Disparities in economic development in Eastern China
Impact on nutritional status of adolescents
Bibliographic Data
| ID | 15094499 |
|---|---|
| Authors | Therese Hesketh (0000-0002-7564-9221, London International Development Centre, corresponding author), Qu Jian Ding (Zhejiang University), Andrew Tomkins (0000-0002-1611-9255, London International Development Centre), Andrew M Tomkins |
| Year | 2002 |
| Volume | 5 |
| Issue | 2 |
| Pages | 313-318 |
| Publication date | 2002-04-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1079/phn2002260 |
| PMID | 12020383 |
| OpenAlex | W2135616650 |
| Language | EN |
| Citations received | 2 |
| References cited | 19 |
Objective: To compare the effects of disparities in economic development in urban and rural Eastern China on the nutritional status of adolescents. Design: A cross-sectional survey consisting of self-completion questionnaires, anthropometry and haemoglobin measurement. Setting: Twelve middle schools in an urban and a rural area of Zhejiang Province: Hangzhou, the capital, and Chunan, a poor mountainous area. Subjects: Some 4835 young adolescents (predominant age range 13–16 years). Results: The mean body mass index (BMI) was significantly higher in urban Hangzhou ( P =0.01) Overweight affected 3.6% overall; adjusted odds ratios (ORs) showed male sex (OR 2.1, 95% confidence interval (CI) 1.1–3.4) and urban residence (OR 9.1, 95% CI 3.7–22) to be the most important risk factors. The prevalence of underweight was 18%, with no significant urban–rural difference. Predictors of underweight were male sex (OR 1.5, 95% CI 1.1–2.0) and low household income (OR, 1.3, 95% CI 1.1–1.5). Mean haemoglobin was significantly lower in the rural area. Anaemia was more common in girls, 51% compared with 21% of the boys, but rural residence was not an independent risk factor. Rural students exercised more and had a less varied diet than their urban counterparts. Around one-third of the respondents consumed dietary supplements on a regular basis. Conclusions: These results suggest that in urban areas of Eastern China a dual picture is emerging with the problems of excess (overweight and obesity) coexisting with underweight and anaemia. In rural areas the problems of relative nutritional deprivation predominate, but the long-term consequences of such marginal underweight and anaemia are not clear
China · Development economics · Economic growth · Economics · Environmental health · Geography · Socioeconomics · Child Nutrition and Water Access · Global Public Health Policies and Epidemiology · Medicine · Obesity, Physical Activity, Diet
| Citations per year | 0.13 |
|---|---|
| Citation span | 2011 - 2016 (6) |
| Highly cited | No |