Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Dietary Behaviors Associated with Health Perception of Korean Adolescents from Multicultural Families: based on data from the 2017 ~ 2019 Korea Youth Risk Behavior Surveys

한국 다문화가족 청소년의 건강인식과 관련한 식행동 분석: 2017 ~ 2019 청소년건강행태조사 자료를 바탕으로

  • Hu, YueRong (Department of Food and Nutrition, Hannam University) ;
  • Song, SuJin (Department of Food and Nutrition, Hannam University)
  • Received : 2022.06.07
  • Accepted : 2022.06.29
  • Published : 2022.06.30
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Abstract

Objectives: This study examined the association between dietary behaviors and perceived health status among Korean adolescents from multicultural families. Methods: This cross-sectional study included 2,459 Korean adolescents from multicultural families (aged 13 ~ 18 years) who participated in the 2017 ~ 2019 Korea Youth Risk Behavior Surveys. Information on the sociodemographic variables, dietary behaviors, and lifestyle variables was self-reported using a web-based questionnaire. The dietary behaviors analyzed in this study were the breakfast and food intake frequencies, including fruit, vegetable, milk, fast food, carbonated drink, sweet drink, and high caffeine/energy drinks. The adolescents' health perception was self-rated as healthy, average, or unhealthy. The dietary behaviors associated with health perception were examined using a multiple logistic regression after adjusting for the confounding variables. Results: In this study population, 7.6% of adolescents perceived their health status as unhealthy, and 25.4% perceived it as average. The adolescents who were girls, middle school students, and in households with a low economic status showed significantly higher percentages of poor health perception (P-values < 0.001). Skipping breakfast was significantly associated with a negative health perception. Compared to the adolescents who consumed fruits every day, those who did not consume fruits during the previous week showed a higher odd ratio (OR) for a negative health perception [OR = 2.29, 95% confidence interval (CI) = 1.32-3.97]. The adolescents who frequently consumed carbonated drinks (≥ 5 times/week) perceived their health status as unhealthy relative to those who did not consume carbonated drinks (OR = 2.15, 95% CI = 1.25-3.71). Skipping breakfast was significantly associated with an increased OR for a negative health perception in girls but not in boys. Compared to adolescents with a normal weight, those with overweight/obesity (OR = 1.75, 95% CI = 1.21-2.52) and underweight (OR = 2.19, 95% CI = 1.25-3.82) showed higher ORs for negative health perception. Positive associations of overweight/obesity and underweight with negative health perception were observed in boys but not in girls. Conclusions: Dietary behaviors and weight status were associated with the health perception in Korean adolescents from multicultural families. These findings suggest that nutrition interventions on breakfast intake and healthy food choices for this population might effectively improve their weight and perceived health status.

Keywords

Acknowledgement

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT; Ministry of Science and ICT) (Grant No. NRF-2019R1F1A1059866).

