College of NursingㆍResearch Institute of Nursing Science, Pusan National University, Yangsan-si, Korea.
College of Nursing, Pusan National University, 49 Busandaehak-ro, Mulgeum-eup, Yangsan-si, Gyeongsangnam-do, 50612, South Korea.
BMC Public Health. 2024 Sep 19;24(1):2562. doi: 10.1186/s12889-024-20078-8.
The number of culturally diverse adolescents in South Korea has reached 290,000 and is increasing every year; however, they still represent only 2.5% of the total adolescent population in middle and high schools, making them a minority. Adolescents experiencing cultural diversity are psychologically vulnerable because they grow up in bicultural environments and experience prejudice. Given the nature of generalized anxiety disorder, which can be exacerbated by stress, these adolescents may face an increased risk of developing the disorder not only because of developmental stress but also because of the stress of cultural adaptation. To identify the prevalence of generalized anxiety disorder among adolescents with cultural diversity, we analyzed related factors. Based on the results, strategies have been proposed to reduce anxiety in adolescents with cultural diversity and generalized anxiety disorders.
This study used data from the 16th - 18th Korea Youth Risk Behavior Survey. Factors associated with generalized anxiety disorders were identified based on the social determinants of the health framework. Statistical analyses were conducted using IBM SPSS 25.0, and statistical methods were used for complex samples.
Among adolescents with cultural diversity, 12.8% exhibited generalized anxiety disorders. Among the structural factors, economic status, mother's education level, and gender were significantly associated with the disorder, whereas among the psychosocial factors, suicidal ideation, depressive mood, loneliness, perceived stress level, and subjective health status were significant factors influencing it.
The factors identified in our research can be used as a resource for the early identification of culturally diverse adolescents who are vulnerable to generalized anxiety disorders. To prevent generalized anxiety disorder among adolescents with cultural diversity, school or community nurses can implement interventions to reduce loneliness or stress management programs.
韩国的跨文化青少年人数已达 29 万，且每年都在增加；然而，他们在中学和高中的青少年总人口中仍只占 2.5%，属于少数群体。经历文化多样性的青少年在心理上很脆弱，因为他们在双文化环境中成长，并经历偏见。鉴于广泛性焦虑症的性质，压力会使其恶化，这些青少年不仅可能因发展压力，而且可能因文化适应的压力而面临更高的患病风险。为了确定具有跨文化背景的青少年中广泛性焦虑症的患病率，我们分析了相关因素。基于这些结果，提出了减少跨文化青少年和广泛性焦虑症焦虑的策略。
本研究使用了第 16-18 次韩国青少年风险行为调查的数据。根据健康的社会决定因素框架确定与广泛性焦虑症相关的因素。使用 IBM SPSS 25.0 进行统计分析，并使用复杂样本的统计方法。
在具有跨文化背景的青少年中，12.8%患有广泛性焦虑症。在结构性因素中，经济状况、母亲的教育水平和性别与该障碍显著相关，而在心理社会因素中，自杀意念、抑郁情绪、孤独感、感知压力水平和主观健康状况是影响该障碍的重要因素。
我们研究中确定的因素可以作为识别易患广泛性焦虑症的跨文化青少年的早期资源。为了预防具有跨文化背景的青少年患广泛性焦虑症，学校或社区护士可以实施减少孤独感或压力管理计划的干预措施。
