scholarly journals Obesity Transition and Inequalities by Sociodemographic Factors in Korean Adults, 1998–2018

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1219-1219
Author(s):  
Ha-Jin Jang ◽  
Hannah Oh

Abstract Objectives To investigate the obesity transition and inequalities by socio-demographic factors in Korea, we examined the nationwide overall and abdominal obesity trends and its association with socio-demographic factors in Korean adults (aged 19–79 years) in 1998–2018. Methods In the Korea National Health and Nutrition Examination Survey 1998–2018 (n = 85,262), we estimated the age-standardized prevalence of overall (body mass index [BMI)≥25kg/m2) and abdominal obesity (waist circumference [WC]≥90 cm) in men and ≥85cm in women) in each sociodemographic subgroup. Weight, height, and WC were measured by medical staff. Logistic regression was performed to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for the associations between obesity prevalence and sociodemographic factors after mutual adjustment for all sociodemographic factors under study. All analyses accounted for a complex survey design. Results During the study period, the prevalence of overall and abdominal obesity increased in men (24.8% to 42.4%; 20.1% to 32.1%; respectively) but only a small change was observed in women (26.5% to 26.0%; 22.7% to 20.9%; respectively). When stratified by sociodemographic groups, obesity prevalence similarly increased in all groups of men but, in women, the trends varied across groups. In women, income (2016–2018: OR = 0.66, 95% CI = 0.56–0.78 overall obesity; OR = 0.60, 95% CI = 0.51–0.71 abdominal obesity) and education (OR = 0.62, 95% CI = 0.54–0.72 overall obesity; OR = 0.58, 95% CI = 0.50–0.68 abdominal obesity) were inversely associated with obesity prevalence, and the gaps between the groups became wider and solidified since 2007. Conclusions This is the largest and the most recent study including the entire survey phases of the KNHANES data (I-VII). Our data suggest that the inequalities in obesity prevalence by sex (men higher than women) and by socioeconomic status (women in lower-socioeconomic group higher than women in higher-socioeconomic group) have increased over time. These findings indicate that targeted, customized preventive strategies are needed to prevent further increase in obesity and related disease burdens in Korea. Funding Sources This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (2019R1G1A1004227 and 2019S1A3A2099973).

Author(s):  
Ha-Jin Jang ◽  
Hannah Oh

Few studies have comprehensively examined the nationwide trends in overall and abdominal obesity prevalence and related sociodemographic inequalities in Korea. In the Korea National Health and Nutrition Examination Survey 1998–2018, we estimated the age-standardized prevalence of overall (body mass index ≥ 25 kg/m2) and abdominal obesity (waist circumference ≥ 90 cm men, ≥85 cm women) in each sociodemographic subgroup of Korean adults (aged 19–79 years). For each survey year, weighted logistic regression was performed to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for the associations between obesity prevalence and sociodemographic factors. During the study period, the prevalence of overall and abdominal obesity increased in men (24.8% to 42.4%; 20.1% to 32.1%; respectively) but only a small change was observed in women (26.5% to 26.0%; 22.7% to 20.9%; respectively). Obesity prevalence increased in all sociodemographic groups of men but varied across groups in women. In women, income (4th vs. 1st quartiles in 2016–2018: OR (95% CI) = 0.66 (0.56–0.78) overall obesity; 0.60 (0.51–0.71) abdominal obesity) and education (college or higher vs. high school or less: 0.62 (0.54–0.72) overall obesity; 0.58 (0.50–0.68) abdominal obesity) were inversely associated with obesity prevalence, and the gaps became more pronounced since 2007. Our data suggest that the inequalities in obesity prevalence by sex and by socioeconomic status have become more apparent over time in Korea.


