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"Socioeconomic Status"

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"Socioeconomic Status"

Original Articles
Changes in the prevalence of metabolic syndrome before and after the COVID-19 pandemic according to household income levels
Hyunjung Kang, Dagyeong Lee, Junhee Park, Su-Min Jung
Korean J Fam Med 2025;46(1):27-34.   Published online April 25, 2024
DOI: https://doi.org/10.4082/kjfm.23.0171
Background
Since the World Health Organization’s pandemic declaration in March 2020, Korea has witnessed shifts in lifestyle behaviors, impacting habits tied to socioeconomic status and contributing to metabolic syndrome (MetS). To investigate this issue, the current study aimed to investigate changes in MetS prevalence, particularly based on income levels before and after the coronavirus disease 2019 (COVID-19) pandemic.
Methods
This study used data from the 8th Korea National Health and Nutrition Examination Survey (2019–2020). A total of 6,840 individuals aged 30–65 years were included in this study. Household income was divided into high (≥75th percentile), middle (25–75th percentile), and low (≤25th percentile). A multivariable logistic regression analysis was performed to explore the interaction between this association before and after the COVID-19 pandemic.
Results
A statistically significant difference was found in the prevalence of MetS before and after the COVID-19 pandemic (26.7% to 30.2%, P=0.001). These changes differed based on income levels. The increase in the prevalence of MetS was statistically significant in the low- and high-income groups but not in the middle-income group (low: 8.0%p increase [P=0.039], middle: 1.0%p increase [P=0.522], high: 6.4%p increase [P<0.001]). The interaction between household income and the COVID-19 pandemic on MetS was statistically significant (P for interaction=0.032).
Conclusion
This study revealed that P for interaction between household income, MetS, and the period before and after the COVID-19 pandemic was significant. Changes in physical activity and eating habits during the COVID-19 pandemic may have contributed to these differences.
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  • 65 Download
Association between Obesity and Neighborhood Socioeconomic Status in Korean Adolescents Based on the 2013 Korea Youth Risk Behavior Web-Based Survey
Sung Won Choi, Da-jung Park, Jinseung Kim, Tae-jin Park, Jun-su Kim, Sunghun Byun, Young-seok Lee, Jung-hoon Kim
Korean J Fam Med 2016;37(1):64-70.   Published online January 27, 2016
DOI: https://doi.org/10.4082/kjfm.2016.37.1.64
Background

An increase in the obese adolescent population is being recognized as a serious medical and social problem. The present study aimed to examine the association between neighborhood socioeconomic status (SES) and obesity in Korean adolescents based on total available resources and local social inequality models.

Methods

The present study used data from the 2013 Korea Youth Risk Behavior Web-based Survey in analyzing 72,438 Korean adolescents aged 12–18. The analysis investigated obesity odds ratio (OR) according to neighborhood SES adjusted for age and individual SES indices, which included family affluence scale (FAS), education level of parents, cohabitation with parents, and weekly allowance. Obesity OR was investigated according to neighborhood SES by FAS, and according to FAS by neighborhood SES.

Results

After adjusting for age and individual SES variables, there was no significant association between neighborhood SES and adolescent obesity for either boys or girls. However, girls in the high FAS group showed a pattern of lower neighborhood SES being associated with a significant increase in risk of obesity; in the high neighborhood SES group, boys showed a pattern of higher FAS being associated with a significant increase in risk of obesity, whereas girls show a pattern of decrease.

Conclusion

Although limited, the present study demonstrated that some girl groups exhibited a pattern of lower neighborhood SES being associated with an increase in risk of obesity, as well as a gender-based difference in risk of obesity by individual SES. Therefore, measures to prevent adolescent obesity should be established with consideration for differences in risk according to individual and neighborhood SES.

