• 한국사회복지학
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• 제58권1호
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• pp.319-346
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• 2006

본 연구는 청소년들의 음주 관련 상황을 탐색하고 한국적 상황에 적합한 청소년 음주예방프로그램의 기초 자료를 제공하는데 목적을 두고 있다. 이를 위해 포커스집단 연구방법을 활용하고 지속적 비교방법을 통하여 분석하였다. 연구 결과, 청소년의 음주 관련 상황은 술 마시는 이유, 술 마시지 않는 이유, 음주 상황, 첫 음주 경험 등 4개의 상위 범주로 분류되었고, 16개의 하위 범주와 93개의 개념이 도출되었다. 제시된 개념을 중심으로 연구 결과를 요약하면 다음과 같다. 첫째, 청소년들이 술을 마시는 이유는 개인의 심리적 상태, 술에 대한 긍정적 인식, 가족 영향, 또래 영향, 교사 영향, 술에 대한 사회적 태도로 나타났다. 둘째, 청소년들이 술을 마시지 않는 이유는 개인의 건강 상태, 술에 대한 부정적 인식, 부모감독, 경제적 상황, 술 구입의 어려움으로 확인되었다. 셋째, 청소년들이 술을 마시는 상황은 가족 상황, 학교, 또래 모임으로 나타났다. 넷째, 첫 음주 동기는 어른의 권유와 또래 모임, 음주 장소는 집, 공공장소 등으로 확인되었다. 이러한 결과를 바탕으로 청소년 음주예방프로그램을 위한 실천적 방법들이 제시되었다.

• 보건교육건강증진학회지
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• 제31권1호
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• pp.71-83
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• 2014

Objectives: This study examined the trend of alcohol-related research, with a specific focus on adolescent problem drinking, to provide evidence for prevention and intervention for adolescent alcohol problems and alcohol policy in Korea. Methods: A total of 17 studies examining adolescent problem drinking were included for meta-analysis. Using CMA (Comprehensive Meta-Analysis) 2.0, the effect sizes of correlation coefficients of variables related to adolescent problem drinking were analyzed. Results: 176 variables were extracted under 4 higher categories and 20 sub-categories. Variables were extracted using the four higher categories, namely individual, family, environmental, and demographics, as the theoretical framework. Results showed that most studies on adolescent problem drinking focused mostly on individual factors followed by family factors. Variables including drinking motivation, drinking expectancy, and peer relations showed relatively higher effect size. Conclusions: Study findings suggest the importance of balance between individual and environmental factors in examining problem drinking among adolescents. In order to provide evidence for alcohol policy, more attention should be given to macro environment that are known to influence adolescent drinking.

• 대한간호학회지
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• 제35권4호
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• pp.694-700
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• 2005

Purpose. The purpose of this study was to determine the relationship between peer and parental factors and smoking behavior of adolescents in urban cities and to investigate whether there are gender differences. Methods. A stratified and random cluster sampling design was used to obtain a cross-sectional sample of high school students in two urban cities. The sample consisted of 512 Korean adolescents (256 boys and 256 girls) aged 15 to 18 (mean age 16.7$\pm$.58). Self-reported questionnaire consisted of adolescent smoking behavior, peer smoking and alcohol use, parental smoking and alcohol use, father-mother-peer relationships and perceived social support from peers and parents. Multiple logistic regression analysis was used to examine the hypothesized model. Results. The findings showed that peer and parental factors accounted for $30.3\%$ of the variance in adolescent smoking and peer smoking was most strongly associated with adolescent smoking behavior (OR = 10.18). In addition, peer smoking (OR = 4.71), peer alcohol use (OR = 4.21), and peer relationships (OR = 1.03) were significantly associated with boys' smoking behavior. In girls, peer smoking (OR = 26.50) and parent smoking (OR = 5.48) were significantly associated with smoking behavior. Conclusions. Consistent with previous findings, peer smoking is a significant factor on adolescent smoking. Specifically, boys would be more influenced from peers than girls. Therefore, smoking prevention programs for adolescents might be focused on the social context such as, resisting to peer pressure and enhancing the self-efficacy to control.

