Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Association of a Combination between Actual Body Mass Index Status and Perceived Body Image with Anxiety and Depressive Condition in Korean Men and Women: The Fifth and Sixth Korea National Health and Nutrition Examination Survey (2010-2014)

우리나라 성인남녀의 비만 및 주관적 체형인식과 불안·우울과의 관련성: 국민건강영양조사(2010-2014년) 분석

  • Lee, Hyomin (Department of Operative Nursing, Armed Forced Gangneung Hospital) ;
  • Chung, Woojin (Department of Health Policy and Management, Yonsei University Graduate School of Public Health) ;
  • Lim, Seungji (Health Insurance Policy Research Institute, National Health Insurance Service) ;
  • Han, Euna (College of Pharmacy, Yonsei University)
  • 이효민 (국군강릉병원 수술마취간호과) ;
  • 정우진 (연세대학교 보건대학원 보건정책학과) ;
  • 임승지 (국민건강보험공단 건강보험정책연구원) ;
  • 한은아 (연세대학교 약학대학)
  • Received : 2017.11.21
  • Accepted : 2018.02.21
  • Published : 2018.03.31
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Abstract

Background: Both objective body shape and perceived body image have been known to influence the mental health. The purpose of this study was to explore the relationship of a combination between actual body mass index (BMI) status and perceived body image with anxiety depressive condition (ADC) in Korean men and women. Methods: This cross-sectional study analyzed data of 26,239 subjects ${\geq}20$ years old from the National Health and Nutrition Examination Survey (2010-2014). This study performed a Rao-Scott chi-square and multivariate logistic regression analyses reflecting survey characteristics and used a variety of independent variables such as socio-demographics and health behavior factors. Results: With all independent variables considered, people with normal weight who perceived themselves as overweight were more likely associated with ADC than a referent group with normal weight who perceived themselves as normal weight, as shown for both men (odds ratio [OR], 1.52; confidence interval [CI], 1.07-2.15) and women (OR, 1.25; CI, 1.06-1.48). Meanwhile, compared to the referent group, men with underweight who perceived themselves as underweight showed a lower association with ADC (OR, 0.63; CI, 0.41-0.97), whereas women with underweight who perceived themselves as underweight showed its higher association (OR, 1.47; CI, 1.10-1.96). Conclusion: A certain group of people categorized as a combination between actual BMI status and perceived body image showed a relatively high likelihood of having ADC, and the gender difference in the likelihood of having the condition for a group was clear. Therefore, this study suggests the need to identify the group at a high risk of ADC on the basis of actual BMI status and perceived body image and to develop an appropriate mental health management program for the group.

Keywords

References

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