2019 ◽  
Vol 35 (1) ◽  
pp. 19-27
Author(s):  
Bambang Saiful Ma'arif ◽  
Umar Yusuf ◽  
Suliadi Suliadi ◽  
Parihat Parihat

This paper is a result of primary research titled “Mapping the Profile of Persuasive Da’wah Agenda in Cimahi City.” Cimahi is well known as the industrial centre of ‘creative animation’. The method of research is quantitative by conducting surveys through questionnaires to 399 respondents in Cimahi using multistage random sampling technique. This paper presents important data on the socio-demographic factors of the citizens which can be basic in planning the effective da’wah activities. The sociodemographic factor aforementioned are age, education, and gender of respondents. Those factors must be accurately identified in order to plan the persuasive da’wah. The views of the citizens toward da’wah activity can be parameters toward persuasive da’wah, including what religious theme they preferred to, their preference on the actual da’wah themes, their liking on entrepreneurial da’wah, etc. Citizens give responses to da’wah agenda of both bil-lisan (da’wah through speech) and bil-hal (da’wah through one’s character). The more accepted a da’wah, it means the more persuasive the da’wah is. When citizens do not like the da’wah, it can be said an unpersuasive one. Da’wah persuasion is closely related to its acceptability by the citizens.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1111-1111
Author(s):  
Qi Zhang ◽  
Lamichhane Rajan ◽  
Joanne Guthrie

Abstract Objectives Promoting breastfeeding (BF) is a priority of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Pregnant WIC participants may differ in their perception of WIC recommendations, some believing WIC recommends BF only while others believe WIC recommends BF and formula equally. We examine the relationship between prenatal perceptions and BF outcomes at one month postpartum. Methods We use the WIC Infant and Toddler Feeding Practices Study-2 (ITFPS-2), a longitudinal study of WIC mother-infant dyads, with 2649 mothers providing prenatal and 1-month interviews. Binary BF outcomes were created, including BF initiation, food first fed after birth, BF in the first hour, food first fed after hospital discharge, and current feeding in the first month. We compared BF outcomes for the two perception groups (BF only recommended vs. BF and formula recommended), using logistic regression and controlling for socio-demographic factors. The mechanism was explored via mediation analyses, using prenatal infant feeding intent (IFI) as the mediator. Analyses accounted for survey design effects. Results Of the pregnant mothers, 41.3% (±1.1%) perceived that WIC recommends BF only, and 58.7% (±1.1%) perceived that WIC recommends BF and formula equally. The “recommend BF only” group had consistently better BF outcomes than the other group: BF initiation: 89.1% vs. 81.4%; BF first fed after birth: 70.4% vs. 59.9%; Breastfed in the first hour: 62.9% vs. 55.8%; First breastfed after leaving hospital: 48.3% vs. 35.1%; Current BF feeding: 37.7% vs. 28.3% (All Ps < 0.001). Perceiving WIC recommends BF only significantly predicted higher odds of all BF outcomes [Odds Ratios (OR) varied from 1.4 to 1.6, all significant at 0.01 level]. IFI was significantly associated with perception of WIC BF recommendation (P < 0.001). After controlling for IFI, perceived WIC recommendation only significantly predicted BF first in the first hour and BF first after leaving hospital (P < 0.05). Conclusions Prenatal perception of WIC BF recommendations significantly predicts BF outcomes in the first month postpartum. Mediation analysis suggests perception may affect BF intention and then affect BF outcomes. Funding Sources The ITFPS-2 was funded by the Food and Nutrition Service, USDA. Study supported by the Economic Research Service, USDA, Agreement 58–4000-8–0038-R.


2017 ◽  
Vol 5 (1) ◽  
pp. 120 ◽  
Author(s):  
Olusegun Mayungbo

The independent association between socio-demographic characteristics and subjective well-being is well studied, however, the moderating impact of those characteristics are yet to be established in literature. This study examines the moderating influence of socio-demographic characteristics on subjective well-being among residents in Ibadan metropolis. Using a descriptive survey design and a multistage sampling technique, 10 enumeration areas each were selected from the five major Local Government Areas (LGAs) with simple random technique. The number of participants on the selected enumeration areas were determined with enumeration area maps. Two hundred and twenty participants each were selected from each LGA, using a systematic technique, making a total of 1,100 participants. A questionnaire focusing on socio-demographic profile and life satisfaction scale (r=0.74) was administered to the participants. Data were analyzed using descriptive statistics, co-relational analysis, moderated hierarchical multiple regression and analysis of variance at 0.05 level of significance. Two hypotheses were tested. The result reveals that socio-demographic factors jointly predicted life satisfaction (F (1, 1007) =4.61, p<.001). Age and marital status also interacted to predict life satisfaction (β=-0.13, t=-3.58, p<.01; β = -0.08, t=1.98, p<.05). The interaction effect of social demographic factors should be considered in a comprehensive examination of subjective wellbeing.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 729-729
Author(s):  
Salima Taylor ◽  
Katie Fisher ◽  
Ryan Simpson ◽  
Elena Naumova

