Intersectional identity, risk behaviors, and adolescent mental health in South Korea: who suffers the most in the loneliness epidemic?
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View abstract on PubMed
Summary
This summary is machine-generated.Intersectional identities, particularly low socioeconomic status (SES) girls, face higher loneliness. Alcohol and tobacco use worsen these mental health disparities in South Korean adolescents.
Area Of Science
- Adolescent mental health research
- Social determinants of health
- Intersectionality studies
Background
- Intersectionality examines how overlapping social identities (e.g., gender, socioeconomic status) create unique experiences and inequalities.
- Understanding these intersections is crucial for addressing disparities in adolescent mental health.
- Previous research has not fully explored the combined impact of gender, socioeconomic status, and risk behaviors on adolescent mental well-being in South Korea.
Purpose Of The Study
- To investigate the associations between intersectional identities (gender and family socioeconomic status) and mental health outcomes (stress, depression, loneliness) in South Korean adolescents.
- To determine if risk behaviors (alcohol, tobacco, smartphone use) modify these associations.
- To identify specific adolescent groups at higher risk for mental health issues due to intersecting social identities.
Main Methods
- Utilized data from the 2023 Korea Youth Behavior Web-Based Survey (n=52,880; ages 12-18).
- Analyzed gender and family socioeconomic status as intersectional identities, with stress, depression, and loneliness as outcomes.
- Employed decision tree models, logistic regressions, and moderation analyses to examine effect modification by alcohol, tobacco, and smartphone use.
Main Results
- Girls reported poorer mental health than boys overall.
- Gender and socioeconomic status intersectionality was significantly associated with loneliness, but not stress or depression.
- Lower socioeconomic status boys experienced higher loneliness, exacerbated by alcohol or tobacco use.
- Girls, especially those from low socioeconomic status backgrounds, reported the highest burden of loneliness.
- Alcohol and tobacco use amplified the link between intersectional identity and loneliness, particularly in girls; smartphone use had no modifying effect.
Conclusions
- Interventions addressing alcohol and tobacco use are vital for mitigating loneliness among adolescents with intersecting identities.
- Loneliness is influenced by both structural (SES) and behavioral factors, highlighting the utility of intersectionality in understanding adolescent mental health disparities.
- Findings underscore the need for tailored mental health support considering the complex interplay of social factors and behaviors in adolescents.
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