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|Association between obesity and neighborhood socioeconomic status in Korean adolescents based on the 2013 KYRBWS|
|Sung Won Choi(Department of Family Medicine, Inje University Busan Paik Hospita)|
|Background: An increase in the obese adolescent population is being recognized as a serious medical and social
problem. The present study aimed to examine the association between neighborhood socioeconomic status (SES)
and obesity in Korean adolescents based on total available resources and local social inequality models.
Methods: The present study used data from the 2013 Korea Youth Risk Behavior Web-based Survey in analyzing
72,438 Korean adolescents aged 12?18. The analysis investigated obesity odds ratio (OR) according to neighborhood
SES adjusted for age and individual SES indices, which included family affluence scale (FAS), education level
of parents, cohabitation with parents, and weekly allowance. Obesity OR was investigated according to neighborhood
SES by FAS, and according to FAS by neighborhood SES.
Results: After adjusting for age and individual SES variables, there was no significant association between neighborhood
SES and adolescent obesity for either boys or girls. However, girls in the high FAS group showed a pattern
of lower neighborhood SES being associated with a significant increase in risk of obesity; in the high neighborhood
SES group, boys showed a pattern of higher FAS being associated with a significant increase in risk of obesity, whereas
girls show a pattern of decrease.
Conclusion: Although limited, the present study demonstrated that some girl groups exhibited a pattern of lower
neighborhood SES being associated with an increase in risk of obesity, as well as a gender-based difference in risk
of obesity by individual SES. Therefore, measures to prevent adolescent obesity should be established with consideration
for differences in risk according to individual and neighborhood SES.
|Korean J Fam Med, 2016;37 (64-70)|