Journal of the Korean Society of School Health (한국학교보건학회지)

The Korean Society of School Health (한국학교보건학회)
권호 표지
DOI QR코드

DOI QR Code

Health Behavior Changes in Korean Adolescents before and during the COVID-19 Pandemic: Secondary Data Analysis of the 2019~2020 Youth Health Risk Behavior Web-Based Survey

코로나19 팬데믹 전후 청소년의 건강행태 비교: 2019~2020 청소년 건강행태 온라인조사를 이용한 2차 자료분석

  • Lee, Jinhwa (Department of Nursing, University of Ulsan) ;
  • Kwon, Min (Department of Nursing, The University of Suwon)
  • 이진화 (울산대학교 간호학과) ;
  • 권민 (수원대학교 간호학과)
  • Received : 2021.11.30
  • Accepted : 2021.12.08
  • Published : 2021.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of the study was to investigate health behavior changes in Korean adolescents before and during the COVID-19 pandemic. Methods: A descriptive cross-sectional design was employed. Data were obtained from the 15~16th (2019~2020) Korea Youth Risk Behavior Web-based Survey. Overall, the data of 112,251 students, 57,303 before the COVID pandemic and 54,948 during the pandemic, were included. The data were analyzed using rao-scott 𝝌2-test, t-test, ANCOVA and logistic regression analysis. Results: While sitting time for study decreased, sitting time for leisure increased in the 2020 group compared to the 2019 group. The 2020 group was more likely to skip breakfast and have a higher BMI than the 2019 group. The 2020 group was less likely to consume fruit and engage in moderate and vigorous physical activities than the 2019 group. The 2020 group was less likely to engage in CC, EC, and HTP current smoking and be exposed to secondhand smoke at home, school, and public places than the 2019 group. The 2020 group was more likely to be satisfied with sleep, but less likely to experience stress, depression, suicidal ideation, suicidal plans, and suicidal attempts than the 2019 group. Conclusion: It is necessary to reduce sedentary time, encourage physical activities, manage smoking and drinking rates continuously, and establish a network system to prevent psychological loneliness and isolation for adolescents, which requires participation of experts from the community as a whole.

