Trends in socioeconomic inequalities in obesity among Korean adolescents: the Korea Youth Risk Behavior Web-based Survey (KYRBS) 2006 to 2020
4
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
OBJECTIVES: This study investigated recent trends in the prevalence of obesity among Korean adolescents and explored socioeconomic disparities in obesity. METHODS: This study used annual self-reported data on height, weight, and socioeconomic information from the Korea Youth Risk Behavior Web-based Survey from 2006 to 2020. With a 95.8% response rate, the sample consisted of 818,210 adolescents. Obesity prevalence was calculated according to 4 socioeconomic indicators (household income, father’s educational attainment, mother’s educational attainment, and urbanicity). Socioeconomic inequality was quantified using the relative index of inequality (RII). RESULTS: The overall prevalence of obesity increased, doubling from 5.9% in 2006 to 11.7% in 2020. Boys and high school students showed a higher prevalence. The RIIs in household income and parental educational attainments significantly increased with time, indicating a growing inequality in obesity. Socioeconomic disadvantages had a greater influence on obesity among girls. The most recent RII values for boys were 1.25 for income, 1.79 for the father’s education, and 1.45 for the mother’s education, whereas the corresponding values for girls were 2.49, 3.17, and 2.62, respectively. CONCLUSIONS: These findings highlight growing inequalities in adolescent obesity according to household income and parental educational attainments, especially for girls and middle schoolers.
Abstract
OBJECTIVES: This study investigated recent trends in the prevalence of obesity among Korean adolescents and explored socioeconomic disparities in obesity. METHODS: This study used annual self-reported data on height, weight, and socioeconomic information from the Korea Youth Risk Behavior Web-based Survey from 2006 to 2020. With a 95.8% response rate, the sample consisted of 818,210 adolescents. Obesity prevalence was calculated according to 4 socioeconomic indicators (household income, father’s educational attainment, mother’s educational attainment, and urbanicity). Socioeconomic inequality was quantified using the relative index of inequality (RII). RESULTS: The overall prevalence of obesity increased, doubling from 5.9% in 2006 to 11.7% in 2020. Boys and high school students showed a higher prevalence. The RIIs in household income and parental educational attainments significantly increased with time, indicating a growing inequality in obesity. Socioeconomic disadvantages had a greater influence on obesity among girls. The most recent RII values for boys were 1.25 for income, 1.79 for the father’s education, and 1.45 for the mother’s education, whereas the corresponding values for girls were 2.49, 3.17, and 2.62, respectively. CONCLUSIONS: These findings highlight growing inequalities in adolescent obesity according to household income and parental educational attainments, especially for girls and middle schoolers.
참고문헌 (39)
- Kansra AR, "Childhood and adolescent obesity : a review", Front Pediatr, 8, pp.581461~ (2021)
- Llewellyn A, "Childhood obesity as a predictor of morbidity in adulthood : a systematic review and meta-analysis", Obes Rev, 17, pp.56~67 (2016)
- Chung A, "Trends in child and adolescent obesity prevalence in economically advanced countries according to socioeconomic position : a systematic review", Obes Rev, 17, pp.276~295 (2016)
- McLaren L, "Socioeconomic status and obesity", Epidemiol Rev, 29, pp.29~48 (2007)
- Johnson JA 3rd, "Urban-rural differences in childhood and adolescent obesity in the United States : a systematic review and meta-analysis", Child Obes, 11, pp.233~241 (2015)
- Frederick CB, "Increasing socioeconomic disparities in adolescent obesity", Proc Natl Acad Sci U S A, 111, pp.1338~1342 (2014)
- Stamatakis E, "Childhood obesity and overweight prevalence trends in England: evidence for growing socioeconomic disparities", Int J Obes, 34, pp.41~47 (2010)
- Rokholm B, "The levelling off of the obesity epidemic since the year 1999--a review of evidence and perspectives", Obes Rev, 11, pp.835~846 (2010)
- 남가은, "Obesity Fact Sheet in Korea, 2019: Prevalence of Obesity and Abdominal Obesity from 2009 to 2018 and Social Factors", Journal of Obesity & Metabolic Syndrome, 29(2), pp.124~132 (2020), 대한비만학회[DOI]
