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Mental Health in Adolescents with Allergic Disease : Using Data from the 2021 Korean Youth's Health Behavior Online Survey

알레르기질환 청소년의 정신건강: 2021 청소년건강행태 온라인조사 활용

  • Young-Seon Seo (Dept. of Nursing, Woosong College) ;
  • Sumi Cho (Dept. of Nursing, Gangdong University) ;
  • Eunju Seo (Dept. of Nursing, Pai Chai University)
  • Received : 2024.05.22
  • Accepted : 2024.07.20
  • Published : 2024.07.28

Abstract

This study was conducted to determine the status of allergic diseases and mental health in adolescents, confirm the relationship between allergic diseases and mental health, and provide basic data for developing effective disease management measures for adolescents at the developmental stage. Secondary analysis was performed on the data from the 17th Youth Health Behavior Online Survey, and complex sample descriptive statistics, cross-tabulation, and logistic regression analysis were performed using the SPSS 26.0 program. As a result of the study, those with one or more allergic diseases were 1.286 times more likely to have stress (B=1.286, p<.000), 1.289 times more likely to be depressed (B=1.289, p<.000), and 1.399 times more likely to have generalized anxiety disorder (B=1.399, p<.000) was highly likely to experience it. Additionally, factors affecting the mental health of adolescents with allergic diseases were gender, economic level, academic performance, drinking experience, and smoking experience. Stress and generalized anxiety disorder were more likely to be experienced by female students, if they had a lower economic level and academic performance, and if they drank alcohol or smoked. Male students were more likely to experience depression if their economic level and academic performance were higher, and if they did not drink alcohol or smoke. Based on these results, we hope to establish a practical approach by establishing effective strategies to manage allergic diseases in adolescents and the mental health conditions that may arise from them.

본 연구는 청소년의 알레르기질환과 정신건강실태를 파악하고 알레르기질환과 정신건강의 관련성을 확인하여 발달단계 청소년의 효율적인 질환 관리방안 마련의 기초자료를 제공하고자 수행하였다. 제17차 청소년건강행태 온라인조사 자료를 이차분석하였으며, SPSS 26.0 프로그램을 이용하여 복합표본 기술통계, 교차분석, 로지스틱 회귀분석을 시행하였다. 연구 결과 알레르기질환을 하나 이상 가진 경우 스트레스 1.286배(B=1.286, p<.000), 우울 1.289배(B=1.289, p<000), 범불안장애 1.399배(B=1.399, p=.000) 경험할 가능성이 높았다. 또한 알레르기질환을 가진 청소년의 정신건강에 영향을 미치는 요인은 성별, 경제적 수준, 학업성적, 음주경험, 흡연경험 이었다. 스트레스와 범불안장애는 여학생이, 경제적 수준과 학업성적이 낮을수록, 음주와 흡연을 한 경우 경험할 가능성이 더 높았다. 우울은 남학생이, 경제적 수준과 학업성적이 높을수록, 음주와 흡연을 하지 않은 경우 경험할 가능성이 더 높았다. 이러한 결과를 바탕으로 청소년 시기의 알레르기질환과 이로 인하여 발생 가능한 정신건강 상태를 관리하기 위한 효과적인 전략을 수립하여 실질적인 접근이 이루어지길 기대한다.

