• Korean Journal of Health Education and Promotion
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• v.28 no.1
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• pp.93-101
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• 2011

Objectives: The aim of this study was to investigate the prevalence of metabolically obese, normal-weight (MONW) phenotype and the association between lifestyle factors and the risk of MONW in Korean adolescents. Methods: Normal-weight (BMI, 5th to 85th percentile) subjects with ${\geq}1$ metabolic abnormalities were categorized as MONW phenotype. Data from adolescents aged 12 to 18 years who have participated in the Korean National Health and Nutrition Examination Survey in 1998 (n=751) and 2008 (n=455) were analyzed. Physical activity and dietary intakes were assessed. Results: The prevalence of hypertension and hyperglycemia in 2008 decreased compared with that in 1998 (P<0.001) but the prevalence of abdominal obesity, hypertriglyceridemia and low HDL did not changed. The overall prevalence of MONW in Korean adolescents declined over 10 years (P<0.001). Adolescent boys and girls engaging regular exercise significantly increased over 10 years (P<0.01). Physically active adolescents had a lower risk of being MONW in 1998. Dietary intake patterns were not associated with a risk of MONW. Conclusions: The prevalence of MONW among Korean adolescents declined over 10 years which may be due to the decreased prevalence of hypertension and hyperglycemia. The risk of MONW would be lower in individuals who are physically active.

• Child Health Nursing Research
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• v.18 no.1
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• pp.1-8
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• 2012

Purpose: The purpose of this study was to identify the effects of an empowerment program on nicotine dependency, temptation, self-esteem, and depression for adolescents who smoke. Methods: The study design was a quasi-experimental study with a nonequivalent control group, pre-post design. The participants were 49 adolescents who smoked. Twenty-six adolescents were assigned to the experimental group and 23 to the control group. The intervention was conducted twice a week for 6 weeks. Chi-square test, t-test, paired-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used to analyze the data. Results: After program, scores for self-esteem (t=5.560, p=.014), were significantly higher and scores for depression (t=-2.111, p=.040) were significantly lower for adolescents in the experimental group compared to adolescents in the control group. Conclusion: The finding indicate that the empowerment group training program was effective in improving self-esteem, and decreasing depression and could be considered as a positive program for smoking cessation for adolescents who smoke.

• Research in Community and Public Health Nursing
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• v.18 no.4
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• pp.673-680
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• 2007

Purpose: The purpose of this study was to investigate the relation between self differentiation and school adjustment among adolescents. Methods: The subjects were 356 adolescents. The following research questions were established. The adolescents' self differentiation level was measured based on Bowen's family system theory modified for Korean adolescents(Je, 1989) and their school adjustment level was measured with developed for Korean adolescents(Park, 1998). Collected data were analyzed by Mean${\pm}$SD, t-test, ANOVA and Schefff and Pearson correlation coefficient (SPSS 12.0). Results: 1. The mean score for the level of self differentiation was $99.99{\pm}11.58$ and school adjustment was $63.52{\pm}8.80$. 2. The self differentiation level was different according to father's education and monthly income. The school adjustment level was different according to glade, sex father's education and father's occupation. 3. Self differentiation had a significant positive correlation with school adjustment. Conclusion: The self differentiation level was confirmed to have an influence on school adjustment. We need to develop a program that can enhance adolescents' self differentiation.

• Journal of the Korean Home Economics Association
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• v.34 no.5
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• pp.307-325
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• 1996

The purpose of this study is to examine aspects stressors experienced by adolescents and make a comparison of their coping in terms of criteria of average and delinquent, male and female. The subjects were 506 adolescents of 2nd grade high school in Taejon and delinquent in D,A city. The data was analyzed by mean, standard deviation, two way ANOVA, and correlation analysis. The main results of this study were as follows: (a) It was found that regardless and behavior patterns, adolescents feel stress by pocket maney problem, relationship with teachers, and mental health(in the descending order). It is interesting to note that the stress from girl and boy friends proved to be much higher with delinquent adolescents than with average ones. In the case of subcategories of health, family relationship, and school life, it was found that average adolescents feel more stress than delinquents ones, whereas the reverse is case with the problem of relationship with relatives, school friends, and girl or boy friends. On the other hand, it was discoved that for the problem of physical and mental health, pocket money, parent and school friend relationships, females feel more stress than males. (b) With the differences of the coping og stress, it was found that while average adolescents as a whole tend to rely upon logical analysis and positive attitude, delinequent counterparts expect alternative reward and reveal the avoidance coping of emotional discharge. (c) The correlation between the stressors and coping showed partial differences, as the differences in the relation between average and delinquent adolescents, males and females in each sub-category.

