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다문화 청소년과 일반 청소년의 건강위험 행태에 영향을 미치는 정신건강 요인 비교

Comparison of Mental Health Factors Affecting Health Risk Behaviors between Multicultural and Monocultural Adolescents in Korea

한국학교보건학회지 2019년 32권 2호 p.105 ~ 115
이채현 ( Lee Chae-Hyun ) - 서울대학교 간호대학

이인숙 ( Lee In-Sook ) - 서울대학교 간호대학

Abstract


Purpose: The purpose of this study was to compare the mental health factors related to health risk behaviorsbetween multicultural and monocultural adolescents.

Methods: The study subjects were selected from the 2018Korea Youth Risk Behavior Web-Based Survey Dataset. A total of 60,040 multicultural and monoculturaladolescents were included in the analysis. A x2test and logistic regression were conducted, using SPSS 18.0,to compare the general characteristics, mental health, and health risk behaviors of the multicultural and monoculturaladolescents. This process involved a complex sample design.

Results: There was a significant differencein the rates of suicidal behaviors. Multicultural adolescents showed a significantly higher rate of suicidal ideation(8.6% vs. 8.5%, p=.004), suicidal plan (3.2% vs. 2.4%, p=.004), and suicidal attempt (5.0% vs 3.1%, p=.04) thanmonocultural adolescents. Perceived stress had a significant impact only on monocultural adolescents. Monoculturaladolescents with high levels of perceived stress were at a greater risk of drinking (high stress=reference;low stress OR=0.91, p=.025) and smoking (high stress=reference; low stress OR=0.90, p=.029) than those withlow stress. Multicultural adolescents who had made suicide attempts were at a higher risk of drinking (multiculturalOR=7.879, p<.001; monocultural OR=2.481, p<.001) and smoking (multicultural OR=4.011, p=.015; monoculturalOR=2.800, p<.001) than monocultural adolescents.

Conclusion: To implement an effective smoking anddrinking prevention program, it is necessary to consider how we can reduce the risk factors. Stress managementis important for monocultural adolescents and a proactive suicide-screening program and a suicide preventionprogram should be included in the program for both multicultural and monocultural adolescents.

키워드

건강 행동; 청소년건강행태 온라인조사; 정신건강; 다문화 청소년; 일반 청소년
Health behavior; Korea youth risk behavior web-based survey; Mental health; Multicultural adolescents; Monocultural adolescents
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