The Impact of Household Economic Deterioration Caused by the COVID-19 Pandemic and Socioeconomic Status on Suicidal Behaviors in Adolescents: A Cross-sectional Study Using 2020 Korea Youth Risk Behavior Web-based Survey Data
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives: Economic hardship has a serious impact on adolescents’ mental health. The financial impact of the coronavirus disease 2019 (COVID-19) pandemic was more severe for low-income families, and this also impacted adolescents. This study aimed to examine the associations of economic deterioration (ED) caused by the COVID-19 pandemic and low socioeconomic status (SES) with adolescents’ suicidal behaviors. Methods: This study analyzed data from the 2020 Korea Youth Risk Behavior Web-based Survey, which included 54 948 middle and high school students. Odds ratios (ORs) of suicidal ideation, suicidal planning, and suicide attempts related to ED and SES were calculated using multivariable logistic regression. We calculated relative excess risks due to interaction to assess additive interactions. Results: The ORs for suicidal ideation, suicidal planning, and suicide attempts related to combined severe ED and low SES were 3.64 (95% confidence interval [CI], 3.13 to 4.23), 3.88 (95% CI, 3.09 to 4.88), and 4.27 (95% CI, 3.21 to 5.69), respectively. Conclusions: ED and low SES were significantly associated with suicidal behaviors in adolescents. Although no significant additive interaction was found, the ORs related to suicidal ideation, suicidal planning, and suicide attempts were highest among adolescents from low-income families with severe ED. Special attention is needed for this group, considering the increased impact of economic inequality due to the COVID-19 pandemic.
Abstract
Objectives: Economic hardship has a serious impact on adolescents’ mental health. The financial impact of the coronavirus disease 2019 (COVID-19) pandemic was more severe for low-income families, and this also impacted adolescents. This study aimed to examine the associations of economic deterioration (ED) caused by the COVID-19 pandemic and low socioeconomic status (SES) with adolescents’ suicidal behaviors. Methods: This study analyzed data from the 2020 Korea Youth Risk Behavior Web-based Survey, which included 54 948 middle and high school students. Odds ratios (ORs) of suicidal ideation, suicidal planning, and suicide attempts related to ED and SES were calculated using multivariable logistic regression. We calculated relative excess risks due to interaction to assess additive interactions. Results: The ORs for suicidal ideation, suicidal planning, and suicide attempts related to combined severe ED and low SES were 3.64 (95% confidence interval [CI], 3.13 to 4.23), 3.88 (95% CI, 3.09 to 4.88), and 4.27 (95% CI, 3.21 to 5.69), respectively. Conclusions: ED and low SES were significantly associated with suicidal behaviors in adolescents. Although no significant additive interaction was found, the ORs related to suicidal ideation, suicidal planning, and suicide attempts were highest among adolescents from low-income families with severe ED. Special attention is needed for this group, considering the increased impact of economic inequality due to the COVID-19 pandemic.
참고문헌 (39)
- "Adolescent mental health" (2021)[URL]
- "2021 Youth statistics" (2021)[URL]
- Lee FS, "Mental health. Adolescent mental health--opportunity and obligation", Science, 346(6209), pp.547~549 (2014)
- Johnson D, "Adult mental health outcomes of adolescent depression : a systematic review", Depress Anxiety, 35(8), pp.700~716 (2018)
- Fergusson DM, "Suicidal behaviour in adolescence and subsequent mental health outcomes in young adulthood", Psychol Med, 35(7), pp.983~993 (2005)
- Mars B, "Clinical and social outcomes of adolescent self harm : population based birth cohort study", BMJ, 349, pp.g5954~ (2014)
- Wasserman D, "Oxford textbook of suicidology and suicide prevention", pp.557~572 (2020), Oxford University Press
- Devenish B, "The pathways between socioeconomic status and adolescent outcomes: a systematic review", Am J Community Psychol, 59(1-2), pp.219~238 (2017)
- Masarik AS, "Stress and child development : a review of the Family Stress Model", Curr Opin Psychol, 13, pp.85~90 (2017)
- Cheng S, "Precarious childhoods : childhood family income volatility and mental health in early adulthood", Soc Forces, 99(2), pp.672~699 (2020)
- Prime H, "Risk and resilience in family well-being during the COVID-19 pandemic", Am Psychol, 75(5), pp.631~643 (2020)