• Child Health Nursing Research
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• v.25 no.4
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• pp.449-457
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• 2019

Purpose: The purpose of this study was to identify predictors of eating disorders in adolescents with type 1 diabetes, with the goal of providing data in support of nursing interventions to improve their health. Methods: A total of 136 adolescents aged 13-18 years with type 1 diabetes completed the Diabetes Eating Problem Survey-Revised, Rosenberg Self-Esteem Scale, and the Beck Depression Inventory-II, using structured self-reported questionnaires. The collected data were analyzed using the t-test, $x^2$ test, and binominal logistic regression with SPSS version 23.0 for Windows. Results: The prevalence of eating disorders in adolescents with type 1 diabetes was 39%. Four significant predictors of eating disorders were identified; absence of body satisfaction (odds ratio [OR]=3.87, 95% confidence interval [CI]=1.55~9.65), depression (OR=2.87, 95% CI=1.13~7.28), female gender (OR=2.67, 95% CI=1.09~6.54), and glycosylated hemoglobin type A1c levels (OR=1.47, 95% CI=1.10~1.97). Conclusion: In order to prevent eating disorders among adolescents with type 1 diabetes, programs for managing adolescents' depression and improving their body satisfaction should be developed. Futhermore, more attention should be directed towards programs aiming to prevent eating disorders in female adolescents.

• Journal of the Korean Society of School Health
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• v.33 no.3
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• pp.139-147
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• 2020

Purpose: The study aimed to identify factors affecting unintentional injuries at school focusing on violent experiences in adolescents. Methods: The study used the raw data of the Korea Youth Risk Behavior Web-based Survey (2019). A total of 60,040 students were included in the analysis. Descriptive statistics, χ2 test, and multiple logistic regression were performed, using SPSS version 25.0. General characteristics, gender, school, academic achievement, living with family, socioeconomic status, vigorous physical activity, perceived stress, sleep satisfaction, high caffeine drinking, risky alcohol drinking, smoking, sexual experience, drug use, and safety education, were adjusted for and the relationship between unintentional injuries and violence was analyzed. Results: The results showed 2.4% of the adolescents had experienced violence and 24.7% had suffered unintentional injuries. Violent experiences had a significant effect on unintentional injuries among adolescents. Injuries were 1.93 times higher among adolescents who had experienced violence. Gender, school levels, high-intensity physical activity, stress, sleep satisfaction, high caffeine drinks, dangerous drinking, drug use, and safety education were associated with unintentional injuries among adolescents. Conclusion: Adolescents at high risk of suffering violence and injuries should be identified and assessed preemptively. In addition, it is necessary to implement systematic school health-centered safety education programs in order to prevent violence and injuries.

• Research in Community and Public Health Nursing
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• v.33 no.2
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• pp.228-236
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• 2022

Purpose: The purpose of this study is to demonstrate the mediating effect of happiness in the relationship between internet addiction, depression and suicidal ideation among adolescents from multicultural families. Methods: 1,065 adolescents from multicultural families who participated in the 16th (2020) Adolescent Health Behavior Survey were selected as the final subjects for the study, and were analyzed with descriptive statistics, independent t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Results: There was a fully mediating effect of happiness in the relationship between internet addiction and suicidal ideation of the adolescents from multicultural families (F=6.65, p<.001). There was a partial mediating effect of happiness in the relationship between depression and suicidal ideation of the adolescents from multicultural families (F=10.01, p<.001). Conclusion: To mitigate the suicidal ideation of adolescents from multicultural families, it is necessary to develop and apply a positive psychological treatment program that enhances happiness for adolescents from multicultural families who are experiencing internet addiction and depression.

