Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
권호 표지

Health and risk taking behaviors of freshmen in college

대학교 신입생들의 건강위험행태

  • Ko, Hong Ki (Department of Pediatrics, Korea University College of Medicine) ;
  • Han, Jae Joon (Department of Pediatrics, Korea University College of Medicine) ;
  • Lee, Yoon (Department of Pediatrics, Korea University College of Medicine) ;
  • Yoo, Young (Department of Pediatrics, Korea University College of Medicine) ;
  • Lee, Kee Hyoung (Department of Pediatrics, Korea University College of Medicine) ;
  • Choung, Ji Tae (Department of Pediatrics, Korea University College of Medicine) ;
  • Park, Sang Hee (Department of Pediatrics, Korea University College of Medicine)
  • 고홍기 (고려대학교 의과대학 소아과학교실) ;
  • 한재준 (고려대학교 의과대학 소아과학교실) ;
  • 이윤 (고려대학교 의과대학 소아과학교실) ;
  • 유영 (고려대학교 의과대학 소아과학교실) ;
  • 이기형 (고려대학교 의과대학 소아과학교실) ;
  • 정지태 (고려대학교 의과대학 소아과학교실) ;
  • 박상희 (고려대학교 의과대학 소아과학교실)
  • Received : 2006.08.26
  • Accepted : 2006.08.28
  • Published : 2006.10.15
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : This study was conducted to survey the preliminary data on risk behaviors and to identify the factors that prevent risk-behaviors in late adolescence. Methods : Freshmen(n=1,297) beginning the first semester in Korea University, Seoul, Korea completed self-administered risk behavior questionnaires, comprising 5 domains : demographics, smoking, drinking, drug abuse and sexual behavior. Results : The rate of smoking experience was higher in people having friends who smoke and the predictors of transition to current smoking were male gender, urban residence, friends' smoking, and nicotine dependence. The rate of high risk drinking was higher among students who are male and who had experience of heavy episodic drinking. The study group showed a low prevalence of narcotic users, but two-thirds of students could get medicine easily without prescriptions. The prevalence of sexual experience was 6.5 percent, and the sexual education was not a predictor of contraceptive behavior. The prevalence of homosexuality was 1.6 percent, and the rate of mostly heterosexuality was higher in female students. Conclusion : The main targets of youth health education should be campaigns aimed at atcessation of reinforcing risk behaviors and the development of a surveillance system for the prevention of chronic disease. These results can be used to find risk factors of health-risk behaviors among late adolescents.

목 적 : 건강위험행동은 만성질환의 가장 큰 원인으로 보건교육의 예방 목표이다. 예방을 위한 적절한 개입이 필요한 시점인 후기 청소년기에서 각 위험행태에 대한 현황과 그 위험행동을 지속하게 할 수 있는 위험요인을 찾아 청소년의 건강한 생활습관을 형성할 수 있는 인자들을 규명하고자 하였다. 방 법 : 2006학년도 고려대학교 신입생들을 대상으로 한 건강검진에 참여한 학생 중 자발적으로 설문지에 응답한 1,297명을 대상으로 비공개 설문지를 통한 조사를 실시하였으며, 설문지는 기본 정보와 4가지의 건강 위험행태(흡연, 음주, 약물사용, 성 행태)에 대한 문항으로 구성되었다. 결 과 : 친구의 흡연과 주변 사람의 흡연하는 정도가 흡연 경험에 영향을 주는 것으로 나타났고, 흡연경험자가 현재흡연자로 이행할 위험요인들은 남성, 도시출신, 친구의 흡연, 니코틴 의존도로 나타났다. 고 위험 음주군의 위험요인들로 남성, 만취하는 회수, 음주한 기간, 과음에 대한 위험성 인식이 낮은 경우가 있었다. 부적절한 약물 사용 경험자는 1.0%로 비교적 낮은 편이었으나 처방 없이 약물을 구하는 경우가 많은 것으로 나타났다. 성 행태 조사 결과 성교육을 받은 경우는 68.1%이나 성교육을 받은 사람에서 피임여부가 유의한 차이를 보이지 않았다. 자신이 양성애를 포함하여 동성애적인 성향을 가진다고 대답한 경우는 1.6%로 나타났으며 거의 이성애로 인식하는 경우는 여성의 비율이 유의하게 높았다. 결 론 : 향후 후기 청소년들의 보건 교육의 목표는 건강위험행동의 시작단계에서 습관적 행동으로의 이행을 막고 건강위험행태에 대한 감시체계 확립에 있다. 고려대학교 신입생들의 건강위험행태에 대한 조사 결과는 후기 청소년들의 건강 위험행태의 위험요인을 규명하는 데 이용될 수 있을 것이다.

