Journal of Nutrition and Health

  • 제53권3호
  • /
  • Pages.255-270
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  • 2020
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  • 2288-3886(pISSN)
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  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
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한국 청소년의 편의식품 섭취 경험에 영향을 미치는 요인: 제15차 (2019년) 청소년건강행태온라인조사를 이용하여

Factors influencing the consumption of convenience foods among Korean adolescents: analysis of data from the 15th (2019) Korea Youth Risk Behavior Web-based Survey

  • 투고 : 2020.03.19
  • 심사 : 2020.04.27
  • 발행 : 2020.06.30
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초록

본 연구는 2019년 제15차 청소년건강행태온라인조사 원시자료를 활용하여 청소년들의 편의 식품 섭취 경험에 영향을 미치는 요인을 인구사회학적 특성, 정신건강 특성, 그리고 건강행태 특성으로 구분하여 살펴보았다. 연구 결과에 의하면 청소년들의 편의식품 섭취에 영향을 미치는 요인으로 인구사회학적 특성인 성별, 주관적 학업성적, 주관적 경제상태뿐만 아니라 정신건강 요인인 스트레스 인지, 주관적 수면 충족, 우울감 경험, 자살 생각이 유의한 변수로 확인되었으며, 건강행태 요인으로 아침식사 결식, 패스트푸드, 단 음료 섭취 등과 같은 식생활 행태뿐만 아니라 흡연, 음주, 약물복용 등의 요인도 청소년들의 편의식품 섭취에 영향을 미치는 것으로 확인되었다. 이러한 결과를 바탕으로 청소년들의 편의식품 섭취를 줄이기 위해서는 가정에서는 청소년들이 아침식사, 채소, 과일, 우유 섭취와 같은 건강한 식습관 및 충분한 수면 습관을 형성하도록 돕는 자녀교육이 필요하며, 학교에서는 청소년들이 건강한 식품을 선택하고 손쉬운 건강식을 스스로 만들어 먹을 수 있는 기술을 습득하도록 돕는 영양교육이 필요하다. 특히 편의식품 섭취 빈도가 높은 청소년들을 대상으로 스트레스를 관리하고 금연, 금주와 같은 건강증진 행위를 실천하도록 돕는 건강교육이 함께 실시될 필요가 있다. 정부에서는 청소년들에게 건강한 식품을 제공할 수 있는 소매 업체가 우선적으로 학교 주변에 위치할 수 있도록 법률을 제정하거나, 학교 주변 소매 환경에서 양질의 편의식품이 판매될 방안을 마련할 필요가 있다. 이러한 결과를 바탕으로 향후에는 청소년의 편의식품 섭취에 영향을 미치는 요인을 종단적으로 연구할 것을 제언한다.

Purpose: The purpose of this study was to identify the factors that influence the consumption of convenience foods among Korean adolescents. Methods: This study had a descriptive cross-sectional study. Data were obtained from the 15th (2019) Korea Youth Risk Behavior Web-based Survey, which involved a nationwide representative sample of 57,303 middle- and high-school students. Convenience-food consumption was defined by frequency of adolescents consuming convenience foods obtained from convenience stores, supermarkets, and cafeterias over the previous 7 days. The analyzed variables were related to sociodemographic, mental health, and health behavior. The Rao-Scott χ2 test was applied to examine the difference in the rate of consuming convenience foods obtained from convenience stores according to each factor. Hierarchical logistic regression was conducted to examine the factors that influence convenience-food consumption among Korean adolescents. Results: It was found that 29.1% of Korean adolescents consumed convenience foods obtained from convenience store more than three times per week. The significant influencing factors were female sex; low subjective academic achievement, and subjective household economic status; high perceived stress; low subjective sleep sufficiency; experience of depression; suicidal ideation; lower physical activity; skipping breakfast; lower consumptions of fruit, milk, and vegetables; higher consumptions of soda drinks, sweet drinks, caffeine, and fast food; lower water intake; current smoking and drinking; drug use; and experience of violence. Conclusion: These findings provide a better understanding of the sociodemographic, mental-health, and health-behavior factors that influence the consumption of convenience foods among Korean adolescents. We suggest that differentiated policies, strategies, and nutrition education need to be developed and implemented, in order to address the above-mentioned factors and thereby reduce such behaviors among Korean adolescents.

