DOI QR코드

DOI QR Code

한국 성인에서 가구 유형과 건강 식생활 실천 간 연관성: 2017-2021년 국민건강영양조사 자료를 활용하여

Association of Household Types with Healthy Dietary Practices in Korean Adults: Findings from the 2017-2021 Korea National Health and Nutrition Examination Survey

  • 나예슬 (호남대학교 식품영양학과) ;
  • 이경원 (한국교원대학교 가정교육과)
  • Yeseul Na (Department of Food and Nutrition, Honam University) ;
  • Kyung Won Lee (Department of Home Economics Education, Korea National University of Education)
  • 투고 : 2023.07.31
  • 심사 : 2023.10.12
  • 발행 : 2023.10.31

초록

This study aimed to determine the association between household types and healthy dietary practices among Korean adults. A cross-sectional analysis was performed using nationwide data on 23,488 participants from the 2017-2021 Korea National Health and Nutrition Examination Survey (KNHANES). Based on self-reported data, the participant household types were classified into single- and multi-person households. The adjusted odds ratios (AORs) and 95% confidence intervals (CIs) for healthy dietary practices according to household types were calculated by applying multivariable logistic regression analysis after adjusting for confounders. Of total, 11.21% and 88.79% were single- and multi-person households, respectively. Compared with individuals living in multi-person households, those in single-person households had lower odds of adhering to healthy dietary practices (AOR: 0.88, 95% CI: 0.79-0.98) and consuming adequate saturated fatty acids (<7% of energy) (AOR: 0.78, 95% CI: 0.69-0.88). In addition, men and individuals aged ≥65 years living in single-person households exhibited lower odds of consuming adequate saturated fatty acids and ≥500 g of fruit and vegetables per day than those in multi-person households. Single-person households often find it a challenge to practice a healthy diet. Hence, nutritional policies and educational support that help individuals living alone consume healthier diets are warranted.

키워드

과제정보

This work was supported by the 2020 New Professor Research Grant funded by Korea National University of Education.

