Association between behavioral and sociodemographic factors and high subjective health among adolescents: a nationwide representative study in South Korea
Abstract The need to understand subjective health has increased during the COVID-19 pandemic, given its substantial impact on lifestyle habits and perceptions. Thus, this study aimed to investigate the trends and association of subjective health with demographic and behavioral factors, primarily foc...
Saved in:
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2025-01-01
|
| Series: | Scientific Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1038/s41598-024-83810-9 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841544661087289344 |
|---|---|
| author | Jaehyun Kong Seohyun Hong Seunghwan Lee Seokjun Kim Soeun Kim Jiyeon Oh Wonwoo Jang Hanseul Cho Sooji Lee Jiseung Kang Yejun Son Lee Smith Selin Woo Dong Keon Yon |
| author_facet | Jaehyun Kong Seohyun Hong Seunghwan Lee Seokjun Kim Soeun Kim Jiyeon Oh Wonwoo Jang Hanseul Cho Sooji Lee Jiseung Kang Yejun Son Lee Smith Selin Woo Dong Keon Yon |
| author_sort | Jaehyun Kong |
| collection | DOAJ |
| description | Abstract The need to understand subjective health has increased during the COVID-19 pandemic, given its substantial impact on lifestyle habits and perceptions. Thus, this study aimed to investigate the trends and association of subjective health with demographic and behavioral factors, primarily focusing on the change when the COVID-19 pandemic emerged. This study used data from the Korea Youth Risk Behavior Web-based Survey, comprising 1,190,468 adolescents aged 12–18 years (female, 48.49%). We investigated the trends and association of subjective health with demographic and behavioral factors from 2006 to 2023. A weighted linear regression and joinpoint regression were conducted to evaluate the trend in adolescent subjective health, while logistic regression was used to assess associated factors. A stratification analysis was performed for subgroups to determine variations across different demographic and behavioral groups. The prevalence of reporting high subjective health increased throughout the years before the COVID-19 pandemic; however, subjective health exhibited a decreasing trend during the pandemic. Regarding demographic factors, female sex (ratio of odds ratio [ROR], 0.85 [95% CI, 0.83–0.87]), low-income households (ROR, 0.67 [95% CI, 0.64–0.69]), and low academic achievement (ROR, 0.83 [95% CI, 0.81–0.85]) were associated with less likelihood of reporting high subjective health. Healthier behavioral factors (ROR, breakfast consumption, 1.13 [95% CI, 1.10–1.16]; sufficient fruit intake, 1.12 [95% CI, 1.09–1.15]; sufficient physical activity, 2.02 [95% CI, 1.95–2.09]) were associated with higher subjective health, and the disparities increased during the COVID-19 pandemic. To address the observed decline in subjective health among adolescents during the COVID-19 pandemic, targeted interventions aimed at promoting healthy behaviors among particularly vulnerable demographics are crucial. |
| format | Article |
| id | doaj-art-504515b5648e4e2bab463a28d4465fa6 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-504515b5648e4e2bab463a28d4465fa62025-01-12T12:20:41ZengNature PortfolioScientific Reports2045-23222025-01-0115111310.1038/s41598-024-83810-9Association between behavioral and sociodemographic factors and high subjective health among adolescents: a nationwide representative study in South KoreaJaehyun Kong0Seohyun Hong1Seunghwan Lee2Seokjun Kim3Soeun Kim4Jiyeon Oh5Wonwoo Jang6Hanseul Cho7Sooji Lee8Jiseung Kang9Yejun Son10Lee Smith11Selin Woo12Dong Keon Yon13Department of Medicine, Kyung Hee University College of MedicineDepartment of Medicine, Kyung Hee University College of MedicineDepartment of Medicine, Kyung Hee University College of MedicineDepartment of Medicine, Kyung Hee University College of MedicineDepartment of Medicine, Kyung Hee University College of MedicineDepartment of Medicine, Kyung Hee University College of MedicineDepartment of Medicine, Kyung Hee University College of MedicineDepartment of Medicine, Kyung Hee University College of MedicineDepartment of Medicine, Kyung Hee University College of MedicineDivision of Sleep Medicine, Harvard Medical SchoolDepartment of Medicine, Kyung Hee University College of MedicineCentre for Health, Performance and Wellbeing, Anglia Ruskin UniversityDepartment of Medicine, Kyung Hee University College of MedicineDepartment of Medicine, Kyung Hee University College of MedicineAbstract The need to understand subjective health has increased during the COVID-19 pandemic, given its substantial impact on lifestyle habits and perceptions. Thus, this study aimed to investigate the trends and association of subjective health with demographic and behavioral factors, primarily focusing on the change when the COVID-19 pandemic emerged. This study used data from the Korea Youth Risk Behavior Web-based Survey, comprising 1,190,468 adolescents aged 12–18 years (female, 48.49%). We investigated the trends and association of subjective health