Changes in Adolescent Health Behavior and the Exacerbation of Economic Hardship During the COVID-19 Pandemic: A Cross-sectional Study From the Korea Youth Risk Behavior Survey
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: This study investigated the association between exacerbated economic hardship during the coronavirus disease 2019 (COVID-19) pandemic and changes in the health behaviors of Korean adolescents.Methods: We analyzed data from the 2021 Korea Youth Risk Behavior Survey and included 44 908 students (22 823 boys and 22 085 girls) as study subjects. The dependent variables included changes in health behaviors (breakfast habits, physical activity, and alcohol use) that occurred during the COVID-19 pandemic. The aggravation of economic hardship by COVID-19 and the subjective economic status of the family were used as exposure variables. Multiple logistic regression analysis was utilized to calculate the prevalence odds ratios (PORs).Results: Severe exacerbation of a family’s economic hardship due to COVID-19 was negatively associated with the health behaviors of adolescents, including increased breakfast skipping (POR, 1.85; 95% confidence interval [CI], 1.55 to 2.21 for boys and POR, 1.56; 95% CI, 1.27 to 1.92 for girls) and decreased physical activity (POR, 1.37; 95% CI, 1.19 to 1.57 for boys and POR, 1.38; 95% CI, 1.19 to 1.60 for girls). These negative changes in health behaviors were further amplified when combined with a low subjective family economic status.Conclusions: The experience of worsening household hardship can lead to negative changes in health behavior among adolescents. It is crucial to implement measures that address the economic challenges that arise from stressful events such as COVID-19 and to strive to improve the lifestyles of adolescents under such circumstances.
Abstract
Objectives: This study investigated the association between exacerbated economic hardship during the coronavirus disease 2019 (COVID-19) pandemic and changes in the health behaviors of Korean adolescents.Methods: We analyzed data from the 2021 Korea Youth Risk Behavior Survey and included 44 908 students (22 823 boys and 22 085 girls) as study subjects. The dependent variables included changes in health behaviors (breakfast habits, physical activity, and alcohol use) that occurred during the COVID-19 pandemic. The aggravation of economic hardship by COVID-19 and the subjective economic status of the family were used as exposure variables. Multiple logistic regression analysis was utilized to calculate the prevalence odds ratios (PORs).Results: Severe exacerbation of a family’s economic hardship due to COVID-19 was negatively associated with the health behaviors of adolescents, including increased breakfast skipping (POR, 1.85; 95% confidence interval [CI], 1.55 to 2.21 for boys and POR, 1.56; 95% CI, 1.27 to 1.92 for girls) and decreased physical activity (POR, 1.37; 95% CI, 1.19 to 1.57 for boys and POR, 1.38; 95% CI, 1.19 to 1.60 for girls). These negative changes in health behaviors were further amplified when combined with a low subjective family economic status.Conclusions: The experience of worsening household hardship can lead to negative changes in health behavior among adolescents. It is crucial to implement measures that address the economic challenges that arise from stressful events such as COVID-19 and to strive to improve the lifestyles of adolescents under such circumstances.
