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Associations of multicultural status with depressive mood and suicidality among Korean adolescents: the roles of parental country of birth and socioeconomic position

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dc.contributor.authorBahk, Jinwook-
dc.contributor.authorKim, Agnus M.-
dc.contributor.authorKhang, Young-Ho-
dc.date.accessioned2017-02-02T02:23:20Z-
dc.date.available2017-02-02T02:23:20Z-
dc.date.issued2017-01-25-
dc.identifier.citationBMC Public Health, 17(1):116ko_KR
dc.identifier.urihttps://hdl.handle.net/10371/100383-
dc.descriptionThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.ko_KR
dc.description.abstractBackground
The mental health of the offspring of immigrants is a major public health concern. In this study, we examined associations of multicultural status and parental country of birth with adolescent mental health in South Korea, and assessed the effect of socioeconomic position (SEP) on these associations.

Methods
We used four waves of the Korea Youth Risk Behavior Web-based Survey (KYRBS) between 2011 and 2014, including 294,324 participants (149,219 boys and 145,105 girls aged 13–18 years) as study subjects. KYRBS is a cross-sectional survey conducted annually by the Korea Centers for Disease Control and Prevention. The participants in the KYRBS were drawn as stratified multistage clustered samples from Korean middle schools and high schools. We calculated the age-adjusted 12-month prevalence of depressive mood and suicidal behaviors by parental country of birth, and estimated the effects of SEP indicators on the relationship.

Results
The age-standardized prevalence of suicidality (suicide ideation, plans, and attempts) was significantly different between multicultural and non-multicultural boys. The impact of multicultural status on mental health varied with parental foreign-born status and maternal country of birth. Compared with non-multicultural counterparts, boys with Japan-born mothers showed lower prevalence ratios (PRs) of suicidal plans (PR = 0.34, 95% CI 0.16–0.70). Girls with Japan-born mothers also showed lower PRs of depressive mood (PR = 0.77, 95% CI 0.63–0.95) and suicidal ideation (PR = 0.59, 95% CI 0.41–0.83), while adolescents with Korean-Chinese mothers showed similar PRs. Boys with foreign-born fathers as well as boys with two foreign-born parents were at a greater risk of suicidality than non-multicultural boys. The magnitude of the relationship between multicultural status and mental health outcomes was generally attenuated after adjusting for SEP indicators.

Conclusions
In general, adolescents with Japan-born mothers showed lower PRs of depressive mood and suicidality than non-multicultural adolescents, while those with Korean-Chinese mothers showed similar PRs. Boys who had foreign-born fathers generally showed greater PRs of depressive mood and suicidality than non-multicultural boys. To ensure the effective implementation of policies to reduce mental health problems among multicultural adolescents in South Korea, detailed information should be considered regarding the cultural and socioeconomic backgrounds of families, such as parental country of birth and SEP.
ko_KR
dc.language.isoenko_KR
dc.publisherBioMed Centralko_KR
dc.subjectSouth Koreako_KR
dc.subjectImmigrantko_KR
dc.subjectAdolescentko_KR
dc.subjectMental healthko_KR
dc.subjectDepressive moodko_KR
dc.subjectSuicidalityko_KR
dc.subjectSocioeconomic positionko_KR
dc.titleAssociations of multicultural status with depressive mood and suicidality among Korean adolescents: the roles of parental country of birth and socioeconomic positionko_KR
dc.typeArticleko_KR
dc.contributor.AlternativeAuthor박진욱-
dc.contributor.AlternativeAuthor강영호-
dc.identifier.doi10.1186/s12889-017-4044-y-
dc.language.rfc3066en-
dc.rights.holderThe Author(s).-
dc.date.updated2017-01-29T03:03:22Z-
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Health Policy and Management (의료관리학전공)Journal Papers (저널논문_의료관리학전공)
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