Factors Influencing Health Risk Behavior in High School Students

고등학교 청소년의 건강위험행위에 영향을 미치는 요인

  • Choi, Jin (Department of Nursing, Sunlin College University) ;
  • Kim, Mi-Ye (College of Nursing, Kyungpook National University)
  • 최진 (선린대학 간호과) ;
  • 김미예 (경북대학교 간호대학)
  • Published : 2009.04.30

Abstract

Purpose: The purpose of this study was to identify the factors influencing health risk behavior in high school students. Methods: The subjects were 512 students from 4 high schools in 3 cities. The questionnaire measured the level of self-esteem, self-efficacy, internal locus of control and health risk behaviors. The data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient and stepwise multiple regression analysis. Results: There were significant differences in the health risk behaviors according to sex, a classification of the school, whether or not smoking of mother, whether or not live alone, level of harmonious family, level of satisfying school-life and three variables of them were significant differences by Scheffe test. There was a significant positive correlation between sub-dimension of health risk behaviors and the self-efficacy, self-esteem, internal locus of control were negative correlation with health risk behaviors. The most important influential factor of the health risk behaviors was the self-efficacy. Conclusion: From the studies reviewed, improving the self-efficacy, self-esteem, internal locus of control and the general social environment of students will probably be the most effective strategies for primary prevention of health risk behaviors.

Keywords

References

  1. An, J. Y., & Tak, Y. R. (2006). Health-risk behaviors and self-efficacy in early adolescents. Journal of Korean Academy of Community Health Nursing, 17(3), 387-396.
  2. Bolognini, M., Plancherel, B., Bettschart, W., & Halfon, O. (1996). Self-esteem and mental health in early adolescence: development and gender differences. Journal of Adolescence, 19, 233-245. https://doi.org/10.1006/jado.1996.0022
  3. Brenda, J. (2006). Health promotion in adolescents: A review of Pender's health promotion model. Nursing Science Quarterly, 19(4), 366-373. https://doi.org/10.1177/0894318406292831
  4. Cho, T. H., & Nam, C. H. (2000). A study on drug abuse and the factors affecting drug abuse behaviors of students preparing college entrance or transfer examinations. Journal of Korean Society for Health Education and Promotion, 17(2). 57-73.
  5. Choi, S. Y., Yeom, T. S., & Seoul National University for Social Welfare Studies. (Eds.). (2003). Social welfare scales for an executor and researcher, 2. Seoul : Nanumhouse.
  6. Han, S. H., Choi, M. J., Lee, S. H., Lee, M. S., & Lee, H. J. (2000). Risk health behavior among female students of high school and university. Journal of Korean Society of Maternal and Child Health, 4(1), 83-91.
  7. Hong, Y. S. (2004). The effect of life stress and self-esteem for adolescent suicidal behaviors. Studies on Korean Youth, 15(2), 153-182
  8. Hwang, Y. S. (2003). Study of factors influencing suicidal ideation among adolescents-focusing on the home & school environment. Unpublished master's thesis, Gyeongsang National University, Jinju.
  9. Jang, H. J., & Shin, Y. H. (2002). The correlational analysis between perceived health status, self-esteem, and self care agencies among adolescents. Journal of Korean Academy of Nursing, 32(2), 186-195.
  10. Jennifer, H., & Lynne, A. H. (2009). Psychometric properties of the rosenberg self-esteem scale in African American single mothers. Issues in Mental Health Nursing, 30(2), 70-77. https://doi.org/10.1080/01612840802595113
  11. Kim, C. M., Choi, J. M., & Hyun, H. J. (2000). A study on the health behavior of high school students. Journal of Korean Society of School Health, 13(1), 109-116.
  12. Kim, I. Y. (1996). The study for health-related activities and health locus of control in adolescents. Unpublished master's thesis, Ehwa Womans University, Seoul.
  13. Kim, J. Y. (2007). Study of reliability and validity for the Korean version of youth risk behavior survey. Unpublished master's thesis, Yonsei University, Seoul.
  14. Kim, K. H., & Jeon, M. H. (2000). A study on characteristics and patterns of suicide among adolescents. Paper presented at the 13th International Conference of the Korean Society of Child Welfare, Seoul.
  15. Kim, M. J. (1999). The Impact of health risk perception on health risk behavior in middle and high school students. Unpublished master's thesis, Seoul National University, Seoul.
  16. Kim, S. S. (2005). Study on the influential factors of adolescent's drinking behavior and intention. Unpublished master's thesis, Yonsei University, Seoul.
  17. Korea Centers for Disease Control and Prevention: Division of Chronic Disease Surveillance. (2008). 2007 Korean Youth Health Risk Behavior Survey. Korea Centers for Disease Control and Prevention, Seoul.
  18. Lee, C. C. (2000). A study on factors influencing the health promotion behaviors in high school students. Unpublished master's thesis, Pusan National University, Busan.
  19. Lee, D. S., & Kim, J. H. (2001). Effect of job stress on psychiatric symptoms - focused on gender difference of mediation effect of self-esteem -. Journal of the Korean Neuropsychiatric Association, 40(2), 217-229.
  20. Lee, M. S. (2006). Youth health-related behaviors among ninth grade students. Journal of Korean Society of Maternal and Child Health, 10(1), 40-57.
  21. Nutbeam, D., Aaro, L., & Catrord, J. (1989). Understanding children's health behavior: the implication for health promotion for young people. Social Science & Medicine, 29(3), 20·28.
  22. Park, M. H. (2007). Analysis of correlations of smoking in korean adolescents. Unpublished master's thesis, Ehwa Womans University, Seoul.
  23. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
  24. Seo, Y. M. (2008). A structural model development for health behavior adherence in hypertensive or diabetic patients. Unpublished doctoral dissertation, Kyungpook National University, Daegu.
  25. Shere, M., Maddox, J. E., Mercamdante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982). The self-efficacy scale: construction and validation. Psychological Reports, 51, 663-671. https://doi.org/10.2466/pr0.1982.51.2.663
  26. Son, E. S. (2004). The effects of high school students' health risk behaviors - focused on some high school students in Guri-si. Unpublished master's thesis, Ehwa Womans University, Seoul.
  27. Son, H. S. (2007). The prevalence and correlates of taking painkillers for headache in high school students. Unpublished master's thesis, Ehwa Womans University, Seoul.
  28. Sussman, M. P., Jones, S. E., Wilson, T. W., & Kann, L. (2002). The youth risk behavior surveillance system: Updating policy and program applications. Journal of School Health, 72(1), 13-17. https://doi.org/10.1111/j.1746-1561.2002.tb06504.x
  29. Um, Y. M. (2000). Identifying the predictor variables of juvenile delinquency for the development of prevention programs. Journal of the Korean Society of Child Welfare, 42, 254-289.
  30. Wallston, K. A., Wallston, B. S., & DeVellis, R. (1978). Development of the multidimensional health locus of control scale. Health Education Monographs, 6, 160-170. https://doi.org/10.1177/109019817800600107