Abstract Objectives Factors associated with the double burden of underweight and overweight/obesity are not well investigated in Indonesia. Insufficient information leaves policy makers without tools to develop coherent, impactful legislation on these issues. We aim to describe and explain the association between weight status, socio-demographic factors, and food consumption patterns in Indonesia. Methods We used the 5th Wave of the Indonesia Family Life Survey (IFLS) collected in 2014/15. From the total sample (50,148), we included only adults aged ≥20 years (27,496). We converted BMI into three categories: underweight (BMI &lt; 18.5), healthy weight (18.5 ≤ BMI ≤ 25), overweight/obese (BMI &gt; 25). Sociodemographic factors included location, education, sex, age category, and frequency of commonly eaten food items. We examined associations using multinomial logistic regression models (α &lt; 0.05). Results Urban residents were less likely to be underweight (RRR = 0.90 [0.82, 0.98]; P = 0.014) and more likely to be overweight/obesity (RRR = 1.38 [1.31, 1.46]; P &lt; 0.001) than rural residents. University educated respondents were nearly half as likely of being underweight (RRR = 0.58 [0.46, 0.72]; P &lt; 0.001) but more than twice as likely of being overweight/obesity (RRR = 2.15 [1.82, 2.53]; P &lt; 0.001) compared to uneducated respondents. Women were 25% less likely to be underweight (RRR = 0.76 [0.70, 0.83]; P &lt; 0.001) but over twice as likely of being overweight/obesity (RRR = 2.40 [2.28, 2.54]; P = 0.001) compared to men. Those 40 – 49 and 50 – 59 years were over twice as likely of being overweight/obese (RRR = 2.49 [2.30, 2.71]; P &lt; 0.001; RRR = 2.40 [2.19, 2.65]; P &lt; 0.001, respectively) compared to those 20 –29 years. Interestingly, high rice consumption (≥4 servings/week) was associated with decreased risk of both underweight and overweight/obesity (RRR = 0.62 [0.38, 0.98]; P = 0.043 and RRR = 0.69 [0.49, 0.96]; P = 0.27, respectively). Conclusions Since 2007, underweight prevalence has decreased in Indonesia from 14.4% to 9.8%, while overweight/obesity prevalence increased from 17.9% to 34.4%. Closer examination of the factors driving over- and under-nutrition in Indonesia can inform policy makers of specific target populations for existing national food subsidy programs. Funding Sources NSF IRES US-Indonesian Research Experience #1,826,939.


2021 ◽  
Author(s):  
Joao Luis Ferrao ◽  
Dominique Earland ◽  
Anisio Novela ◽  
Roberto Mendes ◽  
Marcos Ballat ◽  
...  

Abstract BackgroundMalaria is still one of the leading causes of mortality and morbidity in Mozambique with little progress in malaria control over the past 20 years. Sussundenga is one of most affected areas. Malaria transmission has a strong association with environmental and socio-demographic factors. The knowledge of sociodemographic factors that affects malaria, may be used to improve the strategic planning for its control and, such studies do not exist in Sussundenga. Hence, the objective of this study is to model the relationship between malaria and sociodemographic factors in Sussundenga, Mozambique. MethodsHouses in the study area were digitalized and enumerated using GoogleEarth ProTM. Hundred houses were randomly selected to conduct a community survey of P. falciparum parasite prevalence using rapid diagnostic test (RDT). During the survey, a questionnaire was conducted to assess the socio-demographic factors of the participants. Descriptive statistics were analyzed and backward stepwise logistic regression was performed establishing a relationship between positive cases and the factors. The analysis was carried out using SPSS version 20 package. ResultsThe overall P. falciparum prevalence was 31.6 %. Half of the malaria positive cases occurred in age group 5 to 14 years. Previous malaria treatment, population density and age group were significant predictors for the model. The model explained 13.5 % of the variance in malaria positive cases and sensitivity of the final model was 73.3 %. ConclusionIn this area the highest burden of P. falciparum infection was among those t5-14 years old. Malaria infection was related to socio-demographic factors. Targeting malaria control at community level can contributed better than waiting for cases at health centers. These finding can be used to guide more effective interventions in this region.Trial registrationReview Board (IRB) at the University of Minnesota STUDY00007184 CNBS [IRB00002657]


