• The Journal of Korean Society for School & Community Health Education
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• v.20 no.2
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• pp.1-12
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• 2019

Objectives: The purpose of this study is to understand the factors affecting the dual smoking experience of conventional and heat-not-burn tobacco among adolescents with smoking experience. Methods: The study selected 8,691 people with experience in smoking. Data analysis used SPSS 25.0. Logistic regression was performed to identify the factors affecting the dual smoking experience. Results: In this study, the dual smoking experience rate of conventional and heat-not-burn tobacco was 16.3%. The dual smoking experience rate was 5.09 times higher than the number of smokers among friends. The lower the smoking age, the higher the smoking rate, and the longer the smoking days, the higher the dual smoking rate of heat-not-burn cigarettes. Conclusion: We need a peer-to-peer group arbitration program rather than a separate anti-smoking arbitration program for smokers.

• Journal of the Korea Convergence Society
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• v.13 no.2
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• pp.131-142
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• 2022

This study aims to explore the relationship between onset drinking age and the current Body Mass Index (BMI) level stratified by sex. This study used the data of Korea Community Health Survey (KCHS) 2019, of which 206,987 participants included in study populations for multivariable binomial logistic regression model. The study results show the evidence that the early age of onset alcohol consumption had significantly associated with abnormal BMI status in adult male. These results could be explained by high alcohol consumption and sex difference in social atmosphere which encourages men to drink more. Our findings suggest the need to prevent problem drinking for reducing the long-term side effects of health.

• Journal of the Korean Society of School Health
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• v.34 no.1
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• pp.1-12
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• 2021

Purpose: Growing evidence indicates that adolescents from multicultural families are more vulnerable to drug use than those from non-multicultural families. This study aimed to compare the factors associated with the habitual drug use among adolescents from multicultural and non-multicultural families. Methods: A descriptive cross-sectional design was employed. Data were obtained from the 14~15th (2018~2019) Korea Youth Risk Behavior Web-based Survey. Overall, 91,443 multicultural (n=1,725) and non-multicultural adolescents (n=89,718) were included. Data were analyzed using descriptive statistics, univariate analysis, and logistic regression analysis. Results: The multicultural adolescents engaged in more habitual drug use than did non-multicultural adolescents. In both groups, those who currently drank, experienced violent victimization, had sexual experiences, and did not live with their family were at greater risk of engaging in habitual drug use. The odds ratios of these factors were higher in multicultural adolescents than in non-multicultural adolescents. In non-multicultural adolescents, those who were boys, had experienced depression and suicidal ideation, perceived their body image as normal, overweight, or obese, and had poor subjective health status were at greater risk of engaging in habitual drug use. Conclusion: These results highlight the need to develop customized strategies for adolescents from both multicultural and non-multicultural families to reduce and prevent their habitual drug use.

• Journal of Korean Academy of Nursing
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• v.51 no.1
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• pp.40-53
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• 2021

Purpose: The purpose of this study was to develop and compare the prediction model for suicide attempts by Korean adolescents using logistic regression and decision tree analysis. Methods: This study utilized secondary data drawn from the 2019 Youth Health Risk Behavior web-based survey. A total of 20 items were selected as the explanatory variables (5 of sociodemographic characteristics, 10 of health-related behaviors, and 5 of psychosocial characteristics). For data analysis, descriptive statistics and logistic regression with complex samples and decision tree analysis were performed using IBM SPSS ver. 25.0 and Stata ver. 16.0. Results: A total of 1,731 participants (3.0%) out of 57,303 responded that they had attempted suicide. The most significant predictors of suicide attempts as determined using the logistic regression model were experience of sadness and hopelessness, substance abuse, and violent victimization. Girls who have experience of sadness and hopelessness, and experience of substance abuse have been identified as the most vulnerable group in suicide attempts in the decision tree model. Conclusion: Experiences of sadness and hopelessness, experiences of substance abuse, and experiences of violent victimization are the common major predictors of suicide attempts in both logistic regression and decision tree models, and the predict rates of both models were similar. We suggest to provide programs considering combination of high-risk predictors for adolescents to prevent suicide attempt.

