사회경제적 위치에 따른 청소년의 건강과 건강 관련 행태의 차이 : 한국청소년패널 조사 결과 = Socioeconomic Differentials in Health and Health Related Behaviors: Findings from the Korea Youth Panel Survey

다국어 초록 (Multilingual Abstract)

Objective : This study examined the socioeconomic differentials for the health and health related behaviors among South Korean middle school students. Methods : A nationwide cross-sectional interview survey of 3,449 middle school second-grade students and their parents was conducted using a stratified multi-stage cluster sampling method. The response rate was 93.3%. The socioeconomic position indicators were based on self-reported information from the students and their parents: parental education, father's occupational class, monthly family income, out-of-pocket expenditure for education, housing ownership, educational expectations, educational performance and the perceived economic hardships. The outcome variables that were measured were also based on the self-reported information from the students. The health measures included self-rated health conditions, psychological or mental problems, the feelings of loneliness at school, the overall satisfaction of life and the perceived level of stress. The health related behaviors included were smoking, alcohol drinking, sexual intercourse, violence, bullying and verbal and physical abuse by parents. Results : Socioeconomic differences for the health and health related behaviors were found among the eighth grade boys and girls of South Korea. However, the pattern varied with gender, the socioeconomic position indicators and the outcome measures. The prevalence rates of the overall dissatisfaction with life for both genders differed according to most of the eight socioeconomic position indicators. All the health measures were significantly different according to the perceived economic hardship. However, the socioeconomic differences in the self-rated health conditions and the psychosocial or mental problems were not clear. The students having higher socioeconomic position tended to be a perpetrator of bullying while those students with lower socioeconomic position were more likely to be a victim. Conclusions : The perceived economic hardships predicted the health status among the eighth graders of South Korea. The overall satisfaction of life was associated with the socioeconomic position indicators. Further research efforts are needed to explore the mechanisms on how and why the socioeconomic position affects the health and health related behaviors in this age group.

참고문헌 (Reference)

1 "thestructure and process of social statusachievement in Korea" 35 (35): 1-30, koreansociolassocj2001

2 "social class differentials inhealth in British youth" 291-296, socscimed1988

3 "The validity of selfreportedsmoking:a review and meta-analysis" 84 : 1086-1093, 1994

4 "The study ofrelation to variables related to children'sdepression and parents' depression" 12 (12): 245-255, koreanjchildadolescpsychiatr2001

5 "The role of socioeconomic statusgradients in explaining differences in USadolescents' health" 89 (89): 1522-1528, 1999

6 "The impact of positive peer influence,restraint,social competencies and self-seteemon health risk behaviors of Korean youth" 14 : 317-343, 2003

7 "Socioeconomic status,depressive symptoms,and adolescentsubstance use" 156 : 448-453, Med2002

8 "Socioeconomic status andadolescent injuries" 44 (44): 1881-1891, 1996

9 "Socioeconomic inequalities inthe health of children and adolescents-acomparative study of the five Nordic countries" 10 (10): 281-288, 2000

10 "Socialmobility and health related behaviours inyoung people" 53 (53): 211-217, Health1999

11 "Social class gradients in health duringadolescence" 56 (56): 354-61, Health2002

12 "Social class and health in youth:findings fromthe west of Scotland twenty-07 study" 30 : 665-673, 1990

13 "Risktakingbehavior among high school students inSouth Korea" 24 : 571-574, jadolesc2001

14 "Relationbetween economic disadvantage andpsychosocial morbidity in children" 151 : 431-437, 1994

15 "Prevalence ofschool bullying in Korean middle schoolstudents" 158 : 737-741, 2004

16 "Model development of affectingfactors on health behavior and juveniledelinquency of Adolescents [Dissertation]" Korea 1998 : seoulnationaluniv19

17 "Lack of class variation inhealth in adolescence:an artefact of anoccupational measure of social class" 32 : 395-402, 1991

18 "Influences ofgender and social class on adolescents'perceptions of health" 159 (159): 899-904, 1997

19 "Indicatorsof socioeconomic status for adolescents TheWHO health behaviour in school-aged childrensurvey" 12 (12): 385-397, 1997

20 "Health promotion andinvestment for health" 2000

21 "Health inequalities in the early years isthere equalisation in youth" 44 (44): 833-858, socscimed1997

22 "Health behaviour inyouth-a behavioural pathway to healthinequalities in adulthood" intjbehavmed2004

23 "Factorsinfluencing alcohol consuming behavior of thefemale university students" 10 : 205-216, jkoreanacadchildhealthnurs2004

24 "Evidence on equalizationin health in youth from the west of Scotland" 59 : 13-27, 2004

25 "Bullying inschools:self reported anxiety,depression,andself esteem in secondary school children" 317 : 924-925, 1998

26 "Bullying at school:basic facts andeffects of a school based intervention program" 35 : 1171-1190, 1994

27 "Adolescents'proxy reports of parents' socioeconomic status:How valid are they?" 55 (55): 731-737, jepidemiolcommunityhealth2001

28 "Adolescents'perceptions of social status development andevaluation of a new indicator Available at http" pediatrics2001

29 "Adolescents' understanding of social class a comparison of white upper middle class andworking class youth" 27 (27): 80-83, jadoleschealth2000

30 "Adolescents health behavior andcardiovascular disease risk factors according toparents socio-economic status [Dissertation]" Yonsei Univ 2004 : 2004

31 "Adolescence and health inequalities:extensions to macintyre and west" 35 : 679-687, Med1992

32 "Accuracy of proxy reports ofparental characteristics" 62 : 257-276, 1989

33 "A study on thecorrelation between stress mother-adolescentcommunication and quality of life in theadolescents" 8 (8): 141-51, 2002

34 "A study on factors related betweenadolescents' perceived teacher-studentrelationships and health" 17 (17): 135-1356, jkoreansochealthedupromot2000

35 "A research on riskfactors of adolescent sexual behaviors" 12 : 138-148, 2001