Keywords

References

  1. McMichael, A. J., Woodruff, R. E., & Hales, S. (2006). Climate change and human health: present and future risks. The Lancet, 367(9513), 859-869. https://doi.org/10.1016/S0140-6736(06)68079-3
  2. Beggs, P. J. (2010). Adaptation to impacts of climate change on aeroallergens and allergic respiratory diseases. International journal of environmental research and public health, 7(8), 3006-3021. https://doi.org/10.3390/ijerph7083006
  3. Strachan, D. P. (2000). Family size, infection and atopy: the first decade of the'hygiene hypothesis'. Thorax, 55(Suppl 1).
  4. Lee, S. M., & Lee, S. P. (2013). Classification and epidemiology of allergic rhinitis. The Korean Journal of Medicine, 85(5), 445-451. https://doi.org/10.3904/kjm.2013.85.5.445
  5. Koo, M. J., Kwon, R., Lee, S. W., Choi, Y. S., Shin, Y. H., Rhee, S. Y., & Papadopoulos, N. G. (2022). National trends in the prevalence of allergic diseases among Korean adolescents before and during COVID 19, 2009-2021: A serial analysis of the national representative study. Allergy, 78(6), 1665-1670
  6. M. S. Seok. (2017). The Effects of Adolescents' Maladaptive Perfection Orientation and Academic Stress on Suicidal Thoughts: Mediating Effects of Parental Support. Welfare Counseling Education Research, 6(1), 77-104.
  7. Y. C. Kyung et al. (2020). Association of atopic dermatitis with suicide risk among 788,411 adolescents:A Korean corss-sectional study. Annals of Allergy, Asthma Immunology, 125(1), 55-64. DOI: 10.1016/j.anai.2020.03.023.
  8. A. M. A. Stanescu et al. (2020). Assessment of suicidal behavior in dermatology (Review). Experimental and therapeutic medicine, 20, 73-77. DOI: 10.3892/etm.2019.8145
  9. Korea Centers for Disease Control and Prevention. (2011). Allergic disease prevalence survey, 2011.
  10. Lee, Y. C., Kim, S. W., Shin, S. Y., Kim, Y. H., Ban, G. H., & Cho, J. S. (2008). Impact of symptomatic allergic rhinitis on attention and development of personality and behavior in children. Korean Journal of Otolaryngology-Head and Neck Surgery, 141-147.
  11. Pinquart, M. & Shen, Y. (2011). Depressive symptoms in childrenand adolescents with chronic physical illness: an updated meta-analysis. Journal of Pediatric Psychology, 36(4), 375-384. DOI:10.1093/jpepsy/jsq104
  12. Kim H. J., Han M. A., Kim S. H., Park S. M., Park J, Ryu S. Y. (2014). Associations between cigarette smoking, alcohol drinking and lifetime diagnosis of atopic dermatitis in Korean boys and girls: The eighth Korea youth risk behavior web-based survey. Journal of the Korean Society of Maternal and Child Health. 18(2), 175-85. DOI:10.21896/jksmch.2014.18.2.175
  13. Korea Centers for Disease Control and Prevention. Korea National Health and Nutrition Examination Survey (KNHANES VII-1) [internet]. Cheongju: Korea health statistics; c2016 [cited 2018 Apr 2]. Available from: https://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do?classType=7
  14. Sohn, J. K., Keet, C. A., & McGowan, E. C. (2019). Association between allergic disease and developmental disorders in the National Health and Nutrition Examination Survey. The Journal of Allergy and Clinical Immunology: In Practice, 7(7), 2481-2483. https://doi.org/10.1016/j.jaip.2019.04.013
  15. Park, C. H. (2022). Mental health in adolescents with allergic diseases-using data from the 2020 Korean youth's risk behavior web-based study. Journal of industrial convergence, 20(1), 87-96. https://doi.org/10.22678/JIC.2022.20.1.087
  16. Kim, J. H. (2015). Mental health in adolescents with allergic disease-using data from the 2014 Korean youth's risk behavior web-based study. Journal of the korean society of school health, 28(2), 79-88. https://doi.org/10.15434/KSSH.2015.28.2.79
