Hwang Hye Jung, Kim Youngmee, Cho Won-Kyung
Department of Nursing, Chung-Ang University Hospital, Gyeonggi-do, Republic of Korea.
Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea.
Tob Induc Dis. 2024 Oct 25;22. doi: 10.18332/tid/194098. eCollection 2024.
This descriptive study examined the relationship between body image perception and smoking status among women aged 19-64 years in Korea, using data from the Korea National Health and Nutrition Examination Survey (KNHANES).
This study is a secondary analysis of data gathered from the KNHANES between 2014 and 2020, encompassing 12515 women aged 19-64 years. The final study group consisted of 742 current smokers (CS), 132 hidden smokers (HS), and 11641 non-smokers (NS). Hidden smokers were defined as participants who reported being non-smokers but had urine cotinine levels >50 ng/mL. The participants were divided into three age categories: 19-29, 30-49, and 50-64 years. A multiple logistic regression analysis was used to assess the relationship between body image perception and smoking status, by age group.
Baseline statistics indicated that smokers (both CS and HS) generally had a lower socioeconomic status across all age groups. The highest rate of obesity perception was observed in the CS group, followed by the HS group, in both groups of women aged 19-29 and 30-49 years. However, only women aged 19-29 years in the CS group were more likely to perceive themselves as obese than those in the NS group (AOR=2.60; 95% CI: 1.49-4.52; p=0.001). Furthermore, factors such as current smoking status (AOR=2.32; 95% CI: 1.28-4.23; p=0.006), higher body mass index (AOR=2.95; 95% CI: 2.59-3.37; p<0.001), and perceived health status as poor (AOR=3.82; 95% CI: 2.11-6.92; p<0.001), significantly influenced the perception of obesity in this age group.
This study identified a notable relationship between obesity perception and smoking among women aged 19-29 years only. These findings suggest that interventions aimed at weight reduction or modifying the perception of obesity, could potentially aid smoking cessation efforts in young women.
本描述性研究利用韩国国家健康与营养检查调查（KNHANES）的数据，调查了韩国19至64岁女性的身体意象感知与吸烟状况之间的关系。
本研究是对2014年至2020年期间从KNHANES收集的数据进行的二次分析，涵盖12515名19至64岁的女性。最终研究组包括742名当前吸烟者（CS）、132名隐匿吸烟者（HS）和11641名非吸烟者（NS）。隐匿吸烟者被定义为报告自己不吸烟但尿可替宁水平>50 ng/mL的参与者。参与者被分为三个年龄组：19至29岁组、30至49岁组和50至64岁组。采用多元逻辑回归分析按年龄组评估身体意象感知与吸烟状况之间的关系。
基线统计表明，吸烟者（CS组和HS组）在所有年龄组中的社会经济地位普遍较低。在19至29岁和30至49岁的两组女性中，CS组的肥胖感知率最高，其次是HS组。然而，只有CS组中19至29岁的女性比NS组中的女性更有可能认为自己肥胖（调整后比值比[AOR]=2.60；95%置信区间[CI]：1.49至4.52；p=0.001）。此外，当前吸烟状况（AOR=2.32；95%CI：1.28至4.23；p=0.006）、较高的体重指数（AOR=2.95；95%CI：2.59至3.37；p<0.001）以及认为健康状况差（AOR=3.8,；95%CI：2.11至6.92；p<0.001）等因素，对该年龄组的肥胖感知有显著影响。
本研究仅在19至29岁的女性中发现了肥胖感知与吸烟之间的显著关系。这些发现表明，旨在减轻体重或改变肥胖感知的干预措施可能有助于年轻女性戒烟。
