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Association between community deprivation and practising health behaviours among South Korean adults: a survey-based cross-sectional study
OBJECTIVES: This study aimed to determine the association between community deprivation and poor health behaviours among South Korean adults. DESIGN: This was a survey-based cross-sectional study. SETTING AND PARTICIPANTS: Data of 224 552 participants from 244 communities were collected from the Kor...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8246351/ https://www.ncbi.nlm.nih.gov/pubmed/34193495 http://dx.doi.org/10.1136/bmjopen-2020-047244 |
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author | Jang, Bich Na Youn, Hin Moi Lee, Doo Woong Joo, Jae Hong Park, Eun-Cheol |
author_facet | Jang, Bich Na Youn, Hin Moi Lee, Doo Woong Joo, Jae Hong Park, Eun-Cheol |
author_sort | Jang, Bich Na |
collection | PubMed |
description | OBJECTIVES: This study aimed to determine the association between community deprivation and poor health behaviours among South Korean adults. DESIGN: This was a survey-based cross-sectional study. SETTING AND PARTICIPANTS: Data of 224 552 participants from 244 communities were collected from the Korea Community Health Survey, conducted in 2015. PRIMARY AND SECONDARY OUTCOME MEASURES: We defined health behaviours by combining three variables: not smoking, not high-risk drinking and walking frequently. Community deprivation was classified into social and economic deprivation. RESULTS: Multilevel logistic analysis was conducted to determine the association of poor health behaviours through a hierarchical model (individual and community) for the 224 552 participants. Among them, 69.9% did not practice healthy behaviours. We found that a higher level of deprivation index was significantly associated with higher odds of not-practising healthy behaviours (Q3, OR: 1.15, 95% CI: 1.00 to 1.31; Q4 (highest), OR: 1.22, 95% CI: 1.06 to 1.39). Economic deprivation had a positive association with not-practising health behaviours while social deprivation had a negative association. CONCLUSION: These findings imply that community deprivation levels may influence individual health behaviours. Accordingly, there is a need for enforcing the role of primary healthcare centres in encouraging a healthy lifestyle among the residents in their communities, developing national health policy guidelines for health equity and providing financial help to people experiencing community deprivation. |
format | Online Article Text |
id | pubmed-8246351 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-82463512021-07-13 Association between community deprivation and practising health behaviours among South Korean adults: a survey-based cross-sectional study Jang, Bich Na Youn, Hin Moi Lee, Doo Woong Joo, Jae Hong Park, Eun-Cheol BMJ Open Health Policy OBJECTIVES: This study aimed to determine the association between community deprivation and poor health behaviours among South Korean adults. DESIGN: This was a survey-based cross-sectional study. SETTING AND PARTICIPANTS: Data of 224 552 participants from 244 communities were collected from the Korea Community Health Survey, conducted in 2015. PRIMARY AND SECONDARY OUTCOME MEASURES: We defined health behaviours by combining three variables: not smoking, not high-risk drinking and walking frequently. Community deprivation was classified into social and economic deprivation. RESULTS: Multilevel logistic analysis was conducted to determine the association of poor health behaviours through a hierarchical model (individual and community) for the 224 552 participants. Among them, 69.9% did not practice healthy behaviours. We found that a higher level of deprivation index was significantly associated with higher odds of not-practising healthy behaviours (Q3, OR: 1.15, 95% CI: 1.00 to 1.31; Q4 (highest), OR: 1.22, 95% CI: 1.06 to 1.39). Economic deprivation had a positive association with not-practising health behaviours while social deprivation had a negative association. CONCLUSION: These findings imply that community deprivation levels may influence individual health behaviours. Accordingly, there is a need for enforcing the role of primary healthcare centres in encouraging a healthy lifestyle among the residents in their communities, developing national health policy guidelines for health equity and providing financial help to people experiencing community deprivation. BMJ Publishing Group 2021-06-30 /pmc/articles/PMC8246351/ /pubmed/34193495 http://dx.doi.org/10.1136/bmjopen-2020-047244 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Health Policy Jang, Bich Na Youn, Hin Moi Lee, Doo Woong Joo, Jae Hong Park, Eun-Cheol Association between community deprivation and practising health behaviours among South Korean adults: a survey-based cross-sectional study |
title | Association between community deprivation and practising health behaviours among South Korean adults: a survey-based cross-sectional study |
title_full | Association between community deprivation and practising health behaviours among South Korean adults: a survey-based cross-sectional study |
title_fullStr | Association between community deprivation and practising health behaviours among South Korean adults: a survey-based cross-sectional study |
title_full_unstemmed | Association between community deprivation and practising health behaviours among South Korean adults: a survey-based cross-sectional study |
title_short | Association between community deprivation and practising health behaviours among South Korean adults: a survey-based cross-sectional study |
title_sort | association between community deprivation and practising health behaviours among south korean adults: a survey-based cross-sectional study |
topic | Health Policy |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8246351/ https://www.ncbi.nlm.nih.gov/pubmed/34193495 http://dx.doi.org/10.1136/bmjopen-2020-047244 |
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