- Changes in Adolescent Health Behavior and the Exacerbation of Economic Hardship During the COVID-19 Pandemic: A Cross-sectional Study From the Korea Youth Risk Behavior Survey
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Chaeeun Kim, Haeun Lee, Kyunghee Jung-Choi, Hyesook Park
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J Prev Med Public Health. 2024;57(1):18-27. Published online November 11, 2023
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DOI: https://doi.org/10.3961/jpmph.23.306
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 Abstract
Summary
 PDF Supplementary Material
- Objectives
This study investigated the association between exacerbated economic hardship during the coronavirus disease 2019 (COVID-19) pandemic and changes in the health behaviors of Korean adolescents.
Methods
We analyzed data from the 2021 Korea Youth Risk Behavior Survey and included 44 908 students (22 823 boys and 22 085 girls) as study subjects. The dependent variables included changes in health behaviors (breakfast habits, physical activity, and alcohol use) that occurred during the COVID-19 pandemic. The aggravation of economic hardship by COVID-19 and the subjective economic status of the family were used as exposure variables. Multiple logistic regression analysis was utilized to calculate the prevalence odds ratios (PORs).
Results
Severe exacerbation of a family’s economic hardship due to COVID-19 was negatively associated with the health behaviors of adolescents, including increased breakfast skipping (POR, 1.85; 95% confidence interval [CI], 1.55 to 2.21 for boys and POR, 1.56; 95% CI, 1.27 to 1.92 for girls) and decreased physical activity (POR, 1.37; 95% CI, 1.19 to 1.57 for boys and POR, 1.38; 95% CI, 1.19 to 1.60 for girls). These negative changes in health behaviors were further amplified when combined with a low subjective family economic status.
Conclusions
The experience of worsening household hardship can lead to negative changes in health behavior among adolescents. It is crucial to implement measures that address the economic challenges that arise from stressful events such as COVID-19 and to strive to improve the lifestyles of adolescents under such circumstances.
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Summary
Korean summary
이 연구는 코로나바이러스감염증-19 (COVID-19) 대유행 기간 악화된 가구의 경제적 상황과 청소년의 건강 행태 변화의 관련성을 청소년건강행태조사를 이용하여 분석하였다. 가구의 경제적 상황이 COVID-19로 인해 심각하게 악화된 경우, 청소년 건강 행태의 부정적인 변화와 연관성이 관찰되었다. 가구의 경제적 상황이 악화되는 경험은 청소년들의 건강 행태에 부정적인 변화를 초래할 수 있다. COVID-19와 같은 사회적 사건으로 인해 발생하는 경제적 어려움에 대응하는 조치를 마련하고, 이러한 상황에서 청소년들의 건강 행태를 개선하기 위한 개입이 필요하다.
Key Message
This study investigated the association between exacerbated economic hardship during the
coronavirus disease 2019 (COVID-19) pandemic and changes in the health behaviors of Korean
adolescents using the 2021 Korea Youth Risk Behavior Survey. Severe exacerbation of a family’s
economic hardship due to COVID-19 was negatively associated with the health behaviors of
adolescents. The experience of worsening household hardship can lead to negative changes in health
behavior among adolescents. It is crucial to implement measures that address the economic challenges
that arise from stressful events such as COVID-19 and to strive to improve the lifestyles of
adolescents under such circumstances.
- Changes in Contribution of Causes of Death to Socioeconomic Mortality Inequalities in Korean Adults
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Kyunghee Jung-Choi, Young-Ho Khang, Hong-Jun Cho
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J Prev Med Public Health. 2011;44(6):249-259. Published online November 14, 2011
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DOI: https://doi.org/10.3961/jpmph.2011.44.6.249
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13,992
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Abstract
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- Objectives
This study aimed to analyze long-term trends in the contribution of each cause of death to socioeconomic inequalities in all-cause mortality among Korean adults. MethodsData were collected from death certificates between 1990 and 2004 and from censuses in 1990, 1995, and 2000. Age-standardized death rates by gender were produced according to education as the socioeconomic position indicator, and the slope index of inequality was calculated to evaluate the contribution of each cause of death to socioeconomic inequalities in all-cause mortality. ResultsAmong adults aged 25-44, accidental injuries with transport accidents, suicide, liver disease and cerebrovascular disease made relatively large contributions to socioeconomic inequalities in all-cause mortality, while, among adults aged 45-64, liver disease, cerebrovascular disease, transport accidents, liver cancer, and lung cancer did so. Ischemic heart disease, a very important contributor to socioeconomic mortality inequality in North America and Western Europe, showed a very low contribution (less than 3%) in both genders of Koreans. ConclusionsConsidering the contributions of different causes of death to absolute mortality inequalities, establishing effective strategies to reduce socioeconomic inequalities in mortality is warranted.
