• 농촌의학ㆍ지역보건
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• 제34권2호
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• pp.202-213
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• 2009

본 연구는 농촌지역 청소년들의 건강행태를 도시지역 청소년들과 비교하기 위해 2005년에 실시한 전국청소년건강행태 온라인 조사 자료를 이용하여 분석하였다. 그 결과 흡연경험률, 중학교 입학전 흡연경험률, 음주빈도, 음주후 위험행동 경험률, 점심 및 저녁 결식, 과일 및 우유 섭취, 칫솔질 횟수, 구강질환 증상 경험, 구강 진료 경험, 구강 에방진료. 안전 및 위생의식 등의 행태에서 도시지역 청소년에 비해 바람직하지 못 한 결과를 보였다. 이러한 결과가 지역규모에 따른 차이인지 혹은 도농간의 사회경제적 수준의 격차와 관련이 있는지에 대하여 향후 추가적인 연구가 필요하다. 본 조사 결과를 통해 청소년 건강행태 개선을 위한 건강증진사업은 농촌 청소년을 대상으로 우선적으로 수행하여야 할 당위성을 확인하였다고 할 수 있다.

• Journal of Preventive Medicine and Public Health
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• 제44권3호
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• pp.118-124
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• 2011

Objectives: Although cigarette smoking is known to be related to the exacerbation of asthma symptoms, several studies have indicated that the prevalence of cigarette smoking among asthmatic adolescents is similar to or even higher than that among non-asthmatic adolescents. The aim of this study was to evaluate the relationship between asthma and cigarette use behaviors and whether or not the presence of suicidal ideation modifies this relationship among Korean adolescents. Methods: We analyzed data from the 2008 Korea Youth Risk Behavior Web-based Survey, which included a nationally representative sample of middle and high school students. Multiple logistic regression models were used to calculate odd ratios and 95% confidence intervals of cigarette use behaviors among current asthmatics, former asthmatics, and nonasthmatics, after adjusting for gender, grade, school records, socioeconomic status, current alcohol use, and suicidal ideation. Results: Of 75 238 study participants, 3.5% were current asthmatics and 4.5% were former asthmatics. Compared with non-asthmatics, asthmatics were more likely to report current cigarette use, frequent and heavy cigarette use, and cigarette use before 13 years of age. There were statistically significant interactions between asthma and suicidal ideation in cigarette use behaviors. Conclusions: This study demonstrated that asthmatic adolescents are more likely than non-asthmatic adolescents to engage in cigarette use behaviors and the presence of suicidal ideation is an effect modifier of the relationship between asthma and cigarette use behaviors. Particular attention should be paid to the awareness of health risks of cigarette smoking and mental health problems among asthmatic adolescents.

• 한국산학기술학회논문지
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• 제17권12호
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• pp.71-80
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• 2016

본 연구의 목적은 우리나라 청소년들의 성 행태와 성 경험을 파악하고, 성 경험에 영향을 미치는 예측요인을 규명하여 향후 성 건강 개발을 위한 기초자료를 제공하고자 한다. 연구대상은 2012년 제8차 청소년 온라인건강행태조사에 참여한 중학교 1학년부터 고등학교 3학년까지의 중 고등학생 74,186명이며, 기술통계, $X^2-test$, 복합표본 로지스틱 회귀분석을 실시하였다. 본 연구결과 성관계를 경험한 학생은 중 고등학교 청소년 중 4.3%였으며, 이중 남학생은 5.9%, 여학생은 2.6%로 남학생들의 성경험이 높게 나타났다. 성 경험에 영향을 미치는 유의한 변수는 남학생이 학교급, 아버지 학력, 사회경제적 상태, 아르바이트경험, 학교 성교육경험, 거주형태가 유의한 변수로 확인되었고, 여학생은 학교급, 학교유형(공학여부), 사회경제적 상태, 아르바이트 경험, 학교성교육경험, 거주형태가 유의한 변수로 확인되었다. 본 연구결과에서 남녀모두에서 성 경험에 승산비가 가장 컸던 변수는 아르바이트 경험으로 나타났다. 따라서 어른들에 의한 물리적 성폭력에 대한 심층적인 연구가 더 필요할 것으로 보이며 거절기술이나 의사소통기술과 같은 프로그램이 필요할 것으로 사료된다. 또한 학교성교육을 받은 경험이 있는 남녀 청소년들이 학교 성교육을 받은 적이 없다고 응답한 학생에 비해 성관계 경험이 유의하게 적었던 만큼 학교에서의 성교육을 활성화하는 방안이 필요하다. 이러한 본 연구결과를 바탕으로 청소년 아르바이트경험이 중 어른이나 혹은 물리적 힘에 의한 성폭력을 경험한 적이 있는 지에 대한 지표를 청소년 건강행태온라인조사에 반영하는 방안을 고려해 볼 필요가 있으며, 거절기술이나 의사결정 기술 등 생활기술을 반영한 학교성교육을 강화하는 것이 필요하다.