- Nearchou F, "Exploring the impact of COVID-19 on mental health outcomes in children and adolescents : a systematic review", Int J Environ Res Public Health, 17(22), pp.8479~ (2020)
- Panchal U, "The impact of COVID-19 lockdown on child and adolescent mental health: systematic review", Eur Child Adolesc Psychiatry (2021)[DOI]
- Marques de Miranda D, "How is COVID-19 pandemic impacting mental health of children and adolescents", Int J Disaster Risk Reduct, 51, pp.101845~ (2020)
- Magson NR, "Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic", J Youth Adolesc, 50(1), pp.44~57 (2021)
- Fegert JM, "Challenges and burden of the coronavirus 2019(COVID-19)pandemic for child and adolescent mental health : a narrative review to highlight clinical and research needs in the acute phase and the long return to normality", Child Adolesc Psychiatry Ment Health, 14, pp.20~ (2020)
- Yoon YH, "The macroeconomic implications of the COVID-19 economic crisis : the case of South Korea", Invest Econ, 80(316), pp.5~31 (2021)
- A study of the socio-economic impact of COVID-19 and the effect evaluation of emergency disaster relief funds (general edition), "National Research Council for Economics, Humanities and Social Sciences", National Research Council for Economics, Humanities and Social Sciences, ~ (2020)
- Lee J, "Multiple mediating effects of conflicts with parents and self-esteem on the relationship between economic status and depression among middle school students since COVID-19", Front Psychol, 12, pp.712219~ (2021)
- 이미선, "COVID-19로 인한 가정경제 악화가 청소년의 자살경향성에 미치는 효과 분석: 성향점수매칭 분석의 적용", 한국학교·지역보건교육학회지, 22(2), pp.1~14 (2021), 한국학교·지역보건교육학회[DOI]
- Han JM, "Effect of subjective economic status during the COVID-19 pandemic on depressive symptoms and suicidal ideation among South Korean adolescents", Psychol Res Behav Manag, 14, pp.2035~2043 (2021)
- VanderWeele TJ, "A tutorial on interaction", Epidemiol Methods, 3(1), pp.33~72 (2014)
- Kim Y, "Data resource profile : the Korea Youth Risk Behavior Web-based Survey(KYRBS)", Int J Epidemiol, 45(4), pp.1076~1076e (2016)
- 배지석, "Test-Retest Reliability of a Questionnaire for the Korea Youth Risk Behavior Web-Based Survey", 예방의학회지, 43(5), pp.403~410 (2010), 대한예방의학회
- Wood AM, "An evolutionary based social rank explanation of why low income predicts mental distress: a 17 year cohort study of 30,000 people", J Affect Disord, 136(3), pp.882~888 (2012)
- Wetherall K, "Social rank theory of depression : a systematic review of self-perceptions of social rank and their relationship with depressive symptoms and suicide risk", J Affect Disord, 246, pp.300~319 (2019)
- McLaughlin KA, "Socioeconomic status and adolescent mental disorders", Am J Public Health, 102(9), pp.1742~1750 (2012)
- Källberg H, "Calculating measures of biological interaction using R", Eur J Epidemiol, 21(8), pp.571~573 (2006)
- Reiss F, "Socioeconomic inequalities and mental health problems in children and adolescents : a systematic review", Soc Sci Med, 90, pp.24~31 (2013)
- Ponnet K., "Financial stress, parent functioning and adolescent problem behavior: an actor-partner interdependence approach to family stress processes in low-, middle-, and high-income families", J Youth Adolesc, 43(10), pp.1752~1769 (2014)
- DashiffC, "Poverty and adolescent mental health", J Child Adolesc Psychiatr Nurs, 22(1), pp.23~32 (2009)
- Goldston DB, "Suicide attempts in a longitudinal sample of adolescents followed through adulthood : evidence of escalation", J Consult Clin Psychol, 83(2), pp.253~264 (2015)
- Miller AB, "Adolescent suicide as a failure of acute stress-response systems", Annu Rev Clin Psychol, 15, pp.425~450 (2019)
- Frasquilho D, "Mental health outcomes in times of economic recession : a systematic literature review", BMC Public Health, 16, pp.115~ (2016)
- Chang SS, "Was the economic crisis 1997-1998 responsible for rising suicide rates in East", Southeast Asia? A time-trend analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand, 2009, pp.68(7), 1322~1331
- Zolopa C, "Changes in youth mental health, psychological wellbeing, and substance use during the COVID-19 pandemic: a rapid review", Adolesc Res Rev, 7(2), pp.161~177 (2022)
- Kim SY, "Changes in the mean of medical visits due to psychiatric disease in Korean children and adolescents before and during the COVID-19 pandemic", Life(Basel), 12(4), pp.600~ (2022)
- The 2022 prospects and tasks for income security policy, "Kim TW", Korea Institute for Health and Social Affairs, 43~50 (2020)
- Walsh D, "Relationship between childhood socioeconomic position and adverse childhood experiences(ACEs) : a systematic review", J Epidemiol Community Health, 73(12), pp.1087~1093 (2019)