Citations

Citations to this article as recorded by  
  • Early life malnutrition and risk of T2DM adulthood: evidence from the lower socioeconomic status of northwest Chinese population
    Hongjuan Shi, Danyu Yang, Ling Ma, Yin Cheng, Yining Liu, Jinyu Ma, Huitian Tong, Chao Shi
    Frontiers in Nutrition.2024;[Epub]     CrossRef
  • Poor sleep is associated with energy drinks consumption among Korean adolescents
    Do Hee Kim, Bomgyeol Kim, Sang Gyu Lee, Tae Hyun Kim
    Public Health Nutrition.2023; 26(12): 3256.     CrossRef
  • Educational Attainment and Exercise Frequency in American Women; Blacks’ Diminished Returns
    Shervin Assari
    Women’s Health Bulletin.2019;[Epub]     CrossRef
  • Association between obesity and perceived halitosis in Korean adolescents
    Seon-Ju Sim
    Oral Biology Research.2018; 42(1): 16.     CrossRef
  • 5,069 View
  • 29 Download
  • 3 Web of Science
  • 4 Crossref
Background

Childhood socioeconomic status (SES) is known to affect cardio-metabolic disease risk. However, the relationship between childhood SES and metabolic syndrome (MetS) remains uncertain. Therefore, we investigated the relationship between childhood SES, as measured by maternal education and occupational status and adult-onset MetS in the Korean population.

Methods

We examined the association between childhood SES, as measured by maternal education level and occupational status during an individual's childhood, and MetS in Korean adults aged 20 to 79 years who participated in the 2007-2009 Korean National Health Examination and Nutrition Survey. The components of MetS, including waist circumference, fasting glucose, lipid profiles, and blood pressure, were measured. Adjusted odds ratios (ORs) for MetS were calculated using multiple logistic regression models.

Results

Significant differences in the association between maternal education level, occupational status, and MetS were found between males and females. In females, the adjusted MetS OR for the highest maternal education quartile relative to the lowest quartile was 0.46 (0.21-0.99). Similarly, in females, the adjusted OR for individuals whose mothers worked when they were children relative to those whose mothers did not work was 1.23 (1.04-1.44). In males, no significant associations between maternal education, maternal occupational status, and MetS were found.

Conclusion

We found independent, positive associations between maternal education and occupational status and MetS in Korean females. These findings suggest that public health education targeting MetS prevention should be considered, especially among children with less opportunity for maternal support.

