1.Regional disparities in healthy eating and nutritional status in South Korea: Korea National Health and Nutrition Examination Survey 2017
Nutrition Research and Practice 2020;14(6):679-690
BACKGROUND/OBJECTIVES:
Concerns about regional disparities in heathy eating and nutritional status among South Korean adults are increasing. This study aims to identify the magnitude of regional disparities in diet and nutritional status among Korean adults who completed the 2017 Korea National Health and Nutrition Examination Survey (KNHANES).
SUBJECTS/METHODS:
The participants were a nationally representative sample of Korean adults aged 19 years and older from the 2017 KNHANES (n = 6,126). We employed the svy commands in STATA to accommodate the complex survey design. The relative concentration index (RCI), absolute concentration index (ACI) and index of disparity were used to measure regional nutritional inequalities.
RESULTS:
Overweight and obese adults were more prevalent among the poor than among the rich in urban areas (RCI = −0.041; P < 0.05), while overweight and obese adults were more prevalent among the rich than among the poor in rural areas of South Korea (RCI = 0.084;P < 0.05). Economic inequality in fruit and vegetable intake ≥ 500 g per day was greater in rural areas than in urban areas in both relative size (RCI = 0.228 vs. 0.091, difference in equality = 0.137; P < 0.05) and absolute size (ACI = 0.055 vs. 0.023, difference in equality = 0.032; P < 0.05).
CONCLUSIONS
This study provides useful information identifying opposite directions in the relative concentration curves between urban and rural areas. Adult overweight/obesity was more prevalent among the poor in urban areas, while adult overweight/obesity was more prevalent among the rich in rural areas. Public health nutrition systems should be implemented to identify nutritional inequalities that should be targeted across regions in South Korea.
2.Prevalence and correlates of highly caffeinated beverage consumption among Korean adolescents
Ho-Kyung KWAK ; Jaesin SA ; Siyoung CHOE ; Jean-Philippe CHAPUT ; Joon CHUNG ; Gayle CUMMINGS ; Jounghee LEE
Osong Public Health and Research Perspectives 2021;12(6):374-384
Objectives:
The purposes of this study were to (1) examine the multi-year prevalence of highly caffeinated beverage (HCB) consumption, (2) identify sex differences in the prevalence, and (3) investigate relationships between HCB consumption and behavioral characteristics in a nationally representative sample of Korean adolescents.
Methods:
Data from the Korea Youth Risk Behavior Web-based Survey (2014–2017) were analyzed.
Results:
HCB consumption was higher in 2017 than 2014 (23.9% vs. 12.0%), and higher among boys than girls (17.2% vs. 13.1%). HCB drinkers were more likely to (1) be boys, (2) be overweight or obese, (3) use alcohol and tobacco, (4) consume soda at least once per week, (5) consume sweetened beverages at least once per week, (6) have seriously considered suicide during the past 12 months, and (7) have attempted suicide during the past 12 months (p<0.05 for all).
Conclusion
Effective programs to curb HCB consumption among Korean adolescents need to be established.
3.Sex differences in weight perception and weight gain among Black college students in the USA
Jounghee LEE ; Jaesin SA ; Jean-Philippe CHAPUT ; James HEIMDAL ; Beatrice NELSON ; Beom-Young CHO ; Elizabeth KWON
Osong Public Health and Research Perspectives 2021;12(2):96-104
Objectives:
The aims of this study were to examine the prevalence of overweight/obesity and to explore sex differences in body weight perceptions and correlates of weight gain among Black students at 2 historically Black colleges and universities (HBCUs) in the USA.
Methods:
Participants completed a paper-based survey, and their height and weight weremeasured (67% completion rate).
Results:
The overweight and obesity rates were 33.8% and 26.9%, respectively. More females than males accurately assessed their weight (p < 0.05). Body weight underestimation was associated with male sex, excellent/very good perceived overall health, and not being informed by a doctor of having overweight or obesity (p <0.01). Higher odds of ≥5% weight gain were related to female sex, living on campus, and not being informed by a doctor of having overweight or obesity (p <0.05).
Conclusion
Given the high overweight and obesity rates among Black students, HBCUs in the USA should develop intervention strategies for the prevention and management of overweight and obesity. College health educators at HBCUs need to provide regular check-ups or health screenings that help male students perceive their weight accurately and prevent weight underestimation. It is important for HBCUs to monitor and address weight gain among Black students as early as possible.
4.Sex differences in weight perception and weight gain among Black college students in the USA
Jounghee LEE ; Jaesin SA ; Jean-Philippe CHAPUT ; James HEIMDAL ; Beatrice NELSON ; Beom-Young CHO ; Elizabeth KWON
Osong Public Health and Research Perspectives 2021;12(2):96-104
Objectives:
The aims of this study were to examine the prevalence of overweight/obesity and to explore sex differences in body weight perceptions and correlates of weight gain among Black students at 2 historically Black colleges and universities (HBCUs) in the USA.
Methods:
Participants completed a paper-based survey, and their height and weight weremeasured (67% completion rate).
Results:
The overweight and obesity rates were 33.8% and 26.9%, respectively. More females than males accurately assessed their weight (p < 0.05). Body weight underestimation was associated with male sex, excellent/very good perceived overall health, and not being informed by a doctor of having overweight or obesity (p <0.01). Higher odds of ≥5% weight gain were related to female sex, living on campus, and not being informed by a doctor of having overweight or obesity (p <0.05).
Conclusion
Given the high overweight and obesity rates among Black students, HBCUs in the USA should develop intervention strategies for the prevention and management of overweight and obesity. College health educators at HBCUs need to provide regular check-ups or health screenings that help male students perceive their weight accurately and prevent weight underestimation. It is important for HBCUs to monitor and address weight gain among Black students as early as possible.