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The Sequential Mediating Effects of Dietary Behavior and Perceived Stress on the Relationship between Subjective Socioeconomic Status and Multicultural Adolescent Health

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  • Youlim Kim

    (Mo-Im Kim Nursing Research Institute, College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul 03722, Korea)

  • Hyeonkyeong Lee

    (Mo-Im Kim Nursing Research Institute, College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul 03722, Korea)

  • Mikyung Lee

    (Mo-Im Kim Nursing Research Institute, College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul 03722, Korea)

  • Hyeyeon Lee

    (Mo-Im Kim Nursing Research Institute, College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul 03722, Korea)

  • Sookyung Kim

    (Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul 03722, Korea)

  • Kennedy Diema Konlan

    (Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul 03722, Korea)

Abstract

Studies have examined the impact of social determinants of health on the health behaviors and health statuses of ethnic minority adolescents. This study examines the subjective health of this population by examining the direct effects of multicultural adolescents’ subjective socioeconomic status (SES) and the sequential mediating effects of their dietary behaviors and perceived stress. We utilized secondary data of 500 middle school students from multicultural families who participated in the 15th Korean Youth Health Behavior Survey, 2019. Information about SES, perceived stress, subjective health status, and dietary behavior (measured by the breakfast intake frequency during the prior week) were utilized. For the relationship between the SES and the subjective health status, we confirmed the sequential mediating effects of breakfast frequency and perceived stress using SPSS 25.0 and PROCESS macro with bootstrapping. The results showed that SES had a direct effect on subjective health status and indirectly influenced subjective health status through the sequential mediating effect of breakfast frequency and perceived stress. However, SES had no direct effects on perceived stress. These findings emphasize that broadening the community-health lens to consider the upstream factor of SES when preparing health promotion interventions is essential to achieving health equity for vulnerable populations.

Suggested Citation

  • Youlim Kim & Hyeonkyeong Lee & Mikyung Lee & Hyeyeon Lee & Sookyung Kim & Kennedy Diema Konlan, 2021. "The Sequential Mediating Effects of Dietary Behavior and Perceived Stress on the Relationship between Subjective Socioeconomic Status and Multicultural Adolescent Health," IJERPH, MDPI, vol. 18(7), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3604-:d:527332
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    References listed on IDEAS

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    1. East, Patricia & Doom, Jenalee & Delker, Erin & Blanco, Estela & Burrows, Raquel & Correa-Burrows, Paulina & Lozoff, Betsy & Gahagan, Sheila, 2020. "Childhood socioeconomic hardship, family conflict, and young adult hypertension: The Santiago Longitudinal Study," Social Science & Medicine, Elsevier, vol. 253(C).
    2. Dario Novak & Lovro Štefan & Arunas Emeljanovas & Brigita Mieziene & Ivana Milanović & Snežana Radisavljević Janić & Ichiro Kawachi, 2017. "Factors associated with good self-rated health in European adolescents: a population-based cross-sectional study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(9), pages 971-979, December.
    3. Rosario Ferrer-Cascales & Miriam Sánchez-SanSegundo & Nicolás Ruiz-Robledillo & Natalia Albaladejo-Blázquez & Ana Laguna-Pérez & Ana Zaragoza-Martí, 2018. "Eat or Skip Breakfast? The Important Role of Breakfast Quality for Health-Related Quality of Life, Stress and Depression in Spanish Adolescents," IJERPH, MDPI, vol. 15(8), pages 1-10, August.
    4. Alice P. Okeyo & Eunice Seekoe & Anniza de Villiers & Mieke Faber & Johanna H. Nel & Nelia P. Steyn, 2020. "Dietary Practices and Adolescent Obesity in Secondary School Learners at Disadvantaged Schools in South Africa: Urban–Rural and Gender Differences," IJERPH, MDPI, vol. 17(16), pages 1-18, August.
    5. Farmer, Melissa M. & Ferraro, Kenneth F., 2005. "Are racial disparities in health conditional on socioeconomic status?," Social Science & Medicine, Elsevier, vol. 60(1), pages 191-204, January.
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    Cited by:

    1. Yiming Xiao & Han Wu & Guohua Wang & Shangrui Wang, 2021. "The Relationship between Energy Poverty and Individual Development: Exploring the Serial Mediating Effects of Learning Behavior and Health Condition," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
    2. Yansong Li & Qilong Sun & Mingzhe Sun & Peishuai Sun & Qihui Sun & Xue Xia, 2021. "Physical Exercise and Psychological Distress: The Mediating Roles of Problematic Mobile Phone Use and Learning Burnout among Adolescents," IJERPH, MDPI, vol. 18(17), pages 1-12, September.

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