income, education, and region also cause obesity inequalities. These results indicate that child obesity and its inequalities are rooted in multidimensional environmental inequalities, including medical protection policies and its benefit incidence; intergenerational behavior and family SES factors; and urban–rural and left-behind risk shocks. This study provides new evidence for the development of population-based interventions and equitable medical insurance policies to prevent the deterioration of child obesity among Chinese school-age children and adolescents. Frontiers Media S.A. 2022-08-25 /pmc/articles/PMC9453265/ /pubmed/36091537 http://dx.doi.org/10.3389/fpubh.2022.950870 Text en Copyright © 2022 Yang, Shen, Deng and Liao. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Yang, Jing
Shen, Yun
Deng, Yue
Liao, Zangyi
Grandchild care, inadequate medical insurance protection, and inequalities in socioeconomic factors exacerbate childhood obesity in China
title Grandchild care, inadequate medical insurance protection, and inequalities in socioeconomic factors exacerbate childhood obesity in China
title_full Grandchild care, inadequate medical insurance protection, and inequalities in socioeconomic factors exacerbate childhood obesity in China
title_fullStr Grandchild care, inadequate medical insurance protection, and inequalities in socioeconomic factors exacerbate childhood obesity in China
title_full_unstemmed Grandchild care, inadequate medical insurance protection, and inequalities in socioeconomic factors exacerbate childhood obesity in China
title_short Grandchild care, inadequate medical insurance protection, and inequalities in socioeconomic factors exacerbate childhood obesity in China
title_sort grandchild care, inadequate medical insurance protection, and inequalities in socioeconomic factors exacerbate childhood obesity in china
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9453265/
https://www.ncbi.nlm.nih.gov/pubmed/36091537
http://dx.doi.org/10.3389/fpubh.2022.950870
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