Korean journal of health promotion

Korean Society for Health Promotion and Disease Prevention (대한임상건강증진학회)
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The Differences in Obesity Rates According to Status of Co-Residence with Their Parents in Korean Adolescents: The Implication of the Gender of Single Parent Living with Adolescents

한국 청소년에서 부모와의 동거 형태에 따른 비만율 차이: 동거 부모 성별의 영향

  • Kim, Nahee (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Cho, Young Gyu (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Kang, Jae-Heon (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Park, Hyun Ah (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Kim, Kyoungwoo (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Hur, Yang-Im (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Kwon, Duho (Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine)
  • 김나희 (인제대학교 의과대학 서울백병원 가정의학과) ;
  • 조영규 (인제대학교 의과대학 서울백병원 가정의학과) ;
  • 강재헌 (인제대학교 의과대학 서울백병원 가정의학과) ;
  • 박현아 (인제대학교 의과대학 서울백병원 가정의학과) ;
  • 김경우 (인제대학교 의과대학 서울백병원 가정의학과) ;
  • 허양임 (인제대학교 의과대학 서울백병원 가정의학과) ;
  • 권두호 (인제대학교 의과대학 서울백병원 가정의학과)
  • Received : 2018.09.04
  • Accepted : 2018.10.22
  • Published : 2018.12.30
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Abstract

Background: Many studies have reported that adolescents living with single parent have a high risk of obesity. However, those studies did not explore the implication of the gender of single parent living with adolescents. This study investigated the differences in obesity rates according to status of co-residence with their parents in Korean adolescents. The family living with single parent was classified into the family living with single father and the family living with single mother. Methods: This cross-sectional study involved 59,602 adolescents who participated in the 2017 Korea Youth Risk Behavior Web-based Survey. The data on height, weight, status of co-residence with parents, and the other variables were obtained through online questionnaires. Results: In male adolescents, the family living with single mother was related to a high proportion of obesity (odds ratio [OR] 1.24, 95% confidence interval [CI] 1.09-1.40) and overweight (OR 1.17, 95% CI 1.03-1.34). However, in female adolescents, the family living with single father was related to a high proportion of obesity (OR 1.49, 95% CI 1.23-1.82). In addition, female adolescents living with neither parent were more likely to be obese (OR 1.47, 95% CI 1.13-1.91) and overweight (OR 1.31, 95% CI 1.00-1.70). Conclusions: This study showed a risk of obesity in adolescents living with single parent differs according to the gender of single parent living with adolescents. Not adolescents living with a same-gender parent, but those living with an opposite-gender parent have a high risk of obesity.

연구배경: 최근 이혼이나 별거의 증가로 한부모 가정이 증가하고 있다. 한부모와 사는 청소년에서 비만 위험이 높다는 연구 결과는 많지만, 함께 사는 부모의 성별에 따라 구분하여 분석한 연구는 없었다. 이에 저자들은 우리나라 청소년에서 부모와의 동거 형태에 따른 비만율의 차이를 알아보고자 하였으며, 한부모와 동거하는 가정은 아버지와 동거하는 가정과 어머니와 동거하는 가정으로 나누어 분석하였다. 방법: 본 연구는 2017년에 시행된 제13차 청소년건강행태 온라인조사에 참여한 59,602명을 대상으로 한 단면 연구이다. 온라인 설문을 통하여 신장, 체중, 부모와의 동거 형태, 현재 흡연, 현재 음주, 신체활동 실천, 아침식사 결식, 패스트푸드와 탄산음료 섭취, 스트레스와 우울감 경험, 가정의 경제적 상태 등을 조사하였다. 부모와의 동거 형태는 양 부모와 동거, 아버지와만 동거, 어머니와만 동거, 부모와 비동거로 분류하였다. 결과: 남학생에서는 어머니와만 동거가 비만(교차비 1.24, 95% 신뢰구간 1.09-1.40) 및 과체중(교차비 1.17, 95% 신뢰구간 1.03-1.34)의 높은 비율과 관련이 있었으나, 여학생에서는 아버지와만 동거가 비만(교차비 1.49, 95% 신뢰구간 1.23-1.82)의 높은 비율과 관련이 있었으며, 부모와 비동거는 비만(교차비 1.47, 95% 신뢰구간 1.13-1.91) 및 과체중(교차비 1.31, 95% 신뢰구간 1.00-1.70)의 높은 비율과 관련이 있었다. 결론: 본 연구는 한부모와 사는 가정에서의 자녀의 비만 위험 증가가 함께 생활하는 부모의 성별에 따라 차이가 있음을 보여주었다. 동성 부모와 동거하는 경우에는 자녀의 비만 위험이 증가하지 않았으나, 이성 부모와만 동거하는 경우에는 자녀의 비만 위험이 증가함을 보여주었다.

Keywords

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