• Journal of Environmental Health Sciences
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• 제46권4호
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• pp.388-397
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• 2020

Objectives: The aim of this study was to assess the association between the use of heated tobacco products (HTP) and suicidal behaviors such as suicidal ideation, suicide planning, and suicide attempts among adolescents in South Korea. Methods: The study used a cross-sectional design. Data was from the 15th Korea Youth Risk Behavior Web-based Survey (KYRBS) performed in 2019 by the Ministry of Education, Ministry of Health and Welfare, and Korean Center for Disease Control and Prevention. Heated tobacco product use was used as a main independent variable and suicide-related behaviors such as suicidal ideation, planning, and attempts were applied as dependent variables. Out of 60,100 students, 57,303 responded. Results: HTP use significantly increased the odds of a suicide attempt and suicide planning among adolescents. After controlling for confounders, when comparing 'current HTP users' with 'never HTP users', the adjusted odds ratio (OR) was 1.78 (95% confidence interval (CI): 1.38-2.30) for suicide attempts among adolescents. After controlling the confounders, comparing 'current HTP users' with 'never HTP users', the adjusted OR was 1.36 (95% CI: 1.06-1.73) for suicide planning among adolescents. For sadness/despair among adolescents, when comparing 'current HTP users' with 'never HTP users', the adjusted OR was 1.29 (95% CI: 1.11-1.50). However, HTP use had no significant association with suicidal ideation among adolescents. Conclusions: Current HTP users were more likely to attempt to commit suicide, and more likely to plan to commit suicide than never HTP users among adolescents. These results may be useful in developing a scientific basis for designing suicide prevention programs targeting adolescents.

• Research in Community and Public Health Nursing
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• 제24권3호
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• pp.255-263
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• 2013

Purpose: This study examined the fitness of a path model for the relationship among daily life stress, problem of life, social support, depression, and suicidal ideation in adolescents. Methods: The subjects consisted of 247 adolescents. Data were collected through self-report questionnaires. The data were analyzed by the SPSS and AMOS programs. Results: Daily life stress, problem of life, social support, and depression showed direct effects on suicidal ideation in adolescents, while daily life stress and problem of life showed indirect effects on suicidal ideation in adolescents. Daily life stress and problem of life showed direct effects on social support and depression in adolescents. The hypothetical path model of adolescents' suicidal ideation was proven correct. Conclusion: Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes the reduction of daily life stress, problem of life, depression and enhancement social support in order to prevention adolescents' suicidal ideation.

• The Korean Journal of Health Service Management
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• 제6권4호
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• pp.13-25
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• 2012

There is growing evidence that substance use such as tobacco or alcohol consumption influences health disparity among adolescents. Previous research papers have shown an inconsistency in the relationship between socio-economic status (SES) and substance use in adolescents. However, little is known about socio-economic differences in unhealthy behaviors among Korean adolescents. The purpose of the present study is to explore associations between SES and substance use in Korean adolescents. The analysis was performed using data from the 2009 Korean Youth Risk Behavior Web-based Survey (YRBS), which included a nationally representative sample of middle and high school students. Drinking/heavy drinking and smoking/daily smoking behavior indices were used for dependent variables, and perceived economic status, family affluence score, parents' education were used for independent variables. Chi-square test were used to compare tobacco and alcohol consumption among 3 SES groups. Logistic regression models were used to identify statistically significant socio-economic factors after adjusting other covariates. Higher perceived economic status and higher family affluence were associated with higher rates of smoking, daily smoking, drinking, and heavy drinking, while lower level of parents' education was related to higher use of tobacco and alcohol. Socio-economic status significantly influences health behaviors in adolescents, and it may consequently affect health disparity in their adulthood. Therefore, there is a need of continuous monitoring and follow-up research of health disparity among adolescents.