참고문헌

  1. Bae YJ. 2016. Relationship among practicing healthy diet and metabolic syndrome indicators in adults-from the Korea National Health and Nutrition Examination Survey, 2013~2014. J. Nutr. Health, 49(6):459-470 https://doi.org/10.4163/jnh.2016.49.6.459
  2. Bae YJ. 2022. Evaluation of Dietary Intake in Korean Adolescents according to Practicing Healthy Diet-Based on 2018~ 2020 Korea National Health and Nutrition Examination Survey. J. Biotechnol. Bioind., 10:23-31 https://doi.org/10.37503/jbb.2022.10.23
  3. Cho YK, Shim KW, Suk HW, Lee HS, Lee SW, Byun AR, Lee HN. 2019. Differences between one-person and multi-person households on socioeconomic status, health behavior, and metabolic syndrome across gender and age groups. Korean J. Fam. Pract., 9(4):373-382 https://doi.org/10.21215/kjfp.2019.9.4.373
  4. Choi MK, Park ES, Kim MH. 2019. Home meal replacement use and eating habits of adults in one-person households. Korean J. Community Nutr., 2019 Dec 1;24(6):476-84
  5. Daniels S, Glorieux I. 2015. Convenience, food and family lives. A socio-typological study of household food expenditures in 21st-century Belgium. Appetite, 94:54-61 https://doi.org/10.1016/j.appet.2015.04.074
  6. Frank J, Abel T, Campostrini S, Cook S, Lin VK, McQueen DV. 2020. The social determinants of health: time to re-think?. Int. J. Environ. Res. Public Health, 17(16):5856
  7. Ha KH, Song YJ, Kim HK. 2020. Regional disparities in the associations of cardiometabolic risk factors and healthy dietary factors in Korean adults. Nutr. Res. Pract., 14(5):519-531 https://doi.org/10.4162/nrp.2020.14.5.519
  8. Ham SW, Kim KH. 2020. Evaluation of the dietary quality and nutritional status of elderly people using the Nutrition Quotient for Elderly (NQ-E) in Seoul. J. Nutr. Health, 53(1):68-82 https://doi.org/10.4163/jnh.2020.53.1.68
  9. Heo YK, Sim KH. 2016. Dietary attitude of single households in metropolitan areas. Korean J. Food Nutr., 29(5):735-745 https://doi.org/10.9799/ksfan.2016.29.5.735
  10. Hernandez-Rodas MC, Valenzuela R, Videla LA. 2015. Relevant aspects of nutritional and dietary interventions in nonalcoholic fatty liver disease. Int. J. Mol. Sci., 16(10):25168-25198 https://doi.org/10.3390/ijms161025168
  11. Hong SH, Kim JM. 2021. Relationship between eating behavior and healthy eating competency of single-person and multi-person households by age group. Korean J. Community Nutr., 26(5):337-349 https://doi.org/10.5720/kjcn.2021.26.5.337
  12. Horikawa C, Kodama S, Yachi Y, Heianza Y, Hirasawa R, Ibe Y, Saito K, Shimano H, Yamada N, Sone H. 2011. Skipping breakfast and prevalence of overweight and obesity in Asian and Pacific regions: a meta-analysis. Prev. Med., 53(4-5):260-267 https://doi.org/10.1016/j.ypmed.2011.08.030
  13. Islam MM. 2019. Social determinants of health and related inequalities: confusion and implications. Front. Public Health, 7:11
  14. Jeon YH, Ahn BI. 2016. Food consumption behaviors according to household types. J. Rural Dev., 39(4):73-95
  15. Jo PK. 2016. The effects of the economic characteristics of single-person households on the food service industry. Korean J. Community Nutr., 21(4):321-331 https://doi.org/10.5720/kjcn.2016.21.4.321
  16. Kang EN, Lee MH. 2016. Single-person households in South Korea and their policy implications. Health Welf. Policy Forum, 234:47-56
  17. Kang NY, Jung BM. 2019. Analysis of the Difference in Nutrients Intake, Dietary Behaviors and Food Intake Frequency of Single-and Non Single-Person Households: The Korea National Health and Nutrition Examination Survey (KNHANES), 2014-2016. Korean J. Community Nutr., 24(1):1-7
  18. Korea Disease Control and Prevention Agency. 2023. User Guide for the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VIII). Chungcheongbukdo: Korea Disease Control and Prevention Agency, pp 3-29
  19. Kumar S, Preetha GS. 2012. Health promotion: an effective tool for global health. Indian J. Community Med., 37(1):5-12 https://doi.org/10.4103/0970-0218.94009
  20. Lee ES. 2021. Relationship between household types, health-related lifestyle, health service usage, and health outcomes across age groups. Korean J. Health Educ. Promot., 38:1-12 https://doi.org/10.14367/kjhep.2021.38.3.1
  21. Lee KI, Hwang YJ, Ban HJ, Lim SJ. 2015. Impact of the growth of single-person households on the food market and policy tasks. Jeollanam-do: Korea Rural Economic Institute, pp 75-88
  22. Lee KW, Shin DY. 2021a. Comparison of dietary behaviors and the prevalence of metabolic syndrome in single-and multi-person households among Korean adults. Healthc., 9(9):1116
  23. Lee KW, Shin DY. 2021b. Association between eating alone patterns and mental health conditions by region among Korean adults. Korean J. Community Nutr., 26(6):441-454 https://doi.org/10.5720/kjcn.2021.26.6.441
  24. Lee SL, Lee SJ. 2016. The effects of eating habit and food consumption lifestyles on dietary life satisfaction of one-person households. J. Consum. Cult., 19(3):115-133 https://doi.org/10.17053/jcc.2016.19.3.006
  25. Lee YB. 2017. One-person households and their policy implications. Health Welf. Policy Forum, 10(252):64-77
  26. Lim YJ, Choi YS. 2008. Dietary behaviors and seasonal diversity of food intakes of elderly women living alone as compared to those living with family in Gyeongbuk rural area. Korean J. Community Nutr., 13(5):620-629
  27. Ministry of Health and Welfare, The Korean Nutrition Society. 2020. Dietary Reference Intakes for Koreans 2020. Sejong, pp 44-202
  28. Oh JH, Jung BM. 2019. Comparison analysis of dietary behavior and nutrient intakes of the elderly according to their family status: The Korea National Health and Nutrition Examination Survey 2013-2016. Korean J. Community Nutr., 24(4):309-320
  29. Park JK, Son SM. 2003. The dietary behaviors, depression rates and nutrient intakes of the elderly females living alone. Korean J. Community Nutr., 8(5):716-725
  30. Shin MA. 2019. Comparative study on health behavior and mental health between one person and multi-person households: analysis of data from the National Health and Nutrition Examination Surveys (2013, 2015, 2017). J. Korean Soc. Wellness, 14(4):11-23 https://doi.org/10.21097/ksw.2019.11.14.4.11
  31. Viner R, Macfarlane A. 2005. Health promotion. BMJ, 330(7490):527-529 https://doi.org/10.1136/bmj.330.7490.527
  32. Ministry of Health and Welfare. 2021. The 5th National Health Plan (2021-2030); 2021. Seoul: Korea Health Promotion Institute. Available from: https://www.khepi.or.kr/board/view?pageNum=1&rowCnt=8&no1=30&linkId=1004341&menuId=MENU01320&schType=0&schText=&searchType=&boardStyle=Gallery&categoryId=&continent=&country=&contents1=, [accessed on 2022.12.30]
  33. Statistics Korea. 2017. Households Projections: 2015-2045. Available from: https://kostat.go.kr/board.es?mid=a10301020600&bid=207&act=view&list_no=359963, [accessed on 2023.03.05]
  34. Statistics Korea. 2021. Population Projections: 2020-2050. Available from: https://kostat.go.kr/board.es?mid=a10301020100&bid=207&act=view&list_no=415453&tag=&nPage=1&ref_bid=203,204,205,206,207&keyField=T&keyWord=%EC%9D%B8%EA%B5%AC%EC%B6%94%EA%B3%84, [accessed on 2023.06.13]
  35. Statistics Korea. 2022a. 2021 Population and Housing Census. Available from: https://kostat.go.kr/boardDownload.es?bid=203&list_no=419536&seq=10, [accessed on 2023.07.03]
  36. Statistics Korea. 2022b. Cause-of-death statistics: 2021. Available from: https://kostat.go.kr/board.es?mid=a10301060200&bid=218&act=view&list_no=420715, [accessed on 2023. 06.13]
  37. Statistics Korea. 2022c. Households Projections: 2020-2050. Available from: https://kostat.go.kr/board.es?mid=a10301020600&bid=207&act=view&list_no=418919, [accessed on 2023.03.05]
  38. Statistics Korea. 2022d. 2022 Statistics of One-person Households. Available from: https://kostat.go.kr/boardDownload.es?bid=10820&list_no=422143&seq=1, [accessed on 2023.05.01]
  39. World Health Organization. 2021. Basic Documents, 45th ed.; World Health Organization: Geneva, Switzerland, Available from: https://apps.who.int/iris/bitstream/handle/10665/358065/9241650435-eng.pdf?sequence=1, [accessed on 2023.07.03]