Author(s):  
Faraha Naaz ◽  
S. R. Nigudgi ◽  
Shreeshail Ghooli

Background: The first few years of life is the most crucial period of life as this age is known for accelerated growth and development. Various studies in India have shown that respiratory and gastrointestinal tract infections are the leading cause of morbidity in infants. These infectious diseases are affected by several sociodemographic factors such as birth weight, gestational age, birth order, immunization status, day care attendance and socio-economic status of the family.Methods: A cross sectional study was conducted in the urban field practice area of department of community medicine MRMC, Kalaburagi from June 2016-October 2016. House to house survey using pre-structured and pretested questionnaire method was done.Results: Out of 104 infants in the present study it was found that majority 53% were females and 49% were males. Majority 61.5% of the infants belonged to low socioeconomic class and majority 54.8% of them were from nuclear families, most 62.5% of the infants had 1-2 siblings in the family and 34.6% had no siblings, 51% of the mothers were illiterate and majority 54.8% of the fathers were literate. Among all the morbidities majority 36.50% had fever. No significant association was found between various social factors.Conclusions: Though no significant association was found between morbidity and socio-demographic factors, but the socio demographic factors which showed more prevalence of morbidity among infants were females, number of siblings in the family and lower socio economic class. As these infants are the future citizens of the country hence their health should be the utmost priority for us and their health needs should be properly addressed.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Victor M. Oguoma ◽  
Neil T. Coffee ◽  
Saad Alsharrah ◽  
Mohamed Abu-Farha ◽  
Faisal H. Al-Refaei ◽  
...  

Abstract Background Kuwait is amongst countries in the Gulf region with high income economy. According to the World Health Organisation (WHO), one in five adults in the Gulf region is obese. This study sought to evaluate the prevalence and magnitude of association between overweight, obesity, central obesity, and socio-demographic factors in Kuwait. Methods A population-based cross-sectional survey of diabetes and obesity in Kuwait – part of the Kuwait Diabetes Epidemiology Program – was conducted between 2011 and 2014, targeting adults aged 18–82 years using the WHO STEPwise approach to non-communicable disease surveillance. Body mass index (BMI) was calculated to classify overweight and obesity, and waist circumference (WC) used to express central obesity. Multivariable logistic regression was used to estimate relationships between socio-demographic factors, overweight (25.0–29.9 kg/m2), obesity (≥30.0 kg/m2) or central obesity (WC ≥ 80 cm women; WC ≥ 94 cm men). Results Records for gender (56% Men), age, BMI, governorate, and nationality existed for 4901 individuals. Mean age and BMI were 43 years and 30 kg/m2, respectively. Non-Kuwaiti nationals were more prevalent than Kuwaitis (76% vs 24%). Prevalence rates for overweight, obesity and central obesity were 40.6% (95%CI: 38.4–42.8%), 42.1% (95%CI: 40.0–44.3%) and 73.7% (95%CI: 71.7–75.6%), respectively. The youngest age group (18–29 years) had rates of 38.2% (95%CI: 29.2–47.7%), 27.2% (95%CI: 19.0–36.7%) and 49.9% (95%CI: 40.6–59.1%) for overweight, obesity and central obesity, respectively. In covariate-adjusted analyses, the odds of being overweight was 26% greater for men than for women. Conversely, women had a 54% (95%CI: 19–99%) and 7-fold (95%CI, 5–10-fold) greater odds of obesity/central obesity, respectively, than men. Greater educational attainment, physical activity, and non-Kuwaiti status were associated with lower odds of obesity/central obesity. History of smoking, elevated blood pressure, higher income, being married, greater age and female sex related to greater odds of obesity/central obesity. Conclusion Overweight was greater in men, obesity greater in women. Overweight and obesity prevalence were high in young adults aged 18–29 years, a significant public health concern. Efforts to integrate mandatory physical education to the school curriculum and promoting the creation of recreation spaces/parks to promote physical activities, will play a vital role in the early prevention of overweight/obesity in Kuwait.