• Journal of the Korean Society of Food Culture
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• v.39 no.1
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• pp.64-73
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• 2024

This study investigated associations between healthy dietary practices and the odds of prediabetes among Korean adolescents. The data of 1,624 adolescents aged 12 to 18 who participated in the 2017-2021 Korea National Health and Nutrition Examination Survey were analyzed. Healthy dietary practices were defined according to Health Plan 2030 criteria, and prediabetes was defined as a fasting blood glucose level of 100-125 mg/dL. After controlling for confounders, adjusting odds ratios and 95% confidence intervals (CIs) for prediabetes were determined for different healthy dietary practices using multivariable logistic regression analysis. Compared with adolescents who engaged in healthy dietary practices, those who did not had a 1.63-fold (95% CI: 1.12-2.37) higher odds of prediabetes. In addition, adolescents who did not consume ≥500 g of fruit and vegetables daily and those who refrained from reading nutritional fact labels, which are both sub-indicators of healthy dietary practices, had a 1.66 (95% CI: 1.05-2.62) and 1.58-fold (95% CI: 1.06-2.37) higher odds of prediabetes, respectively, than those who did. Increasing the proportion of adolescents engaging in healthy dietary practices, such as consuming ≥500 g of fruit and vegetables daily and reading nutritional fact labels when selecting food, is imperative.

• Journal of the Korean Society of School Health
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• v.37 no.2
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• pp.73-82
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• 2024

Purpose: This study was conducted to investigate the structural relationship among maternal depression, adolescents' depression, and smartphone overdependence that influences externalizing problems in adolescents. Methods: This study used the data from 1,080 first-year middle school students from the 14th (2021) Panel Study on Korean Children by the Korea Institute of Child Care and Education. The data were analyzed by a structural equation model based on the least squares method using SmartPLS, and bootstrapping was utilized to confirm the mediating effect in the research model. Results: The direct paths of maternal depression, adolescent depression, and smartphone overdependence leading to externalizing problems in middle school students were all significant. Additionally, in the relationship between maternal depression and adolescent externalizing problems, the simple and sequential mediating effects of adolescent depression and smartphone overdependence were significant. Conclusion: It was found that maternal depression, adolescent depression, and smartphone overdependence not only directly influenced adolescents' externalizing problems but also did so through mediating paths among the influencing factors. Therefore, an integrated and systematic strategy that considers the mental health status and smartphone overdependence of adolescents, including the impact of maternal depression, is needed to take a customized approach to externalizing problems in adolescents.

• Journal of the Korea Convergence Society
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• v.10 no.5
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• pp.407-415
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• 2019

The purpose of this study was to analyze the dietary habits and health risk behaviors of adolescents who experienced part-time job. For this study raw data from the 13th Youth Health Behavior Online Survey (2017) was examined. Dietary habits and health risk behaviors for 62,823 adolescents were analyzed according to the experience of part-time job. Collected data were analyzed with the SPSS 24.0 program using descriptive statistics and logistic regression analysis, to which the complex sample design was applied. The odds ratio of no fruit intake in adolescents who experienced part-time job compared to adolescents who have not experienced a part-time job was 1.20 (CI: 1.10-1.31). The odds ratio of fastfood intake in adolescents who experienced part-time job compared to adolescents who have not experienced a part-time job was 1.28 (CI: 1.19-1.38). The odds ratio of present smoking in adolescents who experienced part-time job compared to adolescents who have not experienced a part-time job was 3.48 (CI: 3.17-3.84). The odds ratio of present drinking was 3.36 (CI: 3.14-3.96). The odds ratio of high caffeine intake was 1.11 (CI: 1.04-1.19). The odds ratio of high caffeine intake was 2.29 (CI: 2.06-2.55). In developing health education programs for adolescents, it is necessary to include dietary habits and health risk behavior according to part-time experience.