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Dietary Behavior, Nutrient Intake, and Mental Health of Middle-aged Single- and Multi-person Households in Korea: Using Data from the Korea National Health and Nutrition Examination Survey 2015-2019

한국 중년 1인 가구와 다인 가구의 식행동, 영양섭취 상태와 정신건강과의 관련성 연구: 국민건강영양조사 2015-2019년 자료를 활용하여

  • Mi Sook Cho (Department of Nutritional Science and Food Management, Ewha Womans University) ;
  • Seung Jae Lee (Department of Food and Nutrition, Ansan University)
  • 조미숙 (이화여자대학교 식품영양학과) ;
  • 이승재 (안산대학교 식품영양학과)
  • Received : 2023.08.08
  • Accepted : 2023.09.19
  • Published : 2023.10.31

Abstract

Considering that the number of middle-aged single-person households is increasing, this study investigates dietary behaviors, nutrient intake, and mental health according to household type. Data were procured from the 2015-2019 Korea National Health and Nutrition Examination Survey (KNHANES). Totally, 5,466 participants aged 50-64 years were classified into 2 groups: a household with one member was defined as a single-person household, and households with two or more members were described as multi-person households. Single-person households comprised 10.63% of the total, with a higher average age, and lower income and economic levels than multi-person households. Compared to multi-person households, single-person households had a higher frequency of skipping breakfast, eating alone, and dining out, the moderately and severely food insecure group was more than 5 times, and nutrient intake and dietary quality were poorer. In the fully adjusted model, the odds ratios (ORs) of depressive symptoms were 2.35 times (95% CI: 1.39-3.96), and suicide ideation was 1.95 times (95% CI: 1.35-2.82) in single-person compared to multi-person households. Our results lead us to conclude that poor dietary intake in middle-aged single-person households affects the mental health, and the above factors should be considered when framing the dietary policy.