2016 ◽  
Vol 34 (34) ◽  
pp. 63-71 ◽  
Author(s):  
Alausa Waheed Moa-Liberty ◽  
Arogundade Odunayo Tunde ◽  
Odunuga Lateefat Tinuola

Abstract This study examines the influence of self-efficacy and socio-demographic factors on the entrepreneurial intentions of selected Youth Corp members. The study adopted a cross-sectional survey design and a sample size of 300 National Youth Service Corp members were randomly selected in the five divisions of Lagos State with ages ranging from 18 to 30. Three hypotheses were tested using multiple regression and t-tests. The results show that there is a significant joint influence of sex, age, ethnicity and self-efficacy on entrepreneurial intentions (r2 = 0.90; P <.01]; male participants are more susceptible to entrepreneurial intentions than their female counterparts [t = 26.46, P <.01] and that Youth Corp members with a high self-efficacy rate significantly higher on entrepreneurial intentions (t = 25.09, P <.01]. Based on these findings, the study recommended that a self-efficacy programme should be included in the school curriculum so as to enhance entrepreneurial intentions among fresh graduates and, by so doing, reducing the high rate of unemployment in society. It was also recommended that future studies should use a larger sample and explore experimental methods so as to see if a causal relationship can be established among variables.


2020 ◽  
Author(s):  
Victor M Oguoma ◽  
Neil Coffee ◽  
Saad Alsharrah ◽  
Mohamed Abu-Farha ◽  
Faisal H Al-Refaei ◽  
...  

Abstract Background: Kuwait is amongst countries in the Gulf region with high income economy. According to the World Health Organisation (WHO), one in five adults in the Gulf region is obese. The aim of this study was to estimate the prevalence of both overweight and obesity, and their relationships with socio-demographic factors, in Kuwait.Methods:A population-based survey of diabetes and obesity in Kuwait – part of the Kuwait Diabetes Epidemiology Program – was conducted between 2011-2013, targeting adults aged 18-82 years using the WHO STEPwise approach to non-communicable disease surveillance. Body mass index (BMI) was calculated to classify overweight and obesity, and waist circumference (WC) used to expressed central obesity. Multivariable logistic regression was used to estimate relationships between socio-demographic factors, overweight (25.0-29.9 kg/m2), obesity (≥30.0 kg/m2) or central obesity (WC≥80cm women; WC≥94cm men).Results:Records for gender (57% Men), age, BMI, governorate and nationality existed for 4963 individuals. Mean age and BMI were 43 years and 30kg/m2, respectively. Non-Kuwaiti nationals were more prevalent than Kuwaitis (87% vs 13%). Prevalence rates for overweight, obesity and central obesity were 38% (95%CI: 37-40%), 42% (95%CI: 41-44%) and 75% (95%CI: 73-76%), respectively. The youngest age group (18-29 years) had rates of 33% (95%CI: 28-39%), 25% (95%CI: 20-30%) and 49% (95%CI:43-55%) for overweight, obesity and central obesity, respectively. In covariate-adjusted analyses, the odds of being overweight was 23% greater for men than for women. Conversely, women had a 29% (95%CI: 4-60%) and 6-fold (95%CI: 5-9-fold) greater odds of obesity/central obesity, respectively, than men. Greater educational attainment, physical activity, and non-Kuwaiti status were associated with lower odds of obesity/central obesity. History of smoking, elevated blood pressure, higher income, being married, greater age and female sex related to greater odds of obesity/central obesity.Conclusion:Overweight was greater in men, obesity greater in women. Overweight and obesity prevalence were high in young adults ages 18-29 years, a significant public health concern. Efforts to integrate mandatory physical education to the school curriculum and promoting the creation of recreation spaces/parks to promote physical activities, will play a vital role in the early prevention of overweight/obesity in Kuwait.


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