The Journal of Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회지)

The Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회)
권호 표지
DOI QR코드

DOI QR Code

Smoking Prevalence according to Sexual Orientation among Korean High School Students

성관계와 관련된 성적지향이 고등학생의 흡연행위에 미치는 영향

  • 권미영 (김천대학교 간호학과) ;
  • 이영희 (동남보건대학교 간호학과) ;
  • 백형원 (서영대학교 보건행정학과)
  • Received : 2018.12.17
  • Accepted : 2019.04.22
  • Published : 2019.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study was to investigate the effects of sexual orientation related to sexual intercourse on smoking behavior. Methods: The study includes 33,309 Korean high school students. Of these, 31,213 had no experience of sexual intercourse, 1,739 had sexual intercourse with the heterosexual, 191 had sex with the homosexual, and 166 had sexual intercourse with the bisex. The study used 12th(2016) Korea Youth Risk Behavior Web-based Survey with complex sample logistic regression. Results: Adjusted confounding variables were analyzed, and it showed that smoking behavior was higher in the group had experienced sexual intercourse. The group had homosexual intercourse (OR=1.84, 95%CI=1.31-2.57) or bisexual intercourse (OR=2.78, 95%CI=2.06-3.76) showed higher risk of smoking behavior than the group had heterosexual intercourse (OR=1.67, 95%CI=1.48-1.90 Conclusions: The study results showed sexual orientation related to sexual intercourse was associated with smoking behavior. Further follow up studies and evaluations are needed.

