韩国老年人中超重与性别差异及社会经济地位的关系
Gender differences and socioeconomic status in relation to overweight among older Korean people.
作者信息
Noh Jin-Won, Jo Minkyung, Huh Taewook, Cheon Jooyoung, Kwon Young Dae
机构信息
Department of Healthcare Management, Eulji University, Seongnam, Korea.
Graduate School of Public Health, Korea University, Seoul, Korea.
出版信息
PLoS One. 2014 May 16;9(5):e97990. doi: 10.1371/journal.pone.0097990. eCollection 2014.
BACKGROUND
The ever-increasing older population and its association with serious overweight problems have garnered much attention. The correlation between being overweight and socioeconomic status factors could be helpful for understanding the inequalities among the overweight population. We examined the correlation between being overweight and some key variables, such as demographics, socioeconomic status, general health status, and health behavior in a large sample of older individuals, by each gender.
METHODS
We used data from the 2008 Korean Longitudinal Study of Aging and it included 8,157 participants who were 45 years or older. To understand the relationship between the overweight participants in accordance to demographic and socioeconomic characteristics, health status, and health behaviors, a weighted chi-square test and logistic regression analysis were conducted by separating variables related to overweight, according to the genders.
RESULTS
The number of people in the normal group was 6,347 (77.8%), while the people who were considered overweight were 1,810 (22.2%). Women (n = 4,583) constituted 52.7% of the subject, 24.9% of whom were classified as overweight. Meanwhile, 20.6% of the 47.3% (n = 3,574) of the sample who were men were classified as overweight. Participants between the ages of 45 and 64 with chronic diseases were more likely to be overweight. Men in the 4th quartile of household income were more likely to be overweight than those who were in the 1st quartile, in contrast, while unemployed women with lower education levels and urban residents were at greater risk for being overweight.
CONCLUSIONS
Among the men, health status and health behavior appeared to show a correlation with being overweight; however, among women, socioeconomic status factors were strongly related to being overweight. These findings appear to support the association of gender-specifics with the prevalence of being overweight.
背景
日益增长的老年人口及其与严重超重问题的关联已备受关注。超重与社会经济地位因素之间的相关性有助于理解超重人群中的不平等现象。我们按性别在大量老年个体样本中研究了超重与一些关键变量之间的相关性，这些变量包括人口统计学特征、社会经济地位、总体健康状况和健康行为。
方法
我们使用了2008年韩国老年纵向研究的数据，该研究包括8157名45岁及以上的参与者。为了了解超重参与者与人口统计学和社会经济特征、健康状况及健康行为之间的关系，根据性别对与超重相关的变量进行分类，然后进行加权卡方检验和逻辑回归分析。
结果
正常组人数为6347人（77.8%），超重者为1810人（22.2%）。女性（n = 4583）占研究对象的52.7%，其中24.9%被归类为超重。同时，样本中47.3%（n = 3574）的男性中有20.6%被归类为超重。患有慢性病的45至64岁参与者更有可能超重。相比之下，家庭收入处于第四四分位数的男性比处于第一四分位数的男性更有可能超重，而教育水平较低的失业女性和城市居民超重风险更大。
结论
在男性中，健康状况和健康行为似乎与超重存在相关性；然而，在女性中，社会经济地位因素与超重密切相关。这些发现似乎支持了超重患病率与性别特异性之间的关联。
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