Keywords

References

  1. World Health Organization. Coronavirus (COVID-19). dashboard [Internet]. Geneva: World Health Organization; 2021 [cited 2021 Nov 29]. Available from: https://covid19.who.int
  2. Korea Disease Control and Prevention Agency. Coronavirus Disease-19, Republic of Korea [internet]. Osong: Korea Disease Control and Prevention Agency; 2021 [cited 2021 Nov 29]. Available from: http://ncov.mohw.go.kr/
  3. Loades ME, Chatburn E, Higson-Sweeney N, Reynolds S, Shafran R, Brigden A, et al. Rapid systematic review: the impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19. Journal of the American Academy of Child & Adolescent Psychiatry. 2020;59(11):1218-1239. https://doi.org/10.1016/j.jaac.2020.05.009
  4. Choi J. The effects of COVID-19 pandemic on the mental health of the general public and children and adolescents and supporting measures. Journal of Korean Neuropsychiatric Association. 2021;60(1):2-10. https://doi.org/10.4306/jknpa.2021.60.1.2
  5. Singh S, Roy D, Sinha K, Parveen S, Sharma G, Joshi G. Impact of COVID-19 and lockdown on mental health of children and adolescents: a narrative review with recommendations. Psychiatry Research. 2020;113429. https://doi.org/10.1016/j.psychres.2020.113429
  6. Lee J. Mental health effects of school closures during COVID-19. Lancet Child Adolesc Health. 2020;4:421. https://doi.org/10.1016/S2352-4642(20)30109-7
  7. Ezpeleta L, Navarro JB, Osa N, Trepat E, Penelo E. Life conditions during COVID-19 lockdown and mental health in Spanish adolescents. International Journal of Environmental Research and Public Health. 2020;17(19):7327. https://doi.org/10.3390/ijerph17197327
  8. Pieh C, Plener PL, Probst T, Dale R, Humer E. Mental health in adolescents during COVID-19-related social distancing and home-schooling. SSRN Electronic Journal. 2021. https://doi.org/10.2139/ssrn.3795639
  9. Kim SY, Yoo DM, Min C, Choi HG. Changes in dietary habits and exercise pattern of Korean adolescents from prior to during the COVID-19 pandemic. Nutrients. 2021;13(10):3314. https://doi.org/10.3390/nu13103314
  10. Chin M, Sung M, Son S, Yoo J, Lee J, Chang YE. Changes in family life and relationships during the COVID-19 pandemic and their associations with perceived stress. Family and Environment Research. 2020;58(3):447-461. https://doi.org/10.6115/fer.2020.032
  11. Lee MS, Han S, Kang J, Kim J. The effects of household financial difficulties caused by COVID-19 on suicidal tendencies of adolescents: application of propensity score matching analysis. The Journal of Korean Society for School & Community Health Education. 2021;22(2):1-14. https://doi.org/10.35133/kssche.20210531.01
  12. Ministry of Education, Ministry of Health and Welfare, Centers for Disease Control and Prevention. The 16th Korea youth risk behavior web-based survey [Internet]. Sejong: Ministry of Education; 2020 [cited 2021 Nov 1]. Available from: http://www.kdca.go.kr/yhs/
  13. Lee GI. Analysis of the characteristics of moderate to vigorous physical activity of middle school adolescents according to gender and number of school physical activity in COVID-19. Korean Journal of Sport Pedagogy. 2021;28(4):67-80. https://doi.org/10.21812/kjsp.2021.10.28.4.67
  14. Sekulic D, Blazevic M, Gilic B, Kvesic I, Zenic N. Prospective analysis of levels and correlates of physical activity during COVID-19 pandemic and imposed rules of social distancing; gender specific study among adolescents from Southern Croatia. Sustainability. 2020;12(10):4072. https://doi.org/10.3390/su12104072
  15. Lee KJ, Seo KW, An KO. Effects of the non-face-to-face learning on health-related physical fitness and balance in adolescents according to covid-19. Exercise Science. 2021;30(2):229-236. https://doi.org/10.15857/ksep.2021.30.2.229
  16. Jang JY. Relationships of adolescents' stress and psychological state by gender and physical activity level during the early COVID19 crisis. The Korean Journal of Growth and Development. 2021;29(2):181-187. https://doi.org/10.34284/KJGD.2021.05.29.2.181
  17. Nogueira-de-Almeida CA, Del Ciampo LA, Ferraz IS, Del Ciampo IR, Contini AA, Ued FV. COVID-19 and obesity in childhood and adolescence: a clinical review. Journal de Pediatria. 2020;96(5):546-558. https://doi.org/10.1016/j.jped.2020.07.001
  18. Calcaterra V, Vandoni M, Pellino VC, Cena H. Special attention to diet and physical activity in children and adolescents with obesity during the coronavirus disease-2019 pandemic. Frontiers in Pediatrics. 2020;8:407. https://doi.org/10.3389/fped.2020.00407
  19. Roges J, Bosque-Prous M, Colom J, Folch C, Baron-Garcia T, Gonzalez-Casals H, et al. Consumption of Alcohol, Cannabis, and Tobacco in a cohort of adolescents before and during COVID-19 confinement. International Journal of Environmental Research and Public Health. 2021;18(15):7849. https://doi.org/10.3390/ijerph18157849
  20. Chaffee BW, Cheng J, Couch ET, Hoeft KS, Halpern-Felsher B. Adolescents' substance use and physical activity before and during the COVID-19 pandemic. JAMA Pediatrics. 2021;175(7):715-722. https://doi.org/10.1001/jamapediatrics.2021.0541
  21. Kim BS, Lee EJ. The effects of indirect trauma of adolescents due to COVID-19 on depression and the mediating effect of ego-resiliency. Korean Journal of Social Welfare. 2021;73(2): 83-105. https://doi.org/10.20970/kasw.2021.73.2.083
  22. Cho EY, Choe YJ. School closures during the coronavirus disease 2019 outbreak. Clinical and Experimental Pediatrics. 2021;64(7):322-327. https://doi.org/10.14776/piv.2021.28.e14
  23. Ministry of Education. MOE's makes an announcement on nationwide school reopening [Internet]. Sejong: Ministry of Education; 2020 [cited 2021 Nov 29]. Available from: https://www.moe.go.kr/boardCnts/viewRenew.do?boardID =294&boardSeq=89438&lev=0&searchType=null&statusYN=W&page=5&s=moe&m=020402&opType=N
  24. Son JH. A study on the youth's educational rights in COVID-19 situation. Journal of Human Rights & Law-related Education. 2020;13(3):87-112. https://doi.org/10.35881/HLER.2020.13.3.4
  25. Lim KM, Kim JA. School health teachers' experience of coping with the COVID-19 pandemic. Journal of the Korean Society of School Health. 2021;34(1):76-86. https://doi.org/10.15434/kssh.2021.34.1.76