Keywords

References

  1. An BM, Son JH. 2018. Analysis of Metabolic Syndrome in Korean Adult One-Person Households. J. Korean Public Health Nurs., 32(1):30-43
  2. Bak HJ, Kim HS. 2015. A Study of Association Dining-out, Nutritional Intakes and Health Risk Factors among Korean Women using the Data of Korean National Health and Nutrition Examination Survey (KNHANES VI). Culin. Sci. Hosp. Res., 21(5):139-146
  3. Bergmann N, Gyntelberg F, Faber J. 2014. The appraisal of chronic stress and the development of the metabolic syndrome: a systematic review of prospective cohort studies. Endocr. Connect., 3(2):R55-80 https://doi.org/10.1530/EC-14-0031
  4. Choi SB, Kwak JH, Chung H, Kang HJ, Paik JK. 2020. Comparison of Nutrient Intake and Metabolic Syndrome between Single Person Households and Non-Single Person Households in Elderly Subjects-From the Sixth Korea National Health and Nutrition Examination Survey (KNHANES, 2013~2015)-. Korean J. Food Nutr., 33(3):322-330
  5. Choi YJ, Lee MJ, Choi SB. 2016. The impact of household types and social relationships on depression: based on the comparison between single-person households and multi-person households. J. Fam. Relations, 21(2):25-51 https://doi.org/10.21321/jfr.21.2.25
  6. Ha JK, Lee SL. 2017. The Effect of Health-Related Habitual Consumption and Lifetime on Subjective Health of One Person Households: Focusing on Comparison between Non-One Person Households and Generations. Fam. Environ. Res., 55(2):141-152 https://doi.org/10.6115/fer.2017.011
  7. Han SM, Lee SJ. 2018. Quality of Life of Youth Living Alone: With the Focus of Social Capital Influence. J. Converg. Soc. Public Policy, 12(1):60-85 https://doi.org/10.37582/CSPP.2018.12.1.60
  8. Hong SH, Kim JM. 2021. Relationship between Eating Behavior and Healthy Eating Competency of Single-Person and Multi-Person Households by Age Group. Korean J. Community Nutr., 26(5):337-349 https://doi.org/10.5720/kjcn.2021.26.5.337
  9. Hong YY, Ju YA, Park IS. 2018. A Study on the Intention of One-person Households Selection in Male and Female University Students. Korean Fam. Resour. Manag. Assoc., 22(4):75-87
  10. Im YJ, Park MH. 2018. The effect of socioeconomic deprivation on depression of middle-aged single person households. Soc. Sci. Res. Rev., 34(1):187-206 https://doi.org/10.18859/ssrr.2018.02.34.1.187
  11. Jeon YH, Ahn BI. 2016. Influences of Family Structure on the Food Consumption Pattern. Rural Economic., 39(4):73-95
  12. Jun SM. 2018. Moderating Effects of Consumer Competency on Dietary Life Satisfaction Among One-Person Households Classified by Dietary Lifestyle. Consum. Policy Educ. Rev., 14(4):55-81 https://doi.org/10.15790/cope.2018.14.4.055
  13. Kang JH. 2019. Fear of Crime among One-person Households. J. Korean Public Police Secur. Stud., 15(4):23-54
  14. Kang NY, Jung BM. 2019. Analysis of the Difference in Nutrients Intake, Dietary Behaviors and Food Intake Frequency of Single- and Non Single-Person Households: The Korea National Health and Nutrition Examination Survey (KNHANES), 2014-2016. Korean J. Community Nutr., 24(1):1-17
  15. Kim EK, Park SK. 2016. Comparison of Health Behaviors, Disease Prevalence between One-person women and Multiple households women in Korea. J. Korean Public Health Nurs., 30(3):483-494
  16. Kim HJ, Kim KS. 2015. A Study on the Variables Influencing Suicidal Ideation in Single Person Households: Targeting One Gu in Gwangju. J. Fam. Better Life, 33(6):115-128
  17. Kim HY. 2014. Floating Families in Korea: Focusing on One-person Households. J. Korean Soc. Res., 15(2):255-292
  18. Kim HY, Kim MH, Hong SG, Hwang SJ, Park MH. 2005. A study on the Nutrient Intake, Health Risk Factors, Blood Health Status in Elderly Koran Women Living Alone. Korean J. Community Nutr., 10(2):216-223
  19. Kim JS. 2014. Employment and household economics of single-person households. Korean Women's Development institute. 34:89-90
  20. Kim JM, Lee EJ. 2022. Association between Healthy Eating Index and Mental Health in Middle-Aged Adults Based on Household Size in Korea. Int. J. Environ. Res. Public Health, 19(8):4692-4706
  21. Kim SH. 2016. The Relationship between Socioeconomic Status and Metabolic Syndrome, Using Structural Equation Modelling. Korean J. Health Promot., 16(2):92-100 https://doi.org/10.15384/kjhp.2016.16.2.92
  22. Kim SY, Seo MS, Seo YJ. 2018. The Factors Affecting on the Suicidal Intention of Single Person Households: Based on the 6th (2013, 2015) Korea National Health and Nutrition Survey. J. Korean Soc. Wellness, 13(3):489-498 https://doi.org/10.21097/ksw.2018.08.13.3.489