키워드

참고문헌

  1. Stang J, Story MT. Guidelines for adolescent nutrition services. Minneapolis (MN): University of Minnesota; 2008.
  2. Duffey KJ, Gordon-Larsen P, Jacobs DR Jr, Williams OD, Popkin BM. Differential associations of fast food and restaurant food consumption with 3-y change in body mass index: the coronary artery risk development in young adults study. Am J Clin Nutr 2007; 85(1): 201-208. https://doi.org/10.1093/ajcn/85.1.201
  3. Jo JE, Park HR, Jeon SB, Kim JS, Park GE, Li Y, et al. A study on relationship between socio-demographic factors and food consumption frequencies among adolescents in South Korea: using the Korea Youth Risk Behavior Web-based Survey from 2011. Korean J Community Nutr 2013; 18(2): 165-176. https://doi.org/10.5720/kjcn.2013.18.2.165
  4. Park S. Adolescent nutrition and growth. Korean J Pediatr 2006; 49(12): 1263-1266. https://doi.org/10.3345/kjp.2006.49.12.1263
  5. Kim J, Yun S, Oh K. Convenience food consumption of Korean adolescents: results of the 2017 Korea Youth Risk Behavior Survey. Public Health Wkly Rep 2018; 11(41): 1381-1385.
  6. Xu S, Xue Y. Pediatric obesity: causes, symptoms, prevention and treatment. Exp Ther Med 2016; 11(1): 15-20. https://doi.org/10.3892/etm.2015.2853
  7. Thompson J. Hypertension now and then: hypertensive adolescents who consume sugar sweetened beverages are associated with hypertension in adulthood [dissertation]. Grand Forks (ND): University of North Dakota; 2017.
  8. Cho SI, Lee H, Lee DH, Kim KH. Association of frequent intake of fast foods, energy drinks, or convenience food with atopic dermatitis in adolescents. Eur J Nutr. Forthcoming 2019.
  9. Doo YT. Health behavior and status associated with junk food consumption in adolescents: data from the Korea Youth Risk Behavior Web-based Survey. Korean J Health Educ Promot 2016; 33(2): 15-25. https://doi.org/10.14367/kjhep.2016.33.2.15
  10. Moon SJ, Kim JW, Kim HJ, Lee DK. Association between dietary habits and mental health in Korean adolescents: a study based on the 10th (2014) Adolescent Health Behavior Online Survey. Korean J Fam Pract 2017; 7(1): 66-71. https://doi.org/10.21215/kjfp.2017.7.1.66
  11. Wang SH, Lin IC, Chen CY, Chen DR, Chan TC, Chen WJ. Availability of convenience stores and adolescent alcohol use in Taiwan: a multi-level analysis of national surveys. Addiction 2013; 108(12): 2081-2088. https://doi.org/10.1111/add.12278
  12. Henriksen L, Schleicher NC, Feighery EC, Fortmann SP. A longitudinal study of exposure to retail cigarette advertising and smoking initiation. Pediatrics 2010; 126(2): 232-238. https://doi.org/10.1542/peds.2009-3021
  13. Hwang JE, Oh YM, Yang YS, Lee JE, Lee SY, Cho SI. Exposure to cigarette advertisements and displays at the convenience stores and its impact on recall and product purchase. Korean J Health Educ Promot 2018; 35(1): 1-12. https://doi.org/10.14367/kjhep.2018.35.1.1
  14. Lee JK, Chung S, Kim JS. Alcohol advertising exposure and drinking intentions of nondrinking adolescents. Ment Health Soc Work 2012; 40(4): 289-318.
  15. Kim EM, Choi MK, Kim MH. Association between frequency of convenience foods use at convenience stores and dietary quality among high school students in Incheon. J Nutr Health 2019; 52(4): 383-398. https://doi.org/10.4163/jnh.2019.52.4.383
  16. Kim JH, Lee DY. Factors associated with consumption of fast food by Korean adolescents: analysis of 2007 survey data from the national youth policy institute. Korean J Obes 2012; 21(1): 37-44. https://doi.org/10.7570/kjo.2012.21.1.37
