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Original Articles
The Combined Effect of Subjective Body Image and Body Mass Index (Distorted Body Weight Perception) on Suicidal Ideation
Jaeyong Shin, Young Choi, Kyu-Tae Han, Sung-Youn Cheon, Jae-Hyun Kim, Sang Gyu Lee, Eun-Cheol Park
J Prev Med Public Health. 2015;48(2):94-104.   Published online March 14, 2015
DOI: https://doi.org/10.3961/jpmph.14.055
  • 10,404 View
  • 141 Download
  • 14 Crossref
AbstractAbstract PDF
Objectives
Mental health disorders and suicide are an important and growing public health concern in Korea. Evidence has shown that both globally and in Korea, obesity is associated with an increased risk of developing some psychiatric disorders. Therefore, we examined the association between distorted body weight perception (BWP) and suicidal ideation.
Methods
Data were obtained from the 2007-2012 Korea National Health and Nutritional Evaluation Survey (KNHANES), an annual cross-sectional nationwide survey that included 14 276 men and 19 428 women. Multiple logistic regression analyses were conducted to investigate the associations between nine BWP categories, which combined body image (BI) and body mass index (BMI) categories, and suicidal ideation. Moreover, the fitness of our models was verified using the Akaike information criterion.
Results
Consistent with previous studies, suicidal ideation was associated with marital status, household income, education level, and perceived health status in both genders. Only women were significantly more likely to have distorted BWP; there was no relationship among men. In category B1 (low BMI and normal BI), women (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.48 to 3.42) were more likely to express suicidal ideation than women in category B2 (normal BMI and normal BI) were. Women in overweight BWP category C2 (normal BMI and fat BI) also had an increased OR for suicidal ideation (OR, 2.25; 95% CI, 1.48 to 3.42). Those in normal BWP categories were not likely to have suicidal ideation. Among women in the underweight BWP categories, only the OR for those in category A2 (normal BMI and thin BI) was significant (OR, 1.34; 95% CI, 1.13 to 1.59).
Conclusions
Distorted BWP should be considered an important factor in the prevention of suicide and for the improvement of mental health among Korean adults, especially Korean women with distorted BWPs.
Summary

