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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Epidemiology
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322521/ https://www.ncbi.nlm.nih.gov/pubmed/25666167 http://dx.doi.org/10.4178/epih/e2014036 |
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author | Yoon, Nan-He Kwon, Soonman |
author_facet | Yoon, Nan-He Kwon, Soonman |
author_sort | Yoon, Nan-He |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-4322521 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Korean Society of Epidemiology |
record_format | MEDLINE/PubMed |
spelling | pubmed-43225212015-02-13 The effects of community environmental factors on obesity among Korean adults: a multilevel analysis Yoon, Nan-He Kwon, Soonman Epidemiol Health Original Article 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. Korean Society of Epidemiology 2014-12-24 /pmc/articles/PMC4322521/ /pubmed/25666167 http://dx.doi.org/10.4178/epih/e2014036 Text en ©2014, Korean Society of Epidemiology This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Yoon, Nan-He Kwon, Soonman The effects of community environmental factors on obesity among Korean adults: a 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 | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322521/ https://www.ncbi.nlm.nih.gov/pubmed/25666167 http://dx.doi.org/10.4178/epih/e2014036 |
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