• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.20 no.8
• /
• pp.111-121
• /
• 2019

This study investigated the status of drinking highly caffeinated beverages by Korean adolescents, and we identified the factors influencing this behavior by Korean adolescents by using statistics from the 13th (2017) Survey on Youth Health Behavior Online Survey. The data was collected from 62,276 middle and high school students and the variables of this study included demographic factors, health behavioral factors, mental health factors and the availability of highly caffeinated beverages. The methods of data analysis included descriptive statistics, Chi-square tests and logistic regression analysis. This study found that the intake rate of highly caffeinated beverages was 1.9% for men and 1.5% for women, and these percentages increased with age (p<0.001). Current smoking and drinking, current drug usage and active people also had high intake of caffeinated beverages (p<0.001). A high level of stress, a low level of subjective sleep satisfaction and a feeling of happiness increased the rate of consuming highly caffeinated beverages. The factors of drinking highly caffeinated beverages were gender, age, smoking, physical activity, drug use, stress level, depression and suicidal ideation. Therefore, continuous discussion is needed to improve both the health behavior and mental health by managing the stress felt by Korean adolescents.

• The Journal of Korean Society for School & Community Health Education
• /
• v.22 no.3
• /
• pp.1-15
• /
• 2021

Objectives: The purpose of this study was to examine whether demographic and socio-economic characteristics, health behaviors are related overweight and obesity in Korean adolescents. Methods: Data from the 15^th Korea Youth Risk Behaviors web-based Survey(KYRBWS) administered in 2019 were analyzed: 60,100 students in middle and high school participated in the survey. But except 1,555 missing value, 55,748 students were analyzed. It was conducted frequency analysis, Rao-Scott chi-square test and multiple logistic regression analysis. Results: The significant influencing factors on overweight and obesity of adolescents were gender, economic status, father's educational background, alcohol experience, fastfood consumption, muscle strengthening exercise, stress perception(p<.001). The odds ratio for overweight and obesity of male adolescents compared to female adolescents were 1.19(p<.001). and The odds ratio for overweight and obesity of perceived stress adolescents compared to those who without stress were 1.13(p<.001). Conclusions: I found that adolescents' some undesirable health behaviors affect their overweight and obesity, I recommend that school health promotion programmes should be implemented in schools to form good health behaviors such as healthy eating habits, physical exercise and managing stress.

• Nutrition Research and Practice
• /
• v.17 no.6
• /
• pp.1143-1154
• /
• 2023

BACKGROUND/OBJECTIVES: Body shape misperception (BSM) is the disagreement between the subjectively perceived body size and body mass index. This study investigated the association between BSM and unhealthy eating behaviors (UEB) among Korean adolescents. SUBJECTS/METHODS: This cross-sectional study used data from the 2019 Korea Youth Risk Behavior Web-based Survey with 55,748 participants. UEB were measured according to the weekly consumption frequency of caffeinated energy drinks, fast food, carbonated beverages, and sugar-sweetened beverages. The covariates included demographic and socioeconomic characteristics and health-related factors. Multiple logistic regression analysis determined the association between BSM and UEB. RESULTS: Among the participants, 37,607 (67.5%) reported UEB. The gap between UEB among those with BSM was the largest between the underestimated and accurately estimated groups. Participants who underestimated their body shape were likelier to engage in UEB (adjusted odds ratio [AOR], 1.18; 95% confidence interval [CI], 1.11-1.25). Both sexes with underestimation of body size showed an association with UEB compared to those with accurate estimations (girls: AOR, 1.19; 95% CI, 1.09-1.30; boys: AOR, 1.16; 95% CI, 1.08-1.26). CONCLUSIONS: Underestimating body shape can provoke UEB among Korean adolescents. The need for appropriate school health interventional programs to prevent underestimating body shape is emphasized to avoid UEB.