Keywords

References

  1. 강병철, 하경희. (2005). 청소년 동성애자의 동성애 관련 특성이 자살 위험성에 미치는 영향. 청소년학연구, 12(3), 267-289.
  2. 권석현, 이정열. (2015). 중학생의 성관계 경험 영향요인 제 8 차 (2012년) 청소년 건강행태 온라인조사 통계를 이용하여. Journal of Korean Academic of Nursing, 45(1), 76-83. https://doi.org/10.4040/jkan.2015.45.1.76
  3. 김은경, 권정혜. (2004). 동성애 관련 스트레스가 남성 동성애자의 정신건강에 미치는 영향. Korean Journal of Clinical Psycholog,y, 23(4), 969-981.
  4. 김지혜. (2016). 성소수자 아동청소년을 위한 포용적 교육. 동향과 전망, 96, 153-178.
  5. 박건. (2018). 한국사회 성소수자 차별경험의 재인식. 정신문화연구, 41(3), 365-392.
  6. 서수인, 오진경, 임민경. (2017). 청소년 폭음과 흡연, 신체활동 부족, 부적절한 체중조절, 성행태와의 관련성. 보건교육 건강증진학회지, 34(1), 1-12.
  7. 이영선, 권보민, 이동훈. (2012). 청소년의 동성애 경험, 성의식, 동성애 혐오, 우울의 관계. 재활심리연구, 19(1), 129-147.
  8. 이혜민, 박주영, 김승섭. (2014). 한국 성소수자 건강 연구. 보건과 사회과학, 36, 43-76.
  9. 윤가현. (1997). 동성애의 심리학. 서울: 학지사.
  10. 조대훈. (2006). 침묵의 교육과정을 넘어서: 성적 소수자의 인권과 사회과교육. 시민교육연구, 38(3), 211-239.
  11. 주재홍. (2017). 한국의 청소년 성소수자들로부 터 알게 된 그들의 삶의 이야기들. 교육문화연구, 23(1), 175-215.
  12. 표은영, 안지연, 정진옥, 이윤정. (2016). 청소년의 음주, 흡연, 약물사용 경험이 성경험에 미치는 영향: 2010-2014년 청소년건강행태온라인 조사를 활용하여. 한국학교보건학회지, 29(3), 299-309. https://doi.org/10.15434/kssh.2016.29.3.299
  13. 하지연, 신성만. (2016). 청소년 금연 집단상담 프로그램 효과에 관한 메타분석. 한국심리학회지:중독, (2), 19-37.
  14. American Psychological Association. (2008). "Answers to your questions: For a better understanding of sexual orientation and homosexuality". Washington, DC: American Psychological Association.
  15. American Psychological Association. (2011). Practice guidelines for LGB clients. American Psychologist, 67(1), 10-42. https://doi.org/10.1037/a0024659
  16. Blosnich, J, Lee, JG, Horn, K. (2013). A systematic review of the aetiology of tobacco disparities for sexual minorities. Tobacco control, 22(2), 66-73. https://doi.org/10.1136/tobaccocontrol-2011-050181
  17. Cohn, LD, Macfarlane, S, Yanez, C, Imai, WK. (1995). Risk-perception: differences between adolescents and adults. Health Psychology, 14(3), 217-222. https://doi.org/10.1037/0278-6133.14.3.217
  18. Coker, TR, Austin, SB, Schuster, MA. (2010). The health and health care of lesbian, gay, and bisexual adolescents. Annual Review of Public Health, 31, 457-477. https://doi.org/10.1146/annurev.publhealth.012809.103636
  19. Corliss et al. (2013). Sexual-orientation disparities in cigarette smoking in a longitudinal cohort study of adolescents. Nicotine & Tobacco Research, 15(1), 213-222. https://doi.org/10.1093/ntr/nts114
  20. D'Augelli, AR, Patterson, CJ, Patterson, C. (2001). Lesbian, gay, and bisexual identities and youth: Psychological perspectives. NewYork, NY: Oxford University Press.
  21. Dilley et al. (2010). Demonstrating the importance and feasibility of including sexual orientation in public health surveys: health disparities in the Pacific Northwest. American Journal of Public Health, 100(3), 460-467. https://doi.org/10.2105/AJPH.2007.130336
  22. Flory K, Lynam D, Milich R, Leukefeld C, Clayton R. (2004). Early adolescent through young adult alcohol and marijuana use trajectories: Early predictors, young adult outcomes, and predictive utility. Development and Psychopathology, 16(1), 193-213. https://doi.org/10.1017/S0954579404044475
  23. Gwon, SH, Lee, CY. (2015). Factors that Influence Sexual Intercourse among Middle School Students: Using Data from the 8th (2012) Korea Youth Risk Behavior Web-based Survey. Journal of Korean Academy of Nursing, 45(1), 76-83. https://doi.org/10.4040/jkan.2015.45.1.76
  24. Hale DR, Viner RM. (2012). Policy responses to multiple risk behaviours in adolescents. Journal of Public Health, 34(suppl_1), i11-i19. https://doi.org/10.1093/pubmed/fdr112
  25. Hatzenbuehler et al. (2015). Structural stigma and sexual orientation disparities in adolescent drug use. Addictive behaviors, 46, 14-18. https://doi.org/10.1016/j.addbeh.2015.02.017
  26. Hatzenbuehler, ML, Wieringa, NF, Keyes, KM. (2011). Community-level determinants of tobacco use disparities in lesbian, gay, and bisexual youth: results from a population-based study. Archives of pediatrics & adolescent medicine, 165(6), 527-532. https://doi.org/10.1001/archpediatrics.2011.64
  27. Lloyd, B, Lucas, K. (2014). Smoking in adolescence: Images and identities. London, LD: Routledge.
  28. Mustanski et al. (2014). The association between sexual orientation identity and behavior across race/ethnicity, sex, and age in a probability sample of high school students. American Journal of Public Health, 104(2), 237-244. https://doi.org/10.2105/AJPH.2013.301451
  29. Quinn et al. (2015). Cancer and lesbian, gay, bisexual, transgender/transsexual, and queer/questioning (LGBTQ) populations. CA: A Cancer Journal for Clinicians, 65(5), 384-400. https://doi.org/10.3322/caac.21288
  30. Rosario et al. (2014). Sexual orientation disparities in cancer-related risk behaviors of tobacco, alcohol, sexual behaviors, and diet and physical activity: pooled Youth Risk Behavior Surveys. American Journal of Public Health, 104(2), 245-254. https://doi.org/10.2105/AJPH.2013.301506
  31. Rosenbaum, E, Kandel, DB. (1990). Early onset of adolescent sexual behavior and drug involvement. Journal of Marriage and the Family, 52(3)783-798. https://doi.org/10.2307/352942
  32. Valfort, M. (2017). LGBTI in OECD Countries: A Review. Paris: OECD Publishing.
  33. Saewyc, EM, (2011). Research on adolescent sexual orientation: Development, health disparities, stigma, and resilience. Journal of Research on Adolescence, 21(1), 256-272. https://doi.org/10.1111/j.1532-7795.2010.00727.x
  34. Schepis, TS, Rao U. (2005). Epidemiology and etiology of adolescent smoking. Current opinion in pediatrics, 17(5), 607-612. https://doi.org/10.1097/01.mop.0000176442.49743.31
  35. So, ES., Yeo, JY. (2015). Factors associated with early smoking initiation among Korean adolescents. Asian Nursing Research, 9(2), 115-119. https://doi.org/10.1016/j.anr.2015.05.002
  36. Sohn A, Cho B. (2012). Knowledge, Attitudes, and Sexual Behaviors in HIV/AIDS and Predictors Affecting Condom Use among Men Who Have Sex with Men in South Korea. Osong Public Health and Research Perspectives, 3(3), 156-64. https://doi.org/10.1016/j.phrp.2012.07.001
  37. Song et al. (2009). Perceptions of smoking-related risks and benefits as predictors of adolescent smoking initiation. American Journal of Public Health, 99(3), 487-492. https://doi.org/10.2105/AJPH.2008.137679
  38. Vogel et al. (2019). Smoking cessation intervention trial outcomes for sexual and gender minority young adults. Health Psychology, 38(1), 12-20. https://doi.org/10.1037/hea0000698
  39. Windle et al. (2004). Healthy passages: A multilevel, multimethod longitudinal study of adolescent health. American Journal of Preventive Medicine, 27(2), 164-172. https://doi.org/10.1016/j.amepre.2004.04.007