• Research in Community and Public Health Nursing
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• 제27권2호
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• pp.106-113
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• 2016

Purpose: The purpose of this study was to determine the relationship between unhealthy eating behavior and depression in adolescents, with confounding variables adjusted. Methods: This study is a secondary analysis of the data collected from the 2013 Korean Youth Risk Behavior Web-based Survey (KYRBWS). The analysis included 72,435 participants (36,655 male and 35,780 female). The data were analyzed by $x^2$ test, t-test, and logistic regression analysis using SPSS Version 21 by complex samples analysis. Results: Compared with male adolescents with healthy eating behavior, those who with unhealthy eating behavior were more likely to suffer depression with other factors controlled (OR=1.37, 1.07~1.75). On the other hand, female adolescents with unhealthy eating behavior were less likely to feel depressed compared with female adolescents with unhealthy eating behavior and with other factors controlled (OR=0.98, 0.64~1.50). However, it was not statistically significant. Conclusion: Our findings suggest that healthy eating behavior may be a protective factor against depression in male adolescents, but not in female adolescents. Furthermore, our results suggest that the longitudinal associations between mental health and healthy eating behavior and other lifestyle factors are complex.

• Journal of the Korean Society of School Health
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• 제22권2호
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• pp.61-71
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• 2009

Purpose: The purpose of this research is to investigate the effect of the praising activity program on hope and self-esteem of adolescents. Methods: From Jan 26th to 29th 2009, 193 of subjects were participated in investigation in G city. After 4 days of data collecting in praising activity program, research is the pre and post similarity test to investigate hope and self-esteem of adolescents. Results: The average hope score of adolescents significantly increase from 3.39 before the program to 3.60 after the program. The average self-esteem score of adolescents significantly increased(p<.001) from 3.01 before the program to 3.15 after the program. From the results, the program showed that it has significant effect on hope and self-esteem of adolescents. Conclusion: The praising activity program as an affirmative mass psychological program is confirmed that it affects on hope and self-esteem. Therefore, it is expected to be utilized as promotion of health program for adolescents.

• The Journal of Korean Society for School & Community Health Education
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• 제15권1호
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• pp.15-29
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• 2014

Objectives: The purpose of this study was to provide fundamental resources for preventing adolescents' bullying behavior. For this aim we analyzed parents' rearing attitudes and adolescents' personality characteristics effecting on bullying experiences. Methods: We carried out a questionnaire survey at middle and high school located in Anyang, Gwacheon, Gunpo from July 8 to 22, 2013. Data were collected from 756 students. By using SPSS 20.0, data were analyzed by descriptive statistics, correlation analysis, and hierarchical regression analysis Results: There was a close relationship among parents' rearing attitudes, adolescents' personality characteristics, and bullying experiences. Parents' affectionate rearing attitudes reduced adolescents' bullying experiences, on the other hand parents' hostile and rejective rearing attitudes increased. The adolescents with high responsibility had low bullying experiences, otherwise adolescents with high activity had high bullying experiences. Conclusions: In order to reduce bullying experiences parents' rearing attitudes should be changed and education programs that could encourage a sense of responsibility should be introduced.

• Journal of the Korean Society of School Health
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• 제31권3호
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• pp.146-156
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• 2018

Purpose: The purpose of this study was to compare the factors related to violence victimization between multicultural and Korean-origin adolescents. Methods: This study used the data of the 2017 Korea Youth Risk Behavior Web-Based Survey. A total of 54,748 multicultral and Korean-origin adolescents were included in the analysis. Weighted percentage and means were used to describe the sample. Simple and multiple logistic regressions were conducted using SAS 9.2. Results: The multicultural adolescents experienced more violence victimization than Korean-origin adolescents. In both groups, middle school students, habitual drug users, and those not living with their family showed a greater risk of becoming a victim of violence. In Korean-origin adolescents, while girls and those with mid-level family economic status showed a lower risk, those who had experienced sadness or despair, suicidal ideation, smoking and problematic drinking showed a higher risk of becoming a violence victim. In multicultural adolescents, those with a lower subjective health status and a lower stress level had a higher risk of violence victimization. Conclusion: Results of this study suggest that the factors significantly related to violence victimization differ between multicultural and Korean-origin adolescents. Therefore, different approaches are required for the prevention and management of violence victimization in different populations.

