Original Article

Differences in Self-Rated Health and Physical Activity due to Education Level among Koreans: Understanding Implications of Physical Education

Abstract

Background: We aimed to explore the effect of education levels on self-rated health and physical activity (PA) and to provide basic data for developing interventions based on physical education to improve the quality of life among Koreans.

Methods: The 2019 Community Health Survey data were selected through primary and secondary phylogenetic extraction. The survey was conducted among Korean adults aged ≥19 years (n=229,099), in 2019, using an electronic questionnaire. The education levels were classified into eight groups: uneducated, Seodang/Hanhak (traditional Korean school), elementary school, middle school, high school, college (2 or 3 years), university (4 years), and post-graduate or higher. In this study, the effect of participants’ education levels on self-rated health levels and PA was investigated (the PA subdimensions were: the number of days of vigorous PA, moderate-intensity PA, walking, and flexibility exercises).

Results: 1) Regarding self-rated health, significant differences according to education level were recorded (P<0.001), with higher education levels leading to higher averages. 2) Regarding PA, significant differences according to education level were revealed, and the number of days of vigorous PA, walking, and flexibility exercise (P<0.001) increased with higher education levels. Moreover, the university (4 years) group reported the highest average. However, the middle school group reported the highest average for the number of days of moderate-intensity PA (P<0.001), and the average number of days decreased as the education level increased after middle school.

Conclusion: Education plays an important role in maintaining health, and practicing appropriate PA contributes to one’s quality of life.

1. William B (1964). The History of Western Educa-tion. Adam & Charles Black. London, United Kingdom.
2. Griggs G (2015). Understanding Primary Physi-cal Education. Oxfordshire; Taylor & Fran-cis. London, United Kingdom.
3. Arshed N, Anwar A, Hassan MS, et al (2019). Education stock and its implica-tion for income inequality: The case of Asian economies. Rev Dev Econ, 23(2):1050-1066.
4. Bennett DL, Vedder RK (2015). Public poli-cy, higher education, and income inequali-ty in the United States: Have we reached diminishing returns? Soc Philos Policy, 31(2):252-280.
5. McDermott MM, Polonsky TS, Kibbe MR, et al (2017). Racial differences in func-tional decline in peripheral artery disease and associations with socioeconomic sta-tus and education. J Vasc Surg, 66(3):826-834.
6. Rosengren A, Smyth A, Rangarajan S, et al (2019). Socioeconomic status and risk of cardiovascular disease in 20 low-income, middle-income, and high-income coun-tries: the Prospective Urban Rural Epi-demiologic (PURE) study. Lancet Glob Health, 7(6):e748-e760.
7. Dagkas S (2016). Problematizing social jus-tice in health pedagogy and youth sport: Intersectionality of race, ethnicity, and class. Res Q Exerc Sport, 87(3):221-229.
8. Kern BD, Graber KC, Shen S, et al (2018). Association of school‐based physical ac-tivity opportunities, socioeconomic status, and third‐grade reading. J Sch Health, 88(1):34-43.
9. Bombak A (2013). Self-Rated Health and Public Health: A Critical Perspective. Front Public Health, 1:1-4.
10. Assari S, Cobb S, Saqib M, et al (2020). Economic Strain Deteriorates While Ed-ucation Fails to Protect Black Older Adults Against Depressive Symptoms, Pain, Self-rated Health, Chronic Disease, and Sick Days. J Ment Health Clin Psychol, 4(2):49-62
11. Yamashita T, Bardo AR, Liu D, et al (2019). Education, lifelong learning and self-rated health in later life in the USA. Health Educ J, 78(3):328-339.
12. Silva DAS, Chaput J, Tremblay MS (2019). Participation frequency in physical educa-tion classes and physical activity and sit-ting time in Brazilian adolescents. PloS One, 14(3):1-14.
13. Aguilar-Farias N, Martino-Fuentealba P, Carcamo-Oyarzun J, et al (2018). A re-gional vision of physical activity, seden-tary behaviour and physical education in adolescents from Latin America and the Caribbean: results from 26 countries. Int J Epidemiol, 47(3):976-986.
14. Lee HH, Pérez AE, Operario D (2019). Age moderates the effect of socioeconomic status on physical activity level among South Korean adults: Cross-sectional analysis of nationally representative sam-ple. BMC Public Health, 19(1):1-8.
15. Lee IM (2008). Epidemiologic methods in physical activity studies. Oxford University Press
16. Korea Centers for Disease Control and Prevention (2019). 2019 Community Health Survey. Korea Centers for Disease Con-trol and Prevention.
17. Volken T, Wieber F, Rüesch P, et al (2017). Emporal change to self-rated health in the swiss population from 1997 to 2012: the roles of age, gender, and education. Public Health, 150:152-165.
18. Vukojević M, Zovko A, Talić I, et al (2017). Parental socioeconomic status as a pre-dictor of physical and mental health out-comes in children—literature review. Acta Clin Croat, 56(4):742-748.
19. Pinillos-Franco S, García-Prieto C (2017). The gender gap in self-rated health and education in Spain. A multilevel analysis. PloS One, 12(12):1-11.
20. Präg P, Mills MC, Wittek R (2016). Subjective socioeconomic status and health in cross-national comparison. Soc Sci Med, 149:84-92.
21. Mitáš J, Cerin E, Reis RS, et al (2019). Do associations of sex, age and education with transport and leisure-time physical activity differ across 17 cities in 12 coun-tries? Int J Behav Nutr Phys Act, 16(1):1-12.
22. Assari S, Cobb S, Bazargan M (2019). Race by gender differences in the protective ef-fects of education and income against subsequent changes in self-rated health, physical activity, and body mass index among older Americans. J Health Econ Dev, 1(2):9-21.
23. Sperlich S, Beller J, Epping J, et al (2020). Trends in self-rated health among the el-derly population in Germany from 1995 to 2015–the influence of temporal change in leisure time physical activity. BMC Public Health, 20(1):1-10.
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IssueVol 50 No 10 (2021) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v50i10.7498
Keywords
Community health survey Education level Physical activity Physical education

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Chang B-K. Differences in Self-Rated Health and Physical Activity due to Education Level among Koreans: Understanding Implications of Physical Education. Iran J Public Health. 2021;50(10):1983-1992.