Cross-national variation in the association between family structure and overweight and obesity: Findings from the Health Behaviour in School-aged children (HBSC) study
Background: Trends of increased complexity in family structure have developed alongside increasing prevalence of overweight and obesity. This study examines cross-national variations in the likelihood of living with overweight and obesity among adolescents living with one parent versus two parents,...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | SSM: Population Health |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827322001069 |
| _version_ | 1811237145460867072 |
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| author | Anne-Siri Fismen Otto Robert Frans Smith Arnfinn Helleve Ellen Haug Angeline Chatelan Colette Kelly Anna Dzielska Paola Nardone Marina Melkumova Oya Ercan Jaroslava Kopcakova Giacomo Lazzeri Knut-Inge Klepp Oddrun Samdal |
| author_facet | Anne-Siri Fismen Otto Robert Frans Smith Arnfinn Helleve Ellen Haug Angeline Chatelan Colette Kelly Anna Dzielska Paola Nardone Marina Melkumova Oya Ercan Jaroslava Kopcakova Giacomo Lazzeri Knut-Inge Klepp Oddrun Samdal |
| author_sort | Anne-Siri Fismen |
| collection | DOAJ |
| description | Background: Trends of increased complexity in family structure have developed alongside increasing prevalence of overweight and obesity. This study examines cross-national variations in the likelihood of living with overweight and obesity among adolescents living with one parent versus two parents, as well as the influence of living with stepparents, grandparents and siblings. Furthermore, the study explores how these associations relate to age, gender and individual-level socioeconomic status (SES) and country-level SES. We hypothesised that adolescents living in one-parent versus two-parents families, were more likely to live with overweight and obesity. Methods: The study is based on nationally representative data from 41 countries participating in the 2013/14 Health Behaviors in School-Aged Children study (n = 211.798). Multilevel logistic regression analysis was used to examine the associations between family structure and overweight and obesity by age, gender, SES, and geographic region, among adolescents aged 11, 13 and 15 years. Results: Living with one versus two parent(s) was associated with a higher likelihood of overweight and obesity (ORadj.1.13, 95%CI 1.08,1.17). Age, gender, individual-level SES, and living with grandparents were also associated with a higher likelihood of overweight and obesity, whereas living with siblings was associated with a lower likelihood of overweight and obesity. The effect of family structure varied also by age and gender with no significant associations found between living with one parent and overweight and obesity in the 15-year-old age group. Some cross-national variation was observed, and this was partly explained by country-level SES. The effect of family structure increased by a factor 1.08 per one-unit change in country-level SES (OR 1.08, 95%CI1.03, 1.12). Conclusion: The study indicates that living in a one-parent family, as well as living together with grandparents, are associated with overweight and obesity among adolescents, particularly in the Nordic European region. Existing welfare policies may be insufficient to eliminate inequalities related to family structure differences. |
| first_indexed | 2024-04-12T12:20:53Z |
| format | Article |
| id | doaj.art-63ff8ff7902a423f9ab89263c6354cb2 |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-04-12T12:20:53Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Population Health |
| spelling | doaj.art-63ff8ff7902a423f9ab89263c6354cb22022-12-22T03:33:18ZengElsevierSSM: Population Health2352-82732022-09-0119101127Cross-national variation in the association between family structure and overweight and obesity: Findings from the Health Behaviour in School-aged children (HBSC) studyAnne-Siri Fismen0Otto Robert Frans Smith1Arnfinn Helleve2Ellen Haug3Angeline Chatelan4Colette Kelly5Anna Dzielska6Paola Nardone7Marina Melkumova8Oya Ercan9Jaroslava Kopcakova10Giacomo Lazzeri11Knut-Inge Klepp12Oddrun Samdal13Department of Health Promotion, Centre for Evaluation of Public Health Measures, Division of Mental and Physical Health, Norwegian Institute of Public Health, Bergen, Norway; Corresponding author.Department of Health Promotion, Centre for Evaluation of Public Health Measures, Division of Mental and Physical Health, Norwegian Institute of Public Health, Bergen, NorwayCentre for Evaluation of Public Health Measures, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Health Promotion and Development, University of Bergen, 5020, Bergen, Norway; Department of Teacher Education, NLA University College, 5012, Bergen, NorwaySchool