• 재활간호학회지
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• 제19권2호
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• pp.100-107
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• 2016

Purpose: The goal of this study was to examine the association between perceived racial discrimination and substance use and the potential moderating effect of perceived parental affection between the two variables. Methods: A total of 101 Korean American adolescents participated in this cross-sectional study utilized an online survey. Descriptive statistics were used to describe for means and frequencies and the patterns of substance use. Logistic regression analysis was also used to examine the association between perceived discrimination and substance use. Results: Ninety percent of the participants reported perceiving racial discrimination, and 21% had used at least one kind of substance in the month prior to taking the survey. The most frequently used substance was alcohol, followed by marijuana and tobacco products. Logistic regression analysis revealed a link between perceived racial discrimination and substance use (OR = 1.74, 95% CI = 1.01, 3.00). However, parental affection did not moderate between racial discrimination and substance use. Conclusion: These findings suggest that perceived racial discrimination is positively associated with substance use among Korean American adolescents, and health care providers, counselors, and school nurses should screen for discrimination-related stress and substance use in this population.

• 대한간호학회지
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• 제39권3호
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• pp.446-457
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• 2009

Purpose: The aim of this study was to construct a structural equation model that would further explain the continuously increasing substance use disorder in Korean adolescents. Methods: Survey visits using a structured questionnaire were conducted with 3,885 students in 2 middle schools and 2 high schools in Busan. A total of 13 instruments were used in this model. The analysis of data was done with both SPSS 14.0 for descriptive statistics and AMOS 5.0 for covariance structure analysis. Results: Based on the constructed model, belief on substance use was found to have a significantly direct effect in influencing adolescent substance use. In addition, other factors such as family environment, satisfaction with school life, self-concept, social support, and personality vulnerability indirectly affected substance use. The final modified model yielded Chi-square=2,987(p<.001), df=121, ${\chi}^2$/df=22.1, GFI=.96, AGFI=.93, NFI=.91, PNFI=.72, PGFI=.72, RMSEA=.07 and exhibited fit indices. Conclusion: This study constructed a model that addresses the factors related to adolescent substance use and explains the relationship of these factors in influencing substance use among Korean adolescents. Findings from this study can contribute to designing appropriate prevention strategies to reduce substance related disorders in adolescents.

• 아동학회지
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• 제28권6호
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• pp.85-101
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• 2007

The subjects for this study on delinquent behavior, substance use and risk/protective factors consisted of 301 Korean-American students in grades 6 to 12. Findings were that (1) the delinquent behavior rate of adolescents using alcohol, tobacco or other substances was higher than that of non-using adolescents, increasing the odds of delinquent behavior from 3 to 45 times. (2) The probability of delinquents in the substance users group was higher by 7 to 44 times than in the non-users group. (3) The relationship with delinquent behavior of risk factors and substance use was much stronger than the relationship with delinquent behavior of protective factors and substance use. (4) The strongest predictor of delinquent behavior or substance use was the peer-individual domain.

• 한국사회복지학
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• 제48권
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• pp.243-270
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• 2002

The purpose of this study was to test the effectiveness of cognitive-behavioral therapy to prevent relapse of substance abuse. A total of 8 substance abusing adult clients participated in the program. All the clients were charged with substance use at the time of implementing the program. Two master's level social workers operated the program, which was implemented in a probation office in Seoul. This study included Beliefs about substance use, abstinence self-efficacy, and coping skills as dependent variables in order to investigate the effectiveness. Cognitive-behavioral therapy emphasizes the enhancement of these cognitive and behavioral skills to prevent relapse of substance use. Research hypotheses were partially supported. That is, clients participated in the program had more negative attitude toward substance use and had more effective problem-focused coping skills. Although a research hypothesis of the enhancement of clients' self efficacy was not supported, their mean scores at the final post test were lower than scores at pretest. This study suggests that more studies be needed to in order to confirm the effectiveness of cognitive-behavioral therapy with substance abusing clients.

• Journal of Preventive Medicine and Public Health
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• 제51권1호
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• pp.23-32
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• 2018

Objectives: To identify the associations of characteristics of the neighborhood environment with substance abuse among clients receiving treatment for drug abuse in Thailand. Methods: A cross-sectional study was conducted of 1128 drug addicts from 28 neighborhoods who were receiving treatment at all 7 compulsory drug detention centers in Thailand. A trained interviewer conducted structured interviews with the subjects about substance use and the perceived neighborhood environment in their community. A multilevel logistic regression model was applied to estimate the effects of the neighborhood environment on substance use. Results: The majority of participants, 53.8% only used methamphetamine pills, 31.3% used other illicit drugs as well as methamphetamine pills, and 14.9% used an illicit drug other than methamphetamine. Three neighborhood characteristics were associated with substance use. A 1-unit increase in the perceived neighborhood cohesion score was associated with a 15% reduction in methamphetamine pill use and an 11% reduction of the use of both methamphetamine pills and another illicit drug. Conversely, a 1-unit increase in perceived neighborhood crime predicted 19 and 14% increases in the use of methamphetamine pills and the use of both methamphetamine pills and another illicit drug, respectively. In addition, a 1-unit increase in the scores for stigma surrounding addiction corresponded to a 25% increase of the use of methamphetamine pills and a 12% increase in the use of both methamphetamine pills and another illicit drug. Conclusions: Substance use among drug addicts was influenced by characteristics of the neighborhood environment. Therefore, prevention and intervention strategies should be designed based on a consideration of the impact of neighborhood context on substance use behaviors.

