The effects of community environmental factors on obesity among Korean adults: a multilevel analysis
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 an...
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| Format: | Article |
| Language: | English |
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Korean Society of Epidemiology
2014-12-01
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| Series: | Epidemiology and Health |
| Subjects: | |
| Online Access: | http://www.e-epih.org/upload/pdf/epih-36-e2014036.pdf |
| _version_ | 1818756850132189184 |
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| author | Nan-He Yoon Soonman Kwon |
| author_facet | Nan-He Yoon Soonman Kwon |
| author_sort | Nan-He Yoon |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-18T06:01:35Z |
| format | Article |
| id | doaj.art-86efc1e52999489da23b386fdfecf204 |
| institution | Directory Open Access Journal |
| issn | 2092-7193 |
| language | English |
| last_indexed | 2024-12-18T06:01:35Z |
| publishDate | 2014-12-01 |
| publisher | Korean Society of Epidemiology |
| record_format | Article |
| series | Epidemiology and Health |
| spelling | doaj.art-86efc1e52999489da23b386fdfecf2042022-12-21T21:18:40ZengKorean Society of EpidemiologyEpidemiology and Health2092-71932014-12-013610.4178/epih/e2014036764The effects of community environmental factors on obesity among Korean adults: a multilevel analysisNan-He YoonSoonman KwonOBJECTIVES: 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.http://www.e-epih.org/upload/pdf/epih-36-e2014036.pdfObesityCommunity environmentMultilevel analysis |
| spellingShingle | Nan-He Yoon Soonman Kwon The effects of community environmental factors on obesity among Korean adults: a multilevel analysis Epidemiology and Health Obesity Community environment Multilevel analysis |
| title | The effects of community environmental factors on obesity among Korean adults: a multilevel analysis |
| title_full | The effects of community environmental factors on obesity among Korean adults: a multilevel analysis |
| title_fullStr | The effects of community environmental factors on obesity among Korean adults: a multilevel analysis |
| title_full_unstemmed | The effects of community environmental factors on obesity among Korean adults: a multilevel analysis |
| title_short | The effects of community environmental factors on obesity among Korean adults: a multilevel analysis |
| title_sort | effects of community environmental factors on obesity among korean adults a multilevel analysis |
| topic | Obesity Community environment Multilevel analysis |
| url | http://www.e-epih.org/upload/pdf/epih-36-e2014036.pdf |
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