of Public Health, Université libre de Bruxelles, Route de Lennik 808, 1070, Brussels, BelgiumHealth Promotion Research Centre, National University of Ireland Galway, IrelandDepartment of Child and Adolescent Health, Institute of mother and Child, Warsaw, PolandNational Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, ItalyArabkir Medical Centre-Institute of Child and Adolescent Health, Yerevan, ArmeniaDepartment of Pediatrics, Istanbul University-Cerrahpasa, TurkeyDepartment of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University in Kosice, 040 01, Kosice, SlovakiaDepartment of Molecular and Developmental Medicine, University of Siena, Siena, ItalyDivision of Mental and Physical Health, Norwegian Institute of Public Health and Department of Nutrition, University of Oslo Oslo, NorwayDepartment of Health Promotion and Development, University of Bergen, 5020, Bergen, NorwayBackground: Trends of increased complexity in family structure have developed alongside increasing prevalence of overweight and obesity. This study examines cross-national variations in the likelihood of living with overweight and obesity among adolescents living with one parent versus two parents, as well as the influence of living with stepparents, grandparents and siblings. Furthermore, the study explores how these associations relate to age, gender and individual-level socioeconomic status (SES) and country-level SES. We hypothesised that adolescents living in one-parent versus two-parents families, were more likely to live with overweight and obesity. Methods: The study is based on nationally representative data from 41 countries participating in the 2013/14 Health Behaviors in School-Aged Children study (n = 211.798). Multilevel logistic regression analysis was used to examine the associations between family structure and overweight and obesity by age, gender, SES, and geographic region, among adolescents aged 11, 13 and 15 years. Results: Living with one versus two parent(s) was associated with a higher likelihood of overweight and obesity (ORadj.1.13, 95%CI 1.08,1.17). Age, gender, individual-level SES, and living with grandparents were also associated with a higher likelihood of overweight and obesity, whereas living with siblings was associated with a lower likelihood of overweight and obesity. The effect of family structure varied also by age and gender with no significant associations found between living with one parent and overweight and obesity in the 15-year-old age group. Some cross-national variation was observed, and this was partly explained by country-level SES. The effect of family structure increased by a factor 1.08 per one-unit change in country-level SES (OR 1.08, 95%CI1.03, 1.12). Conclusion: The study indicates that living in a one-parent family, as well as living together with grandparents, are associated with overweight and obesity among adolescents, particularly in the Nordic European region. Existing welfare policies may be insufficient to eliminate inequalities related to family structure differences.http://www.sciencedirect.com/science/article/pii/S2352827322001069 |
| spellingShingle | Anne-Siri Fismen Otto Robert Frans Smith Arnfinn Helleve Ellen Haug Angeline Chatelan Colette Kelly Anna Dzielska Paola Nardone Marina Melkumova Oya Ercan Jaroslava Kopcakova Giacomo Lazzeri Knut-Inge Klepp Oddrun Samdal Cross-national variation in the association between family structure and overweight and obesity: Findings from the Health Behaviour in School-aged children (HBSC) study SSM: Population Health |
| title | Cross-national variation in the association between family structure and overweight and obesity: Findings from the Health Behaviour in School-aged children (HBSC) study |
| title_full | Cross-national variation in the association between family structure and overweight and obesity: Findings from the Health Behaviour in School-aged children (HBSC) study |
| title_fullStr | Cross-national variation in the association between family structure and overweight and obesity: Findings from the Health Behaviour in School-aged children (HBSC) study |
| title_full_unstemmed | Cross-national variation in the association between family structure and overweight and obesity: Findings from the Health Behaviour in School-aged children (HBSC) study |
| title_short | Cross-national variation in the association between family structure and overweight and obesity: Findings from the Health Behaviour in School-aged children (HBSC) study |
| title_sort | cross national variation in the association between family structure and overweight and obesity findings from the health behaviour in school aged children hbsc study |
| url | http://www.sciencedirect.com/science/article/pii/S2352827322001069 |
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