• Journal of Preventive Medicine and Public Health
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• 제46권6호
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• pp.329-335
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• 2013

Objectives: To comprehensively examine the relationship between current sleep duration and past suicidal idea or attempt among Korean adolescents. Methods: Data came from the 2009 Korea Youth Risk Behavior Web-based Survey with 75 066 participants (with the participation rate of 97.6%) in 800 middle and high schools. Binary logistic regression was conducted by gender and depressed mood to identify significant factors for suicidal ideation/attempt. The dependent variable was the log odds of suicidal ideation/attempt, while the independent/control variables were sleep duration and other demographic, socio-economic and health-related factors. Results: A negative association between sleep duration and suicidal ideation or attempt was weaker for those with depressed mood than for those without such experience in Korea for Year 2009. The odds ratio of suicidal ideation/attempt regarding less than 4 hours of sleep compared to 6 to 7 hours of sleep, was smaller in a group with depressed mood than in a group without such experience, for example, 1.64 (95% confidence interval [CI], 1.29 to 2.08) vs. 2.06 (95% CI, 1.34 to 3.17) for men's suicidal ideation, 2.50 (95% CI, 1.69 to 3.69) vs. 3.89 (95% CI, 1.74 to 8.66) for men's suicidal attempt. A negative association between age (or self-rated health) and suicidal ideation/attempt was also weaker for those with depressed mood than for those without such experience in the nation for the year. Conclusions: There was a negative association between sleep duration and suicidal ideation/attempt in Korea for Year 2009 and this association was weaker for those with depressed mood than for those without such experience. Based on the findings of this study, adolescents' better mental health and longer, more comfortable sleep might help to prevent their suicidal ideation and attempt in Korea.

• 보건의료산업학회지
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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.

• 한국학교보건학회지
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• 제35권2호
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• pp.57-64
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• 2022

Purpose: Adolescent suicide is an important issue worldwide. Although literature on preventing suicide among adolescents tends to focus on suicidal ideation, suicidal planning is also an important issue as a stage leading to suicidal behavior. This study aims to identify suicidal planning-related factors, including generalized anxiety disorder, among adolescents who had suicidal ideation. Methods: This secondary study used data generated from the 16th(2020) Korea Youth Risk Behavior Web-based Survey, which included 5,979 students who had suicidal ideation. Factors related to suicidal planning were identified by performing a logistic regression analysis of the participants. All analyses were performed using SPSS 27.0. Results: Among adolescents who had suicidal ideation, 23.8% had suicide plans. The suicidal plans were significantly related to school level (middle, OR=1.38, 95% CI=1.22~1.55), whether they were living with family (no, OR=1.36, 95% CI=1.06~1.75), perceived body image (normal, OR=1.23, 95% CI=1.05~1.44; Obese, OR=1.33, 95% CI=1.14~1.54), depression (yes, OR=1.47, 95% CI=1.25~1.72), tobacco use (yes, OR=1.31, 95% CI=1.12~1.54), alcohol use (yes, OR=1.21, 95% CI=1.06~1.38), drug use (yes, OR=1.96, 95% CI=1.44~2.66), and/or generalized anxiety disorder (severe, OR=1.76, 95% CI=1.44~2.14). Conclusion: The findings of the study suggest that in addition to the commonly recognized factors for adolescent suicide, generalized anxiety disorder should also be considered when establishing strategies to prevent suicide planning in adolescents who had suicidal ideation.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권4호
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• pp.279-287
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• 2015

Objectives : With the observation of factors influencing depression, self-reported happiness, self-reported stress and suicidal attempt, this study compared and evaluated the mental health of adolescents from multicultural families and monocultural families in Korea. Methods : This study compared the characteristics of adolescents from multicultural and monocultural families based on the analysis of data of The Tenth Korea Youth Risk Behavior Web-based Survey and analyzed the factors influencing adolescent depression, self-reported happiness, self-reported stress and suicidal attempt. Results : There was no significant difference in the levels of depression, self-reported happiness, and self-reported stress between adolescents from multicultural and monocultural families. However, suicidal ideation and suicidal attempt were significantly higher in adolescents from multicultural families. Conclusion : There was no significant difference between the mental health of adolescents from multicultural and monocultural families. Because depression is the greatest factor for suicidal attempt, and violence has stronger relationship with depression of adolescents from multicultural families, further study is needed to prevent this trend.

