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부산지역 성인의 성별, 사회경제적 수준별 비만 유병과 관련 요인 - 측정방법에 따른 비교

Obesity prevalence and related factors by gender and socioeconomic level in Busan, Korea - comparison on the methods of measurement

최민혁
대한의료커뮤니케이션학회 (Korean Academy on Communication in Healthcare)|2020.06|의료커뮤니케이션 (Health Communication, the Official Journal of Korean Academy on Communication in Healthcare)|제15권 제1호|pp. 1-9|DOI 10.15715/kjhcom.2020.15.1.1

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키워드

비만지역사회건강조사건강불평등신체계측 비만 유병률자가 보고 비만 유병률
주제분류의학일반

초록

Background: The purpose of this study was to identify the differences in socioeconomic level of self-reported and measured obesity indicators (weight, height, body mass index, and obesity prevalence) and to compare the differences between factors. Methods: Data of 2,290,893 weighted cases from the 2018 community health surveys in Busan were used to calculate self-reported and measured obesity and the prevalence of obesity. Logistic regression models were used to estimate the odds ratio of self-reported and measured obesity. Results: The mean differences between self-reported and measured height, weight, and BMI were 0.53 cm, 0.66 kg, and 0.37 kg/m2 for men and 0.74 cm, 0.81 kg, and 0.55 kg/m2 for women, respectively. Self-reported and measured obesity prevalence rates were 35.36% and 40.79% in men and 20.55% and 27.16% in women, respectively. The difference between measured and self-reported values was high in the lower socioeconomic level group. Measured obesity, but not self-reported obesity, was significantly higher in the lower socioeconomic level group (level 3, odds ratio 1.26, 95% confidence interval 1.01-1.56). Conclusions: These results indicate a requirement for obesity management policies for women with lower socioeconomic status.

Abstract

Background: The purpose of this study was to identify the differences in socioeconomic level of self-reported and measured obesity indicators (weight, height, body mass index, and obesity prevalence) and to compare the differences between factors. Methods: Data of 2,290,893 weighted cases from the 2018 community health surveys in Busan were used to calculate self-reported and measured obesity and the prevalence of obesity. Logistic regression models were used to estimate the odds ratio of self-reported and measured obesity. Results: The mean differences between self-reported and measured height, weight, and BMI were 0.53 cm, 0.66 kg, and 0.37 kg/m2 for men and 0.74 cm, 0.81 kg, and 0.55 kg/m2 for women, respectively. Self-reported and measured obesity prevalence rates were 35.36% and 40.79% in men and 20.55% and 27.16% in women, respectively. The difference between measured and self-reported values was high in the lower socioeconomic level group. Measured obesity, but not self-reported obesity, was significantly higher in the lower socioeconomic level group (level 3, odds ratio 1.26, 95% confidence interval 1.01-1.56). Conclusions: These results indicate a requirement for obesity management policies for women with lower socioeconomic status.

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