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Spatial and demographic disparities in short stature among school children aged 7-18 years: a nation-wide survey in China, 2014
Ma, Jia1,2; Pei, Tao3; Dong, Fen4; Dong, Yanhui5,6; Yang, Zhaogeng5,6; Chen, Jie3; Guo, Sihui3; Zhao, Qiuling7; Wang, Shunan1,2; Ma, Jun5,6; Zhang, Zhixin2
2019-08-01
Source PublicationBMJ OPEN
ISSN2044-6055
Volume9Issue:7Pages:10
Corresponding AuthorMa, Jun(majunt@bjmu.edu.cn) ; Zhang, Zhixin(zhangzhixin032@163.com)
AbstractObjectives To identify spatial disparities and demographic characteristics of short stature, we analysed the prevalence of short stature collected in a nationwide health survey. Settings Data were obtained from the 2014 Chinese National Survey on Students Constitution and Health (a cross-sectional study of China). Participants came from 30 provinces, autonomous regions, and municipalities (except Tibet, Hong Kong, Macao, and Taiwan). Participants There were 213 795 Han school children between 7 and 18 years old enrolled in our study. All participants were sampled by stratified cluster. Primary and secondary outcome measures Short stature; Chinese and WHO age-specific and gender-specific height growth references were used for short stature assessment. Results The age-standardised and age-gender-standardised prevalence of short stature nationwide was 3.70% and 2.69% according to Chinese and WHO growth references, respectively. The short stature prevalence differed significantly among age groups, urban and rural areas, and regions with different socioeconomic development levels (all p<0.0001). The prevalence was 2.23% in urban versus 5.12% in rural areas (p< 0.001). The prevalence was 2.60% in developed, 3.72% in intermediately developed, and 4.69% in underdeveloped regions (p< 0.0001). These values were all according to China's growth reference, but similar patterns were observed on prevalence based on the WHO reference. The spatial distribution of prevalence of short stature presented a clustered pattern. Moran's I value was 0.474 (p< 0.001) and 0.478 (p< 0.001) according to the Chinese and WHO growth references, respectively. The southwest part of China showed a higher prevalence of short stature, whereas lower prevalence of short stature was observed mainly in the northeast part of China. Conclusions There is an appreciably high prevalence of short stature in rural, underdeveloped areas of China. There are high prevalence spatial clusters of short stature in southwestern China. This provides corroborating evidence for a tailored strategy on short stature prevention and reduction in special areas.
DOI10.1136/bmjopen-2018-026634
WOS KeywordGROWTH REFERENCE 2007 ; HIGH-ALTITUDE ; ENVIRONMENTAL-TEMPERATURE ; NUTRITIONAL-STATUS ; HEIGHT ; ASSOCIATION ; HEALTH ; MALNUTRITION ; PREVALENCE ; CHILDHOOD
Indexed BySCI
Language英语
Funding ProjectNational Natural Science Foundation of China[41571376] ; National Natural Science Foundation of China[41525004]
Funding OrganizationNational Natural Science Foundation of China
WOS Research AreaGeneral & Internal Medicine
WOS SubjectMedicine, General & Internal
WOS IDWOS:000485269700237
PublisherBMJ PUBLISHING GROUP
Citation statistics
Cited Times:3[WOS]   [WOS Record]     [Related Records in WOS]
Document Type期刊论文
Identifierhttp://ir.igsnrr.ac.cn/handle/311030/69548
Collection中国科学院地理科学与资源研究所
Corresponding AuthorMa, Jun; Zhang, Zhixin
Affiliation1.Beijing Univ Chinese Med, Grad Sch, Beijing, Peoples R China
2.China Japan Friendship Hosp, Dept Pediat, Beijing, Peoples R China
3.Chinese Acad Sci, Inst Geog Sci & Nat Resources Res, State Key Lab Resources & Environm Informat Syst, Beijing, Peoples R China
4.China Japan Friendship Hosp, Inst Clin Med Sci, Beijing, Peoples R China
5.Peking Univ, Inst Child & Adolescent Hlth, Beijing, Peoples R China
6.Peking Univ, Sch Publ Hlth, Beijing, Peoples R China
7.Beijing Chaoyang Dist Maternal & Child Hlth Care, Dept Pediat, Beijing, Peoples R China
Recommended Citation
GB/T 7714
Ma, Jia,Pei, Tao,Dong, Fen,et al. Spatial and demographic disparities in short stature among school children aged 7-18 years: a nation-wide survey in China, 2014[J]. BMJ OPEN,2019,9(7):10.
APA Ma, Jia.,Pei, Tao.,Dong, Fen.,Dong, Yanhui.,Yang, Zhaogeng.,...&Zhang, Zhixin.(2019).Spatial and demographic disparities in short stature among school children aged 7-18 years: a nation-wide survey in China, 2014.BMJ OPEN,9(7),10.
MLA Ma, Jia,et al."Spatial and demographic disparities in short stature among school children aged 7-18 years: a nation-wide survey in China, 2014".BMJ OPEN 9.7(2019):10.
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