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Multilevel analysis and regional variation of physical activities in Korean adults based on the 4th Korea National Health and Nutrition Examination Survey

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Objectives: Physical activity is well known as one of the most effective health behaviors for maintaining and promoting health. The purpose of this study was to investigate the regional variation, compositional and contextual factors on physical activities in Korea. Methods: This study analyzed data of 6,353 adults in 4th-1, 2 Korea National Health and Nutrition Examination Survey (KNHANES). Independent variables were compositional factors that included general characteristics, health behaviors, health status, and contextual factors that included physical environment, political environment, and social safety net. Dependent variables were vigorous physical activity, moderate physical activity, and walking activity. Multilevel analysis were used to determine a variation of physical activity between levels of compositional factors and contextual factors. Results: Physical activities of the Korean people were affected by the regional variables. Financial independence and population density were related with moderate physical activity significantly. Population density, school sport or rally spaces, cultural facilities, and social safety concerns were related with walking activity significantly. These variables impacted on physical activities along with variables at the individual level. Variance Partition Coefficient were 9.94% at moderate physical activity and 2.91% at walking activities, respectively. Conclusions: The results suggest that the regional variables should be considered when planning public intervention to promoting physical activities in Korean adults.

Abstract

Objectives: Physical activity is well known as one of the most effective health behaviors for maintaining and promoting health. The purpose of this study was to investigate the regional variation, compositional and contextual factors on physical activities in Korea. Methods: This study analyzed data of 6,353 adults in 4th-1, 2 Korea National Health and Nutrition Examination Survey (KNHANES). Independent variables were compositional factors that included general characteristics, health behaviors, health status, and contextual factors that included physical environment, political environment, and social safety net. Dependent variables were vigorous physical activity, moderate physical activity, and walking activity. Multilevel analysis were used to determine a variation of physical activity between levels of compositional factors and contextual factors. Results: Physical activities of the Korean people were affected by the regional variables. Financial independence and population density were related with moderate physical activity significantly. Population density, school sport or rally spaces, cultural facilities, and social safety concerns were related with walking activity significantly. These variables impacted on physical activities along with variables at the individual level. Variance Partition Coefficient were 9.94% at moderate physical activity and 2.91% at walking activities, respectively. Conclusions: The results suggest that the regional variables should be considered when planning public intervention to promoting physical activities in Korean adults.

참고문헌 (42)

