Skip to main content
Top
Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

Influences of socioeconomic factors on childhood and adolescent overweight by gender in Korea: cross-sectional analysis of nationally representative sample

Authors: Jin-Won Noh, Young-eun Kim, In-Hwan Oh, Young Dae Kwon

Published in: BMC Public Health | Issue 1/2014

Login to get access

Abstract

Background

Childhood and adolescent overweight is a recognized public health concern as the prevalence is already high and continues to increase. The purpose of this study was to examine the relationship between socioeconomic status (SES) and overweight status by gender among Korean children and adolescents.

Methods

The data used in this study were taken from the 2009 Korean Survey on the Obesity of Youth and Children. Underweight individuals (n = 1,010) and children and adolescents whose age, height, or weight information was missing (n = 591) were excluded from the data set, resulting in a total of 8,555 subjects who were included in this analysis. Subjective SES, parental education level, parental occupational status, and family structure were used to measure parental SES. Chi-squared tests were used for univariable analysis and multiple logistic regression analysis was conducted for multivariable analysis.

Results

After adjusting for subject’s characteristics including gender, age, parental interest in weight management of children, parental body shape, economic status variables that significantly influenced childhood overweight were identified. Low economic status increased the probability of childhood overweight (odds ratio, 1.3; 95% confidence interval, 1.1-1.5).