• 한국학교보건학회지
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• 제30권3호
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• pp.317-324
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• 2017

Purpose: Breakfast is the most important meal to provide energy for the day. Breakfast is especially important to give enough nutritional support to children and adolescents for their physical growth and sexual development. Sleep-related factors like average sleep duration and wake up time would mostly be associated with regular breakfast. This study aimed to investigate the effect of sleep on regular breakfast consumption in Korean adolescents. Methods: The study used the data from the 12th Korea Youth Risk Behavior Web-based Survey (KYRBS-XII) conducted in 2016 by the Korea Centers for Disease Control and Prevention. The data of 62,820 subjects (middle/high school students) were included in the final analysis. The study examined the factors related to regular breakfast, focusing on weekday average sleep duration and wake up time of middle school students and high school students, respectively. Results: Regular breakfast consumption was shown to have a statistically significant association with high economic status, nutritional education, weekday average sleep duration, wake up time, and subjective sleep satisfaction in the multivariate logistic regression. Regardless of the school level, regular breakfast consumption was significantly associated with early wake up time. As to the effect of weekday average sleep duration on regular breakfast consumption, it showed some different results depending on the school level. Conclusion: Regular breakfast consumption of Korean adolescents was related to weekday average sleep duration and wake up time. Having breakfast regularly was affected by both adequate weekday average sleep duration and early wake up time.

• 농촌의학ㆍ지역보건
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• 제42권4호
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• pp.244-253
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• 2017

이 연구는 여중생의 수면과 정신건강의 상호연관성을 분석하기 위하여 질병관리본부가 수행하고 온라인을 통해 공개하고 있는 2016 청소년건강행태온라인조사 원자료 중 중학교 여학생의 조사결과인 15,477명을 연구대상으로 하여 분석하였다. 연구결과 일반적 변수들과 흡연, 음주, 수면의 질, 수면시간을 모두 통제하여도 수면시간이 길수록 스트레스 인지율, 우울감 경험률, 자살 생각률이 유의하게 낮았으며, 또 충분한 수면여부에서 '그렇다'라고 답한 경우 스트레스 인지율, 우울감 경험률이 그렇지 않은 경우에 비해 유의하게 낮았다. 이 같은 연구결과 여중생의 수면시간과 질은 정신건강의 관련성이 있었기 때문에 향후 여중생들의 정신건강에 영향을 미칠 수 있는 수면시간과 질에 대한 추적연구를 포함하여 수면과 정신건강에 대한 스트레스와 우울감의 매개효과 분석과 같은 심층적인 연구와, 청소년의 수면 제한 요소를 줄일 수 있는 정책마련이 필요하다.

• 한국학교보건학회지
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• 제29권2호
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• pp.71-80
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• 2016

Purpose: The purpose of this study is to examine the association between consuming high-caffeine energy drinks and suicidal ideation in Korean adolescents. Methods: This study used data drawn from the 2015 Korea Youth Risk Behavior Web_Based Survey. The data of 66,068 students in total (33,374 middle school students and 32,694 high school students) were included in the analysis. The $x^2$ test, univariate and multivariate logistic regressions were conducted with the use of SAS 9.3. Results: Adjusted for the variables associated with suicidal ideation, multivariate logistic regression revealed that consuming highly caffeinated energy drinks had a significant effect on suicidal ideation (middle school students, 1~2 times per week: OR=1.24, 3~4 times per week: OR=1.88, 5~6 times per week: OR=2.20, everyday: OR=2.66, high school students, 1~2 times per week: OR=1.26, 3~4 times per week: OR=1.84, 5~6 times per week: OR=2.42, everyday: OR=3.89). Conclusion: This study strongly suggests adolescents be provided with health education and information about consuming an adequate amount of high-caffeine energy drink and the drink's side effects. In addition, regulations and polices on high-caffeine drink intake should be implemented.