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Summary
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Citations
Citations to this article as recorded by  - Educational inequalities in adult mortality: a systematic review and meta-analysis of the Asia Pacific region
Kathryn Christine Beck, Mirza Balaj, Lorena Donadello, Talal Mohammad, Hanne Dahl Vonen, Claire Degail, Kristoffer Eikemo, Anna Giouleka, Indrit Gradeci, Celine Westby, Kam Sripada, Magnus Rom Jensen, Solvor Solhaug, Emmanuela Gakidou, Terje Andreas Eikem
BMJ Open.2022; 12(8): e059042. CrossRef - Socioeconomic Disparities in Cardiovascular Health in South Korea
Chi-Young Lee, Eun-Ok Im
Journal of Cardiovascular Nursing.2021; 36(1): 8. CrossRef - Mainstreaming of Health Equity in Infectious Disease Control Policy During the COVID-19 Pandemic Era
Hongjo Choi, Seong-Yi Kim, Jung-Woo Kim, Yukyung Park, Myoung-Hee Kim
Journal of Preventive Medicine and Public Health.2021; 54(1): 1. CrossRef - Cancer Incidence by Occupation in Korea: Longitudinal Analysis of a Nationwide Cohort
Hye-Eun Lee, Masayoshi Zaitsu, Eun-A Kim, Ichiro Kawachi
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Hirokazu Tanaka, Wilma J Nusselder, Matthias Bopp, Henrik Brønnum-Hansen, Ramune Kalediene, Jung Su Lee, Mall Leinsalu, Pekka Martikainen, Gwenn Menvielle, Yasuki Kobayashi, Johan P Mackenbach
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Chi-Young Lee, Yong-Hwan Lee
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Jinwook Bahk, John W Lynch, Young-Ho Khang
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Mi-Hyun Kim, Kyunghee Jung-Choi, Hyoeun Kim, Yun-Mi Song
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Dohee Lim, Kyoung Ae Kong, Hye Ah Lee, Won Kyung Lee, Su Hyun Park, Sun Jung Baik, Hyesook Park, Kyunghee Jung-Choi
BMC Public Health.2015;[Epub] CrossRef - Sex Differences Associated With Hepatitis B Virus Surface Antigen Seropositivity Unwareness in Hepatitis B Virus Surface Antigen-positive Adults: 2007‐2012 Korea National Health and Nutrition Examination Survey
Suk-Yong Jang, Sung-In Jang, Hong-Chul Bae, Jaeyong Shin, Eun-Cheol Park
Journal of Preventive Medicine and Public Health.2015; 48(2): 74. CrossRef - Decomposition of educational differences in life expectancy by age and causes of death among South Korean adults
Kyunghee Jung-Choi, Young-Ho Khang, Hong-Jun Cho, Sung-Cheol Yun
BMC Public Health.2014;[Epub] CrossRef - Trends in income-related health inequalities in self-assessed health in Korea, 1998–2011
Jong Won Min
Global Public Health.2014; 9(9): 1053. CrossRef - Cancer Control and the Communication Innovation in South Korea: Implications for Cancer Disparities
Minsoo Jung
Asian Pacific Journal of Cancer Prevention.2013; 14(6): 3411. CrossRef - Socioeconomic inequalities in health status in Korea
Kyunghee Jung-Choi, Yu-Mi Kim
Journal of the Korean Medical Association.2013; 56(3): 167. CrossRef - Difference of Area-based deprivation and Education on Cerebrovascular Mortality in Korea
Jeoung-Ha Sim, Dong-Choon Ahn, Mi-A Son
Korean Journal of Health Policy and Administration.2012; 22(2): 163. CrossRef
- Body Weight at Birth and at Age Three and Respiratory Illness in Preschool Children.
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Yoolwon Jeong, Kyunghee Jung-Choi, Jin Hwa Lee, Hwa Young Lee, Eun Ae Park, Young Ju Kim, Eunhee Ha, Se Young Oh, Hyesook Park
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J Prev Med Public Health. 2010;43(5):369-376.