Keywords

References

  1. Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000. JAMA 2004; 291:1238-45 https://doi.org/10.1001/jama.291.10.1238
  2. Jeong DC, Kang IJ, Koo HH, Kook H, Kim, SY, Kim SK, et al. Epidemiology and clinical outcomes in children with aplastic anemia in Korea : retrospective study. Korean J Pediatr Hematol-Oncol 2004;11:137-52
  3. Lee MM, Oh BH, Park HS, Chae SC, Lee SH, Kim JJ, et al. Multicenter analysis of clinical characteristics of the patients with congestive heart failure in Korea. Korean Circ J 2003;33:533-41 https://doi.org/10.4070/kcj.2003.33.6.533
  4. Seblova J, Polanecky V, Sejda J, Studnickova B. Trends in substance abuse by teenagers in the Czech Republic. J Emerg Med 2005;28:95-100 https://doi.org/10.1016/j.jemermed.2004.05.010
  5. Tsurugi Y, Yamamoto M, Matsuda S. A sexual health study of high school students at the 3 high schools in Kitakyushu City. Nippon Eiseigaku Zasshi 2002;56:664-72 https://doi.org/10.1265/jjh.56.664
  6. Terry-McElrath YM, Johnston LD, O'Malley PM, Yamaguchi R. Substance abuse counseling services in secondary schools : a national study of schools and students, 1999- 2003. J Sch Health 2005;75:334-41 https://doi.org/10.1111/j.1746-1561.2005.tb06693.x
  7. Lee GC, Kim YJ, Shin YK, Park SH, Tockgo YC. The State of smoking and alcohol use in Korean adolescents. J Korean Pediatr Soc 1997;40:307-17
  8. Soh JH, Jung YK, Jang GY, Shin YK, Lee KH, Eun BL, et al. Predisposing factors of risk taking behaviors in Korean adolescents. J Korean Pediatr Soc 2001;44:1364-73
  9. Berg-Kelly K, Kullander K. Gender differences in early adolescence in factors related to outcome of healthy behaviours two years later. Acta Paediatr 1999;88:1125-30 https://doi.org/10.1080/08035259950168207
  10. Ng N, Van Minh H, Tesfaye F, Bonita R, Byass P, Stenlund H, et al. Combining risk factors and demographic surveillance : potentials of WHO STEPS and INDEPTH methodologies for assessing epidemiological transition. Scand J Public Health 2006;34:199-208
  11. Grunbaum JA, Kann L, Kinchen S, Ross J, Hawkins J, Lowry R, et al. Youth risk behavior surveillance-United States, 2003. MMWR Surveill Summ 2004;53:1-96
  12. Taylor JE, Conard MW, Koetting O'Byrne K, Haddock CK, Poston WS. Saturation of tobacco smoking models and risk of alcohol and tobacco use among adolescents. J Adolesc Health 2004;35:190-6 https://doi.org/10.1016/S1054-139X(04)00087-4
  13. Rustin TA. Assessing nicotine dependence. Am Fam Physician 2000;62:579-84, 591-2
  14. Kann L, Kinchen SA, Williams BI, Ross JG, Lowry R, Grunbaum JA, et al. Youth risk behavior surveillance- United States, 1999. State and local YRBSS Coordinators. J Sch Health 2000;70:271-85 https://doi.org/10.1111/j.1746-1561.2000.tb07252.x
  15. Stein RJ, Haddock CK, O'Byrne KK, Hymowitz N, Schwab J. The pediatrician's role in reducing tobacco exposure in children. Pediatrics 2000;106:66 https://doi.org/10.1542/peds.106.5.e66
  16. Robinson LA, Klesges RC, Zbikowski SM, Glaser R. Predictors of risk for different stages of adolescent smoking in a biracial sample. J Consult Clin Psychol 1997;65: 653-62 https://doi.org/10.1037/0022-006X.65.4.653
  17. West P, Sweeting H, Ecob R. Family and friends' influences on the uptake of regular smoking from midadolescence to early adulthood. Addiction 1999;94:1397-411 https://doi.org/10.1046/j.1360-0443.1999.949139711.x
  18. Flay BR, Hu FB, Siddiqui O, Day LE, Hedeker D, Petraitis J, et al. Differential influence of parental smoking and friends' smoking on adolescent initiation and escalation of smoking. J Health Soc Behav 1994;35:248-65 https://doi.org/10.2307/2137279
