Korean J Health Promot > Volume 18(1); 2018 > Article
Jang, Cho, Kang, Park, Kim, Hur, and Park: The Distribution of Weight Status according to Familial Socioeconomic Status in Korean Adolescents: The Twelfth Korea Youth Risk Behavior Web-based Survey, 2016

ABSTRACT

Background

The influence of socioeconomic status (SES) on weight status varies depending on the countries' levels of social and economic development. There are many studies on a risk of adolescent obesity according to familial SES in Korea. However, it is not clarified what effects familial SES has on a risk of underweight in Korean adolescents. This study investigated the distribution of weight status including obesity and underweight according to familial SES in Korean adolescents.

Methods

This cross-sectional study involved 63,741 adolescents who participated in the 2016 Korea Youth Risk Behavior Wed-based Survey. The data on height, weight, familial SES, current smoking status, current alcohol intake, physical activity, breakfast skipping, perceived stress, depressive mood, and living with family were obtained through online questionnaires. The assessment of familial SES was based on perceived household economic status and parental education level.

Results

In boys, low household economic status was related to a high proportion of obesity (odds ratio [OR] 1.14, 95% confidence interval [CI] 1.04–1.25) and underweight (OR 1.31, 95% CI 1.14–1.51). Girls with low household economic status were more likely to be obese (OR 1.81, 95% CI 1.61–2.03) and overweight (OR 1.41, 95% CI 1.23–1.60) but, although not statistically significant, less likely to be underweight (OR 0.88, 95% CI 0.75–1.04).

Conclusions

This study showed that adolescents with low familial SES were at a high risk of obesity and underweight. A risk of underweight was increased in boys with low familial SES but in girls with high familial SES.

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Table 1

General characteristics of the study subjects

kjhp-18-23-i001.jpg

Values are expressed as mean±standard error or % (standard error).

aBy t-test or chi-square test.

bDo not have their father or mother.

Table 2

Distribution of weight status according to familial socioeconomic status in boys

kjhp-18-23-i002.jpg

Values are expressed as % (standard error).

aBy chi-square test.

bDo not have their father or mother.

Table 3

Distribution of weight status according to familial socioeconomic status in girls

kjhp-18-23-i003.jpg

Values are expressed as % (standard error).

aBy chi-square test.

bDo not have their father or mother.

Table 4

OR (95% CI)a of familial socioeconomic status on weight status by multinomial logistic regression analyses in boys

kjhp-18-23-i004.jpg

Abbreviations: OR, odds ratio; CI, confidence interval.

aAdjusted by age, current smoking status, current alcohol intake, physical activity, breakfast skipping, fast food consumption, soft drinks consumption, perceived stress, depressive mood, living with family, and residential district.

bP<0.05 by multinomial logistic regression analysis.

cDo not have their father or mother.

Table 5

OR (95% CI)a of familial socioeconomic status on weight status by multinomial logistic regression analyses in girls

kjhp-18-23-i005.jpg

Abbreviations: OR, odds ratio; CI, confidence interval.

aAdjusted by age, current smoking status, current alcohol intake, physical activity, breakfast skipping, fast food consumption, soft drinks consumption, perceived stress, depressive mood, living with family, and residential district

bP<0.05 by multinomial logistic regression analysis.

cDo not have their father or mother.



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