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Association Between Socioeconomic Status and Obesity in Adults: Evidence From the 2001 to 2009 Korea National Health and Nutrition Examination Survey

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Objectives: The present study examined relationships between socioeconomic status (SES) and obesity and body mass index (BMI) as well as the effects of health-related behavioral and psychological factors on the relationships. Methods: A cross-sectional population-based study was conducted on Korean adults aged 20 to 79 years using data from the 2001, 2005, and 2007 to 2009 Korea National Health and Nutrition Examination Survey. Multivariate logistic and linear regression models were used to estimate odds ratios of obesity and mean differences in BMI, respectively, across SES levels after controlling for health-related behavioral and psychological factors. Results: We observed significant gender-specific relationships of SES with obesity and BMI after adjusting for all covariates. In men, income, but not education, showed a slightly positive association with BMI (p<0.05 in 2001 and 2005). In women, education, but not income, was inversely associated with both obesity and BMI (p<0.0001 in all datasets). These relationships were attenuated with adjustingfor health-related behavioral factors, not for psychological factors. Conclusions: Results confirmed gender-specific disparities in the associations of SES with obesity and BMI among adult Korean population. Focusing on intervention for health-related behaviors may be effective to reduce social inequalities in obesity.

Abstract

Objectives: The present study examined relationships between socioeconomic status (SES) and obesity and body mass index (BMI) as well as the effects of health-related behavioral and psychological factors on the relationships. Methods: A cross-sectional population-based study was conducted on Korean adults aged 20 to 79 years using data from the 2001, 2005, and 2007 to 2009 Korea National Health and Nutrition Examination Survey. Multivariate logistic and linear regression models were used to estimate odds ratios of obesity and mean differences in BMI, respectively, across SES levels after controlling for health-related behavioral and psychological factors. Results: We observed significant gender-specific relationships of SES with obesity and BMI after adjusting for all covariates. In men, income, but not education, showed a slightly positive association with BMI (p<0.05 in 2001 and 2005). In women, education, but not income, was inversely associated with both obesity and BMI (p<0.0001 in all datasets). These relationships were attenuated with adjustingfor health-related behavioral factors, not for psychological factors. Conclusions: Results confirmed gender-specific disparities in the associations of SES with obesity and BMI among adult Korean population. Focusing on intervention for health-related behaviors may be effective to reduce social inequalities in obesity.

참고문헌 (36)