• 아동학회지
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• 제26권2호
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• pp.91-106
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• 2005

The subjects for this study consisted of 301 Korean-American students in grades 6 to 12. Findings of this study showed that most of the risk factors in all domains demonstrated a strong relationship to the use of alcohol, tobacco, and other illicit drugs. In the community domain the most common risk factor was "laws favorable toward drug use"(60.2%); this risk factor increased the odds of substance use by approximately 3 times. The protective factor, "opportunity for positive involvement" in school domain reported by 82% of the sample decreased the probability of substance use by 3 times. The percentage of students "resilient" on all protective factors in the family domain was much lower than that of protective factors in other domains. The strongest predictors of substance use were shown in the peer-individual domain.

• 한국콘텐츠학회논문지
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• 제21권11호
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• pp.723-732
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• 2021

본 연구의 목적은 청소년의 물질사용경험이 문제도박에 미치는 영향을 살펴보고, 이를 비합리적 도박신념이 조절하는지 살펴보는 것이다. 이를 위해 한국도박문제관리센터에서 청소년 도박예방 모델 개발을 위해 실시한 설문조사 자료를 활용하여 청소년 1,500명을 대상으로 조절회귀분석을 실시하였다. 주요 연구결과는 다음과 같다. 첫째, 인구사회학적 특성에서는 성별과 용돈수준에 따라, 독립변수에서는 물질사용경험과 비합리적 도박신념 수준에 따라 문제도박 수준에 유의미한 차이가 있는 것으로 나타났다. 둘째, 물질사용경험과 비합리적 도박신념이 증가할수록 문제도박 수준도 높아지는 것으로 나타났다. 셋째, 조절회귀분석 결과, 비합리적 도박신념은 문제도박에 대한 물질사용경험을 조절하는 것으로 나타났다. 이상의 연구결과를 토대로 청소년의 물질사용 및 도박문제에 대한 예방 및 개입방안에 대해 논의하였다.

• Child Health Nursing Research
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• 제30권1호
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• pp.67-74
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• 2024

Purpose: This study aimed to identify the general characteristics and health behaviors of students with non-therapeutic substance use. Methods: This secondary data analysis used data from the 17th Korea Youth Risk Behavior Web-based Survey (2021). Analyses of the 54,848 adolescents used descriptive statisics, the Rao-Scott χ² test, and logistic regression. Results: The risk factors for substance use among students were anxiety, loneliness, living separately from family, suicidal ideation, e-cigarette use, and high stress. Conclusion: The findings help identify the risk factors for non-therapeutic drug use among adolescents. Since South Korea does not have a drug prevention program for its adolescent population, an educational plan based on these findings could help prevent adolescent substance abuse.

• 대한불안의학회지
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• 제9권2호
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• pp.93-100
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• 2013

Major depressive disorder causes significant dysfunction and disability. Many of depressed patients tend to have cormobid anxiety disorders, substance use disorders and personality disorders, and so on. In this study, we reviewed researches about the effects of comorbid anxiety disorder, substance use disorder on depressive symptoms, progress, treatment, etc. In addition, the latest knowledges related to treatment was reviewed. If the symptoms of anxiety disorder coexist, They leads to the deterioration of the course and has an adverse effect on treatment response. Comorbid substance use disorder, such as alcohol dependence, causes worsening of symptoms and progression, and a loss of therapeutic response. Therapeutic clinical guidelines and instructions to comorbid psychiatric disorders on major depressive disorder was not established clearly, but consensus-based or evidence-based studies will be necessary for treatment for comorbid psychiatric disorders on major depressive disorder.

• 한국환경보건학회지
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• 제44권6호
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• pp.608-617
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• 2018

Objectives: The purpose of this study was to analyze related factors in relation to usage of illicit substances for Korean adolescents. Methods: This was a cross-sectional study, which used data from the Twelfth Korean Youth Risk Behavior Web-based Survey (KYRBWS). A total of 65,528 students in 2016 were included in this study. Chi-square test and logistic regression analysis were used for analyzing related factors using illicit substances. Results: Overall, 553 (0.8%) students responded as having ever used illicit substances during their lifetime and 133 (0.2%) students responded as current illicit substance users. It was found that electronic cigarette (EC) use, conventional cigarette smoking, second hand smoking, sad/despair mood, and economic status were significantly associated factors with usage of illicit substances. Comparing 'current EC users' with 'never EC users', the adjusted odds ratios (OR) was 7.76 (95% confidence interval (CI): 5.56-10.82) for life-time use of illicit substances, and 18.74 (95% CI: 8.01-43.87) for current use of illicit substances among adolescents. Additionally, comparing 'students who ever were exposed to second hand smoking during the past week', with 'students who never were exposed to second hand smoking', the adjusted OR was 2.60 (95% CI: 2.13-3.17) for life-time use of illicit substances, and 2.85 (95% CI: 1.68-4.83) for current use of illicit substances among adolescents. Conclusions: Based on the results, electronic cigarette use, second hand smoking, conventional cigarette smoking, sad/despair mood, and economic status were significantly associated with increased odds of substance experience and current substance use. Therefore, the results of this study can provide a useful evidence about adolescent behaviors in predicting substance use.