Diabetes Mellitus Inequality in South Korean Adults by Region: The Influence of Obesity and Depression

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-07-13 DOI:10.18502/ijph.v53i7.16045

Seong-Hi Park, Heashoon Lee

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Abstract

Background: Diabetes mellitus (DM) has different prevalence by region. This study aimed to identify the differences in the effects of obesity and depression on DM in South Korean adults by region. Methods: The participants were 14,343 adults (≥30 yr) from Ulsan (regions with the lowest prevalence of DM) and Jeonbuk (regions with the highest prevalence of DM), and data were extracted from the Community Health Survey 2019. We applied a complex sampling design analysis to reflect the stratified, clustering and weights. The data were analyzed using the unweighted frequencies, weighted percentage, mean, standard error, Chi-Square test and multiple logistic regression analysis (SPSS 25.0). Results: Regarding the main result for Ulsan, the odds ratio of DM increased by 1.94, 2.52,1.57, and 4.87 times for obesity(25-29.9kg/m²), high obesity(≥30kg/m²), depression, and receipt of psychological counseling for depression, respectively. In Jeonbuk, the odds ratio of DM increased by 1.79, 2.84, and 3.59 times for obesity, high obesity, and unmet medical experience, respectively. On the other hand, depression-related variables were found to not influence DM Conclusion: We provided the rationale for conducting a health project that interventions for obesity and depression should be included in DM management programs differently in Ulsan and Jeonbuk regions

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按地区划分的韩国成年人糖尿病不平等现象：肥胖和抑郁的影响

背景：糖尿病（DM）的发病率因地区而异。本研究旨在确定不同地区肥胖和抑郁对韩国成年人糖尿病影响的差异。研究方法研究对象是来自蔚山（DM发病率最低的地区）和全北（DM发病率最高的地区）的14343名成年人（≥30岁），数据来自2019年社区健康调查。我们采用了复杂的抽样设计分析，以反映分层、聚类和加权的情况。数据分析采用非加权频数、加权百分比、平均值、标准误差、Chi-Square 检验和多元逻辑回归分析（SPSS 25.0）。结果在蔚山的主要结果中，肥胖（25-29.9kg/m²）、高度肥胖（≥30kg/m²）、抑郁和接受抑郁心理咨询的 DM 的几率分别增加了 1.94 倍、2.52 倍、1.57 倍和 4.87 倍。在全北，肥胖、高度肥胖和未满足医疗经验的 DM 的几率比分别增加了 1.79 倍、2.84 倍和 3.59 倍。另一方面，抑郁相关变量并不影响 DM 结论：我们提供了在蔚山和全北地区开展健康项目的理由，即肥胖和抑郁的干预措施应被纳入不同的 DM 管理计划中。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.