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장애가 비만 단계별 유병률에 미치는 영향: 장애중증도, 장애유형을 고려하여

The Influence of Disability on Prevalence of Obesity at Each Stage: Considering Severity and Type of Disability

보건행정학회지 2020년 30권 3호 p.345 ~ 354
정재연, 구준혁, 신의철, 이해종,
소속 상세정보
정재연 ( Jeong Jae-Yeon ) - Yonsei University Graduate School Department of Health Administration
구준혁 ( Koo Jun-Hyuk ) - Yonsei University Graduate School Department of Health Administration
신의철 ( Shin Eui-Chul ) - Catholic University College of Medicine Department of Preventive Medicine
이해종 ( Lee Hae-Jong ) - Yonsei University College of Health Science Department of Health Administration

Abstract


Background: This study purposed to examine the difference in the prevalence of obesity at each stage among people with and without disabilities considering the severity and type of disability.

Methods: The study targeted a total of 1,315,967 people, including 68,418 disabled and 1,247,549 non-disabled, who completed the national health screenings. Logistic analysis and average marginal effect analysis were conducted in three stages (pre-obesity, obesity, severe obesity). Those analyses were conducted considering the severity and type of disabilities.

Results: People with disabilities were more likely to be at all stages of obesity than non-disabled people. In severely disabled people, the probability of obesity was higher than non-disabled people at all stages of obesity, but mildly disabled people had a higher only in the severe obesity stage, no difference in obesity stage, and a low in the pre-obesity stage. In physical and mental disabilities, the probability of obesity was higher than non-disabled people at all stages of obesity, but external physical function and internal organs disabled had a lower in the obesity and pre-obesity stage, and no difference in severe obesity stage.

Conclusion: This study found that people with disabilities had a higher relationship with obesity than people without disabilities. In addition, severity and types of disabilities have different effects on the stage of obesity. Therefore, it is necessary to care about the health inequality and health of disabled people considering their severity and types of disabilities.

키워드

Disabled persons; Pre-obesity; Obesity; Morbid obesity; Body mass index

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