• 한국사회복지학
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• 제59권1호
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• pp.353-379
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• 2007

본 연구의 일차적 목적은 대표적인 청소년 문제행동인 음주와 비행을 동시에 예방하기 위한 프로그램을 개발하는 것이다. 사회영향모델에 기초한 프로그램은 청소년 문제행동의 발생과 밀접한 관련이 있는 요인들로 또래 및 부모관련 요인들을 강조하고 있기 때문에 또래 및 부모관련 요인들에 대한 탐색과 대인관계 기술에 대한 교육과 훈련, 음주 및 비행에 대한 인식변화, 음주 및 비행과 관련된 또래 압력에 대처하는 능력 향상에 초점을 맞추었다. 프로그램은 서울 OO중학교 2학년 1개 학급에서 2개월 동안 주 진행자 1인과 보조 진행자 2인에 의해서 운영되었다. 프로그램 참가 학생들의 음주행동, 음주에 대한 태도, 그리고 비행 수준을 양호한 방향으로 변하여 프로그램에 대한 평가는 대체로 긍정적이라고 할 수 있다. 본 연구는 후속연구와 실천을 통하여 실천적으로 그리고 과학적으로 더욱 완성된 프로그램과 일반화될 수 있는 연구결과를 낳기를 기대한다.

• 지역사회간호학회지
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• 제28권3호
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• pp.271-279
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• 2017

Purpose: Non-Suicidal Self-Injury (NSSI), a highly prevalent behavior in adolescents, refers to the direct destruction of one's body tissue without suicidal intent. To date, the prevalence of adolescent self-injury in South Korea and its associated factors remain unknown. This study aims to determine the prevalence of self-injury in Korean adolescents as well as its associated factors. Methods: We assessed 717 middle school students by means of an anonymous self-report survey. Information about demographic characteristics, lifestyle, anxiety and depression, self-esteem, and parenting behavior was obtained. Data were analyzed using $x^2$ test, t-test and multiple logistic regression. Results: NSSI was reported by 8.8% of respondents. Univariate analyses showed associations of exposure to alcohol use, anxiety, depression, self-esteem, and parenting methods with self-injury. In multiple analyses, alcohol use, anxiety, and parental abuse were associated with lifetime self-injury. Conclusion: The rate of NSSI in the South Korea was found to be lower than those of other countries. As our study suggests that alcohol use, anxiety, and parental abuse are associated with lifetime self-injury, health care providers at school should take these factors into account when developing prevention and intervention programs for adolescents.

• 한국학교보건학회지
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• 제9권2호
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• pp.249-266
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• 1996

AIDS and the spectrum of Human Immunodeficiency Virus(HIV) infections present a monumental challenge to the health of the Korean public. In response to this special challenge, I think public education and voluntary behavior changes are the most effective measures to fight the spread of the disease. Adolescents represent a critical risk group for prevention and intervention programming. Research indicates sexually active adolescents, homosexual contact, illicit drug use are an gradually increasing. These characteristically adolescent risk-taking behaviors suggest the need for schools and communities to mobilize intervention strategies. Schools are highly efficient ways to reach a majority of young people in Korea with HIV prevention programs. These programs include substantial attention to sexual and drug use behaviors with the long term objective of a multidimensional school health program. Information resulting from risk behavior surveillance activities and guidance on school health curricula is particularly useful. What is needed for adolescents is a revamping of education to give students the critical thinking and analytic skills that allow them to apply knowledge, make decisions, and think independently. The best HIV preventive education provides young people with opportunities to learn and practice just those skills. In the early stages of HIV education were focused solely on information. Providing information is easy but unfortunately, behavior change is not that simple to activate. Information must be combined with values exploration and skilly building, including responsible decision making, negotiation, refusal, and critical thinking skills. The same knowledge, attitudes and skills needed for effective HIV prevention also prevent or reduce other risks, including other sexually transmitted diseases, unwanted pregnancies, and alcohol or other drug use. The role of other youth serving organizations in HIV prevention is also important: parental and youth involvement is needed; it's important to presidential and governament leadership is essential to prevention education; promote integrated adolescent programs, to enhance health and education sector collaboration; and of course, we need to expand research on adolescent health and engage the media in health promotion. Among these changes, a school-based systematic health education of AIDS is certainly one of the essentials.