  17. Kim AY, Kim JH, Kye SH. Sugar-sweetened beverage consumption and influencing factors in Korean adolescents: based on the 2017 Korea Youth Risk Behavior Web-based Survey. J Nutr Health 2018; 51(5): 465-479. https://doi.org/10.4163/jnh.2018.51.5.465
  18. Kim DO, Lee H. Factors influencing high-caffeine drink intake in adolescents: using data from the 13th (2017) Korea Youth Risk Behavior Online Survey. J Korea Acad Ind Coop Soc 2019; 20(8): 111-121. https://doi.org/10.5762/KAIS.2019.20.8.111
  19. Kang HJ, Yu J, Choi J, Cha JE, Choi MJ. Comparison of the factors related to the sugary drinks consumption in obesity and non-obesity group of Korea adolescents. Korean J Health Educ Promot 2019; 36(1): 15-28. https://doi.org/10.14367/kjhep.2019.36.1.15
  20. Kim JH, Kim SY, Lee JH, Oh KW. Water intake and its impact as a factor of behavior among Korean adolescents: results of the 2019 Korea Youth Risk Behavior Survey. Public Health Wkly Rep 2020; 13(7): 367-373.
  21. Ministry of Education, Ministry of Health and Welfare, Centers for Disease Control and Prevention. The 14th Korea Youth Risk Behavior Web-based Survey. Sejong: Ministry of Education; 2018.
  22. Korea Association of Convenience Store Industry. Convenience Store Industry Status in 2018 [Internet]. Seoul: Korea Association of Convenience Store Industry; 2019 [cited 2020 Mar 1]. Available from: http://www.cvs.or.kr/Board/Board_List.php?DB=B_com7.
  23. Shin GN, Kim YR, Kim MH. Nutritional evaluation of convenience meals in convenience stores near the universities. Korean J Community Nutr 2017; 22(5): 375-386. https://doi.org/10.5720/kjcn.2017.22.5.375
  24. Eom HS, Jeong MJ, Kim SB. A study on nutrition knowledge, dietary attitude, food habit of middle school students in Chonbuk area. Korean J Community Nutr 2005; 10(5): 574-581.
  25. Park JW, Ahn SJ. Dietary behaviors and food perception of Koreans living in Seoul by age and gender. Korean J Soc Food Cookery Sci 2001; 17(5): 441-455.
  26. Yoo JY, Kim Y. Survey of cookie consumption and nutrition labelling of cookie consumed in high school students. Korean J Community Nutr 2009; 14(2): 147-157.
  27. Cutler GJ, Flood A, Hannan P, Neumark-Sztainer D. Multiple sociodemographic and socioenvironmental characteristics are correlated with major patterns of dietary intake in adolescents. J Am Diet Assoc 2011; 111(2): 230-240. https://doi.org/10.1016/j.jada.2010.10.052
  28. WHO Regional Office for Europe. Inequalities in young people's health: HBSC international report from the 2005/2006 survey. Health policy for children and adolescents, No. 5. Copenhagen: WHO Regional Office for Europe; 2008.
  29. Kim HK, Kim JH. Comparison of life style, school achievement and snaking behaviors among underweight and overweight adolescents. Korean J Nutr 2011; 44(2): 131-139. https://doi.org/10.4163/kjn.2011.44.2.131
  30. Valladares M, Duran E, Matheus A, Duran-Aguero S, Obregon AM, Ramirez-Tagle R. Association between eating behavior and academic performance in university students. J Am Coll Nutr 2016; 35(8): 699-703. https://doi.org/10.1080/07315724.2016.1157526
  31. El Ansari W, Adetunji H, Oskrochi R. Food and mental health: relationship between food and perceived stress and depressive symptoms among university students in the United Kingdom. Cent Eur J Public Health 2014; 22(2): 90-97. https://doi.org/10.21101/cejph.a3941
  32. Steptoe A, Lipsey Z, Wardle J. Stress, hassles and variations in alcohol consumption, food choice and physical exercise: a diary study. Br J Health Psychol 1998; 3(1): 51-63. https://doi.org/10.1111/j.2044-8287.1998.tb00555.x