• Journal of Korean society of Dental Hygiene
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• v.19 no.4
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• pp.515-524
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• 2019

Objectives: This study aimed to investigate the effects of the amount and duration of smoking on gingival symptoms in adolescents. Methods: We used the web-based survey data of youth health behaviors from 2016 conducted by the Korean Centers for Disease Control and Prevention. The subjects of the study were 67,983 middle and high school students. Data analysis was performed using the SPSS Ver 20.0 program, and complex sample multivariate logistic regression analysis was performed to analyze gingival symptoms according to short- or long-term smoking habits. Results: In subjects with short-term smoking habits, there was no significant difference in gingival symptoms according to the smoking amount. However, after adjusting for socioeconomic characteristics and oral health behaviors in subjects with long-term smoking habits, a heavy smoking amount (${\geq}0.52PY$) had a 1.25 times higher effect than a light smoking amount (<0.52 PY) on gingival symptoms. Long-term heavy smoking (${\geq}0.52PY$) and low daily tooth-brushing frequency in high school students were factors affecting gingival symptoms. Conclusions: When conducting a project on the oral health of adolescents, it is argued that specific investigations and measures should be set up regarding health behavior factors, such as the amount and duration of smoking among adolescents.

• Journal of Korean Public Health Nursing
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• v.33 no.1
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• pp.73-84
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• 2019

Purpose: This study was conducted to differentiate the factors associated with the BMI group of adolescents between rural and urban areas, and provide baseline data in the development of health education programs considering their personal and environmental characteristics. Methods: Secondary data analysis was performed using the data from an on-line survey of the 9th adolescence behavioral health in 2013. The instruments included general, behavioral, and psychosocial characteristics. This study was a cross-sectional survey conducted with 26,513 adolescents. The data were analyzed using a t-test, two-way ANOVA, and multinomial logistic regression analysis. Results: Significant differences in the prevalence of obesity between urban and rural areas were nated and rural areas exhibited a higher prevalence of obese adolescents (p<0.05). The factors associated with the BMI group were the mothers' education level (low) and lower age of adolescents (middle school) in rural areas, wherase those for urban areas were gender (boys) and the fathers' education level (low) (p<0.05). Conclusion: Because there was a significant difference in the prevalence of obesity between rural and urban areas, it is necessary to develop a tailored education program considering the regional and environmental characteristics that the adolescents belonged to in order to prevent and control adolescent obesity.

• Journal of Industrial Convergence
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• v.19 no.1
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• pp.109-116
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• 2021

The purpose of this study was to determine the effects of asthma, allergic rhinitis, atopic dermatitis, and high intensity exercise on depressive symptoms and suicidal ideation in adolescents. This is a secondary data analysis study using 15th Korean Children and Youth Panel Survey. Data analysis was performed by chi-square and logistic regression analysis using SPSS 22.0. As a result, there were differences in allergic diseases, high-intensity exercise, smoking experience, and drinking experience in both depressive symptoms and suicidal ideation. After adjusting for smoking experience and alcohol experience, asthma, allergic rhinitis, and atopic dermatitis were influencing factor for depression symptoms(OR:1.16, 95% CI:1.07-1.26; OR:1.16, 95% CI:1.11-1.21; OR:1.17, 95% CI:1.11-1.23) and for suicidal ideation(OR:1.32, 95% CI:1.20-1.47; OR:1.22, 95% CI:1.15-1.29; OR:1.21, 95% CI:1.14-1.29). However, high intensity exercise had decreased depressive symptoms and suicidal ideation(OR:0.90, 95% CI:0.86-0.94; OR:0.85, 95% CI:0.80-0.90). As a result of this study, it was found that allergic diseases and high-intensity exercise had a great effect on mental health in adolescents, and we may use it as basic data for prevention and research related to the mental health of adolescent.

