Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Analyzing Changes and Determinants of Self-rated Health during Adolescence: A Latent Growth Analysis

청소년의 주관적 건강 상태의 변화 궤적과 영향 요인: 잠재성장모형을 적용하여

  • Choi, You-Jung (Department of Public Health Science, Graduate School, Korea University) ;
  • Kim, Hae-Young (Department of Health Policy and Management, College of Health Sciences.Department of Public Health Sciences, Graduate School, Korea University)
  • 최유정 (고려대학교 대학원 보건과학과) ;
  • 김혜영 (고려대학교 보건과학대학 보건정책관리학부.고려대학교 대학원 보건과학과)
  • Received : 2018.08.28
  • Accepted : 2018.09.29
  • Published : 2018.10.31
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Abstract

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.

Keywords

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