  17. Kang, J. W. (2022). Mental health changes in Korean adolescents after the COVID-19 pandemic: using the Korea youth risk behavior survey(KYRBS) from 2020, 2021. Journal of Korean Neuropsychiatric Association, 61(4), 317-324. https://doi.org/10.4306/jknpa.2022.61.4.317
  18. Windarwati, H. D., Lestari, R., Supianto, A. A., Wicaksono, S. A., Ati, N. A., Kusumawati, M. W., ... & Ekawati, D. (2022). A narrative review into the impact of COVID-19 pandemic on senior high school adolescent mental health. Journal of Child and Adolescent Psychiatric Nursing, 35(3), 206-217. https://doi.org/10.1111/jcap.12370
  19. Millner, A. J., Zuromski, K. L., Joyce, V. W., Kelly, F., Richards, C., Buonopane, R. J., & Nash, C. C. (2022). Increased severity of mental health symptoms among adolescent inpatients during COVID-19. General Hospital Psychiatry, 77, 77-79. https://doi.org/10.1016/j.genhosppsych.2022.04.004
  20. Lim, M. R. & Lee, E. Y. (2021). Mental health according to allergic diseases and exercise in adolescents. Journal of industrial convergence, 19(1), 109-116, DOI:10.22678/JIC.2021.19.1.109
  21. Seo, J. Y., Lee, D. Y., Lee, C. S., Park, C. S., Kim, B. J., Cha, B. S., & Lee, S. J. Depressive symptoms and suicide ideation in adolescent with allergic disease. Journal of the Korean society of biological therapies in psychiatry, 21(3), 167-173.
  22. Hyun, M. S.. Kim, K. H., & Kim, S. A. (2004). Influencing factors on problem behaviors among adolescents: Focused on middle school students in Seoul. Journal of Korean academy of nursing, 34(2), 252-260. https://doi.org/10.4040/jkan.2004.34.2.252
  23. Han, K. L., Tsang, Y. C., Poon, T. C. W., Pong, N. H., Kwan, M., Shirely, L., et al. (2015). Predicting eczema severity beyond childhood. Journal of Pediatrics. 12(1), 44-48.
  24. Yi, Y. J., Hyun, S. J., Lee, J. H., & An, J. Y. (2017). Severity of Atopic Dermatitis and Associated Factors in Korean Adolescents by Sex, Journal of the Korean Society School Health, 30(2), 164-173. https://doi.org/10.15434/KSSH.2017.30.2.164
  25. Choi, J. W., Moon, H. Y., Jeon, J. A., & Park, Y. C. (2021). Survey of mental health in teenage, Basic Research Report, 1-492
  26. Park, H. Y. (2021). Gender differences in subtypes of depressive symptoms. The journal of humanities and social science 21, 12(4), 2017-2030. https://doi.org/10.22143/HSS21.12.4.143
  27. Cho, A. N. (2021). Academic weakness and depression of students after non-face-to-face and face-to-face lessons, Master's dissertation, Hanyang University, Seoul.
  28. Kim, K. H. (2020). The relationship between the early youth social exclusion types and depression: Using fuzzy set theory. Korean journal of social welfare studies, 51(1), 173-206. https://doi.org/10.16999/KASWS.2020.51.1.173
  29. Kim, H. O., & Jeon, M. S. (2007). The relationship between smoking, dringking and the mental health in adolescents. Journal of Korean academy of public health nursing, 21(2), 217-229.
  30. Shin,, H. M., Lee, S. J., Ko, W. R., Jeong, J. Y., Koh, S. B., & Do, K. Y. (2022). Association between second-hand smoke and generalized anxiety disorder in Korean adolescents: Based on the 17th Korea youth risk behavior survey. Journal of health informatics and statistics, 47(3), 222-232. https://doi.org/10.21032/jhis.2022.47.3.222
  31. Kim, Y. S. (2000). The relationship between coping motives for drinking and drinkin g behavior among college students. Mental health & social work, 9, 5-23.
  32. Park, E. Y. (2017). Influence of university students' stress on drinking problem: mediating effect of alcohol expectancy and moderating effect of stress coping. The Korean society of stress medicine, 25(4), 265-271. https://doi.org/10.17547/kjsr.2017.25.4.265