• 한국콘텐츠학회논문지
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• 제19권3호
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• pp.624-634
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• 2019

본 연구는 우리나라 청소년의 성경험과 그 영향요인을 파악하기 위하여 수행되었다. 연구방법으로는 2017년 청소년건강행태온라인 조사의 원시자료를 이용한 이차분석 연구로, 본 연구에서는 62,276명의 자료를 분석에 사용하였다. 자료 분석은 SPSS Win 23.0 프로그램을 이용하여 빈도분석, ${\chi}^2$-test, 로지스틱회귀분석을 실시하였다. 연구결과 남학생은 학년, 학업성적, 거주형태, 경제 상태, 우울감 경험, 스트레스 인지, 자살생각, 평생음주 경험, 평생흡연 경험, 약물 경험, 성교육 경험이 성경험에 영향을 미치는 요인으로 나타났고(p<.001), 여학생은 학년, 거주형태, 아버지 학력, 경제 상태, 우울감 경험, 자살생각, 평생음주 경험, 평생흡연 경험, 약물 경험, 성교육 경험이 성경험에 영향을 미치는 요인으로 나타났다(p<.001). 따라서 향후 청소년의 성경험 관련 요인을 반영한 효과적인 성문제 예방 교육과 프로그램 개발을 통해 임상에서나 지역사회 및 학교보건에서 접근할 수 있도록 돕는 방안이 필요하다.

• 한국치위생학회지
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• 제19권4호
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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.

• 한국학교ㆍ지역보건교육학회지
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• 제22권2호
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• pp.1-14
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• 2021

Objectives: The study aimed to analyze the effects of household financial difficulties caused by COVID-19 (2019 coronavirus disease) on suicidal tendencies of adolescents. Methods: We selected 54,948 middle and high school students who were surveyed based on the Korean Youth Risk Behavior Web-based Survey 2020. To analyze the data, we used the STATA 16.0 program to conduct propensity score matching (PSM). Results: After controlling for selection effects by using PSM, the household financial difficulties caused by COVID-19 maintained a significant predictive effect on increasing suicidal ideation, suicide attempts, and decreasing tendency in hospital-treated after suicide attempts. However, depressive symptoms and suicide plan did not show a significant correlation with household financial difficulties associated with COVID-19. Conclusions: It was found that the rate of suicidal ideation and suicide attempts among adolescents who experienced a household financial difficulties due to COVID-19. Therefore, It can provide empirical evidence for estimating the impact of COVID-19 on adolescent suicide rates.

• 한국학교보건학회지
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• 제33권1호
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• pp.39-47
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• 2020

Purpose: The purpose of this study was to compare unsafe sex experiences of multicultural and non-multicultural adolescents. Methods: The study analyzed the data of 3,029 respondents who responded that they had sex in the Korea Youth Risk Behavior Web-Based Survey of 2018. Weighted percentages and simple and multiple logistic regression were conducted using SAS 9.2. Results: As a result of univariate analysis, the odds ratio of unsafe sex was significantly higher in multicultural adolescents, but the difference between the two groups was not significant after controlling for the related variables. Among the covariates, the odds of unsafe sex were significantly higher in boys (AOR: 1.34; 95% CI: 1.08~1.66), those who did not live with their family (AOR: 1.68; 95% CI: 1.17~2.39), those with low academic achievement (AOR: 1.33; 95% CI: 1.02~1.73), binge drinkers (AOR: 1.61; 95% CI: 1.29~2.02), smokers (AOR: 1.37; 95% CI: 1.06~1.78), and those who did not receive sex education (AOR: 1.59; 95% CI: 1.20~2.11). Conclusion: There was no significant difference in unsafe sex experience between multicultural and non-multicultural adolescents. This study also shows the positive effect of school sex education on safe sex in teenagers. It is necessary to strengthen sex education for male students, students not living with their family, students with low academic achievement, binge drinkers, and smokers.

• 한국학교보건학회지
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• 제28권2호
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• pp.99-110
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• 2015

Purpose: This study aims to investigate the association between suicidal thoughts and the co-occurrence of alcohol, tobacco, and drug use among adolescents. Methods: This study used the data of the Korea Youth Risk Behavior Web-based Survey from 2008 through 2014. The subjects of this study were 517,866 students, in total (Male 266,500, Female 251,366). Frequency analysis was conducted on the data about the subjects' general characteristics and their experience of smoking, drinking, and drug use. The relationship between suicidal thoughts and the co-occurrence of alcohol, tobacco, and drug use was analyzed through ${\chi}^2-test$ and logistic regression. The analyses were done using SAS 9.4. Results: According to the study, adolescents who used alcohol, cigarettes, and drugs at the same time engaged in suicidal ideation 3.69 times more than their peers who didn't use such substances (95% CI: 3.40~4.00, p<.001). Also, adolescents who used only tobacco, only alcohol, and only drugs engaged in suicidal ideation 1.49 times (95% CI: 1.43~1.56, p<.001), 1.28 times (95% CI: 1.26~1.31, p<.001) and 2.34 times (95% CI: 2.04~2.69, p<.001) more than the students who didn't use any substances, respectively. Conclusion: Adolescents' suicidal ideation and the co-occurrence of alcohol, tobacco, and drug use had a statistically significant relationship.

