Health Policy Manag.
2018 Mar;28(1):3-14. 10.4332/KJHPA.2018.28.1.3.
Association of a Combination between Actual Body Mass Index Status and Perceived Body Image with Anxiety and Depressive Condition in Korean Men and Women: The Fifth and Sixth Korea National Health and Nutrition Examination Survey (2010–2014)
- Affiliations
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- 1Department of Operative Nursing, Armed Forced Gangneung Hospital, Gangneung, Korea.
- 2Department of Health Policy and Management, Yonsei University Graduate School of Public Health, Seoul, Korea. wchung@yuhs.ac
- 3Health Insurance Policy Research Institute, National Health Insurance Service, Wonju, Korea.
- 4College of Pharmacy, Yonsei University, Incheon, Korea.
- KMID: 2410244
- DOI: http://doi.org/10.4332/KJHPA.2018.28.1.3
Abstract
- BACKGROUND
Both objective body shape and perceived body image have been known to influence the mental health. The purpose of this study was to explore the relationship of a combination between actual body mass index (BMI) status and perceived body image with anxiety·depressive condition (ADC) in Korean men and women.
METHODS
This cross-sectional study analyzed data of 26,239 subjects ≥20 years old from the National Health and Nutrition Examination Survey (2010-2014). This study performed a Rao-Scott chi-square and multivariate logistic regression analyses reflecting survey characteristics and used a variety of independent variables such as socio-demographics and health behavior factors.
RESULTS
With all independent variables considered, people with normal weight who perceived themselves as overweight were more likely associated with ADC than a referent group with normal weight who perceived themselves as normal weight, as shown for both men (odds ratio [OR], 1.52; confidence interval [CI], 1.07-2.15) and women (OR, 1.25; CI, 1.06-1.48). Meanwhile, compared to the referent group, men with underweight who perceived themselves as underweight showed a lower association with ADC (OR, 0.63; CI, 0.41-0.97), whereas women with underweight who perceived themselves as underweight showed its higher association (OR, 1.47; CI, 1.10-1.96).
CONCLUSION
A certain group of people categorized as a combination between actual BMI status and perceived body image showed a relatively high likelihood of having ADC, and the gender difference in the likelihood of having the condition for a group was clear. Therefore, this study suggests the need to identify the group at a high risk of ADC on the basis of actual BMI status and perceived body image and to develop an appropriate mental health management program for the group.
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