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Socioeconomic inequalities in obesity among Korean women aged 19-79 years: the 2016 Korean Study of Women’s Health-Related Issues

机译:19-79岁的韩国女性肥胖的社会经济不平等:2016年韩国女性健康相关问题研究

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OBJECTIVES While the prevalence of obesity in Asian women has remained stagnant, studies of socioeconomic inequalities in obesity among Asian women are scarce. This study aimed to examine the recent prevalence of obesity in Korean women aged between 19 years and 79 years and to analyze socioeconomic inequalities in obesity. METHODS Data were derived from the 2016 Korean Study of Women’s Health-Related Issues. The chi-square test and logistic regression analysis were used to analyze the associations between socioeconomic factors and obesity using Asian standard body mass index (BMI) categories: low (18.5 kg/msup2/sup ), normal (18.5-22.9 kg/msup2/sup ), overweight (23.0-24.9 kg/msup2/sup ), and obese (≥25.0 kg/ msup2/sup ). As inequality-specific indicators, the slope index of inequality (SII) and relative index of inequality (RII) were calculated, with adjustment for age and self-reported health status. RESULTS Korean women were classified into the following BMI categories: underweight (5.3%), normal weight (59.1%), overweight (21.2%), and obese (14.4%). The SII and RII revealed substantial inequalities in obesity in favor of more urbanized women (SII, 4.5; RII, 1.4) and against of women who were highly educated (SII, -16.7; RII, 0.3). Subgroup analysis revealed inequalities in obesity according to household income among younger women and according to urbanization among women aged 65-79 years. CONCLUSIONS Clear educational inequalities in obesity existed in Korean women. Reverse inequalities in urbanization were also apparent in older women. Developing strategies to address the multiple observed inequalities in obesity among Korean women may prove essential for effectively reducing the burden of this disease.
机译:目标尽管亚洲女性肥胖症的患病率仍然停滞不前,但对亚洲女性肥胖症的社会经济不平等现象的研究却很少。这项研究旨在研究19岁至79岁之间的韩国女性最近的肥胖症患病率,并分析肥胖症的社会经济不平等现象。方法数据来自2016年《韩国女性健康相关问题研究》。使用亚洲标准体重指数(BMI)类别:低(<18.5 kg / m 2 ),正常(<18.5 kg / m 2)进行卡方检验和logistic回归分析来分析社会经济因素与肥胖之间的关系。 18.5-22.9 kg / m 2 ),超重(23.0-24.9 kg / m 2 )和肥胖(≥25.0kg / m 2 )。作为不平等特定指标,计算了不平等的斜率指数(SII)和相对不平等指数(RII),并根据年龄和自我报告的健康状况进行了调整。结果韩国女性分为以下BMI类别:体重不足(5.3%),正常体重(59.1%),超重(21.2%)和肥胖(14.4%)。 SII和RII显示出肥胖方面的严重不平等现象,有利于城市化程度更高的妇女(SII,4.5; RII,1.4)和受过高等教育的妇女(SII,-16.7; RII,0.3)。亚组分析显示,根据年轻女性的家庭收入和65-79岁女性的城市化程度,肥胖不平等。结论韩国女性存在明显的肥胖教育不平等现象。在老年妇女中,城市化中的反向不平等现象也很明显。制定解决韩国女性肥胖的多种不平等现象的策略可能对有效减轻这种疾病的负担至关重要。

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