• 한국학교보건학회지
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• 제30권1호
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• pp.59-69
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• 2017

Purpose: This study aimed to analyze the health education conducted for adolescents in the past 10 years by 5-year cycles. Methods: This study was conducted, targeting 200,008 students attending junior high school and high school, using the data of the Korea Youth Risk Behavior Web-based Survey in 2005, 2010 and 2015. The collected data was analyzed by Rao-Scott $x^2$ test, using SPSS program. Results: The overall implementation of health education has increased over the past decade, showing statistically significant differences between 2005, 2010 and 2015 (p<.05). The type of health education given the most was sex education (68.9~74.5%) in 2005 and 2010 and safety education (83.8%) in 2015, whereas the least given health education was personal hygiene education (18.2%) in 2005 and oral health education (22.0~24.0%) in 2010 and 2015. In addition, the implementation rate of health education was statistically significantly lower in high school than in middle school in all three years, 2005, 2010 and 2015. As the grades got higher, the implementation rate of health education showed a statistically significant decrease (p<.05). Conclusion: Health education for adolescents needs to be provided equally. Therefore, it is necessary to prepare an education policy for students to benefit from adequate health.

• Journal of Preventive Medicine and Public Health
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• 제55권5호
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• pp.455-463
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• 2022

Objectives: Economic hardship has a serious impact on adolescents' mental health. The financial impact of the coronavirus disease 2019 (COVID-19) pandemic was more severe for low-income families, and this also impacted adolescents. This study aimed to examine the associations of economic deterioration (ED) caused by the COVID-19 pandemic and low socioeconomic status (SES) with adolescents' suicidal behaviors. Methods: This study analyzed data from the 2020 Korea Youth Risk Behavior Web-based Survey, which included 54 948 middle and high school students. Odds ratios (ORs) of suicidal ideation, suicidal planning, and suicide attempts related to ED and SES were calculated using multivariable logistic regression. We calculated relative excess risks due to interaction to assess additive interactions. Results: The ORs for suicidal ideation, suicidal planning, and suicide attempts related to combined severe ED and low SES were 3.64 (95% confidence interval [CI], 3.13 to 4.23), 3.88 (95% CI, 3.09 to 4.88), and 4.27 (95% CI, 3.21 to 5.69), respectively. Conclusions: ED and low SES were significantly associated with suicidal behaviors in adolescents. Although no significant additive interaction was found, the ORs related to suicidal ideation, suicidal planning, and suicide attempts were highest among adolescents from low-income families with severe ED. Special attention is needed for this group, considering the increased impact of economic inequality due to the COVID-19 pandemic.

• Child Health Nursing Research
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• 제23권1호
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• pp.101-110
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• 2017

Purpose: The purpose of this study was to analyze the mental health and health risk behaviors of multicultural adolescents according to their mothers' native country. Methods: For this study raw data from the 11th Youth Health Behavior Online Survey (2015) was examined. Mental health and health risk behaviors for 62,985 adolescents were analyzed according to their mothers' native country. Collected data were analyzed with the SPSS program using descriptive statistics and logistic regression analysis, to which the complex sample design was applied. Results: The odds ratio of depression in multicultural adolescents compared to Korean adolescents was 44.92 (CI: 5.77-349.59) for adolescents whose mothers came from Cambodia and 3.00 (CI: 1.57-5.76) for adolescents whose mothers came from North Korea. The odds ratio of attempted suicide was 14.73 (CI: 3.09-70.22) for adolescents whose mothers came from Cambodia and 8.63 (CI: 3.45-21.62) for adolescents whose mothers came from North Korea. The odds ratio of problematic drinking in multicultural adolescents was 7.47 (CI: 1.71-32.67) for adolescents whose mothers came from Mongolia. Conclusion: Findings indicate that when planning a health promotion program for adolescents from multicultural families, a customized approach should be sought taking into account the characteristics of mothers' native country.

• 한국학교보건학회지
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• 제22권2호
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• pp.13-23
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• 2009

Purpose: Suicide was considered as a big public health concern in recent years because suicide mortality has been increased rapidly. This study was to investigate the prevalence and risk factors of suicidal ideation among adolescents in South Korea. Methods: The data of 2007 Youth Health Risk Behavior Web-based Survey collected by Korean Center for Disease Control were analyzed using logistic regression for this study. Results: The prevalence of suicidal ideation was 23.7% in South Korea. The risk factors of suicide ideation were depression (odds 8.43), perceived stress(odds 4.30), drug use (odds 2.47), sexual intercourse(odds 2.36), present smoking (odds 1.76), present alcohol drink (odds 2.39), feeling unhappiness (odds 2.89), living with none of parents (odds 1.71), gender(odds 1.72), health status (odds 1.66), and socioeconomic status (odds 2.0). Conclusion : Health risk behaviors and mental health status were related to suicide ideation. Health risk behavior such as smoking and drinking prevention programs and mental health promotion programs should be implemented to decrease suicide ideation among adolescents. Suicide, mental health and health risk behaviors should be prevented through comprehensive health promotion programs.

• 한국학교보건학회지
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• 제34권1호
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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.