Conclusions

There is an inverse association between parental SES variables and the overweight status of children and adolescents. Additionally, parental body shape is an important factor that influences childhood and adolescent overweight.
Literature
1.
go back to reference National Center for Health Statistics: Health, United States: With Special Features on Socioeconomic Status and Health. 2011, Hyattsville, MD: U.S. Department of Health and Human Services. 2012 National Center for Health Statistics: Health, United States: With Special Features on Socioeconomic Status and Health. 2011, Hyattsville, MD: U.S. Department of Health and Human Services. 2012
2.
go back to reference Ogden CL, Carroll MD, Kit BK, Flegal KM: Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. JAMA. 2012, 307: 483-490. 10.1001/jama.2012.40.CrossRefPubMed Ogden CL, Carroll MD, Kit BK, Flegal KM: Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. JAMA. 2012, 307: 483-490. 10.1001/jama.2012.40.CrossRefPubMed
3.
go back to reference Oh K, Jang MJ, Lee NY, Moon JS, Lee CG, Yoo MH, Kim YT: Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005. Korean J Pediatr. 2008, 51: 950-955. 10.3345/kjp.2008.51.9.950.CrossRef Oh K, Jang MJ, Lee NY, Moon JS, Lee CG, Yoo MH, Kim YT: Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005. Korean J Pediatr. 2008, 51: 950-955. 10.3345/kjp.2008.51.9.950.CrossRef
4.
go back to reference Sato AF, Jelalian E, Hart CN, Lloyd-Richardson EE, Mehlenbeck RS, Neill M, Wing RR: Associations between parent behavior and adolescent weight control. J Pediatr Psychol. 2011, 36: 451-460. 10.1093/jpepsy/jsq105.CrossRefPubMed Sato AF, Jelalian E, Hart CN, Lloyd-Richardson EE, Mehlenbeck RS, Neill M, Wing RR: Associations between parent behavior and adolescent weight control. J Pediatr Psychol. 2011, 36: 451-460. 10.1093/jpepsy/jsq105.CrossRefPubMed
5.
go back to reference McLaren L: Socioeconomic status and obesity. Epidemiol Rev. 2007, 29: 29-48. 10.1093/epirev/mxm001.CrossRefPubMed McLaren L: Socioeconomic status and obesity. Epidemiol Rev. 2007, 29: 29-48. 10.1093/epirev/mxm001.CrossRefPubMed
6.
go back to reference Gibson LY, Byrne SM, Davis EA, Jacoby P, Zubrick SR: The role of family and maternal factors in childhood obesity. Med J Aust. 2007, 186: 591-595.PubMed Gibson LY, Byrne SM, Davis EA, Jacoby P, Zubrick SR: The role of family and maternal factors in childhood obesity. Med J Aust. 2007, 186: 591-595.PubMed
7.
go back to reference Wang Z, Patterson CM, Hills AP: Association between overweight or obesity and household income and parental body mass index in Australian youth: analysis of the Australian national nutrition survey, 1995. Asia Pac J Clin Nutr. 2002, 11: 200-205. 10.1046/j.1440-6047.2002.00291.x.CrossRefPubMed Wang Z, Patterson CM, Hills AP: Association between overweight or obesity and household income and parental body mass index in Australian youth: analysis of the Australian national nutrition survey, 1995. Asia Pac J Clin Nutr. 2002, 11: 200-205. 10.1046/j.1440-6047.2002.00291.x.CrossRefPubMed
8.
go back to reference Lake JK, Power C, Cole TJ: Child to adult body mass index in the 1958 British birth cohort: associations with parental obesity. Arch Dis Child. 1997, 77: 376-381. 10.1136/adc.77.5.376.CrossRefPubMed Lake JK, Power C, Cole TJ: Child to adult body mass index in the 1958 British birth cohort: associations with parental obesity. Arch Dis Child. 1997, 77: 376-381. 10.1136/adc.77.5.376.CrossRefPubMed
9.
go back to reference Svensson V, Jacobsson JA, Fredriksson R, Danielsson P, Sobko T, Schio HB, Marcus C: Associations between severity of obesity in childhood and adolescence, obesity onset and parental BMI: a longitudinal cohort study. Int J Obes (Lond). 2011, 35: 46-52. 10.1038/ijo.2010.189.CrossRef Svensson V, Jacobsson JA, Fredriksson R, Danielsson P, Sobko T, Schio HB, Marcus C: Associations between severity of obesity in childhood and adolescence, obesity onset and parental BMI: a longitudinal cohort study. Int J Obes (Lond). 2011, 35: 46-52. 10.1038/ijo.2010.189.CrossRef
10.
