Kim Harris Hyun-Soo
Department of Sociology, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, 120-750 Seoul, Republic of Korea.
Soc Sci Med. 2015 Nov;145:209-16. doi: 10.1016/j.socscimed.2015.05.002. Epub 2015 May 1.
Research on the social determinants of health suggests that interpersonal networks play a critical role in facilitating individual mental and physical well-being. Prior studies also indicate that ecological or contextual factors contribute to positive health outcomes. This study extends prior research by examining the factors associated with adolescent health in an Asian context. Based on the multilevel analysis of the Korean Youth Panel Survey (2006 & 2007), a longitudinal project funded by the Korean government, it investigates some of the key variables related to the mental health of Korean students. Much of previous research focuses on the functions of social capital. This study contributes to the social epidemiology literature by investigating the possible downside of network ties. Specifically, it asks whether having delinquent friends is associated with negative mental health experiences. In addition, little research has been conducted concerning the associations between adolescent health outcomes and school characteristics. This study moves in that direction by examining the relationship between mental well-being of students and a variety of school related variables (e.g., subjective attitude toward school and quality of relationship with peers and teachers). Hierarchical linear modeling shows that, among the social capital control variables, being properly integrated into the family and frequent peer interaction significantly add to mental health. At the individual (student) level only, ties to delinquent friends are negatively associated with mental health, while at both individual and contextual levels, school characteristics are positively related to adolescent subjective well-being.
对健康的社会决定因素的研究表明，人际关系网络在促进个人身心健康方面发挥着关键作用。先前的研究还表明，生态或环境因素有助于产生积极的健康结果。本研究通过考察亚洲背景下与青少年健康相关的因素，对先前的研究进行了拓展。基于韩国政府资助的一个纵向项目——韩国青年面板调查（2006年和2007年）的多层次分析，该研究调查了一些与韩国学生心理健康相关的关键变量。此前的许多研究都集中在社会资本的功能上。本研究通过调查网络关系可能存在的负面影响，为社会流行病学文献做出了贡献。具体而言，它探讨了结交不良朋友是否与负面心理健康体验有关。此外，关于青少年健康结果与学校特征之间的关联，此前几乎没有相关研究。本研究朝着这个方向迈进，考察了学生心理健康与各种学校相关变量（例如，对学校的主观态度以及与同龄人和教师的关系质量）之间的关系。分层线性模型显示，在社会资本控制变量中，良好地融入家庭和频繁的同伴互动显著有助于心理健康。仅在个体（学生）层面，与不良朋友的关系与心理健康呈负相关，而在个体和环境层面，学校特征与青少年主观幸福感呈正相关。
