Journal List > J Korean Acad Community Health Nurs > v.29(4) > 1110663

J Korean Acad Community Health Nurs. 2018 Dec;29(4):476-487. Korean.
Published online Dec 26, 2018.  https://doi.org/10.12799/jkachn.2018.29.4.476
© 2019 Korean Academy of Community Health Nursing
Multilevel Analysis of Factors associated with Subjective Weight Perception among Normal Body Weight Adolescents based on the 2017 Korean Youth's Risk Behavior Survey (KYRBS)
Eun Ha Joeng,1 and In Sook Lee2
1Doctoral Student, College of Nursing, Seoul National University, Seoul, School Health Teacher, Munhyeon Middle School, Seoul, Korea.
2Professor, College of Nursing, Seoul National University, Seoul, Korea.

Corresponding author: Lee, In Sook. College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 03080, Korea. Tel: +82-2-740-8828, Fax: +82-2-765-4103, Email: lisook@snu.ac.kr
Received Apr 25, 2018; Revised Sep 18, 2018; Accepted Oct 07, 2018.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

The present study is focused on understanding weight perception related with individual- and school-level multifactorial origins, underestimated and overestimated respectively, in normal body weight adolescents.

Methods

Using the 2017 Korea Youth Risk Behavior Web-based Survey data of 45,902 students from 799 secondary schools, a multilevel multinomial logistic regression analysis was performed where adolescents (level1) were nested within schools (level 2).

Results

At the school level, the average school body mass index (BMI, kg/m2) and physical education were associated with weight perception among both boys and girls. In boys, geographic areas were associated with weight underestimation. At the individual level, perceived economic status, weekly allowance, BMI (kg/m2), smartphone usage time (hrs/day) and perceived stress were associated with weight perception among both boys and girls. Age, paternal education, academic achievement and alcohol use were associated with weight perception among girls, while part-time job and physical activity were associated with weight perception among boys.

Conclusion

Our findings underscore the importance of individual- and school-level environments in developing correct weight perception and have implications for school health education to establish healthy lifestyle behaviors for all adolescents.

Keywords: Adolescent; Weight Perception; Multilevel analysis

Tables


Table 1
Cross Tabulation of Weight Perception and Gender among Normal BMI Adolescents (N=45,902)
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Table 2
Weight Perception by Individual- and School-level Characteristics (N=45,902)
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Table 3
Estimates of Variance and ICC for Random Effect on Null Model
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Table 4
Multilevel Analysis: Factors associated with Weight Perception (N=45,902)
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