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KMID : 0608420190320020105
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Journal of the Korean Society of School Health
2019 Volume.32 No. 2 p.105 ~ p.115
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Comparison of Mental Health Factors Affecting Health Risk Behaviors between Multicultural and Monocultural Adolescents in Korea
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Lee Chae-Hyun
Lee In-Sook
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Abstract
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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.
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KEYWORD
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Health behavior, Korea youth risk behavior web-based survey, Mental health, Multicultural adolescents, Monocultural adolescents
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