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Soonman Kwon 1 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
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  • 8 Citations
AbstractAbstract AbstractSummary PDFSupplementary 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.
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