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DOI: https://doi.org/10.3961/jpmph.2010.43.5.369
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5,269
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Abstract
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- OBJECTIVES
The purpose of this study was to examine the associations of current body weight and body mass index (BMI) at age three and birth weight in developing chronic respiratory illness in childhood and identify possible interaction underlying its mechanism. METHODS: The study was carried out with 422 children who were enrolled in a hospital-based birth cohort. Birth related anthropometric data were collected at birth. At age 3 years, the presence of respiratory symptoms was evaluated by using the Korean version of core questionnaire for wheezing and asthma from the International Study of Asthma and Allergies in Childhood (ISAAC). Physical examination was carried out to measure the child's weight and height. RESULTS: Children in the lowest birth weight tertile (aOR = 3.97, 95% CI = 0.94-16.68) or highest BMI tertile (aOR = 3.68, 95% CI = 1.24-10.95) at three years of age were at an increased risk of chronic respiratory illness. Children who were initially in the lowest birth weight tertile but now belong in the highest weight tertile had higher risk of chronic respiratory illness compared to those who had remained in the middle tertile (OR=16.35, 95% CI=1.66-160.57). CONCLUSIONS: Children with lower birth weight or higher BMI were at an increased risk of chronic respiratory illness. In addition, children who were initially in the lowest birth weight tertile but are now in the highest weight tertile had higher risk of chronic respiratory illness compared to those who remained in the middle tertile.
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Summary
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Citations
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Makiko Nanishi, Michimasa Fujiogi, Michelle Stevenson, Liming Liang, Ying Shelly Qi, Yoshihiko Raita, Kohei Hasegawa, Carlos A. Camargo
The Journal of Allergy and Clinical Immunology: In Practice.2022; 10(3): 723. CrossRef - Lifetime overweight and adult asthma: 1978/1979 Ribeirão Preto Birth Cohort, São Paulo, Brazil
Luana Lopes Padilha, Cecilia Claudia Costa Ribeiro, Joelma Ximenes Prado Teixeira Nascimento, Vanda Maria Ferreira Simões, Fernanda Pino Vitti, Viviane Cunha Cardoso, Elcio Oliveira Vianna, Marco Antônio Barbieri, Antônio Augusto Moura da Silva, Heloísa B
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Yue Zhang, Zhanghua Chen, Kiros Berhane, Robert Urman, Vaia Lida Chatzi, Carrie Breton, Frank D Gilliland
American Journal of Epidemiology.2020; 189(6): 583. CrossRef - Changes in body mass index during childhood and risk of various asthma phenotypes: a retrospective analysis
Julie Chastang, Nour Baiz, Laure Parnet, Jean Sébastien Cadwallader, Frédéric De Blay, Denis Caillaud, Denis André Charpin, John Dwyer, François Lavaud, Chantal Raherison, Gladys Ibanez, Isabella Annesi‐Maesano
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Magdalena Muc, Anabela Mota-Pinto, Cristina Padez
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Sari Törmänen, Eero Lauhkonen, Antti Saari, Petri Koponen, Matti Korppi, Kirsi Nuolivirta
Pediatric Pulmonology.2015; 50(5): 424. CrossRef - Birth weight and childhood wheezing disorders: a systematic review and meta-analysis
Teumzghi F Mebrahtu, Richard G Feltbower, Darren C Greenwood, Roger C Parslow
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Finn Rasmussen, Robert J. Hancox
Current Opinion in Allergy & Clinical Immunology.2014; 14(1): 35. CrossRef - Effects of prenatal community violence and ambient air pollution on childhood wheeze in an urban population
Yueh-Hsiu Mathilda Chiu, Brent A. Coull, Michelle J. Sternthal, Itai Kloog, Joel Schwartz, Sheldon Cohen, Rosalind J. Wright
Journal of Allergy and Clinical Immunology.2014; 133(3): 713. CrossRef - Early weight gain and the development of asthma and atopy in children
Gustavo F. Wandalsen, Herberto J. Chong-Neto, Fabíola S. de Souza, Dirceu Solé, Leonard B. Bacharier
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Constantina Papoutsakis, Kostas N. Priftis, Maria Drakouli, Stamatina Prifti, Eva Konstantaki, Maria Chondronikola, Georgios Antonogeorgos, Vasiliki Matziou
Journal of the Academy of Nutrition and Dietetics.2013; 113(1): 77. CrossRef - Overview of Noncommunicable Diseases in Korean Children and Adolescents: Focus on Obesity and Its Effect on Metabolic Syndrome
Hye Ah Lee, Hyesook Park
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S. G. Tedner, A. K. Örtqvist, C. Almqvist
Clinical & Experimental Allergy.2012; 42(10): 1430. CrossRef - Prenatal and Postnatal Maternal Stress and Wheeze in Urban Children
Yueh-Hsiu Mathilda Chiu, Brent A. Coull, Sheldon Cohen, Alana Wooley, Rosalind J. Wright
American Journal of Respiratory and Critical Care Medicine.2012; 186(2): 147. CrossRef - Body Mass Index May Modify Asthma Prevalence Among Low-Birth-Weight Children
F. L. Lu, C.-J. Hsieh, J. L. Caffrey, M.-H. Lin, Y.-S. Lin, C.-C. Lin, M.-S. Tsai, W.-C. Ho, P.-C. Chen, F.-C. Sung, R.-S. Lin
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- Trend of Socioeconomic Inequality in Participation in Cervical Cancer Screening among Korean Women.