References

  1. Lee YS, Lim HS, Chang N, Ahn HS, Kim C, Kim KN et al. Nutrition through the life cycle. 4th ed. Paju: Kyomunsa; 2017.
  2. Reilly JJ, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: Systematic review. Int J Obes 2011; 35(7): 891-898. https://doi.org/10.1038/ijo.2010.222
  3. Alberga A, Sigal R, Goldfield G, Prud'homme D, Kenny G. Overweight and obese teenagers: Why is adolescence a critical period? Pediatr Obes 2012; 7(4): 261-273. https://doi.org/10.1111/j.2047-6310.2011.00046.x
  4. Fuemmeler BF, Pendzich MK, Tercyak KP. Weight, dietary behavior, and physical activity in childhood and adolescence: Implications for adult cancer risk. Obes Facts 2009; 2(3): 179-186. https://doi.org/10.1159/000220605
  5. Statistics Korea, Ministry of Gender Equality and Family. 2021 Adolescents statistics. Daejeon: Statistics Korea; 2021.
  6. Lee J, Kwon M, Nam E. The affect of eating behaviors on subjective health in multicultural adolescents. J Korean Soc Sch Health 2021; 34(1): 53-61. https://doi.org/10.15434/KSSH.2021.34.1.53
  7. Song S. Comparison of dietary and lifestyle behavior and weight status among adolescents from multicultural families and non-multicultural families: Based on the 2017-2018 Korea Youth Risk Behavior Surveys data. Korean J Hum Ecol 2020; 29(1): 105-117. https://doi.org/10.5934/kjhe.2020.29.1.105
  8. Choi YS. Comparison of dietary habits of adolescents from multicultural and general Korean families: The 9th Korea Youth Risk Behavior Web-based Survey. Korean Parent Child Health J 2015; 18(2): 58-67.
  9. Bombak AE. Self-rated health and public health: A critical perspective. Front Public Health 2013; 1: 15. https://doi.org/10.3389/fpubh.2013.00015
  10. Vie TL, Hufthammer KO, Meland E, Breidablik HJ. Self-rated health (SRH) in young people and causes of death and mortality in young adulthood. A prospective registry-based Norwegian HUNT-study. SSM Popul Health 2019; 7: 100364. https://doi.org/10.1016/j.ssmph.2019.100364
  11. Tamayo-Fonseca N, Quesada JA, Nolasco A, Melchor I, Moncho J, Pereyra-Zamora P et al. Self-rated health and mortality: A follow-up study of a Spanish population. Public Health 2013; 127(12): 1097-1104. https://doi.org/10.1016/j.puhe.2013.09.003
  12. Manor O, Matthews S, Power C. Self-rated health and limiting longstanding illness: Inter-relationships with morbidity in early adulthood. Int J Epidemiol 2001; 30(3): 600-607. https://doi.org/10.1093/ije/30.3.600
  13. Siahpush M, Spittal M, Singh GK. Happiness and life satisfaction prospectively predict self-rated health, physical health, and the presence of limiting, long-term health conditions. Am J Health Promot 2008; 23(1): 18-26. https://doi.org/10.4278/ajhp.061023137
  14. Marques A, Peralta M, Santos T, Martins J, Gaspar de Matos M. Self-rated health and health-related quality of life are related with adolescents' healthy lifestyle. Public Health 2019; 170: 89-94. https://doi.org/10.1016/j.puhe.2019.02.022
  15. Meireles AL, Xavier CC, de Souza Andrade AC, Proietti FA, Caiaffa WT. Self-rated health among urban adolescents: The roles of age, gender, and their associated factors. PLoS One 2015; 10(7): e0132254. https://doi.org/10.1371/journal.pone.0132254
  16. Osera T, Awai M, Kobayashi M, Tsutie S, Kurihara N. Relationship between self-rated health and lifestyle and food habits in Japanese high school students. Behav Sci (Basel) 2017; 7(4): 71. https://doi.org/10.3390/bs7040071
  17. Hwang S, Kye S. Self-rated health status among Korean adolescents: Differences in home environmental factors, health behaviors, psychological factors, and dietary habits. J Korean Soc Sch Community Health Educ 2018; 19(1): 27-45. https://doi.org/10.35133/kssche.20180430.03
  18. Korea Disease Control and Prevention Agency. The 17th Korea Youth Risk Behavior Survey, 2021. Cheongju: Korea Disease Control and Prevention Agency; 2022.
  19. Kim JH, Yun S, Hwang S, Shim JO, Chae HW, Lee YJ et al. The 2017 Korean National Growth Charts for children and adolescents: Development, improvement, and prospects. Korean J Pediatr 2018; 61(5): 135-149. https://doi.org/10.3345/kjp.2018.61.5.135
  20. Goodman E, Huang B, Schafer-Kalkhoff T, Adler NE. Perceived socioeconomic status: A new type of identity that influences adolescents' self-rated health. J Adolesc Health 2007; 41(5): 479-487. https://doi.org/10.1016/j.jadohealth.2007.05.020
  21. Jeon GS, Ha Y, Choi E. Effects of objective and subjective socioeconomic status on self-rated health, depressive symptoms, and suicidal ideation in adolescents. Child Indic Res 2013; 6(3): 479-492. https://doi.org/10.1007/s12187-013-9180-z
  22. Choi K. Subjective and objective indicators of socioeconomic status and self-rated health in Korean adolescents. Korean J Health Educ Promot 2015; 32(5): 53-62. https://doi.org/10.14367/kjhep.2015.32.5.53
  23. Angoorani P, Mahmoodi Z, Ejtahed HS, Heshmat R, Motlagh ME, Qorbani M et al. Determinants of life satisfaction and self-rated health in Iranian children and adolescents: A structure equation model. BMC Pediatr 2022; 22(1): 4. https://doi.org/10.1186/s12887-021-03044-w
  24. Na HB, Lee CH, Na SB. Analysis of correlation between eating habits and subjective health status of elementary school students. J Korea Soc Sports Sci 2013; 22(6): 909-920.
  25. Kwak HK, Lee MY, Kim MJ. Comparisons of body image perception, health related lifestyle and dietary behavior based on the self-rated health of university students in Seoul. Korean J Community Nutr 2011; 16(6): 672-682. https://doi.org/10.5720/kjcn.2011.16.6.672
  26. Choi K. Factors related to self-rated health in adolescents: Findings form the Korea Youth Panel Survey. Korean J Health Educ Promot 2014; 31(3): 39-50. https://doi.org/10.14367/kjhep.2014.31.3.39
  27. Lazzeri G, Giacchi MV, Spinelli A, Pammolli A, Dalmasso P, Nardone P et al. Overweight among students aged 11-15 years and its relationship with breakfast, area of residence and parents' education: Results from the Italian HBSC 2010 cross-sectional study. Nutr J 2014; 13(1): 1-10. https://doi.org/10.1186/1475-2891-13-1
  28. Ma X, Chen Q, Pu Y, Guo M, Jiang Z, Huang W et al. Skipping breakfast is associated with overweight and obesity: A systematic review and meta-analysis. Obes Res Clin Pract 2020; 14(1): 1-8. https://doi.org/10.1016/j.orcp.2019.12.002
  29. Mirmiran P, Yuzbashian E, Asghari G, Hosseinpour-Niazi S, Azizi F. Consumption of sugar sweetened beverage is associated with incidence of metabolic syndrome in Tehranian children and adolescents. Nutr Metab 2015; 12(1): 25. https://doi.org/10.1186/s12986-015-0021-6
  30. Krause L, Lampert T. Relation between overweight/obesity and self-rated health among adolescents in Germany. Do socio-economic status and type of school have an impact on that relation? Int J Environ Res Public Health 2015; 12(2): 2262-2276. https://doi.org/10.3390/ijerph120202262
  31. Song S, Song H. Dietary and lifestyle factors associated with weight status among Korean adolescents from multicultural families: Using data from the 2017-2018 Korea Youth Risk Behavior Surveys. Korean J Community Nutr 2019; 24(6): 465-475. https://doi.org/10.5720/kjcn.2019.24.6.465