Epidemiology and Health

Original Article

The effects of community environmental factors on obesity among Korean adults: a multilevel analysis: Nan-He Yoon, Soonman Kwon; Epidemiol Health. 2014;36:e2014036. Published online December 24, 2014; DOI: https://doi.org/10.4178/epih/e2014036

23,879 View
178 Download
11 Web of Science
9 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
This study explored multidimensional factors related to obesity by dividing them into individual and environmental factors, and performed multilevel analysis to investigate community environmental effects.

METHODS

Data from the 2011 and 2012 Community Health Surveys were used for the analysis. Community-level variables, constructed from various regional statistics, were included in the model as environmental factors. Respondents with body mass index (BMI)≥25 were defined as obese, and a multilevel logistic regression analysis was conducted to analyze individual and environmental factors related to obesity. Moreover, a stratified analysis was conducted to compare factors related to obesity between men and women.

RESULTS

Of 337,136 samples, 82,887 (24.6%) were obese, with BMI≥25. Sociodemographic characteristics at the individual level were mostly significantly related to obesity; however, while there were more obese men subjects among those with high socioeconomic status, there were more obese women among those with low socioeconomic status. There were fewer obese respondents among those who regularly walked and more obese respondents among those who reported short sleep duration or were highly stressed. At the community level, people living in areas with high socioeconomic status, high satisfaction with safety and public transportation, and high accessibility to sports facilities in their community had lower obesity risks.

CONCLUSIONS

Community-level environmental factors affected obesity, especially perceived community environment, more significant than physical environment. Thus, it is necessary to develop effective obesity prevention and management strategies by considering potential community environmental factors that affect obesity.

Summary

Korean summary
다수준 분석을 통해 개인의 비만 발생에 영향을 미치는 다차원의 요인들을 탐색한 결과, 비만과 개인적 요인들의 관계는 성별에 따라 다르게 나타났고, 지역사회 환경에 대한 주관적 인식이 개인의 비만 발생과 유의한 관계가 있는 것으로 확인되었다. 보다 효과적인 비만 예방 및 관리를 위해 다양한 차원의 환경적 특성과 배경, 맥락을 반영한 전략의 개발이 필요하다.

Citations

Citations to this article as recorded by

Obesity-Related Factors in Adult Women with Early Menarche
Hunha Cho, Jeong-Won Han
Healthcare.2023; 11(4): 557. CrossRef
Do the Self-Reported Changes in Physical Activity After the Emergence of the COVID-19 Pandemic Associate With Major Depression According to Moderate to Vigorous Physical Activity Status?
Jeong Hyun Ahn, Jin Young Nam
Journal of Physical Activity and Health.2022; : 1. CrossRef
Employment Status Transition Predicts Adult Obesity Trajectory
Young Joong Kang, Dong-wook Lee, Min Young Park, Mo-Yeol Kang
Journal of Occupational & Environmental Medicine.2021; 63(12): e861. CrossRef
Combined effects of disease management and food insecurity on physical and mental health in Korean adults
Hyun Ja Kim, Kirang Kim
Public Health Nutrition.2020; 23(1): 112. CrossRef
Generational Differences: A Comparison of Weight-Related Cognitions and Behaviors of Generation X and Millennial Mothers of Preschool Children
Ruiying Xiong, Kim Spaccarotella, Virginia Quick, Carol Byrd-Bredbenner
International Journal of Environmental Research and Public Health.2019; 16(13): 2431. CrossRef
Influence of Neighborhood Environment on Korean Adult Obesity Using a Bayesian Spatial Multilevel Model
Eun Young Lee, Sugie Lee, Bo Youl Choi, Jungsoon Choi
International Journal of Environmental Research and Public Health.2019; 16(20): 3991. CrossRef
Associations between Social and Physical Environments, and Physical Activity in Adults from Urban and Rural Regions
Bongjeong Kim, Hye Sun Hyun
Osong Public Health and Research Perspectives.2018; 9(1): 16. CrossRef
Influences of physical activity environments on obesity among adolescents
Nan-He Yoon
Korean Journal of Health Education and Promotion.2018; 35(2): 25. CrossRef
Childhood Overweight and Obesity and Associated Factors in Iranian Children and Adolescents: A Multilevel Analysis; the CASPIAN-IV Study
Patricia Khashayar, Amir Kasaeian, Ramin Heshmat, Mohammad Esmaeil Motlagh, Armita Mahdavi Gorabi, Mehdi Noroozi, Mostafa Qorbani, Roya Kelishadi
Frontiers in Pediatrics.2018;[Epub] CrossRef

First
Prev
Page of 1
Next
Last

Search