참고문헌 (28)
- "WHO COVID-19 dashboard" (2020)[URL]
- Kim YK, "COVID-19 : systemic risk and response management in the Republic of Korea", Prog Disaster Sci, pp.100200~ (2021)[DOI]
- Xiang M, "Impact of COVID-19 pandemic on children and adolescents’ lifestyle behavior larger than expected", Prog Cardiovasc Dis, 63(4), pp.531~532 (2020)[DOI]
- Kang DY, "The impact of the COVID-19 pandemic on the Korean economy and industry : an interim assessment of one year after the outbreak", KIET Ind Econ Rev, 26(5), pp.6~17 (2021)
- Kang S, "Changes in lifestyle and obesity during the COVID-19 pandemic in Korean adolescents : based on the Korea Youth Risk Behavior Survey 2019 and 2020", Ann Pediatr Endocrinol Metab, 27(4), pp.281~288 (2022)[DOI]
- Jung YH, "Association between family financial decline due to COVID-19 and generalized anxiety disorder among Korean adolescents", J Affect Disord, 309, pp.411~417 (2022)[DOI]
- Jung YH, "Association between the perceived household financial decline due to COVID-19 and smartphone dependency among Korean adolescents", Int J Environ Res Public Health, 19(6), pp.3303~ (2022)[DOI]
- Park YS, "Association between perceived decline in family income due to COVID-19 and alcohol consumption among Korean adolescents", J Affect Disord, 305, pp.144~150 (2022)[DOI]
- Kim Y, "Data resource profile : the Korea Youth Risk Behavior Web-based Survey(KYRBS)", Int J Epidemiol, 45(4), pp.1076~1076 (2016)[DOI]
- Lundqvist M, "Effects of eating breakfast on children and adolescents: a systematic review of potentially relevant outcomes in economic evaluations", Food Nutr Res, 63 (2019)[DOI]
- "Korea Youth Risk Behavior Survey statistics"[URL]
- Esquius L, "Social inequalities in breakfast consumption among adolescents in Spain : the DESKcohort project", Nutrients, 13(8), pp.2500~ (2021)[DOI]
- Kim Y, "Factors related to eating breakfast of middle and high school students in Seoul", Korean J Community Nutr, 15(5), pp.582~592 (2010)
- Acton RB, "Self-reported impacts of the COVID-19 pandemic on diet-related behaviors and food security in 5 countries : results from the International Food Policy Study 2020", J Nutr, 152(Suppl 1), pp.35S~46S (2022)[DOI]
- Young-Hoon KN, "A longitudinal study on the impact of income change and poverty on smoking cessation", Can J Public Health, 103(3), pp.189~194 (2012)[DOI]
- Lee DW, "Effects of household income change on children’s problem behavior : findings from a longitudinal study", J Adolesc Health, 65(4), pp.527~535 (2019)[DOI]
- Skafida V, "Do changes in objective and subjective family income predict change in children’s diets over time? Unique insights using a longitudinal cohort study and fixed effects analysis", J Epidemiol Community Health, 68(6), pp.534~541 (2014)[DOI]
- Kim NH, "How the COVID-19 pandemic has changed adolescent health : physical activity, sleep, obesity, and mental health", Int J Environ Res Public Health, 19(15), pp.9224~ (2022)[DOI]
- Kwon R, "National trends in physical activity among adolescents in South Korea before and during the COVID-19 pandemic, 2009-2021", J Med Virol, 95(2), pp.e28456~ (2023)[DOI]
- Sampson L, "Financial hardship and health risk behavior during COVID-19 in a large US national sample of women", SSM Popul Health, 13, pp.100734~ (2021)[DOI]
- Ullrich-French S, "Correlates of long-term participation in a physical activity-based positive youth development program for low-income youth : sustained involvement and psychosocial outcomes", J Adolesc, 36(2), pp.279~288 (2013)[DOI]
- Tsang SK, "Self-efficacy as a positive youth development construct : a conceptual review", ScientificWorldJournal, 2012, pp.452327~ (2012)[DOI]
- Whitbeck LB, "The effects of parents’ working conditions and family economic hardship on parenting behaviors and children’s self-efficacy", Soc Psychol Q, 60(4), pp.291~303 (1997)[DOI]
- Taylor WC, "Physical activity interventions in low-income, ethnic minority, and populations with disability", Am J Prev Med, 15(4), pp.334~343 (1998)[DOI]
- Oh CM, "Changes in health behaviors and obesity of Korean adolescents before and during the COVID-19 pandemic : a special report using the Korea Youth Risk Behavior Survey", Epidemiol Health, 45, pp.e2023018~ (2023)[DOI]
- Temple JR, "The impact of the COVID-19 pandemic on adolescent mental health and substance use", J Adolesc Health, 71(3), pp.277~284 (2022)[DOI]
- Poonawalla IB, "Family income trajectory during childhood is associated with adolescent cigarette smoking and alcohol use", Addict Behav, 39(10), pp.1383~1388 (2014)[DOI]
- Hardaway CR, "Economic hardship and adolescent problem drinking : family processes as mediating influences", J Youth Adolesc, 43, pp.1191~1202 (2014)[DOI]