  19. Wang MQ, Fitzhugh EC, Green BL, Turner LW, Eddy JM, Westerfield RC. Prospective social-psychological factors of adolescent smoking progression. J Adolesc Health 1999;24: 2-9 https://doi.org/10.1016/S1054-139X(98)00080-9
  20. O'Callaghan FV, O'Callaghan M, Najman JM, Williams GM, Bor W, Alati R. Prediction of adolescent smoking from family and social risk factors at 5 years, and maternal smoking in pregnancy and at 5 and 14 years. Addiction 2006;101:282-90 https://doi.org/10.1111/j.1360-0443.2006.01323.x
  21. Tucker JS, Ellickson PL, Klein DJ. Predictors of the transition to regular smoking during adolescence and young adulthood. J Adolesc Health 2003;32:314-24 https://doi.org/10.1016/S1054-139X(02)00709-7
  22. Biederman J, Monuteaux MC, Mick E, Wilens TE, Fontanella JA, Poetzl KM, et al. Is cigarette smoking a gateway to alcohol and illicit drug use disorders? A study of youths with and without attention deficit hyperactivity disorder. Biol Psychiatry 2006;59:258-64 https://doi.org/10.1016/j.biopsych.2005.07.009
  23. Wheeler KC, Fletcher KE, Wellman RJ, Difranza JR. Screening adolescents for nicotine dependence : the hooked on nicotine checklist. J Adolesc Health 2004;35:225-30 https://doi.org/10.1016/S1054-139X(03)00531-7
  24. Wada K, Fukui S. Prevalence of tobacco smoking among junior high school students in Japan and background life style of smokers. Addiction 1994;89:331-43 https://doi.org/10.1111/j.1360-0443.1994.tb00900.x
  25. Wells S, Graham K, Speechley M, Koval JJ. Drinking patterns, drinking contexts and alcohol-related aggression among late adolescent and young adult drinkers. Addiction 2005;100:933-44 https://doi.org/10.1111/j.1360-0443.2005.001121.x
  26. Beyers JM, Toumbourou JW, Catalano RF, Arthur MW, Hawkins JD. A cross-national comparison of risk and protective factors for adolescent substance use : the United States and Australia. J Adolesc Health 2004;35:3-16
  27. Wada K. Lifetime prevalence of alcohol drinking, cigarette smoking, and solvent inhalation among junior high school students in Japan: tradition and urbanization. Nihon Arukoru Yakubutsu Igakkai Zasshi 2001;36:124-41
  28. Willner P. A view through the gateway: expectancies as a possible pathway from alcohol to cannabis. Addiction 2001; 96:691-703 https://doi.org/10.1046/j.1360-0443.2001.9656915.x
  29. Hawkins EH, Cummins LH, Marlatt GA. Preventing substance abuse in American Indian and Alaska native youth: promising strategies for healthier communities. Psychol Bull 2004;130:304-23 https://doi.org/10.1037/0033-2909.130.2.304
  30. Shrier LA, Shih MC, Beardslee WR. Affect and sexual behavior in adolescents : a review of the literature and comparison of momentary sampling with diary and retrospective self-report methods of measurement. Pediatrics 2005;115:573-81 https://doi.org/10.1542/peds.2004-2073
  31. Santelli JS, Abma J, Ventura S, Lindberg L, Morrow B, Anderson JE, et al. Can changes in sexual behaviors among high school students explain the decline in teen pregnancy rates in the 1990s? J Adolesc Health 2004;35:80- 90 https://doi.org/10.1016/S1054-139X(04)00134-X
  32. Austin SB, Ziyadeh N, Kahn JA, Camargo CA, Jr., Colditz GA, Field AE. Sexual orientation, weight concerns, and eating-disordered behaviors in adolescent girls and boys. J Am Acad Child Adolesc Psychiatry 2004;43:1115-23 https://doi.org/10.1097/01.chi.0000131139.93862.10
  33. Weiss JW, Spruijt-Metz D, Palmer PH, Chou CP, Johnson CA. Smoking among adolescents in China : an analysis based upon the meanings of smoking theory. Am J Health Promot 2006;20:171-8 https://doi.org/10.4278/0890-1171-20.3.171