• 대한간호학회지
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• 제40권1호
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• pp.14-23
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• 2010

Purpose: This study was done to compare health risk behavior prevalence for youth living in metropolitan, medium sized and small cities or rural area, in order to enhance understanding regional differences. Methods: For this study, data from the 2006 Youth Health Risk Behavior Online Survey collected by the Korean Center for Disease Control were analyzed using SPSS. Results: In the metropolitan areas, prevalence for disease and perceived obesity were higher than in other areas. Lack of intense or moderate physical activity, obesity, fast food intake, and insufficient sleep showed higher prevalence than in rural areas. Prevalence of lifetime smoking, lifetime alcohol consumption, present alcohol use, fruit intake less than once a day, and not wearing a seat belt were higher in rural areas than in urban areas. Gender, smoking, and alcohol use were correlated. Spearman correlation between living with parent and skipping breakfast were significant. Smoking, alcohol use, and sexual behavior were correlated. Conclusion: As significant differences in prevalence of youth health risk behaviors exist between regional areas, health education and health promotion programs considering these differences have to be developed and implemented for adolescents. Programs for prevention of smoking and alcohol use, programs for improvement of fruit intake and safety are suggested for adolescents in rural areas, whereas programs to enhance physical activity and obesity management are suggested for adolescents in metropolitan areas.

• 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.

• 기본간호학회지
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• 제14권4호
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• pp.524-535
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• 2007

Purpose: The purpose was to identify the risk of drug use by adolescents. Method: The participants were 933 male students in the first grade of a high school in D city. The data were collected from Aug. 5th to Oct. 30th, 2004. The instrument was the High Risk Group Adolescent Drug User Screening Test(HIRIGADUST) developed by the Korea Adolescent Society(1996). The data were analyzed using SPSS. Results: For substance use, 64.5% of the students answered that they had drunk, 40.3% that they had smoked, and 2.0% that they had tried drug use. For scores on HIRIGADUST regarding socio-demographic characteristics, there were significant differences depending on school type, personality, academic performance, economic status, and ability to talk with parents. For scores on HIRIGADUST regarding drug using-related characteristics, there were significant differences depending on drinking experience, frequency of drinking, amount of alcohol intake, smoking experience and number of cigarettes smoked. Of the students 27.2% students were in the high risk group. Conclusion: In schools, systematic and intensive assessment of drug use should be done, and if needed, a service system connected to clinics specializing in drug addiction should be established. Prevention education should be carried out continuously.

• 한국사회복지학
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• 제38권
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• pp.153-179
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• 1999

청소년기의 음주는 정상적인 발달과업과 안전 및 학습에 부정적인 영향을 미칠 뿐만 아니라 나아가 기타 약물에 대한 접근성을 높임으로써 비행과 범죄로 연결될 가능성을 내포하고 있어 건전한 인격체로의 발달을 위해서는 이들의 음주실태를 파악하고 음주결정에 영향을 미치는 요인들에 대한 분석이 필요하다. 이 연구는 첫째, 전국에 거주하는 고등학교 학생 1,697명을 대상으로 하여 우리나라 고등학생의 음주행위와 음주문제를 대표할 수 있는 자료를 제공하고, 둘째, 청소년의 음주와 이들이 음주효과에 대해 가지고 있는 기대와의 관계를 분석하였다. 각 변인들은 성별과 학교계열을 배경변인으로 하여 교차분석이 수행되었다. 연구결과 RAPI로 측정한 우리나라 고등학생들의 알코올로 인한 문제는 그리 심각하지는 않았으나 남학생의 87.6%, 여학생의 83,3%가 음주경험이 있는 것으로 나타났고 술을 자주 마시지는 많지만 마실 경우 폭음하는 경향이 있었다. 음주빈도, 취한 빈도, 음주량, 음주로 인한 문제 등에서 남학생 비율이 여학생보다, 그리고 실업고 학생비율이 인문고 학생보다 의미있게 높게 나타났다. 또한 알코올의 효과에 대한 기대는 음주빈도, 음주량, 폭음 및 음주문제와 같은 모든 변인과 정적 상관관계를 보여주고 있어 음주효과에 대해 긍정적인 기대를 가지고 있는 학생들은 술을 자주 그리고 많이 마시며 음주로 인한 문제도 더 많이 경험하고 있는 것으로 나타났다. 남학생이 여학생보다 긍정적인 효과를 더 많이 기대하고 있었고 실업고 학생의 음주의 사교적 기능과 공격성에 대한 긍정적인 기대치가 인문고 학생보다 더 높았다. 조사결과는 청소년 음주예방을 위한 개입방법으로 음주효과에 대한 긍정적인 기대를 수정하는 프로그램의 필요성을 암시하고 있어 청소년들의 음주문제를 효과적으로 예방하기 위해서는 음주효과에 대한 기대에 관한 더욱 정교한 연구가 필요하다.