KMID : 1102120180240040496
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Child Health Nursing Research 2018 Volume.24 No. 4 p.496 ~ p.505
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Analyzing Changes and Determinants of Self-rated Health during Adolescence: A Latent Growth Analysis
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Choi You-Jung
Kim Hae-Young
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Abstract
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Purpose: The purpose of this study was to examine changes in the self-rated health of adolescents and to identify its predictors using longitudinal data from the KCYPS.
Methods: A sample of 2,351 adolescents who were in the first grade of middle school in 2010 was analyzed. The study employed latent growth analysis using data from 2010 to 2016.
Results: Results indicated that self-rated health of adolescents increased, following the form of a linear function. The analyses revealed that adolescent self-perception of health were conceptualized not only by their health-related behaviors, but also by personal, socioeconomic and psychological factors. Specifically, physical activity, passive leisure time activities, gender (initial: b=-.060, slope: b=.030), place of residence (initial: b=-.079), self-rated economic condition (b=.098), working status of mother (b=.016), monthly family income (b=-.001), aggression (b=.061), depression (initial: b=-.104, slope: b=.012), stress (initial: b=-.172, slope: b=.014, ego-resiliency (initial: b=.197, slope: b=-.021), and self-esteem (initial: b=.106, slope: b=-.017) had significant effects on the overall linear change of self-rated health (p<.05 for all estimators above).
Conclusion: The findings of this study suggest that adolescents¡¯ self evaluation of their health is shaped by their total sense of functioning, which includes individual, health-related behavioral, socioeconomic, and psychological factors.
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KEYWORD
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Adolescent, Adolescent health, Diagnostic self evaluation, Health status disparities, Longitudinal studies
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