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Ecological Factors Affecting Obesity Among Middle School Students in South Korea

Authors
 Suhee Kim  ;  Gwang Suk 
Citation
 JOURNAL OF SCHOOL HEALTH, Vol.89(3) : 181-190, 2019 
Journal Title
 JOURNAL OF SCHOOL HEALTH 
ISSN
 0022-4391 
Issue Date
2019
Keywords
adolescent ; ecological model ; multilevel analysis ; obesity
Abstract
BACKGROUND: Despite the environment being recognized as playing an important role in health, little is known about the influence of school and community factors on student health. This study aimed to identify the ecological factors influencing obesity among middle school students, including intrapersonal, interpersonal, school, and community factors. METHODS: The study sample consisted of 2069 students from 50 middle schools, with individual-level data. School and community-level data were collected using a school nurse survey and official materials from the National and Civic Statistics. These data were merged and used for a series of multilevel logistic regression analyses. RESULTS: There were significant variations in the students' overweight/obesity status, by ecological factors. Individual dietary habits, peer social support for physical activity, health education in the regular curriculum, the number of personal computer rooms per 100,000 individuals, and the area of public sports facilities per 100,000 individuals were significantly associated with student obesity. CONCLUSIONS: To be more effective, overweight/obesity prevention efforts for middle school students should focus not only on individual factors, but also on school and community factors.
DOI
10.1111/josh.12727
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Gwang Suk(김광숙) ORCID logo https://orcid.org/0000-0001-9823-6107
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/170004
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