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Soong Nang Jang, Sung il Cho, Seung Sik Hwang, Kyunghee Jung-Choi, So Young Im, Ji Ae Lee, Minah Kang Kim
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J Prev Med Public Health. 2007;40(6):505-511.
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DOI: https://doi.org/10.3961/jpmph.2007.40.6.505
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5,197
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- OBJECTIVES
While cervical cancer is one of the leading cancers among women worldwide, there are a number of effective early detection tests available. However, the participation rates in cervical cancer screening among Korean women remain low. After the nationwide efforts in 1988 and thereafter to encourage participation in cervical cancer screening, few studies have investigated the effects of socioeconomic inequality on participation in cervical cancer screening. The purpose of this study was to investigate 1) the level of socioeconomic disparities in receiving cervical cancer screening by age group and 2) if there was an improvement in reducing these disparities between 1995 and 2001. METHODS: Using data from the Korean National Health Status, Health Behavior and Belief Survey in 1995, and the Korean National Health and Nutrition Examination Surveys from 1998 and 2001 (sample sizes of 2,297, 3,738, and 3,283), age-standardized participation rates were calculated according to education level, equivalized household income, and job status. Odds ratios and the relative inequality index (RII) were also calculated after controlling for age. RESULTS: Women with lower education levels were less likely to attend the screening test, and the disparities by education level were most pronounced among women aged 60 years and older. The RIIs among women 60 years and older were 3.64, 4.46, and 8.64 in 1995, 1998, and 2001, respectively. Higher rates of participation were reported among those in the highest income category, which was more notable among the middle aged women (40s and 50s). An inconsistent trend in the rate of participation in cervical cancer screening by occupational level was found. CONCLUSIONS: Indicators of socioeconomic position seem to have varying impacts on the inequalities in the rates of participation in cervical cancer screening according to age group. These results demonstrate the need for more aggressive and age-based interventions and policy programs to eliminate the remaining inequalities.
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Summary
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Citations
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Geum-Ja Park, Kyoung-Min Lim, Sook-Nam Kim
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Mi-Hyun Kim, Kyunghee Jung-Choi, Hyoeun Kim, Yun-Mi Song
Journal of Korean Medical Science.2015; 30(1): 1. CrossRef - Determinants of gastric cancer screening attendance in Korea: a multi-level analysis
Yunryong Chang, Belong Cho, Ki Young Son, Dong Wook Shin, Hosung Shin, Hyung-Kook Yang, Aesun Shin, Keun-Young Yoo
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Hong-Jun Cho
Journal of the Korean Medical Association.2013; 56(3): 184. CrossRef - Trends in Cervical Cancer Mortality by Socioeconomic Status in Korean Women between 1998 and 2009
Mi-Hyun Kim, Yun-Mi Song, Bo-Kyoung Kim, Sung-Min Park, Gwang Pyo Ko
Korean Journal of Family Medicine.2013; 34(4): 258. CrossRef - Socioeconomic disparity in cervical cancer screening among Korean women: 1998–2010
Minjee Lee, Eun-Cheol Park, Hoo-Sun Chang, Jeoung A Kwon, Ki Bong Yoo, Tae Hyun Kim
BMC Public Health.2013;[Epub] CrossRef - Predictors Associated with Repeated Papanicolaou Smear for Cervical Cancer Screening
Eun-Joo Lee, Jeong-Sook Park
Asian Oncology Nursing.2013; 13(1): 28. CrossRef - Regional Factors Associated with Participation in the National Health Screening Program: A Multilevel Analysis Using National Data
Hyung-Kook Yang, Dong-Wook Shin, Seung-Sik Hwang, Juwhan Oh, Be-Long Cho
Journal of Korean Medical Science.2013; 28(3): 348. CrossRef - Social Determinants of Smoking Behavior: The Healthy Twin Study, Korea
Youn Sik Kim, Hansoo Ko, Changgyo Yoon, Dong-Hun Lee, Joohon Sung
Journal of Preventive Medicine and Public Health.2012; 45(1): 29. CrossRef - Factors Associated with the Use of Gastric Cancer Screening Services in Korea: The Fourth Korea National Health and Nutrition Examination Survey 2008 (KNHANES IV)