• Journal of Korean society of Dental Hygiene
• /
• v.19 no.2
• /
• pp.265-275
• /
• 2019

Objectives: The aim of this study was to investigate trends of oral health behaviors in Korean adolescents. Methods: From the 2005 to 2017 Korea Youth Risk Behavior web-based Survey (KYRBS) Secondary Data (study to 748,461). Independent variables were the year, gender, grade, and living area. Dependent variables were the rate of tooth-brushing after lunch, scaling, use of sealant, and oral health education within 1 year. Chi-squire tests were used to estimate the rate of oral health behaviors and trends. In addition, multiple logistic regression analysis was used to estimate the association between socio-economic characteristics and oral health behaviors. The analyses were conducted using IBM SPSS statistics 21 (version 21.0, IBM Corporation, New York, NY, USA). Results: The rate of tooth-brushing after lunch and use of sealant have significantly increased every year. Oral health behaviors were significantly associated with socio-economic characteristics. The rate of oral health education was higher among males than females, which was in contrast to other oral health behaviors. The scores for tooth-brushing after lunch, use of sealant, and scaling in females were 2.33 (95% CI; 2.27-2.40), 1.31 (95% CI; 1.29-1.33), and 1.20 (95% CI; 1.18-1.22), which were higher than those in males. The score for use of sealant in the highest household economy group was 1.13 (95% CI; 1.10-1.17), which was higher than the lowest economy group. Conclusions: We found positive trends of oral health behaviors in Korean adolescents.

• Journal of Korean Academy of Nursing
• /
• v.51 no.1
• /
• pp.40-53
• /
• 2021

Purpose: The purpose of this study was to develop and compare the prediction model for suicide attempts by Korean adolescents using logistic regression and decision tree analysis. Methods: This study utilized secondary data drawn from the 2019 Youth Health Risk Behavior web-based survey. A total of 20 items were selected as the explanatory variables (5 of sociodemographic characteristics, 10 of health-related behaviors, and 5 of psychosocial characteristics). For data analysis, descriptive statistics and logistic regression with complex samples and decision tree analysis were performed using IBM SPSS ver. 25.0 and Stata ver. 16.0. Results: A total of 1,731 participants (3.0%) out of 57,303 responded that they had attempted suicide. The most significant predictors of suicide attempts as determined using the logistic regression model were experience of sadness and hopelessness, substance abuse, and violent victimization. Girls who have experience of sadness and hopelessness, and experience of substance abuse have been identified as the most vulnerable group in suicide attempts in the decision tree model. Conclusion: Experiences of sadness and hopelessness, experiences of substance abuse, and experiences of violent victimization are the common major predictors of suicide attempts in both logistic regression and decision tree models, and the predict rates of both models were similar. We suggest to provide programs considering combination of high-risk predictors for adolescents to prevent suicide attempt.

• Journal of the Korean Society of School Health
• /
• v.34 no.1
• /
• pp.1-12
• /
• 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.

• Journal of Korean Academic Society of Home Health Care Nursing
• /
• v.26 no.1
• /
• pp.27-35
• /
• 2019

Purpose: This study investigated sleep satisfaction and influencing factors in Korean adolescents with atopic dermatitis. Methods: Data were obtained from 4,570 subjects who completed the 2017 13th Korea Youth Risk Behavior Web-based Survey. For data analysis, descriptive statistics and multiple-sample logistic regression were used. Results: The results of this study were as follows. Gender, academic achievement, economic status, perceived stress, happiness, health status, and depression in the subjects showed a significant difference in terms of sleep satisfaction in atopic adolescents. Multiple-sample logistic regression analysis showed that male adolescents (odds ratio (OR)=0.48), academic achievement (low OR=0.67, middle OR=0.78), economic status (low OR=0.50, middle OR=0.64), lack of depression (OR=0.63), perceived stress (very OR=4.65, a little OR=2.25), perceived happiness (unhappy OR=1.99, moderate OR=1.22), perceived health status (unhealthy OR=2.17, ordinary OR=1.35), alcohol nondrinking (OR=0.75), and nonsmoking (OR=0.73) were not associated with sleep satisfaction. Conclusion: It is necessary to develop interventions that can relieve stress management and depression and develop positive emotions in atopic adolescents. In addition, there is a need to improve the environment to avoid health risks such as alcohol consumption and smoking and to minimize the effects of passive smoking.

