• Research in Community and Public Health Nursing
• /
• v.20 no.3
• /
• pp.296-306
• /
• 2009

Purpose: This study was to identify variables influencing health risk behaviors in adolescents on the basis of the PRECEDE model. Methods: Data were collected from 434 middle school students in Chungbuk Province for two weeks in July 2008. The instrument for this study was a self-reported questionnaire. The SPSS/WIN 12.0 program was used for data analysis, which included t-test, one way ANOVA, Scheffe's test, Pearson's correlation coefficients, and stepwise multiple regression analysis. Results: Adolescents' level of health risk behaviors ($47.32{\pm}7.98$) was below medium. Physical inactivity ($6.73{\pm}2.23$) and Internet addictive behavior ($6.36{\pm}2.11$) were major health risk behaviors. The perceived level of school health education ($30.74{\pm}9.84$) was low. Family function and general self efficacy explained 14.3% of variance in health risk behaviors. Family function was a major predictor of health risk behaviors ($R^2$=.108, p=.000). However, the perceived level of school health education was not a significant predictor of health risk behaviors. Conclusion: For the prevention of health risk behaviors in adolescents, it is necessary that the family and the school collaborate with each other in educational strategies in order to strengthen influential factors such as family function and general self-efficacy.

• Journal of Korean Public Health Nursing
• /
• v.21 no.1
• /
• pp.75-84
• /
• 2007

Purpose: The purpose of this study was to investigate the state and factors associated with level of physical activity and exercise in adolescents. Method: The subjects in this study included 528 adolescents registered at two junior high schools and two senior high schools in J City. The data were collected between October 20 and 30, 2006. Result: The study results showed that 23.8% of the adolescents engaged in vigorous activities for at least 20 minutes, three times a week, while 3.8% of the adolescents participated in moderate activities for at least 30 minutes, five times a week. The subjective level of health was determined to be $3.51\pm.91$ points on a 5-point scale. The level of stress was $2.58\pm.83$ points on a 4-point scale. The obesity index was $4.26\pm20.84$ points. Significant correlations were found between the subjective level of health and level of stress (r=-.201, p=.000), the subjective level of health and the obesity index (r=-.135, p=.004), and between the level of stress and the obesity index (r=.107, p=.024). Conclusion: These results showed that developing a health promotion program that includes an exercise program specific to gender and level of education, individualized strategies of stress control and optimal weight control is required.

• Child Health Nursing Research
• /
• v.11 no.4
• /
• pp.436-443
• /
• 2005

Purpose: This study was done to explore the levels of depression experienced by adolescents, and to compare health behavior between depressed and non-depressed adolescents. Method: Participants were chosen by a stratified random sampling of adolescents in the second grade of a high school in P city. Levels of depression and health behavior of the students were measured using questionnaires. Data collection was done in May, 2002. Data were analyzed with descriptive statistics and logistic regression using the SPSS WIN 10.0 Program. Results: The prevalence of depression (CES-D) among the students was $53.5\%$. In multiple logistic regression analysis, sex (OR 1.80, $95\%$ Cl 1.35-2.41), school performance, mid (OR 1.68, $95\%$ Cl 1.48-1.97) and low (OR 1.42, $95\%$ Cl 1.29-1.61), drinking (OR 1.47, $95\%$ Cl 1.09-1.98), and not eating breakfast (OR 1.74, $95\%$ Cl 1.56-1.97) were significantly higher in students in the depressed group than those in the non-depressed group. Conclusions: Based on the findings, we concluded that many adolescent experience depression and depression in adolescents is significantly related to behaviors of smoking, alcohol, no exercise, and not eating breakfast. However this study did not address causality among these variables. There, further research, such as a longitudinal study, is needed to identify causality among the variables.