• Journal of the Korean Society of School Health
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• v.32 no.2
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• pp.77-87
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• 2019

Purpose: This study was conducted to examine the prevalence of current smoking and the factors that influence current smoking among male high school students in Korea according to school type. Methods: Data were extracted from the Korea Youth Risk Behavior Web-Based Survey (2017) and multiple logistic regression was used based on complex sample analysis. The study sample comprised of 15,777 male high school students: 12,583 from general high schools (GHS) and 3,194 from specialized vocational high schools (SVHS). Results: The prevalence of current smoking was significantly higher in SVHS students (19.6%) compared to GHS students (12.6%). Low academic achievement, depressive symptoms, current drinking, and high household economic status were commonly associated with current smoking in male students from both school types. However, exposure to secondhand smoking at home, non-exposure to anti-smoking advertisement, exposure to tobacco advertisement, participation in smoking prevention or cessation education were related to current smoking in GHS students, while living in rural area was associated with current smoking in SVHS students. Conclusion: To reduce current smoking among male high school students, it is necessary to develop smoking prevention policies reflecting the factors associated with current smoking that are different by school type.

• Journal of Korean society of Dental Hygiene
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• v.19 no.2
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• pp.287-295
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• 2019

Objectives: The purpose of this study was to investigate the factors affecting subjective oral symptoms according to the gender of youth from multi-cultural families in Korea using data from the 14th (2018) Korean Youth Health Behavior Survey. Methods: The independent variables used in this study consisted of gender and sweet drink intake. The dependent variable was experience of subjective oral symptoms. Compensation variables consisted of general characteristics of school type, academic performance, economic status, drinking status, smoking status, and number of tooth brushings day before. The subjects of the study were 835 children of multi-cultural families whose parents were foreigners. All statistical analyses were performed by complex samples cross-tabulation analysis and complex samples logistic regression analysis. Statistical analysis was performed using the PASW statistical package 21.0 (Statistical Packages for Social Science Inc., Chicago, IL, USA). A significance level of 0.05 was used for statistical significance. Results: The composite sample logistic regression analysis showed that there was a statistically significant difference between gender and intake of sweet drinks in experience of subjective oral symptoms. Conclusions: These results suggest that factors influence subjective oral symptoms in Korean multi-cultural adolescents. Therefore, I hope that they will be used as basic data for the introduction and development of a customized oral health education program for improving oral health of multi-cultural adolescents.

• Korean Journal of Community Nutrition
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• v.27 no.3
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• pp.192-204
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• 2022

Objectives: This study examined the association between dietary behaviors and perceived health status among Korean adolescents from multicultural families. Methods: This cross-sectional study included 2,459 Korean adolescents from multicultural families (aged 13 ~ 18 years) who participated in the 2017 ~ 2019 Korea Youth Risk Behavior Surveys. Information on the sociodemographic variables, dietary behaviors, and lifestyle variables was self-reported using a web-based questionnaire. The dietary behaviors analyzed in this study were the breakfast and food intake frequencies, including fruit, vegetable, milk, fast food, carbonated drink, sweet drink, and high caffeine/energy drinks. The adolescents' health perception was self-rated as healthy, average, or unhealthy. The dietary behaviors associated with health perception were examined using a multiple logistic regression after adjusting for the confounding variables. Results: In this study population, 7.6% of adolescents perceived their health status as unhealthy, and 25.4% perceived it as average. The adolescents who were girls, middle school students, and in households with a low economic status showed significantly higher percentages of poor health perception (P-values < 0.001). Skipping breakfast was significantly associated with a negative health perception. Compared to the adolescents who consumed fruits every day, those who did not consume fruits during the previous week showed a higher odd ratio (OR) for a negative health perception [OR = 2.29, 95% confidence interval (CI) = 1.32-3.97]. The adolescents who frequently consumed carbonated drinks (≥ 5 times/week) perceived their health status as unhealthy relative to those who did not consume carbonated drinks (OR = 2.15, 95% CI = 1.25-3.71). Skipping breakfast was significantly associated with an increased OR for a negative health perception in girls but not in boys. Compared to adolescents with a normal weight, those with overweight/obesity (OR = 1.75, 95% CI = 1.21-2.52) and underweight (OR = 2.19, 95% CI = 1.25-3.82) showed higher ORs for negative health perception. Positive associations of overweight/obesity and underweight with negative health perception were observed in boys but not in girls. Conclusions: Dietary behaviors and weight status were associated with the health perception in Korean adolescents from multicultural families. These findings suggest that nutrition interventions on breakfast intake and healthy food choices for this population might effectively improve their weight and perceived health status.