• Journal of Digital Convergence
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• 제16권2호
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• pp.421-430
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• 2018

The purpose of this study is to analyze the scale of health risk behaviors among adolescents in Daegu area. The purpose of this study was to develop a health risk behavior measurement item for the adolescent adolescents in Korea and to analyze the validity (CVR) of the existing THI measurement items and then to quantify the health risk behavior Were compared and analyzed. As a result of the analysis, the reliability of the health risk behavior scale of adolescents developed through the factor analysis was verified to derive measurement items such as general condition, respiratory, circulatory, digestive, mental health and other items. The reliability and validity of the developed health risk behavior scale were found to be fairly good. Through these studies, it will be possible to develop a preventive program that can reduce the risk of health related adolescents' youth, and to devise a strategy that can provide basic data for policy formulation.

• Asian Pacific Journal of Cancer Prevention
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• 제15권20호
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• pp.8735-8740
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• 2014

Background: Previous studies for non-communicable disease cotrol, including cancer, have mostly relied on health literacy in adults. However, limited studies are available for adolescents. This study aimed to assess the status and determinants of health literacy in in-school adolescents in Guangdong, China. Materials and Methods: A total of 3,821 students aged 13-25 years were selected by multi-stage cluster sampling. After the questionnaire of health literacy was answered, the total scores for health knowledge (18 questions), skills (5 questions) and behaviors (14 questions) were determined. The total scores for health literacy and each subscale were recoded into adequate and inadequate subgroups, and logistic regression models were used to identify factors associated with each outcome variable. Results: The prevalence of adequate health literacy was 14.4%, and the prevalences for adequate knowledge, skills and behavior were 22.4%, 64.7% and 6.6%, respectively. Students coming from prestigious schools and having parents with higher education had higher odds of having adequate knowledge, skills and behaviors. Female students had higher odds of having adequate knowledge and behaviors. Students in grade 7-8 had higher odds of having adequate knowledge and skills. The health knowledge was positive associated with health skills (odds ratio [OR] =2.1, 95% confidence interval [CI] 1.7-2.5) and behaviors (OR=3.0, 95%CI 2.3-4.0), and health skills were positive associated with health behaviors (OR=2.6, 95%CI 1.8-3.8). Conclusions: Further efforts should be made to increase adolescents' health knowledge and behaviors, especially for low grade and male students in non-prestigious schools.

• Journal of Korean Public Health Nursing
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• 제12권2호
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• pp.107-121
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• 1998

The purpose of this study was to test the revised Health Promotion Model of Pender and to determine the factors to promote health behavior for adolescents' smoking behavior. The subjects of the study was 783 boys of 4 high school students. among 39. schools locating in Daejeon metropolitan city. The data was collected from July 1st to 15th. 1997 by school health nurse The research tool were HPLP of Walker. Pender. General self-efficacy scale of Sherer. control scale was measured by subconcept of hardiness scale of Pollock. and perceived barrier. perceived benefit. activity-related-affect tool were made by researcher via literature review The data were analyzed by SAS program using frequency. t-test. ANOVA. Schefee test. regression. The results were as follows 1. The mean of total health promoting behavior was $2.27\pm.35$. Among sub domain of health promoting behavior, the highest score was interpersonal support$(2.72\pm.60)$. and the lowest was health responsibility $(1.58\pm.44)$. 2. There were statistically significant difference in total health promoting behavior according to religion. parenting style. school performance. girl friend. father's smoking of individual characteristics. 3. The socioeconomic status. smoking, parent pattern. family structure of individual characteristics and experience domain associated with perceived benefit. perceived barrier. activity-related affect. interpersonal influence of behavior-specific cognition and affect domain. The perceived barrier. self-efficacy. girl friend and father's smoking of interpersonal influence. and control explained $25.8\%$ of variance of health promoting behavior. From above results school health nurse has to emphasize on health responsibility for health promotion of adolescent. But they couldn't intervene for parent pattern. socioeconomic status. family structure of individual characteristics and experience domain. it could be possible for school health nurse to promote health of adolescents through improving perceived barrier. also develop program to increase self-efficacy and through parent health class for fathers. Above results point to the importance of including parents in smoking prevention effort targeting adolescents. Because increasing control also promotes health of adolescents. it should be studied further about the specific measure. To verify the variables for increasing the fitness of health promoting model. it needs further replication of the research.