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The Sequential Mediating Effects of Dietary Behavior and Perceived Stress on the Relationship between Subjective Socioeconomic Status and Multicultural Adolescent Health

Authors
 Youlim Kim  ;  Hyeonkyeong Lee  ;  Mikyung Lee  ;  Hyeyeon Lee  ;  Sookyung Kim  ;  Kennedy Diema Konlan 
Citation
 INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, Vol.18(7) : 3604, 2021-03 
Journal Title
 INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 
ISSN
 1661-7827 
Issue Date
2021-03
MeSH
Adolescent ; Adolescent Behavior* ; Adolescent Health* ; Diet ; Ethnic Groups ; Health Behavior ; Humans ; Minority Groups ; Social Class ; Socioeconomic Factors ; Stress, Psychological / epidemiology
Keywords
adolescent ; breakfast ; diagnostic self-evaluation ; ethnic groups ; health behavior ; minority groups ; social determinants of health ; socioeconomic factors ; stress
Abstract
Studies have examined the impact of social determinants of health on the health behaviors and health statuses of ethnic minority adolescents. This study examines the subjective health of this population by examining the direct effects of multicultural adolescents' subjective socioeconomic status (SES) and the sequential mediating effects of their dietary behaviors and perceived stress. We utilized secondary data of 500 middle school students from multicultural families who participated in the 15th Korean Youth Health Behavior Survey, 2019. Information about SES, perceived stress, subjective health status, and dietary behavior (measured by the breakfast intake frequency during the prior week) were utilized. For the relationship between the SES and the subjective health status, we confirmed the sequential mediating effects of breakfast frequency and perceived stress using SPSS 25.0 and PROCESS macro with bootstrapping. The results showed that SES had a direct effect on subjective health status and indirectly influenced subjective health status through the sequential mediating effect of breakfast frequency and perceived stress. However, SES had no direct effects on perceived stress. These findings emphasize that broadening the community-health lens to consider the upstream factor of SES when preparing health promotion interventions is essential to achieving health equity for vulnerable populations.
Files in This Item:
T202101613.pdf Download
DOI
10.3390/ijerph18073604
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Lee, Mikyung(이미경)
Lee, Hyeonkyeong(이현경) ORCID logo https://orcid.org/0000-0001-9558-7737
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/182938
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