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Perceived Weight and Health Behavior Characteristics

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KMID : 0367019940060020209
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Abstract

The objective of this study was to clarify whether there are differences between normal and over-weight adults in their perceived weight, perceived health status, health conception and health behavior choices.
The sample consisted of 37 adults of normal weigh.t(16 men and 21 women) and 39 adults of over-weight (11% above the Body Index,25 men and 14 women) who lived in Pupyong, Inchon. The participants were randomly selected in each weight group considering the balance of weight group size and socio-demographic factors.
The questionnaires were distributed to every participant with some explanations and collected after the direct answer to the questions.
Data were collected over a period of one month (from Aug.1 to Aug. 30, ¢¥94).
The findings from this study are summarized as follow.
1) Among the 39 overweight adults, 18 were moderately overweight 11%20%, 17 were 20% and 4 were 301% above the normal weight. Eight(20.5%) of the overweight group and 3(8. 1%)of the normal weight group with a disease and said that being overweight was clearly associated with the prevalence of various chronic diseases.
These diseases were hypertension, diabetes, heart disease, headache etc. The cases that a family member had a disease were found to be 10(25.6%) in the overweight group compared to 7 (18.9%) in the normal weight group.
The average monthly family income of the overweight group was W1,770 thousand in comparison to W1,660 thousand for the normal weight group.
Ages ranged from 20 to 62 years (mean=38.8 years in total, 41.8 years for overweight group and 35.5 years for normal weight group). Difference was shown for the two groups (X2 =6.74, p=.0344) statistically.
And the reported religion 36(92.3%)for over-weight, 27(73%)for normal weight, (xz=5.01, p=025))and marital status 36(92.3%)for over-weight and 24(64.9%) for normal weight (X2 =8. 6, p=.0033) were different for the two groups significantly. Occupation and educational level were similar for the two groups.
2) The difference tests between mean scores of two weight group for each health characteristic indicated that the overweight and normal weight groups did not differ in perceived health status, health conception or health behavior choice.
To determine if the lack of difference between the groups might be related to a failure of the overweight subjects to perceive themselves as overweight,a chi-square was computed on the frequency distributions of perceived over-weight and objective overweight.
The chi-square of 10.55, df=1, P=.001, indicated congruence between perceived and objectively determined overweight. Nine(24.3%) of the normal weight group perceived themselves as being overweight ; 32(82.1%) of the overweight group saw them-selves as being overweight.
Even though they perceived themselves as being overweight, there was an indication that they regarded themselves as healthy as those in the normal weight group, and with no differences in health conception and chose health behaviors to promote their own health status.
3) Perceived health conception was significantly associated with health behavior choice r=.29, p=.005 for the total sampling group, r=.31, p=.031 for the normal weight group and r=.28, p=.044 for the overweight group.
There was an indication that the more complicated the perceived health conception, the more health behavior choice for health pro-motion. Because the patterns of relationships were similar in the two weight groups, data were combined and then multiple regression analysis was performed. Health behavior choice was the dependent variable, and weight, perceived weight, perceived health status and health conception were entered as independent variables for the multiple regression analysis.
For the total group, health conception accounted for the largest of variance in health behavior choice (R¢¥=.08571, P=.05, F=6.936 79).
The other variables accounted for a negligible amount of variance.
That is, for the total group, they chose health behavior according to their health conception rather than their weight, perceived weight or health status.
But perceived health status and health behavior choice were not related in the two weight groups, indicating that perception on their health status was not associated with their health behavior.
That is, the overweight group perceived them-selves as healthy as the normal weight group or perceived that overweight itself does not in-cur any health risk.
This study intended to support an understanding of how overweight adults perceive health and to meet their health needs by comparing the normal weight adults with overweight adults.
This knowledge is important in light of the cur-rent trend toward increased individual responsibility for health by improving health behavior.
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