Table1_Factors affecting the use of herbal medicines for weight loss in overweight and obese adolescents.docx

ObjectivesHerbal medicine (HM) is widely used to treat obesity in adolescents worldwide since the currently available interventions have low compliance and lack long-term effects and safety data. This study aimed to analyze the factors affecting HM use for weight loss in overweight and obese adolescents.
MethodsA total of 46,336 adolescents were included in this cross-sectional study based on the Korea Youth Risk Behavior Web-Based Survey. Three models of HM use for weigh loss were developed by sequentially adding predisposing, enabling, and need factors according to Andersen's model using multiple logistic regression analyses considering the complex sampling design.
ResultsMale and female high school students and students from low perceived household economic status were less likely to use HM for weight loss. Students whose fathers had a college degree or higher, depressed mood, and two or more chronic allergic diseases were more likely to use HM. Male students who perceived their body image as fat or very fat tended to use HM less than those who perceived their body image as very thin, thin, or moderate. Obese female students tended to use HM more than overweight female students.
ConclusionThese results can be used as the bases to promote HM use, provide ideas for future research, and strengthen the health insurance coverage extension for weight loss interventions.

研究目的：草药（Herbal medicine，HM）在全球范围内被广泛用于青少年肥胖的治疗，因当前可用的干预手段依从性较低，且缺乏长期疗效与安全性数据。本研究旨在分析影响超重与肥胖青少年使用草药减重的相关因素。
研究方法：本研究基于韩国青少年危险行为网络调查（Korea Youth Risk Behavior Web-Based Survey），共纳入46336名青少年开展横断面研究。依据安德森（Andersen）模型，通过考虑复杂抽样设计的多因素logistic回归分析，依次纳入易感性因素、可及性因素与需求因素，构建了3种草药减重使用的风险模型。
研究结果：男女高中生以及自评家庭经济状况偏低的青少年，使用草药减重的概率更低。父亲学历达大学本科及以上、存在抑郁情绪，或患有2种及以上慢性过敏性疾病的青少年，使用草药减重的概率更高。将自身体像感知为肥胖或极肥胖的男性学生，相较于将体像感知为极瘦、偏瘦或中等的学生，其草药减重使用率更低。肥胖女性学生使用草药减重的倾向，高于超重女性学生。
研究结论：本研究结果可作为推广草药应用的依据，为后续研究提供思路，并可为减重干预的医保覆盖范围拓展提供支撑。