Socioeconomic inequalities in obesity among Korean women aged 19-79 years: the 2016 Korean Study of Women’s Health-Related Issues
1
조회
0
다운로드
2
인용
0
참고문헌
초록
OBJECTIVES: While the prevalence of obesity in Asian women has remained stagnant, studies of socioeconomic inequalities in obesity among Asian women are scarce. This study aimed to examine the recent prevalence of obesity in Korean women aged between 19 years and 79 years and to analyze socioeconomic inequalities in obesity. METHODS: Data were derived from the 2016 Korean Study of Women’s Health-Related Issues. The chi-square test and logistic regression analysis were used to analyze the associations between socioeconomic factors and obesity using Asian standard body mass index (BMI) categories: low (<18.5 kg/m2), normal (18.5-22.9 kg/m2), overweight (23.0-24.9 kg/m2), and obese (≥25.0 kg/m2). As inequality-specific indicators, the slope index of inequality (SII) and relative index of inequality (RII) were calculated, with adjustment for age and self-reported health status. RESULTS: Korean women were classified into the following BMI categories: underweight (5.3%), normal weight (59.1%), overweight (21.2%), and obese (14.4%). The SII and RII revealed substantial inequalities in obesity in favor of more urbanized women (SII, 4.5; RII, 1.4) and against of women who were highly educated (SII, -16.7; RII, 0.3). Subgroup analysis revealed inequalities in obesity according to household income among younger women and according to urbanization among women aged 65-79 years. CONCLUSIONS: Clear educational inequalities in obesity existed in Korean women. Reverse inequalities in urbanization were also apparent in older women. Developing strategies to address the multiple observed inequalities in obesity among Korean women may prove essential for effectively reducing the burden of this disease.
Abstract
OBJECTIVES: While the prevalence of obesity in Asian women has remained stagnant, studies of socioeconomic inequalities in obesity among Asian women are scarce. This study aimed to examine the recent prevalence of obesity in Korean women aged between 19 years and 79 years and to analyze socioeconomic inequalities in obesity. METHODS: Data were derived from the 2016 Korean Study of Women’s Health-Related Issues. The chi-square test and logistic regression analysis were used to analyze the associations between socioeconomic factors and obesity using Asian standard body mass index (BMI) categories: low (<18.5 kg/m2), normal (18.5-22.9 kg/m2), overweight (23.0-24.9 kg/m2), and obese (≥25.0 kg/m2). As inequality-specific indicators, the slope index of inequality (SII) and relative index of inequality (RII) were calculated, with adjustment for age and self-reported health status. RESULTS: Korean women were classified into the following BMI categories: underweight (5.3%), normal weight (59.1%), overweight (21.2%), and obese (14.4%). The SII and RII revealed substantial inequalities in obesity in favor of more urbanized women (SII, 4.5; RII, 1.4) and against of women who were highly educated (SII, -16.7; RII, 0.3). Subgroup analysis revealed inequalities in obesity according to household income among younger women and according to urbanization among women aged 65-79 years. CONCLUSIONS: Clear educational inequalities in obesity existed in Korean women. Reverse inequalities in urbanization were also apparent in older women. Developing strategies to address the multiple observed inequalities in obesity among Korean women may prove essential for effectively reducing the burden of this disease.
참고문헌 (39)
- Webber L, "The future burden of obesity-related diseases in the 53 WHO European-Region countries and the impact of effective interventions: a modelling study", BMJ Open, 4, pp.e004787~ (2014)
- Ezzati M, "Behavioral and dietary risk factors for noncommunicable diseases", N Engl J Med, 369, pp.954~964 (2013)
- Park J, "Obesity and cancer--mechanisms underlying tumour progression and recurrence", Nat Rev Endocrinol, 10, pp.455~465 (2014)
- Preiss K, "A systematic review of variables associated with the relationship between obesity and depression", Obes Rev, 14, pp.906~918 (2013)
- Alhusen JL, "Effects of maternal mental health on engagement in favorable health practices during pregnancy", J Midwifery Womens Health, 61, pp.210~216 (2016)
- Molyneaux E, "Obesity and mental disorders during pregnancy and postpartum : a systematic review and meta-analysis", Obstet Gynecol, 123, pp.857~867 (2014)
- Neuhouser ML, "Overweight, obesity, and postmenopausal invasive breast cancer risk : a secondary analysis of the women’s health initiative randomized clinical trials", JAMA Oncol, 1, pp.611~621 (2015)