Citations

Citations to this article as recorded by  
  • Metabolic Syndrome and Related Factors in Chinese Children and Adolescents: Analysis from a Chinese National Study
    Yanna Zhu, Hao Zheng, Zhiyong Zou, Jin Jing, Yinghua Ma, Haijun Wang, Jiayou Luo, Xin Zhang, Chunyan Luo, Hong Wang, Haiping Zhao, Dehong Pan, Per Sangild, Biraj M Karmacharya, Jun Ma, Yajun Chen
    Journal of Atherosclerosis and Thrombosis.2020; 27(6): 534.     CrossRef
  • Measurement of Socioeconomic Position in Research on Cardiovascular Health Disparities in Korea: A Systematic Review
    Chi-Young Lee, Yong-Hwan Lee
    Journal of Preventive Medicine and Public Health.2019; 52(5): 281.     CrossRef
  • Maternal Education in Early Life and Risk of Metabolic Syndrome in Young Adult American Females and Males
    Jonathan Yinhao Huang, Geneviève Gariépy, Amelia R. Gavin, Ali Rowhani-Rahbar, David S. Siscovick, Daniel A. Enquobahrie
    Epidemiology.2019; 30(Supplement): S28.     CrossRef
  • Effects of a Healthy Lifestyle Education on the Incidence of Metabolic Syndrome in Children during a 13-Year Follow-up
    Sara Jalali-Farahani, Parisa Amiri, Hasti Masihay Akbar, Leila Cheraghi, Mehrdad Karimi, Fereidoun Azizi
    International Journal of Behavioral Medicine.2018; 25(1): 131.     CrossRef
  • Educational Disparities in Risk for Metabolic Syndrome
    Insub Kim, Yun-Mi Song, Hyeonyoung Ko, Joohon Sung, Kayoung Lee, Jinyoung Shin, Sujeong Shin
    Metabolic Syndrome and Related Disorders.2018; 16(8): 416.     CrossRef
  • Association between obesity and perceived halitosis in Korean adolescents
    Seon-Ju Sim
    Oral Biology Research.2018; 42(1): 16.     CrossRef
  • Early-Life Socioeconomic Disadvantage and Metabolic Health Disparities
    Camelia E. Hostinar, Kharah M. Ross, Edith Chen, Gregory E. Miller
    Psychosomatic Medicine.2017; 79(5): 514.     CrossRef
  • Social determinants of adult mortality from non-communicable diseases in northern Ethiopia, 2009-2015: Evidence from health and demographic surveillance site
    Semaw Ferede Abera, Alemseged Aregay Gebru, Hans Konrad Biesalski, Gebisa Ejeta, Andreas Wienke, Veronika Scherbaum, Eva Johanna Kantelhardt, Hajo Zeeb
    PLOS ONE.2017; 12(12): e0188968.     CrossRef
  • Threat vigilance and socioeconomic disparities in metabolic health
    Camelia E. Hostinar, Kharah M. Ross, Meanne Chan, Edith Chen, Gregory E. Miller
    Development and Psychopathology.2017; 29(5): 1721.     CrossRef
  • Metabolic syndrome and its associated early-life factors in children and adolescents: a cross-sectional study in Guangzhou, China
    Jiao Wang, Yanna Zhu, Li Cai, Jin Jing, Yajun Chen, Jincheng Mai, Lu Ma, Yinghua Ma, Jun Ma
    Public Health Nutrition.2016; 19(7): 1147.     CrossRef
  • Clinical Characteristics and Metabolic Health Status of Obese Korean Children and Adolescents
    Sunyoung Chun, Saerom Lee, Hyo-Jae Son, Hye-Mi Noh, Hye-Young Oh, Han Byul Jang, Hye-Ja Lee, Jae-Heon Kang, Hong-Ji Song, Yu-Jin Paek, Kyung-Hee Park
    Korean Journal of Family Medicine.2015; 36(5): 233.     CrossRef
  • 4,221 View
  • 22 Download
  • 11 Web of Science
  • 11 Crossref
Relationship between Overweight and Socioeconomic Factors in Korean Adolescents: Using Data from the 2007 Korean Youth's Risk Behavior Web-based Study.
Su Min Lim, Chang Hee Kim, Hong Jun Cho, Hye Soon Park
Korean J Fam Med 2010;31(9):703-710.   Published online September 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.9.703
Background
Overweight in Korean adolescents has continuously increased over the past few years and it is recognized as a public health problem. We investigated the relationship between socioeconomic status and overweight in Korean adolescents. Methods: The data was obtained from the 2007 Korean Youth's Risk Behavior Web-based Study. We included adolescents aged 12 to 18 yearswho were ≥ 5th percentile of the BMI cut-off point based on the Korean child growth curve. Logistic regression analysis was performed to examine the association between socioeconomic status and overweight. Results: The adjusted odds ratios for overweight were 1.116 (95% confidence interval [CI],1.021 to 1.220), 1.390 (95% CI, 1.242 to 1.555) in girls having middle and low grade family affluence scale (FAS), respectively, compared in girls having high grade FAS (P < 0.05). However, in boys, there was no significant relationship between FAS and overweight. In both gender, perceived household economic status and parental education level were negatively related to overweight in adolescents (P < 0.05). Conclusion: Lower socioeconomic status increased the risk of overweight in Korean adolescents. Efforts to reduce socioeconomic disparities in adolescents should be initiated for overweight prevention.