with demographic and behavioral factors from 2006 to 2023. A weighted linear regression and joinpoint regression were conducted to evaluate the trend in adolescent subjective health, while logistic regression was used to assess associated factors. A stratification analysis was performed for subgroups to determine variations across different demographic and behavioral groups. The prevalence of reporting high subjective health increased throughout the years before the COVID-19 pandemic; however, subjective health exhibited a decreasing trend during the pandemic. Regarding demographic factors, female sex (ratio of odds ratio [ROR], 0.85 [95% CI, 0.83–0.87]), low-income households (ROR, 0.67 [95% CI, 0.64–0.69]), and low academic achievement (ROR, 0.83 [95% CI, 0.81–0.85]) were associated with less likelihood of reporting high subjective health. Healthier behavioral factors (ROR, breakfast consumption, 1.13 [95% CI, 1.10–1.16]; sufficient fruit intake, 1.12 [95% CI, 1.09–1.15]; sufficient physical activity, 2.02 [95% CI, 1.95–2.09]) were associated with higher subjective health, and the disparities increased during the COVID-19 pandemic. To address the observed decline in subjective health among adolescents during the COVID-19 pandemic, targeted interventions aimed at promoting healthy behaviors among particularly vulnerable demographics are crucial.https://doi.org/10.1038/s41598-024-83810-9COVID–19Subjective healthSouth Korea |
| spellingShingle | Jaehyun Kong Seohyun Hong Seunghwan Lee Seokjun Kim Soeun Kim Jiyeon Oh Wonwoo Jang Hanseul Cho Sooji Lee Jiseung Kang Yejun Son Lee Smith Selin Woo Dong Keon Yon Association between behavioral and sociodemographic factors and high subjective health among adolescents: a nationwide representative study in South Korea Scientific Reports COVID–19 Subjective health South Korea |
| title | Association between behavioral and sociodemographic factors and high subjective health among adolescents: a nationwide representative study in South Korea |
| title_full | Association between behavioral and sociodemographic factors and high subjective health among adolescents: a nationwide representative study in South Korea |
| title_fullStr | Association between behavioral and sociodemographic factors and high subjective health among adolescents: a nationwide representative study in South Korea |
| title_full_unstemmed | Association between behavioral and sociodemographic factors and high subjective health among adolescents: a nationwide representative study in South Korea |
| title_short | Association between behavioral and sociodemographic factors and high subjective health among adolescents: a nationwide representative study in South Korea |
| title_sort | association between behavioral and sociodemographic factors and high subjective health among adolescents a nationwide representative study in south korea |
| topic | COVID–19 Subjective health South Korea |
| url | https://doi.org/10.1038/s41598-024-83810-9 |
| work_keys_str_mv | AT jaehyunkong associationbetweenbehavioralandsociodemographicfactorsandhighsubjectivehealthamongadolescentsanationwiderepresentativestudyinsouthkorea AT seohyunhong associationbetweenbehavioralandsociodemographicfactorsandhighsubjectivehealthamongadolescentsanationwiderepresentativestudyinsouthkorea AT seunghwanlee associationbetweenbehavioralandsociodemographicfactorsandhighsubjectivehealthamongadolescentsanationwiderepresentativestudyinsouthkorea AT seokjunkim associationbetweenbehavioralandsociodemographicfactorsandhighsubjectivehealthamongadolescentsanationwiderepresentativestudyinsouthkorea AT soeunkim associationbetweenbehavioralandsociodemographicfactorsandhighsubjectivehealthamongadolescentsanationwiderepresentativestudyinsouthkorea AT jiyeonoh associationbetweenbehavioralandsociodemographicfactorsandhighsubjectivehealthamongadolescentsanationwiderepresentativestudyinsouthkorea AT wonwoojang associationbetweenbehavioralandsociodemographicfactorsandhighsubjectivehealthamongadolescentsanationwiderepresentativestudyinsouthkorea AT hanseulcho associationbetweenbehavioralandsociodemographicfactorsandhighsubjectivehealthamongadolescentsanationwiderepresentativestudyinsouthkorea AT soojilee associationbetweenbehavioralandsociodemographicfactorsandhighsubjectivehealthamongadolescentsanationwiderepresentativestudyinsouthkorea AT jiseungkang associationbetweenbehavioralandsociodemographicfactorsandhighsubjectivehealthamongadolescentsanationwiderepresentativestudyinsouthkorea AT yejunson associationbetweenbehavioralandsociodemographicfactorsandhighsubjectivehealthamongadolescentsanationwiderepresentativestudyinsouthkorea AT leesmith associationbetweenbehavioralandsociodemographicfactorsandhighsubjectivehealthamongadolescentsanationwiderepresentativestudyinsouthkorea AT selinwoo associationbetweenbehavioralandsociodemographicfactorsandhighsubjectivehealthamongadolescentsanationwiderepresentativestudyinsouthkorea AT dongkeonyon associationbetweenbehavioralandsociodemographicfactorsandhighsubjectivehealthamongadolescentsanationwiderepresentativestudyinsouthkorea |