- Liu Y, "Obesity contributes to ovarian cancer metastatic success through increased lipogenesis, enhanced vascularity, and decreased infiltration of M1 macrophages", Cancer Res, 75, pp.5046~5057 (2015)
- McLaren L, "Socioeconomic status and obesity", Epidemiol Rev, 29, pp.29~48 (2007)
- Devaux M, "Social inequalities in obesity and overweight in 11 OECD countries", Eur J Public Health, 23, pp.464~469 (2013)
- Jayawardena R, "Prevalence, trends and associated socio-economic factors of obesity in South Asia", Obes Facts, 6, pp.405~414 (2013)
- Demment MM, "Changes in family income status and the development of overweight and obesity from 2 to 15 years : a longitudinal study", BMC Public Health, 14, pp.417~ (2014)
- Cohen AK, "Educational attainment and obesity : a systematic review", Obes Rev, 14, pp.989~1005 (2013)
- Pampel FC, "Obesity, SES, and economic development : a test of the reversal hypothesis", Soc Sci Med, 74, pp.1073~1081 (2012)
- Siddiqi A, "Cross-national comparison of socioeconomic inequalities in obesity in the United States and Canada", Int J Equity Health, 14, pp.116~ (2015)
- Dinsa GD, "Obesity and socioeconomic status in developing countries : a systematic review", Obes Rev, 13, pp.1067~1079 (2012)
- Shin HY, "Recent trends in the prevalence of underweight, overweight, and obesity in Korean adults : the Korean National Health and Nutrition Examination Survey from 1998 to 2014", J Epidemiol, 27, pp.413~419 (2017)
- 강영호, "Trends in General and Abdominal Obesity among Korean Adults: Findings from 1998, 2001, 2005, and 2007 Korea National Health and Nutrition Examination Surveys", Journal of Korean Medical Science, 25(11), pp.1582~1588 (2010), 대한의학회
- Yoo S, "General and abdominal obesity in South Korea, 1998–2007 : gender and socioeconomic differences", Prev Med, 51, pp.460~465 (2010)
- 최은지, "Socioeconomic Inequalities in Cervical and Breast Cancer Screening among Women in Korea, 2005–2015", Yonsei Medical Journal, 59(9), pp.1026~1033 (2018), 연세대학교의과대학[DOI]
- Cho HN, "The Korean Study of Women’s Health-Related Issues(K-Stori) : rationale and study design", BMC Public Health, 17, pp.609~ (2017)
- "Physical status: the use of and interpretation of anthropometry, report of a WHO expert committee" (1995)[URL]
- WHO Expert Consultation, "Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies", Lancet, 363, pp.157~163 (2004)
- "The Asia-Pacific perspective: redefining obesity and its treatment" (2000)[URL]
- Jung-Choi K, "Decomposition of educational differences in life expectancy by age and causes of death among South Korean adults", BMC Public Health, 14, pp.560~ (2014)
- Joshu CE, "Personal, neighbourhood and urban factors associated with obesity in the United States", J Epidemiol Community Health, 62, pp.202~208 (2008)
- Choi E, "Relationship between cancer worry and stages of adoption for breast cancer screening among Korean women", PloS One, 10, pp.e0132351~ (2015)
- Moreno-Betancur M, "Relative index of inequality and slope index of inequality : a structured regression framework for estimation", Epidemiology, 26, pp.518~527 (2015)
- Singh-Manoux A, "Prevalence of educational inequalities in obesity between 1970 and 2003 in France", Obes Rev, 10, pp.511~518 (2009)
- Espelt A, "Twenty years of socio-economic inequalities in type 2 diabetes mellitus prevalence in Spain, 1987–2006", Eur J Public Health, 22, pp.765~771 (2011)
- Ogden CL, "Prevalence of childhood and adult obesity in the United States, 2011-2012", JAMA, 311, pp.806~814 (2014)
- Popkin BM, "New dynamics in global obesity facing low‐and middle‐income countries", Obes Rev, 14(Suppl 2), pp.11~20 (2013)
- Padyab M, "Socioeconomic inequalities and body mass index in Västerbotten County, Sweden : a longitudinal study of life course influences over two decades", Int J Equity Health, 13, pp.35~ (2014)
- Roskam AJ, "Comparative appraisal of educational inequalities in overweight and obesity among adults in 19 European countries", Int J Epidemiol, 39, pp.392~404 (2010)
- Monteiro CA, "Socioeconomic status and obesity in adult populations of developing countries : a review", Bull World Health Organ, 82, pp.940~946 (2004)
- Tauqeer Z, "Obesity in women : insights for the clinician", J Womens Health, 27, pp.444~457 (2018)
- 전민영, "Validity and Reliability of Korean Version of International Physical Activity Questionnaire Short Form in the Elderly", Korean Journal of Family Medicine, 33(3), pp.144~151 (2012), 대한가정의학회[DOI]
- Rosenberg DE, "Assessment of sedentary behavior with the International Physical Activity Questionnaire", J Phys Act Health, 5(Suppl 1), pp.S30~S44 (2008)
- Jarosz PA, "Obesity in urban women: associations with sleep and sleepiness, fatigue and activity", Womens Health Issues, 24, pp.e447~e454 (2014)
