농촌 중년여성 비만원인 진단을 위한 사회생태학적 모형 기반 탐색적 연구

• Published in: 보건교육건강증진학회지 Vol. 38; no. 5; pp. 1 - 20
• Main Authors: 조희숙(Heui Sug Jo), 이종선(Jong Sun Lee), 정수미(Su Mi Jung), 드로니나 율리아(Yuliya Dronina), 박유경(Yu Kyung Park), 박양준(Yang Jun Park)
• Format: Journal Article
• Language: Korean
• Published: 한국보건교육건강증진학회 01.12.2021
• Subjects: 예방의학; middle-aged women; rural obeisty; Socio-ecological Model
• ISSN: 1229-4128; 2635-5302
• DOI: 10.14367/kjhep.2021.38.5.1

Objectives: This study aimed to explore the causes of obesity among middle-ageed women in rural areas through a socio-ecological approach and propose strategies of obesity management. Methods: We selected two rural areas called the I and Y counties. For the quantitative aspect, secondary data and geospatial-analysis were used, whereas for the qualitative aspect, focus group interviews and official documents reviews were conducted. Results: Obesity was related more to low levels of physical activity (OR=1.811, p<.01) than to high levels. Groups that utilized nutritioin labels less tended to be more obese (OR=1.564, p<.05) than the other groups. The number of fast-food stores in the I county was twice as high as that in the Y county. The I county had poor conditions than the Y county in terms of public resources. The related factors could be divided in the following categories: (1) Body weight self-management; (2) Peers to exercise together; (3) Access to fresh food and exercise facility; (4) Health budget and lack of leisure programs. Conclusion: There were various obesity causes, and, thus, intervening one factor cannot be a proper solution. Therefore, a social-ecological approach should be utilized to address the obesity issues. KCI Citation Count: 0