• Journal of Korean Public Health Nursing
• /
• v.35 no.2
• /
• pp.283-296
• /
• 2021

Purpose: The aim of this study was to investigate the influence of threat perception and psychological reactance to graphic health warnings on cigarette packages on intention to quit smoking among smoking adolescents. Methods: The participants were 185 smoking adolescents attending two industrial specialized high schools, who had witnessed graphic health warnings on cigarette packages within the previous 30 days. Collected data were analyzed using descriptive statistics, the t-test, one-way analysis of variance, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS/WIN Ver. 25.0. Results: The results showed that participant threat perception (𝛽=.14, p=.037) after witnessing a cigarette warning message had a positive influence on intention to quit smoking. On the other hand, psychological reactance (𝛽=-.23, p=.001) showed a negative influence on intention to quit smoking. Conclusion: When designing and developing a message for smoking adolescents, customized messages are required to reflect teenagers' characteristics and raise threat perception and lower psychological reactance. In addition, we propose a future study be conducted to determine the influences of various psychological determinants, including self-efficacy and skills, on threat perception and psychological reactance to graphic health warnings on cigarette packages among smoking adolescents.

• Child Health Nursing Research
• /
• v.29 no.2
• /
• pp.149-160
• /
• 2023

Purpose: Based on the health belief model and theory of planned behavior, this study investigated how age group (adolescence and emerging adulthood) moderated the relative effects of perceived susceptibility, perceived severity, and subjective norms on preventive behavior against coronavirus disease 2019 (COVID-19). Methods: This secondary data analysis utilized data from adolescents (n=272) and emerging adults (n=239). Hierarchical multiple regression analysis was performed to test the moderating effect of age group on the relationships among variables. Results: Higher perceived susceptibility (β=.21, p<.001), perceived severity (β=.14, p=.002), subjective norms (friends) (β=.26, p<.001), subjective norms (parents) (β=.44, p<.001), and subjective norms (schools) (β=.28, p<.001) enhanced COVID-19 preventive behaviors. Moderated regression analysis showed that subjective norms (friends and school) impacted preventive behavior in adolescents more than in emerging adults. Conclusion: Given the need to increase perceived susceptibility and severity among adolescents and emerging adults, these findings provide baseline data for designing effective COVID-19 prevention interventions that consider the developmental characteristics of different age groups. Interventions by health centers at universities can strengthen COVID-19 preventive behavior among emerging adults. As adolescents are influenced by friends, their peer roles must be strengthened to enhance adherence to COVID-19 preventive guidelines.

• Journal of Korean society of Dental Hygiene
• /
• v.23 no.6
• /
• pp.485-492
• /
• 2023

Objectives: The purpose of this study is to identify factors related to unmet dental care needs among Korean youth, enhance the utilization of dental services by adolescents, furnish basic data for youth-oriented dental projects, and improve access to medical care. Methods: The analysis utilized combined data from the basic and oral databases from the 6th (2013-2015), 7th (2016-2018), and 1st year of the 8th (2019) National Health and Nutrition Examination Survey. Results: The factors influencing unmet dental care needs were gender, age, household income level, and health insurance. Statistically significant results were observed in relation to the type of dental clinic, recent visits to a dental hospital, experiences of toothache within the past year, subjective oral health status, occurrences of permanent dental caries, and engagement in orthodontic treatment. Conclusions: When formulating future national policies and projects, it is imperative to consider the factors and underlying reasons for the unmet dental care needs of adolescents. It is also necessary to establish oral health policies and institutional measures tailored to the dental care of adolescents.

• Clinical and Experimental Pediatrics
• /
• v.55 no.4
• /
• pp.128-135
• /
• 2012

