Parental education and neighbourhood socioeconomic status in the prediction of childhood overweight: A multilevel analysis
Authors' conclusion
The results highlight the crucial role of both individual and contextual socioeconomic conditions in predicting childhood overweight. They also suggest that the impact of neighbourhood socioeconomic status on childhood overweight varies by parental education, particularly disadvantaging children with higher parental education, indicating a social contagion of overweight through spatial disadvantage.
Study context
- Population
- Children aged 5–6 years at school-entry examination, 2015 to 2019, Aachen city region, Germany
- Participants
- 19,984 children
- Exposure
- Parental education and neighbourhood SES
- Outcome
- Overweight including obesity
Methodological detailsmultilevel logistic regression, school-entry examination data
- Multilevel logistic regression
- School-entry examination data
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
Predicted probability of overweight, children with high parental education
Cross-level interaction parental education × neighbourhood SES
- Indication of cross-level interaction to the disadvantage of children with higher parental education; inequalities in overweight decrease in more deprived neighbourhoods
- P < 0.10
Sensitivity analyses (obesity; higher context level of spatial SES)
- Confirmed the results
Original publication
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