The Impact of Household Economic Deterioration Caused by the COVID-19 Pandemic and Socioeconomic Status on Suicidal Behaviors in Adolescents: A Cross-sectional Study Using 2020 Korea Youth Risk Behavior Web-based Survey Data

Objectives Economic hardship has a serious impact on adolescents’ mental health. The financial impact of the coronavirus disease 2019 (COVID-19) pandemic was more severe for low-income families, and this also impacted adolescents. This study aimed to examine the associations of economic deterioratio...

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Main Authors: Sanggu Kang, Yeri Jeong, Eun Hye Park, Seung-sik Hwang
Format: Article
Language:English
Published: Korean Society for Preventive Medicine 2022-09-01
Series:Journal of Preventive Medicine and Public Health
Subjects:
Online Access:http://jpmph.org/upload/pdf/jpmph-22-241.pdf
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author Sanggu Kang
Yeri Jeong
Eun Hye Park
Seung-sik Hwang
author_facet Sanggu Kang
Yeri Jeong
Eun Hye Park
Seung-sik Hwang
author_sort Sanggu Kang
collection DOAJ
description Objectives Economic hardship has a serious impact on adolescents’ mental health. The financial impact of the coronavirus disease 2019 (COVID-19) pandemic was more severe for low-income families, and this also impacted adolescents. This study aimed to examine the associations of economic deterioration (ED) caused by the COVID-19 pandemic and low socioeconomic status (SES) with adolescents’ suicidal behaviors. Methods This study analyzed data from the 2020 Korea Youth Risk Behavior Web-based Survey, which included 54 948 middle and high school students. Odds ratios (ORs) of suicidal ideation, suicidal planning, and suicide attempts related to ED and SES were calculated using multivariable logistic regression. We calculated relative excess risks due to interaction to assess additive interactions. Results The ORs for suicidal ideation, suicidal planning, and suicide attempts related to combined severe ED and low SES were 3.64 (95% confidence interval [CI], 3.13 to 4.23), 3.88 (95% CI, 3.09 to 4.88), and 4.27 (95% CI, 3.21 to 5.69), respectively. Conclusions ED and low SES were significantly associated with suicidal behaviors in adolescents. Although no significant additive interaction was found, the ORs related to suicidal ideation, suicidal planning, and suicide attempts were highest among adolescents from low-income families with severe ED. Special attention is needed for this group, considering the increased impact of economic inequality due to the COVID-19 pandemic.
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spelling doaj.art-72a9009b209a49c6bd246bd517f1e7f02022-12-22T04:13:16ZengKorean Society for Preventive MedicineJournal of Preventive Medicine and Public Health1975-83752233-45212022-09-0155545546310.3961/jpmph.22.2412243The Impact of Household Economic Deterioration Caused by the COVID-19 Pandemic and Socioeconomic Status on Suicidal Behaviors in Adolescents: A Cross-sectional Study Using 2020 Korea Youth Risk Behavior Web-based Survey DataSanggu Kang0Yeri Jeong1Eun Hye Park2Seung-sik Hwang3 Department of Preventive Medicine, Graduate School of Public Health, Seoul National University, Seoul, Korea Department of Preventive Medicine, Graduate School of Public Health, Seoul National University, Seoul, Korea Graduate School of Public Health, Seoul National University, Seoul, Korea Department of Preventive Medicine, Graduate School of Public Health, Seoul National University, Seoul, KoreaObjectives Economic hardship has a serious impact on adolescents’ mental health. The financial impact of the coronavirus disease 2019 (COVID-19) pandemic was more severe for low-income families, and this also impacted adolescents. This study aimed to examine the associations of economic deterioration (ED) caused by the COVID-19 pandemic and low socioeconomic status (SES) with adolescents’ suicidal behaviors. Methods This study analyzed data from the 2020 Korea Youth Risk Behavior Web-based Survey, which included 54 948 middle and high school students. Odds ratios (ORs) of suicidal ideation, suicidal planning, and suicide attempts related to ED and SES were calculated using multivariable logistic regression. We calculated relative excess risks due to interaction to assess additive interactions. Results The ORs for suicidal ideation, suicidal planning, and suicide attempts related to combined severe ED and low SES were 3.64 (95% confidence interval [CI], 3.13 to 4.23), 3.88 (95% CI, 3.09 to 4.88), and 4.27 (95% CI, 3.21 to 5.69), respectively. Conclusions ED and low SES were significantly associated with suicidal behaviors in adolescents. Although no significant additive interaction was found, the ORs related to suicidal ideation, suicidal planning, and suicide attempts were highest among adolescents from low-income families with severe ED. Special attention is needed for this group, considering the increased impact of economic inequality due to the COVID-19 pandemic.http://jpmph.org/upload/pdf/jpmph-22-241.pdfcovid-19adolescentsuicidal ideationhealth inequities
spellingShingle Sanggu Kang
Yeri Jeong
Eun Hye Park
Seung-sik Hwang
The Impact of Household Economic Deterioration Caused by the COVID-19 Pandemic and Socioeconomic Status on Suicidal Behaviors in Adolescents: A Cross-sectional Study Using 2020 Korea Youth Risk Behavior Web-based Survey Data
Journal of Preventive Medicine and Public Health
covid-19
adolescent
suicidal ideation
health inequities
title The Impact of Household Economic Deterioration Caused by the COVID-19 Pandemic and Socioeconomic Status on Suicidal Behaviors in Adolescents: A Cross-sectional Study Using 2020 Korea Youth Risk Behavior Web-based Survey Data
title_full The Impact of Household Economic Deterioration Caused by the COVID-19 Pandemic and Socioeconomic Status on Suicidal Behaviors in Adolescents: A Cross-sectional Study Using 2020 Korea Youth Risk Behavior Web-based Survey Data
title_fullStr The Impact of Household Economic Deterioration Caused by the COVID-19 Pandemic and Socioeconomic Status on Suicidal Behaviors in Adolescents: A Cross-sectional Study Using 2020 Korea Youth Risk Behavior Web-based Survey Data
title_full_unstemmed The Impact of Household Economic Deterioration Caused by the COVID-19 Pandemic and Socioeconomic Status on Suicidal Behaviors in Adolescents: A Cross-sectional Study Using 2020 Korea Youth Risk Behavior Web-based Survey Data
title_short The Impact of Household Economic Deterioration Caused by the COVID-19 Pandemic and Socioeconomic Status on Suicidal Behaviors in Adolescents: A Cross-sectional Study Using 2020 Korea Youth Risk Behavior Web-based Survey Data
title_sort impact of household economic deterioration caused by the covid 19 pandemic and socioeconomic status on suicidal behaviors in adolescents a cross sectional study using 2020 korea youth risk behavior web based survey data
topic covid-19
adolescent
suicidal ideation
health inequities
url http://jpmph.org/upload/pdf/jpmph-22-241.pdf
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