- 이가빈, "Obesity, hypertension, diabetes mellitus, and hypercholesterolemia in Korean adults before and during the COVID-19 pandemic: a special report of the 2020 Korea National Health and Nutrition Examination Survey", Epidemiology and Health, 44, pp.1~8 (2022), 한국역학회[DOI]
- 하경화, "Epidemiology of Childhood Obesity in Korea", Endocrinology and Metabolism, 31(4), pp.510~518 (2016), 대한내분비학회
- "Obesity and the economics of prevention: fit not fat" (2010)[URL]
- 김재현, "Secular Trends in Pediatric Overweight and Obesity in Korea", Journal of Obesity & Metabolic Syndrome, 29(1), pp.12~17 (2020), 대한비만학회[DOI]
- "The Korea Youth Risk Behavior Web-based Survey (KYRBS)"[URL]
- Kim Y, "Data resource profile : the Korea Youth Risk Behavior Web-based Survey(KYRBS)", Int J Epidemiol, 45, pp.1076~1076 (2016)
- 김재현, "The 2017 Korean National Growth Charts for children and adolescents: development, improvement, and prospects", Clinical and Experimental Pediatrics, 61(5), pp.135~149 (2018), 대한소아청소년과학회
- "Growth reference data for 5-19 years"[URL]
- "Guideline for the 2017 Korean National Growth Charts 2017"[URL]
- Spiegelman D, "Easy SAS calculations for risk or prevalence ratios and differences", Am J Epidemiol, 162, pp.199~200 (2005)
- "Health Equity Assessment Toolkit (HEAT): software for exploring and comparing health inequalities in countries. Built-in database edition" (2017)[URL]
- 이가빈, "Socioeconomic inequality in compliance with precautions and health behavior changes during the COVID-19 outbreak: an analysis of the Korean Community Health Survey 2020", Epidemiology and Health, 44, pp.1~8 (2022), 한국역학회[DOI]
- Chang Y, "Long-term trends in smoking prevalence and its socioeconomic inequalities in Korea, 1992-2016", Int J Equity Health, 18, pp.148~ (2019)
- 서미혜, "2018 Korean Society for the Study of Obesity Guideline for the Management of Obesity in Korea", Journal of Obesity & Metabolic Syndrome, 28(1), pp.40~45 (2019), 대한비만학회[DOI]
- Killedar A, "Investigating socioeconomic inequalities in BMI growth rates during childhood and adolescence", Obes Sci Pract, 8, pp.101~111 (2021)
- Ruiz M, "Impact of low maternal education on early childhood overweight and obesity in Europe", Paediatr Perinat Epidemiol, 30, pp.274~284 (2016)
- Ameye H, "Obesity, income and gender : the changing global relationship", Glob Food Sec, 23, pp.267~281 (2019)
- Assari S, "Family income reduces risk of obesity for white but not Black children", Children(Basel), 5, pp.73~ (2018)
- Eagle TF, "Understanding childhood obesity in America : linkages between household income, community resources, and children’s behaviors", Am Heart J, 163, pp.836~843 (2012)
- Peytremann-Bridevaux I, "Prevalence of overweight and obesity in rural and urban settings of 10 European countries", Prev Med, 44, pp.442~446 (2007)
- Bahk J, "Trends in childhood obesity and central adiposity between 1998-2001 and 2010-2012 according to household income and urbanity in Korea", BMC Public Health, 16, pp.18~ (2016)
- "Obesity update 2017"[URL]
- Park S, "Associations of physical activity with sleep satisfaction, perceived stress, and problematic Internet use in Korean adolescents", BMC Public Health, 14, pp.1143~ (2014)
- Laitinen J, "Family social class, maternal body mass index, childhood body mass index, and age at menarche as predictors of adult obesity", Am J Clin Nutr, 74, pp.287~294 (2001)
- Datar A, "Maternal work and children’s diet, activity, and obesity", Soc Sci Med, 107, pp.196~204 (2014)
- Jones A, "Race, socioeconomic status, and health during childhood : a longitudinal examination of racial", ethnic differences in parental socioeconomic timing and child obesity risk, 2018, pp.15, 728~
- Sherry B, "Accuracy of adolescent self-report of height and weight in assessing overweight status : a literature review", Arch Pediatr Adolesc Med, 161, pp.1154~1161 (2007)
- 배지석, "Validity of Self-Reported Height, Weight, and Body Mass Index of the Korea Youth Risk Behavior Web-Based Survey Questionnaire", 예방의학회지, 43(5), pp.396~402 (2010), 대한예방의학회
- WHO Expert Consultation, "Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies", Lancet, 363, pp.157~163 (2004)
- "Obesity and overweight among Asian American children and adolescents" (2016)[URL]