Citations

Citations to this article as recorded by  
  • Association between Weight Status and Mental Health among Korean Adolescents: A Nationwide Cross-Sectional Study
    Youngha Choi, Jeana Hong
    Children.2023; 10(4): 620.     CrossRef
  • Association between body shape misperception and unhealthy eating behaviors among Korean adolescents
    Yejin Kim, Bomgyeol Kim, Vasuki Rajaguru, Sang Gyu Lee, Tae Hyun Kim
    Nutrition Research and Practice.2023; 17(6): 1143.     CrossRef
  • Effects of metabolic syndrome and obesity on suicidality in individuals with bipolar disorder
    Christoph Stenzel, Nina Dalkner, Human-Friedrich Unterrainer, Armin Birner, Susanne A. Bengesser, Frederike T. Fellendorf, Andreas Fink, Eva Fleischmann, Melanie Lenger, Alexander Maget, Martina Platzer, Robert Queissner, Elena Schönthaler, Adelina Tmava-
    Journal of Affective Disorders.2022; 311: 1.     CrossRef
  • Body image distortion among Brazilian and Portuguese women with children: A comparative study between the ELSA-Brasil and Generation XXI cohorts
    Ana Luísa Patrão, Maria da Conceição Almeida, Ana Henriques, Sheila M. Alvim Matos, Henrique Barros, Rosane Harter Griep, Estela M.L. Aquino
    Preventive Medicine.2022; 164: 107316.     CrossRef
  • Prevalence and factors associated with suicidal ideation amongst college students in the Nelson Mandela Bay Municipality, South Africa
    Adeyinka A. Alabi, Olawumi K. Oladimeji, Oladele V. Adeniyi
    South African Family Practice.2021;[Epub]     CrossRef
  • Association between Subjective Body Image, Body Mass Index and Psychological Symptoms in Chinese Adolescents: A Nationwide Cross-Sectional Study
    Yueyun Zhang, Baozhong Liu, Long Sun
    Healthcare.2021; 9(10): 1299.     CrossRef
  • Factors associated with psychological stress and distress among Korean adults: the results from Korea National Health and Nutrition Examination Survey
    Yejin Cheon, Jinju Park, Bo Yoon Jeong, Eun Young Park, Jin-Kyoung Oh, E Hwa Yun, Min Kyung Lim
    Scientific Reports.2020;[Epub]     CrossRef
  • Misclassification of Self-Reported Body Mass Index Categories
    Romy Freigang, Anne-Kathrin Geier, Gordian Lukas Schmid, Thomas Frese, Andreas Klement, Susanne Unverzagt
    Deutsches Ärzteblatt international.2020;[Epub]     CrossRef
  • Self-perceptions of body weight status according to age-groups among Korean women: A nationwide population-based survey
    Boyoung Park, Ha Na Cho, Eunji Choi, Da Hea Seo, Sue Kim, Yeong-Ran Park, Kui Son Choi, Yumie Rhee, Yongjoo Kim
    PLOS ONE.2019; 14(1): e0210486.     CrossRef
  • Does perceived overweight increase risk of depressive symptoms and suicidality beyond objective weight status? A systematic review and meta-analysis
    Ashleigh Haynes, Inge Kersbergen, Angelina Sutin, Michael Daly, Eric Robinson
    Clinical Psychology Review.2019; 73: 101753.     CrossRef
  • Secular trends in the prevalence of weight misperception among Korean adults, 2001–2013
    Seonho Kim, Wi-Young So
    Obesity Research & Clinical Practice.2018; 12(4): 346.     CrossRef
  • Association between body mass index and suicidal ideation among seniors in Shandong, China
    Long Sun, Chengchao Zhou
    Comprehensive Psychiatry.2018; 82: 68.     CrossRef
  • Body weight misperception and psychological distress among young South Korean adults: the role of physical activity
    Eun-Young Lee, Maxine Myre, Jongnam Hwang, Heeran Chun, Eunchul Seo, Roman Pabayo, John C. Spence
    Global Health Research and Policy.2017;[Epub]     CrossRef
  • The Association between Inappropriate Weight Control Behaviors and Suicide Ideation and Attempt among Korean Adolescents
    Sang Ah Lee, Suk-Yong Jang, JaeYong Shin, Yeong Jun Ju, Jin Young Nam, Eun-Cheol Park
    Journal of Korean Medical Science.2016; 31(10): 1529.     CrossRef
A Study on Image Difference between University Hospitals and Corporation Hospitals.
Haejong Lee, Kinam Jin, Heejung Chung
Korean J Prev Med. 1995;28(4):885-898.
  • 1,756 View
  • 20 Download
AbstractAbstract PDF
The objectives of this research are 1) to access different images held by three consumer groups (patients in university hospital, patients in corporation hospital, persons who are not currently visiting hospitals) on two types of hospitals(university hospitals and corporation hospitals), and 2) to investigate the personal factors affecting images of two types of hospitals. The data for this analysis were collected by questionnaire survey. A total of 403 interviews were conducted. Of these cases, 43 percent are male and 57 percent are female. The major statistical methods used for the analysis are paired t-test, factor analysis and multiple regression. The three consumer groups show a consensus that corporation hospitals are better than university hospitals in some aspects, such as kindness, facilities, and equipments. However, these groups disagree in certain images on two types of hospitals, such as popularity, credibility, and readiness for emergency. The images on two types of hospitals are varied by the respondents' sociodemographic characteristics such as age, sex, and by the type of hospital they are currently visiting.
Summary

JPMPH : Journal of Preventive Medicine and Public Health