Ji-Yeon Shin, Duk-Hee Lee
Asian Pacific Journal of Cancer Prevention.2012; 13(8): 3773. CrossRef - Human papillomavirus 16/18 AS04-adjuvanted cervical cancer vaccine: immunogenicity and safety in 15-25 years old healthy Korean women
Seung Cheol Kim, Yong Sang Song, Young-Tae Kim, Young Tak Kim, Ki-Sung Ryu, Bhavyashree Gunapalaiah, Dan Bi, Hans L Bock, Jong-Sup Park
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Young Min Kwon, Hyung Taek Lim, Kiheon Lee, Be Long Cho, Min Sun Park, Ki Young Son, Sang Min Park
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A. Fernandez, G. Noël
Psycho-Oncologie.2008; 2(4): 250. CrossRef - Socioeconomic Disparities in Breast Cancer Screening among US Women: Trends from 2000 to 2005
Jaeyoung Kim, Soong-Nang Jang
Journal of Preventive Medicine and Public Health.2008; 41(3): 186. CrossRef
- A Review on Socioeconomic Position Indicators in Health Inequality Research.
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Yong Jun Choi, Baek Geun Jeong, Sung Il Cho, Kyunghee Jung-Choi, Soong Nang Jang, Minah Kang, Young Ho Khang
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J Prev Med Public Health. 2007;40(6):475-486.
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DOI: https://doi.org/10.3961/jpmph.2007.40.6.475
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5,429
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Abstract
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- OBJECTIVES
Socioeconomic position (SEP) refers to the socioeconomic factors that influence which position an individual or group of people will hold within the structure of a society. In this study, we provide a comprehensive review of various indicators of SEP, including education level, occupation-based SEP, income and wealth, area SEP, lifecourse SEP, and SEP indicators for women, elderly and youth. METHODS AND RESULTS: This report provides a brief theoretical background and discusses the measurement, interpretation issues, advantages and limitations associated with the use of each SEP indicator. We also describe some problems that arise when selecting SEP indicators and highlight the indicators that appear to be appropriate for health inequality research. Some practical information for use in health inequality research in South Korea is also presented. CONCLUSIONS: Investigation into the associations between various SEP indicators and health outcomes can provide a more complete understanding of mechanisms between SEP and health. The relationship between specific SEP indicators and specific health outcomes can vary by country due to the differences in the historical, socioeconomic, and cultural contexts of the SEP indicators.
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Summary
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Citations
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Oral Diseases.2014; 20(6): 551. CrossRef - Children's Mental Health in the Area Affected by the Hebei Spirit Oil Spill Accident
Mina Ha, Woo-Chul Jeong, Myungho Lim, Hojang Kwon, Yeyong Choi, Seung-Jin Yoo, Su Ryun Noh, Hae-Kwan Cheong
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Korean Journal of Health Education and Promotion.2013; 30(2): 71. CrossRef - Socioeconomic Indicators Associated with Initiation and Cessation of Smoking among Women in Seoul
Yu-Na Kim, Young-Gyu Cho, Cheol-Hwan Kim, Jae-Heon Kang, Hyun-Ah Park, Kyoung-Woo Kim, Yang-Im Hur, Su-Hyun Lee, Yun-Min Na, No-Yai Park
Korean Journal of Family Medicine.2012; 33(1): 1. CrossRef - Association between Household Income and Asthma Symptoms among Elementary School Children in Seoul
Won-Jun Choi, In-Yong Um, Soyoung Hong, Hye Yung Yum, Hyunjung Kim, Hojang Kwon
Environmental Health and Toxicology.2012; 27: e2012020. CrossRef - Socio-economic disparities in behavioural risk factors for cancer and use of cancer screening services in Korean adults aged 30 years and older: The Third Korean National Health and Nutrition Examination Survey, 2005 (KNHANES III)
K. Lee, H.T. Lim, S.-S. Hwang, D.W. Chae, S.M. Park
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Minkyung Kim, Woojin Chung, Seungji Lim, Soojin Yoon, Jakyoung Lee, Eunkyung Kim, Lanju Ko
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