IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i7p3604-d527332.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/7/3604/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/7/3604/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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).
    4. 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.
    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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Thurston, Rebecca C. & Matthews, Karen A., 2009. "Racial and socioeconomic disparities in arterial stiffness and intima media thickness among adolescents," Social Science & Medicine, Elsevier, vol. 68(5), pages 807-813, March.
    2. Hafifa Siddiq & Babak Najand, 2022. "Immigration Status, Socioeconomic Status, and Self-Rated Health in Europe," IJERPH, MDPI, vol. 19(23), pages 1-12, November.
    3. Strully, Kate, 2009. "Racial-ethnic disparities in health and the labor market: Losing and leaving jobs," Social Science & Medicine, Elsevier, vol. 69(5), pages 768-776, September.
    4. Danielle Shaked & Zachary B Millman & Danielle L Beatty Moody & William F Rosenberger & Hui Shao & Leslie I Katzel & Christos Davatzikos & Rao P Gullapalli & Stephen L Seliger & Guray Erus & Michele K, 2019. "Sociodemographic disparities in corticolimbic structures," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-21, May.
    5. Evans, Clare R. & Williams, David R. & Onnela, Jukka-Pekka & Subramanian, S.V., 2018. "A multilevel approach to modeling health inequalities at the intersection of multiple social identities," Social Science & Medicine, Elsevier, vol. 203(C), pages 64-73.
    6. Shervin Assari & Susan D. Cochran & Vickie M. Mays, 2021. "Money Protects White but Not African American Men against Discrimination: Comparison of African American and White Men in the Same Geographic Areas," IJERPH, MDPI, vol. 18(5), pages 1-12, March.
    7. Shervin Assari & Maryam Moghani Lankarani, 2018. "Educational Attainment Promotes Fruit and Vegetable Intake for Whites but Not Blacks," J, MDPI, vol. 1(1), pages 1-13, June.
    8. Scharoun-Lee, Melissa & Adair, Linda S. & Kaufman, Jay S. & Gordon-Larsen, Penny, 2009. "Obesity, race/ethnicity and the multiple dimensions of socioeconomic status during the transition to adulthood: A factor analysis approach," Social Science & Medicine, Elsevier, vol. 68(4), pages 708-716, February.
    9. Matthew Jay Lyons & Senaida Fernandez Poole & Ross C. Brownson & Rodney Lyn, 2022. "Place Is Power: Investing in Communities as a Systemic Leverage Point to Reduce Breast Cancer Disparities by Race," IJERPH, MDPI, vol. 19(2), pages 1-13, January.
    10. Ameed Saabneh, 2015. "Ethnic Health Inequalities in Unequal Societies: Morbidity Gaps Between Palestinians and Jews in Israel," European Journal of Population, Springer;European Association for Population Studies, vol. 31(4), pages 445-466, October.
    11. Grzegorz Bulczak & Alexi Gugushvili & Olga Zelinska, 2022. "How are social origin, destination and mobility linked to physical, mental, and self-rated health? Evidence from the United States," Quality & Quantity: International Journal of Methodology, Springer, vol. 56(5), pages 3555-3585, October.
    12. Glei, Dana A. & Lee, Chioun & Weinstein, Maxine, 2022. "Income, wealth, and Black-White disparities in cognition," Social Science & Medicine, Elsevier, vol. 310(C).
    13. Roma Jusienė & Rima Breidokienė & Stanislav Sabaliauskas & Brigita Mieziene & Arunas Emeljanovas, 2022. "The Predictors of Psychological Well-Being in Lithuanian Adolescents after the Second Prolonged Lockdown Due to COVID-19 Pandemic," IJERPH, MDPI, vol. 19(6), pages 1-13, March.
    14. Turner, R. Jay & Thomas, Courtney S. & Brown, Tyson H., 2016. "Childhood adversity and adult health: Evaluating intervening mechanisms," Social Science & Medicine, Elsevier, vol. 156(C), pages 114-124.
    15. Cecilie Dinesen & Signe Nielsen & Laust Mortensen & Allan Krasnik, 2011. "Inequality in self-rated health among immigrants, their descendants and ethnic Danes: examining the role of socioeconomic position," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(5), pages 503-514, October.
    16. Shervin Assari & Shanika Boyce & Mohsen Bazargan & Cleopatra H. Caldwell & Ron Mincy, 2020. "Maternal Education at Birth and Youth Breakfast Consumption at Age 15: Blacks’ Diminished Returns," J, MDPI, vol. 3(3), pages 1-11, September.
    17. Darrell Hudson & Tina Sacks & Katie Irani & Antonia Asher, 2020. "The Price of the Ticket: Health Costs of Upward Mobility among African Americans," IJERPH, MDPI, vol. 17(4), pages 1-18, February.
    18. Shervin Assari & Mohsen Bazargan, 2019. "Unequal Associations between Educational Attainment and Occupational Stress across Racial and Ethnic Groups," IJERPH, MDPI, vol. 16(19), pages 1-11, September.
    19. Bauldry, Shawn, 2014. "Conditional health-related benefits of higher education: An assessment of compensatory versus accumulative mechanisms," Social Science & Medicine, Elsevier, vol. 111(C), pages 94-100.
    20. Raquel M. Guevara & José E. Moral-García & José D. Urchaga & Sergio López-García, 2021. "Relevant Factors in Adolescent Well-Being: Family and Parental Relationships," IJERPH, MDPI, vol. 18(14), pages 1-10, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3604-:d:527332. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.