目的:探討中國與台灣有工作之成年人肥胖盛行率以及其社經影響因子的差異。資料:擷自2000年中國健康與營養調查與2001年台灣國民健康調查。分析對象集中於20歲到60歲有工作的成年人。中國樣本共包含3,067位男性與2,998位女性,台灣樣本共包含6,474位男性以及6,341位女性。方法:用於分析中的變數與肥胖盛行率已轉換成同一比較基礎。應用二元Probit模型來解釋社經變數與肥胖率的關係。結果:在中國,高所得、高教育、以及從事久坐工作的成年人有較高肥胖率。在台灣,低所得與低教育程度工作者有較高肥胖率。另外,中國分析反映出,相較於所得與教育程度,職業別和肥胖率有較高關聯性。但是在台灣,所得與教育程度相較於職業別,對肥胖而言關聯較顯著。本文研究發現指出,當經濟發展趨向成熟時,教育程度與所得對肥胖率有負向顯著影響,尤其對女性而言;反之,肥胖風險與職業別的關聯性卻降低,此現象對男性工作者尤其明顯。
Objective: To investigate the difference in the prevalence of obesity and the associations between the risk of obesity and socioeconomic factors with regard to working adults in China and Taiwan. Data: the 2000 China Health and Nutrition Survey and the 2001 National Health Interview Survey in Taiwan, which contains information from 20-60-year-old working adults in China (3,067 men and 2,998 women) and Taiwan (6,475 men and 6,341 women). Method: Variables were converted to cross-economy comparable forms, and the estimated prevalence of obesity across socioeconomic groups was compared between China and Taiwan. Probit models were used to examine the associations between socioeconomic factors and the probability of being obese. Results: In China, the prevalence of obesity was higher in the higher income, more educated, and more sedentary occupation groups, while it was higher in the lower income and less educated groups in Taiwan. Also, our results indicate that occupational types rather than income and education levels are more significantly associated with the probability of being obese in China, whereas income and education levels rather than occupational types are more significantly associated with the probability of being obese in Taiwan. These findings may indicate that, when an economy becomes more developed, the association between obesity risk and income and education levels becomes more significant and negative especially among women, while the association between obesity risk and occupational types decreases especially among men.