Purpose: Unbalanced diets and decreased physical activity have contributed to increased prevalence of obesity and metabolic syndrome in adolescents. We have performed a systematic review and data analysis to examine the association between dietary pattern and metabolic syndrome risk factors in adolescents. Methods: We searched the PubMed and BioMedLib databases for appropriate articles published during the past 10 years and selected 6 articles. The studies reviewed applied factor analysis or cluster analysis to extract dietary patterns. For data analysis, we examined the association between dietary patterns and the prevalence of metabolic syndrome risk factors using data of 3,168 adolescents (13 to 18 years) obtained from 4 consecutive Korean Nutrition Health and Nutrition Examination Surveys (1998, 2001, 2005, and 2007 to 2009). Results: Our systematic review confirmed that western dietary patterns are positively associated with metabolic syndrome risk factors such as obesity and elevated triglycerides, while traditional dietary patterns were negatively associated. Data analysis found that the number of adolescents aged 16 to 18 years who had "Rice & Kimchi" dietary pattern decreased, while the number having western dietary patterns increased during the 1998 to 2009 time frame. There were no changes in the dietary patterns in adolescents aged 13 to 15 years. The risk of elevated serum triglycerides and reduced serum high density lipoprotein cholesterol was high in the "Rice & Kimchi" dietary pattern compared to the other dietary pattern groups. Conclusion: Because adolescents' dietary patterns are changing continuously and have long-term effects, further studies on the dietary patterns of adolescents and their health effects into adulthood are necessary.

• Journal of the Korean Society of School Health
• /
• v.29 no.3
• /
• pp.218-225
• /
• 2016

Purpose: The purpose of this study was to investigate the factors affecting energy drinks consumption among adolescents in South Korea. Methods: The study is a secondary analysis. Using statistics from the 11th (2015) Korea Youth Risk Behavior Web-based Survey, any variations among the subjects were presented as percentages and analyzed by $x^2$ test and logistic regression analysis. The study sample comprised 68,043 middle and high school students in South Korea. Results: In Model 1 including general characteristics, the significant factors of energy drinks consumption were gender, weekly allowance, cohabitation with family. and economic status. In the final model where health-related characteristics were added, the significant factors were gender, school type, weekly allowance, cohabitation with family, stress level, sadness, drinking, smoking and walking days. Conclusion: The result suggests that intensified education on energy drinks consumption is needed not only at schools, but in the whole community. Also, adolescents' awareness of potential health effects of energy drinks, in particular when mixed in alcoholic beverages, should be increased through health education.

• Journal of Korean society of Dental Hygiene
• /
• v.15 no.4
• /
• pp.575-582
• /
• 2015

Objectives: The purpose of the study was to investigate the relationship between oral health locus of control and oral health behavior promotion in the adolescents. Methods: A self-reported questionnaire was completed by 493 high school students in Jeonju by convenience sampling from March to June, 2014. The questionnaire consisted of fourteen questions of oral health locus of control, fifteen questions of oral health behavior promotion, and seven questions of the general characteristics of the subjects. Data analysis was done by frequency analysis, t-test, ANOVA, and Duncan's multiple range test. Results: Oral health behavior promotion and oral health behavior index of internal locus of control showed a positive correlation, Higher internal locus of control showed a positive oral health behavior promotion. The higher propensity of oral health on the external locus of control showed the negative effects. Conclusions: The oral health internal locus of control was closely related to better oral health behavior in the adolescents.

• Korean Parent-Child Health Journal
• /
• v.8 no.1
• /
• pp.64-74
• /
• 2005

Purpose: The purpose of this study was to identify the effects of self-esteem, family functioning, social support on health-promoting behavior and to investigate the factors affecting health-promoting behavior in adolescents. Method: The participants in this study were 181 students of high school located in Seoul and Daejon. The data were collected from November 1 to December 18, 2004. The date were analyzed with descriptive statistics, t-test or ANOVA, Pearson Correlation Coefficient and stepwise multiple regression. Result: Health-promoting behavior in adolescents was significantly different according to sex, grade, their father's school career and economic status. There was a Significant correlation between health-promoting behavior, self-esteem, family functioning and social support. Social support was a predictor of health-promoting behavior and accounted for 32% of the variance. Family functioning and self-esteem were also predictors of health-promoting behavior and accounted for 12% of the variance. Conclusions: This findings suggest that the program and strategies that increase health-promoting behavior by promoting self-esteem, family functioning and social support should be developed in adolescents.