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Social Determinants of Health and Well-Being of Adolescents in Multicultural Families in South Korea: Social-Cultural and Community Influence

Authors
 Jungeun Shin  ;  Hyeonkyeong Lee  ;  Eun Kyoung Choi  ;  Chungmo Nam  ;  Sun-Mi Chae  ;  Oksik Park 
Citation
 FRONTIERS IN PUBLIC HEALTH, Vol.9 : 641140, 2021-03 
Journal Title
 FRONTIERS IN PUBLIC HEALTH 
Issue Date
2021-03
Keywords
adolescents ; cultural diversity ; social determinants of health ; social environment ; well-being
Abstract
Objectives: Adolescents in multicultural families (AMFs) are exposed to numerous stressors and face environmental vulnerability within the family, school, and community systems, which may affect their health and well-being. Concrete discussion on policies is lacking due to insufficient data on the levels of well-being of AMFs in South Korea. This study aimed to investigate social-cultural and community factors affecting their well-being. Methods: A cross-sectional study was conducted with a convenience sample of 206 AMFs (aged 13-18 years) from 16 general schools and three multicultural schools across eight large cities. AMFs completed a self-administrative questionnaire assessing well-being, individual factors (acculturative stress, health behavior), social and community factors (social support, sense of community), and environmental factors (school type, economic status). Data were analyzed using structural equation modeling. Results: Social support and sense of community significantly and directly affected well-being. The economic status and type of school had an indirect effect on well-being, whereas the effect of acculturative stress was not significant. Factors significantly affecting adolescents' well-being were social support, sense of community, economic status, and type of school. Conclusion: Addressing well-being may be the strategy leading AMFs to grow into healthy adults. These results could help educators, health professionals, and policymakers to identify ways to enhance the well-being of AMFs.
DOI
10.3389/fpubh.2021.641140
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Nam, Chung Mo(남정모) ORCID logo https://orcid.org/0000-0003-0985-0928
Lee, Hyeonkyeong(이현경) ORCID logo https://orcid.org/0000-0001-9558-7737
Choi, Eun Kyoung(최은경) ORCID logo https://orcid.org/0000-0003-4622-2437
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/182937
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