  33. Oliver G, Wardle J. Perceived effects of stress on food choice. Physiol Behav 1999; 66(3): 511-515. https://doi.org/10.1016/S0031-9384(98)00322-9
  34. Torres SJ, Nowson CA. Relationship between stress, eating behavior, and obesity. Nutrition 2007; 23(11-12): 887-894. https://doi.org/10.1016/j.nut.2007.08.008
  35. Kruger AK, Reither EN, Peppard PE, Krueger PM, Hale L. Do sleep-deprived adolescents make lesshealthy food choices? Br J Nutr 2014; 111(10): 1898-1904. https://doi.org/10.1017/S0007114514000130
  36. Beebe DW, Simon S, Summer S, Hemmer S, Strotman D, Dolan LM. Dietary intake following experimentally restricted sleep in adolescents. Sleep (Basel) 2013; 36(6): 827-834. https://doi.org/10.5665/sleep.2704
  37. Taheri S, Lin L, Austin D, Young T, Mignot E. Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med 2004; 1(3): e62. https://doi.org/10.1371/journal.pmed.0010062
  38. Park KY. Breakfast and health in adolescents. Korean J Pediatr Gastroenterol Nutr 2011; 14(4): 340-349. https://doi.org/10.5223/kjpgn.2011.14.4.340
  39. Schlundt DG, Hill JO, Sbrocco T, Pope-Cordle J, Sharp T. The role of breakfast in the treatment of obesity: a randomized clinical trial. Am J Clin Nutr 1992; 55(3): 645-651. https://doi.org/10.1093/ajcn/55.3.645
  40. Kwak SH, Woo TJ, Lee KA, Lee KH. A comparison of dietary habits and influencing factors for vegetable preferences of adolescents in Gyeongnam province. Korean J Community Nutr 2015; 20(4): 259-272. https://doi.org/10.5720/kjcn.2015.20.4.259
  41. Song HJ, Choi SY. A study on intake and purchasing behavior of processed food among adolescents. Korean J Culinary Res 2013; 19(1): 230-243.
  42. Andersen LB, Arnberg K, Trolle E, Michaelsen KF, Bro R, Pipper CB, et al. The effects of water and dairy drinks on dietary patterns in overweight adolescents. Int J Food Sci Nutr 2016; 67(3): 314-324. https://doi.org/10.3109/09637486.2016.1150435
  43. Sanders-Jackson A, Parikh NM, Schleicher NC, Fortmann SP, Henriksen L. Convenience store visits by US adolescents: rationale for healthier retail environments. Health Place 2015; 34: 63-66. https://doi.org/10.1016/j.healthplace.2015.03.011
  44. Farrow JA, Rees JM, Worthington-Roberts BS. Health, developmental, and nutritional status of adolescent alcohol and marijuana abusers. Pediatrics 1987; 79(2): 218-223.
  45. Benedict J, Evans W, Calder JC. An exploratory study of recreational drug use and nutrition-related behaviors and attitudes among adolescents. J Drug Educ 1999; 29(2): 139-155. https://doi.org/10.2190/XDCJ-7BVW-4AMT-H8TR
  46. Lee HK, Kim SJ, Yoon SC, Bong SY, Ahn HJ, Park SY. A survey of adolescent substance uses in a small city. J Korean Neuropsychiatr Assoc 2001; 40(1): 23-36.
  47. Ochberg FM. Post-traumatic therapy and victims of violence. New York (NY): Brunner/Mazel; 1988.

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  3. Dietary Lifestyle Status of Adolescents: Analysis of Large-Scale Survey Data in Korea vol.50, pp.1, 2020, https://doi.org/10.3746/jkfn.2021.50.1.95
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  5. 전북지역 일부 청소년의 아침식사대용 쌀 기반 가정간편식 인식 및 선호도 vol.54, pp.3, 2020, https://doi.org/10.4163/jnh.2021.54.3.262
  6. Dietary intake and nutritional status of Korean children and adolescents: a review of national survey data vol.64, pp.9, 2020, https://doi.org/10.3345/cep.2020.01655
  7. Mineral Balance and Metabolic Syndrome in Adolescents: Focus on Calcium and Phosphorus Intake vol.9, pp.11, 2020, https://doi.org/10.3390/healthcare9111525