go back to reference Shrewsbury V, Wardle J: Socioeconomic status and adiposity in childhood: a systematic review of cross-sectional studies 1990–2005. Obesity. 2008, 16: 275-284. 10.1038/oby.2007.35.CrossRefPubMed Shrewsbury V, Wardle J: Socioeconomic status and adiposity in childhood: a systematic review of cross-sectional studies 1990–2005. Obesity. 2008, 16: 275-284. 10.1038/oby.2007.35.CrossRefPubMed
11.
go back to reference Hanson MD, Chen E: Socioeconomic status and health behaviors in adolescence: a review of the literature. J Behav Med. 2007, 30: 263-285. 10.1007/s10865-007-9098-3.CrossRefPubMed Hanson MD, Chen E: Socioeconomic status and health behaviors in adolescence: a review of the literature. J Behav Med. 2007, 30: 263-285. 10.1007/s10865-007-9098-3.CrossRefPubMed
12.
go back to reference Ki M, Choi BY, Kim MK, Fang JN, Xu CY, Ahn DH, Kang YJ: Relationship between adolescent obesity and socioeconomic status of parents: in Seoul, Yangpyong, and Yanbian area. Korean J Prev Med. 1999, 32: 9-16. Ki M, Choi BY, Kim MK, Fang JN, Xu CY, Ahn DH, Kang YJ: Relationship between adolescent obesity and socioeconomic status of parents: in Seoul, Yangpyong, and Yanbian area. Korean J Prev Med. 1999, 32: 9-16.
13.
go back to reference Kim J, Im J, Yim J, Park SH, Hong DH: The relationship between economic status and adolescent obesity in Incheon, Korea. Korean J Obes. 2007, 16: 76-85. Kim J, Im J, Yim J, Park SH, Hong DH: The relationship between economic status and adolescent obesity in Incheon, Korea. Korean J Obes. 2007, 16: 76-85.
16.
go back to reference Sobal J: Obesity and socioeconomic status: a framework for examining relationships between physical and social variables. Med Anthropol. 1991, 13: 231-247. 10.1080/01459740.1991.9966050.CrossRefPubMed Sobal J: Obesity and socioeconomic status: a framework for examining relationships between physical and social variables. Med Anthropol. 1991, 13: 231-247. 10.1080/01459740.1991.9966050.CrossRefPubMed
17.
go back to reference Fuemmeler BF, Yang C, Costanzo P, Hoyle RH, Siegler IC, Williams RB, Ostbye T: Parenting styles and body mass index trajectories from adolescence to adulthood. Health Psychol. 2012, 31: 441-449.CrossRefPubMedPubMedCentral Fuemmeler BF, Yang C, Costanzo P, Hoyle RH, Siegler IC, Williams RB, Ostbye T: Parenting styles and body mass index trajectories from adolescence to adulthood. Health Psychol. 2012, 31: 441-449.CrossRefPubMedPubMedCentral
18.
go back to reference Haug E, Rasmussen M, Samdal O, Iannotti R, Kelly C, Borraccino A, Vereecken C, Melkevik O, Lazzeri G, Giacchi M, Ercan O, Due P, Ravens-Sieberer U, Currie C, Morgan A, Ahluwalia N, HBSC Obesity Writing Group: Overweight in school-aged children and its relationship with demographic and lifestyle factors: results from the WHO-collaborative health behaviour in school-aged children (HBSC) study. Int J Public Health. 2009, 54 (Suppl 2): 167-179.CrossRefPubMedPubMedCentral Haug E, Rasmussen M, Samdal O, Iannotti R, Kelly C, Borraccino A, Vereecken C, Melkevik O, Lazzeri G, Giacchi M, Ercan O, Due P, Ravens-Sieberer U, Currie C, Morgan A, Ahluwalia N, HBSC Obesity Writing Group: Overweight in school-aged children and its relationship with demographic and lifestyle factors: results from the WHO-collaborative health behaviour in school-aged children (HBSC) study. Int J Public Health. 2009, 54 (Suppl 2): 167-179.CrossRefPubMedPubMedCentral
19.
go back to reference Oh IH, Cho Y, Park SY, Oh C, Choe BK, Choi JM, Yoon TY: Relationship between socioeconomic variables and obesity in Korean adolescents. J Epidemiol. 2011, 21: 263-270. 10.2188/jea.JE20100099.CrossRefPubMedPubMedCentral Oh IH, Cho Y, Park SY, Oh C, Choe BK, Choi JM, Yoon TY: Relationship between socioeconomic variables and obesity in Korean adolescents. J Epidemiol. 2011, 21: 263-270. 10.2188/jea.JE20100099.CrossRefPubMedPubMedCentral
20.
go back to reference Currie C, Zanotti C, Morgan A, Currie D, De Looze M, Roberts C, Samdal O, Smith RF, Barnekow V: Social Determinants of Health and Well-Being Among Young People. Health Behaviour in School-Aged Children (HBSC) Study. 2012, Copenhagen: WHO Regional Office for Europe Currie C, Zanotti C, Morgan A, Currie D, De Looze M, Roberts C, Samdal O, Smith RF, Barnekow V: Social Determinants of Health and Well-Being Among Young People. Health Behaviour in School-Aged Children (HBSC) Study. 2012, Copenhagen: WHO Regional Office for Europe