Citations

Citations to this article as recorded by  
  • Relationships between objective and subjective socioeconomic status and physical health among adolescents in South Korea
    Sue‐Lynn Kim, Joan P. Yoo
    Asian Social Work and Policy Review.2022; 16(2): 197.     CrossRef
  • Predicting South Korean adolescents vulnerable to obesity after the COVID-19 pandemic using categorical boosting and shapley additive explanation values: A population-based cross-sectional survey
    Haewon Byeon
    Frontiers in Pediatrics.2022;[Epub]     CrossRef
  • The Distribution of Weight Status according to Familial Socioeconomic Status in Korean Adolescents: The Twelfth Korea Youth Risk Behavior Web-based Survey, 2016
    Jinyoung Jang, Young Gyu Cho, Jae-Heon Kang, Hyun Ah Park, Kyoungwoo Kim, Yang-Im Hur, Ki Byeong Park
    Korean Journal of Health Promotion.2018; 18(1): 23.     CrossRef
  • Factors Influencing the Health-related Quality of Life by Socioeconomic Level during Early Adolescence
    Soo Young Jun, Yeong-Suk Song
    Journal of the Korean Society of School Health.2017; 30(1): 81.     CrossRef
  • Effects of family affluence on the health behaviors of Korean adolescents
    Min H. Park, Eun H. Hwang
    Japan Journal of Nursing Science.2017; 14(3): 173.     CrossRef
  • Family Factors and Obesity in High School Students
    Sang-Mi Lee
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 84.     CrossRef
  • 2,100 View
  • 18 Download
  • 6 Crossref
Relationships between health practices and hypertension, hypercholesterolemia, and hyperglycemia in male workers.
Ka Young Lee, Byung Mann Cho, Su Ill Lee, Duk Won Bae, Hoo Rak Lee
J Korean Acad Fam Med 2000;21(5):660-671.   Published online May 1, 2000
Background
: The purpose of this study was to identify health practices that would be helpful in order to reduce the prevalence of correctable cardiovascular risk factors (CVR), i.e. hypertension, hypercholesterolemia, and hyperglycemia in male workers by examining the association between health practices and the prevalence of the three risk factors.

Methods : For 1,815 male workers at a car manufacturer who participated in the basic health examination, survey on socioeconomic status and seven healthy practices such as not currenly smoking, moderate alcohol drinking, proper weight control, regular exercise, 7-8 hour sleep, eating breakfast regularly, and not eating between meals was done and the prevalence of hypertension, hypercholesterolemia, and hyperglycemia as obtained. χ²test, Fisher's exact test, and multiple logistic regression analyses were done for workers under 40 years old and workers 40 and over in two, separate groups by adjusting socioeconomic variables.

Results : The prevalence of hypertension and hypercholesterolemia was 1.84 times and 5.22 times, respectively, showing, higher in overweight younger workers than in those of normal weight. The prevalence of hypercholesterolemia was 2.02 times higher in younger smoking than in younger non-smokers. In contrast, the prevalence of hyperglycemia was 4.99 times higher in older smokers than in older non-smokers. The prevalence of hyperglycemia was 16.5 times higher in older workers with regular snacking habit than in those without such a habit. The prevalence of hypercholesterolemia was 7.47 times higher only in younger workers practicing healthy behaviors below 3 than in those practicing at least 6 healthy behaviors.

Conclusion : Our study suggests that overweight and smoking habit among younger workers, and smoking habit among older workers sould be controlled in order to decrease the prevalence of hypertension, hypercholesterolemia, and hyperglycemia.
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The factors associated with Body Mass Index of adults.
Moo Kyung Bae, Woo Keun Lee, Chun Hwa Song, Keun Mi Lee, Seung Pil Jung
J Korean Acad Fam Med 1999;20(7):906-916.   Published online July 1, 1999
Background
: Overweight and obesity are associated with increased mortality and morbidity. Obesity is influenced by multiple factors, both genetic and environmental factors. We investigated the relationship between socioeconomic, behavioral, dietary, reproductive factors and body mass index(BMI).

Methods : The subjects were 3000 adults who had visited the Health Screening and Diagnosis Center of Yeungnam University School of Medicine from February to June, 1997. We evaluated BMI and occupation, exercise, smoking, alcohol intake, total calorie intake, fat and carbohydrate intake in both gender and reproductive factors in women. Then, we analyzed the association between BMI and such variables as above.

Results : 1629 men and 1371 women were analyzed. The mean BMI was 23.4±2.8kg/M² in men, 22.9±3.1kg/M² in women. In both gender, 9.7% of our population had BMI over 27. Mean BMI increased with age. Those who were active and light smokers(≤20cigarette/day) had the lowest BMI in men. But no relationship was observed between BMI and exercise, smoking in women. Heavy alcohol drinkers(>1cup/day) had higher BMI than other group in both gender. We found significant correlation between BMI and total calorie intake, calorie intake to recommended calorie ratio in both gender. In women, the group whose number of parity was above 3 had significantly higher BMI than the other. And age at first birth was significantly correlated with BMI in a negative direction.

Conclusion : Our results showed that BMI was associated with age, smoking, alcohol, total calorie intake, calorie intake to recommended calorie ratio, parity, age at first birth. Socioeconomic class, exercise and diet composition appeared to have little influence.
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