Kim Yunjeong, Shim Joohee
Department of Healthcare Administration, Yeungnam University College, Daegu, Republic of Korea.
College of Nursing, Yeungnam University College, Daegu, Republic of Korea.
Front Public Health. 2025 May 14;13:1526127. doi: 10.3389/fpubh.2025.1526127. eCollection 2025.
In this study, we explored the impact of mental health on self-rated health of Korean adolescents. By examining the relationship between self-assessed health and mental-health issues, such as anxiety and depression, this study sought to inform strategies for enhancing health education and school-based interventions.
Secondary data from the Korea National Health and Nutrition Examination Survey were analyzed, with a sample comprising 418 middle and high school students. The study examined general characteristics of the sample and the correlations between subjective health status and mental-health indicators and between subjective health status and physical activity levels. Frequency and cross-tabulation analyses were performed to explore these relationships. Logistic regression analysis was conducted to identify factors influencing subjective health status. Statistical significance was set at < 0.05.
Associations were noted between subjective health status and mental-health indicators, including stress recognition ( < 0.05), suicidal ideation in the past year ( < 0.001), suicide planning in the past year ( < 0.001), suicide attempts in the past year ( < 0.001), and counseling for mental-health problems in the past year ( < 0.005). Additionally, subjective health status was correlated with the following physical activity metrics: average daily hours spent seated ( < 0.05) and engagement in physical activities lasting 1 h or more per day ( < 0.1). Several factors were identified to influence subjective health status including the frequency of breakfast consumption per week ( < 0.05) and suicidal ideation in the past 1 year ( < 0.05).
The study findings highlight the considerable effects of mental health and health behaviors on adolescents' subjective health status. Thus, addressing school health should go beyond promoting physical health alone. An environment that supports adolescents' mental and social well-being, enabling them to grow into healthy adults, is necessary.
在本研究中，我们探讨了心理健康对韩国青少年自评健康的影响。通过研究自评健康与焦虑和抑郁等心理健康问题之间的关系，本研究旨在为加强健康教育和学校干预策略提供依据。
分析了韩国国家健康与营养检查调查的二手数据，样本包括418名中学生和高中生。该研究考察了样本的一般特征、主观健康状况与心理健康指标之间以及主观健康状况与身体活动水平之间的相关性。进行了频率分析和交叉表分析以探究这些关系。进行了逻辑回归分析以确定影响主观健康状况的因素。设定统计学显著性水平为<0.05。
主观健康状况与心理健康指标之间存在关联，包括压力认知（<0.05）、过去一年的自杀意念（<0.001）、过去一年的自杀计划（<0.001）、过去一年的自杀未遂（<0.001）以及过去一年因心理健康问题接受咨询（<0.005）。此外，主观健康状况与以下身体活动指标相关：平均每日久坐时间（<0.05）以及每天参与持续1小时或更长时间的体育活动（<0.1）。确定了几个影响主观健康状况的因素，包括每周吃早餐的频率（<0.05）和过去1年的自杀意念（<0.05）。
研究结果突出了心理健康和健康行为对青少年主观健康状况的重大影响。因此，解决学校健康问题不应仅仅局限于促进身体健康。需要一个支持青少年心理和社会福祉、使他们成长为健康成年人的环境。