  23. Koo S, Park K. 2013. Dietary Behaviors and Lifestyle Characteristics Related to Frequent Eating Out Among Korean Adults. J. Korean Soc. Food Sci. Nutr., 42(5):705-712 https://doi.org/10.3746/jkfn.2013.42.5.705
  24. Kwak JH, Choi SB, Ju DJ, Lee MH, Paik JK. 2021. An Analysis of the Association between Chronic Disease Risk Factors according to Household Type for the Middle-aged: The Korea National Health and Nutrition Examination Survey (2013~2015). Korean J. Food Nutr., 34(1):88-95
  25. Kwon HC, Kim HY. 2017. The Life of Middle-aged Men Who Live Alone: A study of Social relations and Subjective Happiness among 4050 One-person Male Households. J. Soc. Sci., 24(3):267-290 https://doi.org/10.46415/jss.2017.09.24.3.267
  26. Kwon SO, Oh SY. 2007. Associations of Household Food Insecurity with Socioeconomic Measures, Health Status and Nutrient Intake in Low Income Elderly. J. Nutr. Health, 40(8):762-768
  27. Lee EM. 2013. Characteristics and implications of single-person households. SERI Quarterly, 6(4):98-102
  28. Lee HN, Cho YT. 2019. Comparison of Health Behaviors, Disease Prevalence between Middle Aged One-Person Households and Multi-Member Households in South Korea. Health Soc. Welf. Rev., 39(3):380-407 https://doi.org/10.15709/hswr.2019.39.3.380
  29. Lee KI, Hwang YJ, Ban HJ, Lim SJ. 2015. Impact of the Growth of Single-person Households on the Food Market and Policy Tasks. Korea Rural Econ. Inst., R762
  30. Lee KW, Shin DY. 2021. Comparison of Dietary Behaviors and the Prevalence of Metabolic Syndrome in Single- and Multi-Person Households among Korean Adults. Healthc., 9(9):1116-1131 https://doi.org/10.3390/healthcare9091116
  31. Lee MS, Song HJ, Kim BY. 2018. Association between physical health status, health behaviors and subjective depression among single-person household. Korean J. Health Educ. Promot., 35(2):61-71 https://doi.org/10.14367/kjhep.2018.35.2.61
  32. Lee SJ, Lee KW, Cho MS. 2021. Association of Food Insecurity with Nutrient Intake and Depression among Korean and US Adults: Data from the 2014 Korea and the 2013-2014 US National Health and Nutrition Examination Surveys. Int. J. Environ. Res. Public Health, 18(2):506-517 https://doi.org/10.3390/ijerph18020506
  33. Pan A, Keum NN, Okereke OI, Sun Q, Kivimaki M, Rubin RR, Hu FB. 2012. Bidirectional association between depression and metabolic syndrome: a systematic review and meta-analysis of epidemiological studies. Diabetes Care, 35(5):1171-1180 https://doi.org/10.2337/dc11-2055
  34. Shin MA. 2019. Comparative Study on Health Behavior and Mental Health between One person and Multi-person Households: Analysis of Data from the National Health and Nutrition Examination Surveys (2013, 2015, 2017). J. Korean Soc. Wellness, 14(4):11-23 https://doi.org/10.21097/ksw.2019.11.14.4.11
  35. Shin MA. 2020. The Factors Affecting the Suicidal ideation of Single Person Household in Adults based on the Gender: Analysis of Data from the National Health and Examination Surveys (2017). Korean J. Hum. Ecol., 29(6):847-859 https://doi.org/10.5934/kjhe.2020.29.6.847
  36. Suh YS, Kang JH, Kim HS, Chung YJ. 2010. Comparison of Nutritional Status of the Daejeon Metropolitan Citizens by Frequency of Eating Out. Korean J. Nutr., 43(2):171-180 https://doi.org/10.4163/kjn.2010.43.2.171
  37. Szponar, L., Rychlik, E. 2002. Dietary intake elderly subjects in rural and urban area in Poland. Pol. Merkur. Lek., 13(78):490-496
  38. Tak YJ, Kim YJ, Lee SY, Lee JG, Jung DW, Yi YH, Cho YH, Choi EJ, Nam KJ. 2013. Health Care Behavior of People 60 Years and Older in Korea According to Family Type and Sociodemographic Factors-The 5th Korea National Health and Nutrition Examination Survey. J. Korean Geriatr. Soc., 17(1):7-17 https://doi.org/10.4235/jkgs.2013.17.1.7
  39. Videon TM, Manning CK. 2003. Influences on adolescent eating patterns: the importance of family meals. J. Adolesc. Health, 32(5):365-373 https://doi.org/10.1016/S1054-139X(02)00711-5
  40. Yun KI, Kang IS. 2016. The Effect on the Life Satisfaction of Poverty of Single Households Based on The Capability Approach of Amartya Sen. J. Korea Gerontol. Soc., 36(2):457-473
  41. Ministry of Health and Welfare, The Korean Nutrition Society. Application of Dietary reference intakes for Koreans 2020. Sejong; 2021
  42. Statistics Korea. The Population and Housing Census. Available from: https://kostat.go.kr/statTerm.es?act=view&mid=a10503000000&nPage=1&stat_term_cd=SL3930, [accessed 2023.08.16]