21.
go back to reference Yoon YS, Oh SW, Park HS: Socioeconomic status in relation to obesity and abdominal obesity in Korean adults: a focus on sex differences. Obesity (Silver Spring). 2006, 14: 909-919. 10.1038/oby.2006.105.CrossRef Yoon YS, Oh SW, Park HS: Socioeconomic status in relation to obesity and abdominal obesity in Korean adults: a focus on sex differences. Obesity (Silver Spring). 2006, 14: 909-919. 10.1038/oby.2006.105.CrossRef
22.
go back to reference Currie CE, Elton RA, Todd J, Platt S: Indicators of socioeconomic status for adolescents: the WHO health behaviour in school-aged children survey. Health Educ Res. 1997, 12: 385-397. 10.1093/her/12.3.385.CrossRefPubMed Currie CE, Elton RA, Todd J, Platt S: Indicators of socioeconomic status for adolescents: the WHO health behaviour in school-aged children survey. Health Educ Res. 1997, 12: 385-397. 10.1093/her/12.3.385.CrossRefPubMed
23.
go back to reference West P, Sweeting H: Evidence on equalisation in health in youth from the West of Scotland. Soc Sci Med. 2004, 59: 13-27. 10.1016/j.socscimed.2003.12.004.CrossRefPubMed West P, Sweeting H: Evidence on equalisation in health in youth from the West of Scotland. Soc Sci Med. 2004, 59: 13-27. 10.1016/j.socscimed.2003.12.004.CrossRefPubMed
24.
go back to reference Goodman E, Adler NE, Kawachi I, Frazier AL, Huang B, Colditz GA: Adolescents’ perceptions of social status: development and evaluation of a new indicator. Pediatrics. 2001, 108: e31-10.1542/peds.108.2.e31.CrossRefPubMed Goodman E, Adler NE, Kawachi I, Frazier AL, Huang B, Colditz GA: Adolescents’ perceptions of social status: development and evaluation of a new indicator. Pediatrics. 2001, 108: e31-10.1542/peds.108.2.e31.CrossRefPubMed
25.
go back to reference Piko B, Fitzpatrick KM: Does class matter? SES and psychosocial health among Hungarian adolescents. Soc Sci Med. 2001, 53: 817-830. 10.1016/S0277-9536(00)00379-8.CrossRefPubMed Piko B, Fitzpatrick KM: Does class matter? SES and psychosocial health among Hungarian adolescents. Soc Sci Med. 2001, 53: 817-830. 10.1016/S0277-9536(00)00379-8.CrossRefPubMed
26.
go back to reference Goodman E, Adler NE, Daniels SR, Morrison JA, Slap GB, Dolan LM: Impact of objective and subjective social status on obesity in a biracial cohort of adolescents. Obes Res. 2003, 11: 1018-1026. 10.1038/oby.2003.140.CrossRefPubMed Goodman E, Adler NE, Daniels SR, Morrison JA, Slap GB, Dolan LM: Impact of objective and subjective social status on obesity in a biracial cohort of adolescents. Obes Res. 2003, 11: 1018-1026. 10.1038/oby.2003.140.CrossRefPubMed
27.
go back to reference Simen-Kapeu A, Veugelers PJ: Should public health interventions aimed at reducing childhood overweight and obesity be gender-focused?. BMC Public Health. 2010, 10: 340-10.1186/1471-2458-10-340.CrossRefPubMedPubMedCentral Simen-Kapeu A, Veugelers PJ: Should public health interventions aimed at reducing childhood overweight and obesity be gender-focused?. BMC Public Health. 2010, 10: 340-10.1186/1471-2458-10-340.CrossRefPubMedPubMedCentral
28.
go back to reference Gable S, Lutz S: Household, parent, and child contributions to childhood obesity. Fam Relat. 2000, 49: 293-300. 10.1111/j.1741-3729.2000.00293.x.CrossRef Gable S, Lutz S: Household, parent, and child contributions to childhood obesity. Fam Relat. 2000, 49: 293-300. 10.1111/j.1741-3729.2000.00293.x.CrossRef
29.
go back to reference Agras WS, Hammer LD, McNicholas F, Kraemer HC: Risk factors for childhood overweight: a prospective study from birth to 9.5 years. J Pediatr. 2004, 145: 20-25. 10.1016/j.jpeds.2004.03.023.CrossRefPubMed Agras WS, Hammer LD, McNicholas F, Kraemer HC: Risk factors for childhood overweight: a prospective study from birth to 9.5 years. J Pediatr. 2004, 145: 20-25. 10.1016/j.jpeds.2004.03.023.CrossRefPubMed
Metadata
Title
Influences of socioeconomic factors on childhood and adolescent overweight by gender in Korea: cross-sectional analysis of nationally representative sample
Authors
Jin-Won Noh
Young-eun Kim
In-Hwan Oh
Young Dae Kwon
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-324

Other articles of this Issue 1/2014

BMC Public Health 1/2014 Go to the issue