  1. Cho, W. H., "Small area variation", Korean J Health Policy & Administration, 1(1), pp.42~53 (1991)
  2. Cho, W. H., "An analysis of small area variation of hospital services utilization in Korea", J Prev Med Public Health, 27(3), pp.609~626 (1994)
  3. Cunningham, G. O., "Concepts guiding the study of the impact of the built environment on physical activity for older adults : a review of the literature", Am J Health Pro, 18, pp.435~443 (2004)
  4. Dever., "A Community Health Analysis" (1991), Am Aspen Publication
  5. Diez-Roux, A. V., "Bringing context back into epidemiology : variables and fallacies in multilevel analysis", Am J Public Health, 88(2), pp.216~222 (1998)
  6. Diez-Roux, A. V., "Multilevel analysis in public health research", Annu Rev Public Health, 22, pp.172~192 (2002)
  7. Hagberg, J. M., "Effect of exercise training on 60-69 year old persons with essential hypertension", Am J Cardiol, 64, pp.348~353 (1989)
  8. Hancox, R. J., "Association between child and adolescent television viewing and adult health : a longitudinal birth cohort study", Lancet, 364, pp.257~261 (2004)
  9. Jang. M. Y., "The Determinants and Regional Variation of Physical Activity in Korea", pp.2011
  10. 정진희, "의료보장 형태가 혈액투석 서비스 제공에 미치는 영향에 대한 다수준 분석", 예방의학회지, 43(3), pp.245~256 (2010), 대한예방의학회
  11. Kaplan, G. A., "Inequality in incomed mortality in the United States : analysis of mortality and potential pathways", BMJ, 312, pp.999~1003 (1996)
  12. KHNANES 3rd: Health behavior adults, "KCDC", Korea Centers for Disease Control& Prevention, 107~265 (2007)
  13. KHNANES 3rd: Illness of adults, "KCDC", Korea Centers for Disease Control& Prevention, 107~120 (2007)
  14. KHNANES 4th-1 the KNHANES(2007), "KCDC", Korea Centers for Disease Control& Prevention, 77~621 (2007)
  15. KCDC, "The comparison of physical activity by socioeconomics factors: KHNANES 2001, 2005, 2007", Public Healthy Weekly Report, 3(8), pp.122~129 (2010)
  16. KCDC, "Health behaviors in Korea adults: smoking, drinking and physical activity", Public Healthy Weekly Report, 2(5), pp.729~733 (2010)
  17. KCDC, "Highlights of 2008 Community Health Survey", Public Healthy Weekly Report, 2(21), pp.321~324 (2009)
  18. Kennedy, B. P., "Income distribution and mortality : cross sectional ecological study of the Robin Hood Index in the United States", BMJ, 312, pp.1004~1007 (1996)
  19. Korean Ministry of Health & Welfare, "KCDC. KNHANES 4th-2 the (2008)", 3~610 (2009)
  20. 김윤희, "지역특성이 취약집단 건강에 미치는 영향 분석", 한국인구학, 31(1), pp.1~26 (2008), 한국인구학회[DOI]
  21. Kang, Y. J., "Multilevel analysis of the relationship between income inequality and health: Using Korean Labor and income panel study data", pp.2009
  22. 김지현, "표준사망비를 활용한 우리나라 소지역별 건강불평등 비교", 예방의학회지, 41(5), pp.300~306 (2008), 대한예방의학회
  23. 김명희, "서울시 노인의 구강통증 여부 및 치과서비스이용의 사회적 결정요인에 대한 다수준분석", 대한구강보건학회지, 31(1), pp.103~115 (2007), 대한예방치과·구강보건학회
  24. Kim, M. H., "A multilevel analysis on the association between socioeconomic factors and the metabolic syndrome", pp.2002
  25. 김창석, "서울시 동별 상류계층(파워엘리트) 주거 분포와 흡연과의 관련성에 대한 다수준분석", 예방의학회지, 39(1), pp.30~38 (2006), 대한예방의학회
  26. Kindig, D. A., "What is population health?", Am J Public Health, 93, pp.366~369 (2003)
  27. King, A. C., "Multilevel modeling of walking behavior: Advanced in understanding the interactions of people, place, and time", Med. Sci. Sports Exerc, 40(7), pp.584~593 (2008)
  28. A new perspective on the health of Canadians. A working document, "Lalonde, M.", Government of Canada, ~ (1974)
  29. Larry, A. T., "Television viewing and physical fitness in adults", Res Q Exerc Sport, 25, pp.71~80 (1993)
  30. Leon, A. S., "Effects of 2, 000 kcal per week of walking and stair climbing on physical fitness and risk factors for coronary heart disease", J Cardiopulm Rehabil, 16, pp.183~192 (1996)
  31. 이창건, "Relationship between Perceived Neighborhood Characteristics and Vigorous Physical Activity among Adult Seoul Residents", 예방의학회지, 42(4), pp.215~222 (2009), 대한예방의학회
  32. Lee, S. H., "An analysis of small area variation of health services utilization in Korea", Department of Preventive Medicine & Public health, pp.1994
  33. Manson, J. E., "A prospective study of exercise and incidence of diabetes among US male physicians", JAMA, 268, pp.63~67 (1992)
  34. Nam, J. M., "A study on the statistical distribution and testing of variation indices at the small area", J Prev Med Public Health, 32(1), pp.80~87 (1999)
  35. Paffenbarger, R. S., "Physical activity and incidence of hypertension in college alumni", Am J Epidemiol, 117, pp.245~257 (1983)
  36. Robert, S. A., "Community-level socioeconomic status effects on adult health", J of Health and Soc Behavior, 39(1), pp.18~37 (1998)
  37. Sallis, J. F., "Health Behavior and Health Education: theory, research and practice" (1996), Jossey-Bass
  38. Sallis, J. F., "A multivariate study of determinants of vigorous exercise in a community–sample", Prev Med, 18, pp.20~34 (1989)
  39. Statistics Korea, "Community of statistics (administrative district)", ~ (2005)
  40. 양윤준, "2001 국민건강영양조사에 의한 우리나라 성인의 신체활동도", Korean Journal of Family Medicine, 26(1), pp.22~30 (2005), 대한가정의학회
  41. Development of physical activity questionnaire and guideline for Korean adults, "Yang, Y. J.", Korean Ministry of Health & Welfare, ~ (2007)
  42. 윤태호, "사회계급 분포와 사망률과의 연관성", 보건행정학회지, 13(4), pp.99~114 (2003), 한국보건행정학회

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