• Journal of the Korean Society of School Health
• /
• v.35 no.3
• /
• pp.123-132
• /
• 2022

Purpose: The purpose of this study is to identify factors related to hand washing practice among adolescents before and after the outbreak of the COVID-19 pandemic. Methods: The study was conducted using data from the 15th~16th (2019~2020) Korea Youth Risk Behavior Web-based Survey, and the subjects of the study were 57,303 and 54,948 people who participated in the 2019 and 2020 study, respectively. The data were analyzed with frequency test, rao-scott 𝑥² test and multiple logistic regression analysis using SPSS 27.0. Results: Changes in the hand washing practice rate were observed before and after the COVID-19 pandemic in all five behaviors; before eating in school, after using the toilet in school, before eating at home, after using the toilet at home, and after returning home. The study found that the hand washing practice rate increased by 1.21-2.43 times after the COVID-19 pandemic. In addition, as a result of logistic regression analysis, the hand washing practice rate before and after the COVID-19 pandemic was related to gender, region, school grade, school type, economic status, health status, and personal hygiene education experience. Conclusion: This study confirmed the importance of hand washing education to improve the hand washing practice rate in adolescents. It is necessary to develop and apply an effective youth hand washing education program in consideration of various variables that appeared as significant factors influencing the hand washing practice rate before and after the COVID-19 pandemic.

• Journal of Nutrition and Health
• /
• v.53 no.3
• /
• pp.255-270
• /
• 2020

Purpose: The purpose of this study was to identify the factors that influence the consumption of convenience foods among Korean adolescents. Methods: This study had a descriptive cross-sectional study. Data were obtained from the 15th (2019) Korea Youth Risk Behavior Web-based Survey, which involved a nationwide representative sample of 57,303 middle- and high-school students. Convenience-food consumption was defined by frequency of adolescents consuming convenience foods obtained from convenience stores, supermarkets, and cafeterias over the previous 7 days. The analyzed variables were related to sociodemographic, mental health, and health behavior. The Rao-Scott χ² test was applied to examine the difference in the rate of consuming convenience foods obtained from convenience stores according to each factor. Hierarchical logistic regression was conducted to examine the factors that influence convenience-food consumption among Korean adolescents. Results: It was found that 29.1% of Korean adolescents consumed convenience foods obtained from convenience store more than three times per week. The significant influencing factors were female sex; low subjective academic achievement, and subjective household economic status; high perceived stress; low subjective sleep sufficiency; experience of depression; suicidal ideation; lower physical activity; skipping breakfast; lower consumptions of fruit, milk, and vegetables; higher consumptions of soda drinks, sweet drinks, caffeine, and fast food; lower water intake; current smoking and drinking; drug use; and experience of violence. Conclusion: These findings provide a better understanding of the sociodemographic, mental-health, and health-behavior factors that influence the consumption of convenience foods among Korean adolescents. We suggest that differentiated policies, strategies, and nutrition education need to be developed and implemented, in order to address the above-mentioned factors and thereby reduce such behaviors among Korean adolescents.

• Journal of Environmental Health Sciences
• /
• v.45 no.6
• /
• pp.613-621
• /
• 2019

Objectives: This study was performed to examine the relationship between health behaviors, living environment, and asthma in adolescents in Korea. Methods: Information on adolescents' characteristics, including demographic factors, health behaviors, and doctor's diagnosis of asthma was obtained from the Korean Youth Risk Behavior Web-based Survey (2015). In total, 68,043 middle and high school students participated. Environmental characteristics, including city park area and outdoor PM₁₀ concentrations in 2015 were obtained from the Korean Statistical Information Service. The adolescents' and environmental characteristics were merged by local information. Multiple logistic regression models were used to investigate the risk factors affecting asthma in adolescents. Results: The prevalence of asthma in adolescents in 2015 was 8.8%. In the multiple logistic regression analysis, adolescents who were male, attended middle school, suffered obesity, experienced tobacco smoking, had physical activity levels of 2 to 4 days, had higher stress levels, and lived in areas with outdoor PM₁₀ concentrations more than 47 ㎍/㎥ were more likely to have asthma, while adolescents who had middle levels of family economic status were less likely to do so. Conclusions: The fact that PM₁₀ concentration can affect asthma is an important point in this study. Risk factors identified in this study could be used as basic data for the prevention and management of asthma in Korea.