Association between Breastfeeding and Parental Socioeconomic Status: Analysis of the Korean National Health and Nutrition Examination Survey, 2013–2017

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.

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

10.21203/rs.3.rs-25616/v2 ◽

2020 ◽

Author(s):

Jusuk Lee ◽

Taehong Kim

Keyword(s):

Socioeconomic Status ◽

Socioeconomic Factors ◽

National Health ◽

Smoking Status ◽

Education Level ◽

Nutrition Examination Survey ◽

Factors Affecting ◽

Health And Nutrition ◽

The Relationship ◽

Parental Socioeconomic Status

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

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The Relationship between Breastfeeding and Parental Socioeconomic Status: an analysis of the Korea National Health and Nutrition Examination Survey ( 2013 ~ 2017 )

10.21203/rs.3.rs-25616/v1 ◽

2020 ◽

Author(s):

Jusuk Lee ◽

Taehong Kim

Keyword(s):

Socioeconomic Status ◽

National Health ◽

Univariate Analysis ◽

Education Level ◽

Nutrition Examination Survey ◽

Demographic Information ◽

Factors Affecting ◽

Health And Nutrition ◽

The Relationship ◽

Parental Socioeconomic Status

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.

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Association between depression and the combination of lower socioeconomic status and metabolic syndrome: the Korean National Health and Nutrition Examination Survey (KNHANES)

10.21203/rs.3.rs-15603/v1 ◽

2020 ◽

Author(s):

Byungmi Kim ◽

Eun Young Park

Keyword(s):

Metabolic Syndrome ◽

Socioeconomic Status ◽

National Health ◽

Household Income ◽

Education Level ◽

Nutrition Examination Survey ◽

Lower Socioeconomic Status ◽

Health And Nutrition ◽

Lower Socioeconomic ◽

Prevalence Of Depression

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.

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The combined effect of socioeconomic status and metabolic syndrome on depression: the Korean National Health and Nutrition Examination Survey (KNHANES)

10.21203/rs.3.rs-15603/v2 ◽

2020 ◽

Author(s):

Byungmi Kim ◽

Eun Young Park

Keyword(s):

Metabolic Syndrome ◽

Socioeconomic Status ◽

National Health ◽

Household Income ◽

Multiple Logistic Regression Analysis ◽

Education Level ◽

Nutrition Examination Survey ◽

Cross Sectional ◽

Health And Nutrition ◽

Prevalence Of Depression

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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Association between parental socioeconomic status and offspring overweight/obesity from the China Family Panel Studies: a longitudinal survey

BMJ Open ◽

10.1136/bmjopen-2020-045433 ◽

2021 ◽

Vol 11 (4) ◽

pp. e045433

Author(s):

Suqin Ding ◽

Jingqi Chen ◽

Bin Dong ◽

Jie Hu

Keyword(s):

High School ◽

Socioeconomic Status ◽

Regression Model ◽

Household Income ◽

Parental Education ◽

Education Level ◽

Longitudinal Survey ◽

Average Household Income ◽

Education Levels ◽

Parental Socioeconomic Status

ObjectiveTo examine the association between parental socioeconomic status (SES) and the risk of offspring overweight/obesity and the changes of the association that occur as children grow older.DesignWe used data from the nationally representative longitudinal survey of the China Family Panel Studies of 2010 and its three follow-up waves in 2012, 2014 and 2016.ParticipantsA total of 6724 children aged 0–15 years old were included.Primary and secondary outcome measuresAverage household income and paternal and maternal education levels were used as SES indicators. Logistic regression model for panel data was used to examine the associations between SES indicators and child overweight/obesity. A restricted cubic spline linear regression model was used to estimate body mass index (BMI) trajectories with child growth across parental SES levels.ResultsCompared with the lowest education level (primary school or less), the ORs for fathers who had completed junior high school, senior high school and junior college or higher were 0.85 (95% CI 0.75 to 0.97), 0.77 (95% CI 0.64 to 0.92) and 0.72 (95% CI 0.55 to 0.93), respectively. The corresponding ORs for mothers were 0.76 (95% CI 0.67 to 0.86), 0.59 (95% CI 0.47 to 0.72) and 0.45 (95% CI 0.34 to 0.60), respectively. A negative association between parental education and offspring overweight/obesity was observed in the first 10 years but not in children 11–15 years old. BMI differences across parental education levels emerged from birth and widened before 6–7 years old, but decreased before adolescence. High average household income was related to a low risk of offspring overweight/obesity but not when parental education level was adjusted for.ConclusionHigh parental education levels were associated with a low risk of offspring overweight/obesity, especially before adolescence. Effective approaches need to be adopted in early childhood to reduce socioeconomic differences in overweight/obesity.

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