  1. Park HS, "Prevalence of obesity and metabolic syndrome in Korean adults", Obesity Reviews, 9(2), pp.104~107 (2008), Blackwell Publishing Inc.
  2. "Cut-off point of BMI and obesity-related comorbidities and mortality in middle-aged Koreans", OBESITY RESEARCH, 12, pp.2031~2040 (2004), NORTH AMER ASSOC STUDY OBESITY
  3. Wang LY, "The association between body mass index in adolescence and obesity in adulthood", J Adolesc Health, 42(5), pp.512~518 (2008)
  4. Sabanayagam C, "Socioeconomic status and overweight", obesity in an adult Chinese population in Singapore, 2007, pp.17(5), 161~168
  5. Dahly DL, "Associations between multiple indicators of socioeconomic status and obesity in young adult Filipinos vary by gender, urbanicity, and indicator used", J Nutr, 140(2), pp.366~370 (2010)
  6. Fleischer NL, "Social patterning of chronic disease risk factors in a Latin American city", J Urban Health, 85(6), pp.923~937 (2008)
  7. Kim DM, "Prevalence of obesity in Korea", Obes Rev, 6(2), pp.117~121 (2005)
  8. Kwon JW, "Varying patterns of BMI increase in sex and birth cohorts of Korean adults", Obesity (Silver Spring), 15(2), pp.277~282 (2007)
  9. 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
  10. Sarlio-Lahteenkorva S, "Socio-economic status and abdominal obesity among Finnish adults from 1992 to 2002", Int J Obes (Lond), 30(11), pp.1653~1660 (2006)
  11. Rathmann W, "Sex differences in the associations of socioeconomic status with undiagnosed diabetes mellitus and impaired glucose tolerance in the elderly population: the KORA Survey 2000", Eur J Public Health, 15(6), pp.627~633 (2005)
  12. Hu G, "Comparison of dietary and non-dietary risk factors in overweight and normal-weight Chinese adults", Br J Nutr, 88(1), pp.91~97 (2002)
  13. Yoo S, "General and abdominal obesity in South Korea, 1998-2007: gender and socioeconomic differences", Prev Med, 51(6), pp.460~465 (2010)
  14. Jeffery RW, "Socioeconomic status differences in health behaviors related to obesity: the Healthy Worker Project", Int J Obes, 15(10), pp.689~696 (1991)
  15. Wamala SP, "Determinants of obesity in relation to socioeconomic status among middle-aged Swedish women", Prev Med, 26(5 Pt 1), pp.734~744 (1997)
  16. Molarius A., "The contribution of lifestyle factors to socioeconomic differences in obesity in men and women: a population-based study in Sweden", Eur J Epidemiol, 18(3), pp.227~234 (2003)
  17. Prescott E, "Social gradient in the metabolic syndrome not explained by psychosocial and behavioural factors:evidence from the Copenhagen City Heart Study", Eur J Cardiovasc Prev Rehabil, 14(3), pp.405~412 (2007)
  18. Lee SK, "Socio-economic, dietary, activity, nutrition and body weight transitions in South Korea", Public Health Nutr, 6(7), pp.665~674 (2003)
  19. Yoon YS, "Socioeconomic status in relation to obesity and abdominal obesity in Korean adults: a focus on sex differences.", Obesity (Silver Spring), 14(5), pp.909~919 (2006)
  20. The second Korea National Health and Nutrition Examination Survey (2001), "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, 193~199 (2007)
  21. The third Korea National Health and Nutrition Examination Survey (2005), "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, 1~9 (2007)
  22. The fourth Korea National Health and Nutrition Examination Survey (2007-2009), "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, 1~8 (2010)
  23. "The Asia Pacific perspective: redefining obesity and its treatment; 2000"[URL]
  24. Yoshiike N, "Twenty-year changes in the prevalence of overweight in Japanese adults: the National Nutrition Survey 1976-95", Obes Rev, 3(3), pp.183~190 (2002)
  25. Wardle J, "Body image and weight control in young adults: international comparisons in university students from 22 countries", Int J Obes (Lond), 30(4), pp.644~651 (2006)
  26. Monteiro CA, "Independent effects of income and education on the risk of obesity in the Brazilian adult population", J Nutr, 131, pp.881S~886S (2001)
  27. Jacoby E, "Social class, family, and life-style factors associated with overweight and obesity among adults in Peruvian cities", Prev Med, 37(5), pp.396~405 (2003)
  28. Seubsman SA, "Socioeconomic status, sex, and obesity in a large national cohort of 15-87-year-old open university students in Thailand", J Epidemiol, 20(1), pp.13~20 (2010)
  29. McLaren L, "Social class, gender, and time use: implications for the social determinants of body weight?", Health Rep, 20(4), pp.65~73 (2009)
  30. Regidor E, "Obesity and socioeconomic position measured at three stages of the life course in the elderly", Eur J Clin Nutr, 58(3), pp.488~494 (2004)
  31. Laitinen J, "Stress-related eating and drinking behavior and body mass index and predictors of this behavior", Prev Med, 34(1), pp.29~39 (2002)
  32. Ali SM, "Socioeconomic, psychosocial, behavioural, and psychological determinants of BMI among young women: differing patterns for underweight and overweight", obesity, 2006, pp.16(3), 325~331
  33. Colditz GA, "Alcohol intake in relation to diet and obesity in women and me", Am J Clin Nutr, 54(1), pp.49~55 (1991)
  34. Marti B, "Smoking and leanness: evidence for change in Finland", BMJ, 298(6683), pp.1287~1290 (1989)
  35. Ball K, "Social factors and obesity: an investigation of the role of health behaviours", Int J Obes Relat Metab Disord, 27(3), pp.394~403 (2003)
  36. McLaren L, "Socioeconomic status and obesity", Epidemiol Rev, 29, pp.29~48 (2007)

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