Parental Socioeconomic Status as a determinant of breastfeeding    : an analysis of the Korea National Health and Nutrition Examination Survey ( 2013 ~ 2017 )

2020 ◽  
Author(s):  
Jusuk Lee ◽  
Taehong Kim

Abstract Background: The importance of breastfeeding is well known. One of important factors affecting breastfeeding is socioeconomic status. We investigated the relationship between socioeconomic status and breastfeeding to promote future breastfeeding projects. Methods: Data were collected from the 2013 - 2017 Korea National Health and Nutrition Examination Survey (KNHANES). We evaluated the demographic information and parents’ socioeconomic status of 1,220 children under 60months.Results: A total 1,220 children were included in this study. Some of the socioeconomic factors were associated with breastfeeding. Mothers’ education level (≥13years: odd ratio[OR], 2.79; 95% confidence interval [CI], 1.21-6.42), middle high of mother’s income level (OR, 2.30; 95% CI, 1.18-2.84), no smoking status (OR, 3.07; 95% CI, 1.28-7.36), body mass index(BMI) (< 25(kg/m 2 ): OR, 1.82; 95% CI, 1.12-2.95) were associated with breastfeeding (p<0.05). Also, fathers’ age (30s: OR, 4.88; 95% CI, 1.82-13.04), education level(≥13years: OR, 7.94; 95% CI, 3.12-20.18) were associated with breastfeeding (p<0.05). After controlling for the confounding factors, mothers’ BMI, fathers’ age and educational level were statistically significant.Conclusion: This study demonstrated that socioeconomic factors were associated with breastfeeding in Korea. Keywords : Breastfeeding, Parental, Socioeconomic status, Korea

2020 ◽  
Author(s):  
Jusuk Lee ◽  
Taehong Kim

Abstract Background: The importance of breastfeeding is well known. One of important factors affecting breastfeeding is socioeconomic status. We investigated the relationship between socioeconomic status and breastfeeding to promote future breastfeeding projects.Methods: Data were collected from the 2013 - 2017 Korea National Health and Nutrition Examination Survey (KNHANES). We evaluated the demographic information and parents’ socioeconomic status of 814 children, aged 12 ~ 60months.Results: Of the 814 children, 743 (92.2%) were breastfed. In univariate analysis, parents’ age and education level were related to breastfeeding (P < 0.05). In logistic regression analysis, mothers’ education level (≤ 13 years: odd ratio[OR], 8.57; 95% confidence interval [CI], 2.73-26.87), mothers’ income level (third quartile: OR, 2.94; 95% CI, 1.2-7.23), fathers’ age (20s: OR, 0.3; 95% CI, 0.09-0.98), fathers’ education level (10-12years: OR 4.85; 95% CI, 1.4-16.76 and 13years: OR, 18.55; 95% CI, 5.23-65.81), fathers’ income (third quartile: OR, 2.72; 95% CI 1.02-7.22) were associated with breastfeeding (P < 0.05).Conclusion: Higher parental income and education level and fathers’ age were positively associated with breastfeeding in Korea. The establishment of future breastfeeding projects should be considered target parents in Korea and other countries.


Author(s):  
Joung-Hee Byun ◽  
Jusuk Lee ◽  
Taehong Kim

Purpose: The importance of breastfeeding is well known. Socioeconomic status is one of the factors affecting breastfeeding. We investigated the association between breastfeeding and parental socioeconomic status to help design future breastfeeding promotion projects.Methods: Data on demographic characteristics and socioeconomic status of parents of 1,220 children aged under 60months were extracted from the 2013–2017 Korea National Health and Nutrition Examination Survey.Results: Some socioeconomic factors were associated with breastfeeding. Maternal factors such as education level (≥13 years: odds ratio [OR], 2.79; 95% confidence interval [CI], 1.21–6.42), middle high income level (OR, 2.30; 95% CI, 1.18–4.49), no smoking status (OR, 3.07; 95% CI, 1.28–7.36) and body mass index (BMI) (<25 kg/m<sup>2</sup> : OR, 1.82; 95%CI, 1.12–2.95) were associated with breastfeeding (p<0.05). In addition, paternal factors such as age (30s: OR, 4.88; 95%CI, 1.82–13.04) and education level (≥13 years: OR, 7.94; 95% CI, 3.12–20.18) were associated with breastfeeding (p<0.05). After controlling for confounding factors, mother’s BMI, father’s age, and father’s educational level were found to be statistically significant predictors of breastfeeding.Conclusion: This study demonstrated that some parental socioeconomic factors were associated with breastfeeding in Korea.


2020 ◽  
Author(s):  
Byungmi Kim ◽  
Eun Young Park

Abstract Background: Accumulating evidence supports the existence of a metabolic–mood syndrome. Lower socioeconomic status (SES) is correlated with a higher prevalence of both depression and metabolic syndrome (MS). However, the nature of this association remains poorly understood. The objective of this study was to examine whether the combination of MS and lower SES was associated with the prevalence of depression. Methods: We conducted a cross-sectional study of 24,102 adults (>19 years of age) who participated in the 2008–2013 Korean National Health and Nutrition Examination Survey and for whom MS and depression data were available. MS was defined using the diagnostic criteria of the modified National Cholesterol Education Program Adult Treatment Panel III. Depression was assessed using a questionnaire. Multiple logistic regression analysis was used to evaluate the association between depression and MS as well as SES (alone and in combination). Results: Overall, 622 of the 24,102 subjects (2.2%) met the criteria for depression. The prevalence of depression was associated with MS, a lower high-density lipoprotein cholesterol level, an elevated triglyceride level, a lower education level, and a lower household income. Participants with MS and a low SES had a higher likelihood of depression than those without MS and a high SES (odds ratio [OR]=4.180 for low education level and OR=3.994 for low household income level). Conclusions: This study suggests that the combination of SES and MS may play an important role in depression, which has implications for healthcare policy and depression management.


2020 ◽  
Author(s):  
Byungmi Kim ◽  
Eun Young Park

Abstract Background: Depression shows different patterns depending on socioeconomic status (SES) and metabolic syndrome (MS). However, the nature of this association remains poorly understood. The aim of this study was to examine whether the combination of MS and lower SES was associated with the prevalence of depression, based on data from the Korea National Health and Nutrition Examination Survey (KNHANES).Methods: Data were obtained from a cross-sectional study of 24,102 adults (>19 years of age) who participated in the KNHANES during 2008–2013 and for whom MS and depression data were available. MS was defined using the diagnostic criteria of the modified National Cholesterol Education Program Adult Treatment Panel III. Measure of depression was ascertained from self-reports of physician diagnosis. Multiple logistic regression analysis was used to evaluate the association between depression and MS as well as SES (alone and in combination). Results: Overall, 622 of the 24,102 subjects (2.6%) met the criteria for depression. The prevalence of depression was associated with MS, a lower high-density lipoprotein cholesterol level, an elevated triglyceride level, a lower education level, and a lower household income. Participants with MS and a low SES had a higher likelihood of depression than those without MS and a high SES (odds ratio [OR]=4.180 for low education level and OR=3.994 for low household income level). Conclusions: This study suggests that the combination of SES and MS may play an important role in depression, which has implications for healthcare policy and depression management.


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