• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권1호
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• pp.33-40
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• 2020

Objectives: There is an increasing number of North Korean adolescents in South Korea. These adolescents need clinical attention as they experience a high risk of suicidal behavior because of the childhood adversity and acculturative challenges that they face before and after arriving in South Korea. This study assessed the risk of suicide attempts among North Korean adolescents compared to South Korean adolescents, and investigated the contributing factors for each group. Methods: We used data from the Korean Youth Risk Behavior Web-Based Survey (KYRBS) spanning 2011 to 2018, in which 404 adolescents had a father and/or mother who was a North Korean native. Data on 1,212 propensity-matched South Korean adolescents were extracted from the 2011 to 2018 KYRBS. Prevalence was calculated and compared by group. Separate odds ratios were calculated by group. Results: The North Korean group had a significantly higher suicide attempt rate [unadjusted odds ratio (OR)=8.27; adjusted OR=8.45]. Multivariate analysis indicated that having a low or high socioeconomic status and depressive symptoms were significantly associated with suicide attempts in North Korean adolescents, while being female, having a high socioeconomic status, alcohol use, and depressive symptoms were significantly related to suicide attempts in South Korean adolescents. Conclusion: The results found similarities and differences in the factors associated with the likelihood of suicide attempts in the two groups. From these results, different approaches are needed when planning interventions for each group.

• 치위생과학회지
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• 제21권3호
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• pp.133-139
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• 2021

Background: Smoking in adolescence leads to an intensified addiction to nicotine when physical and mental growth has not yet been completed. With the advent of e-cigarettes, the rate of e-cigarette use among Korean adolescents has been steadily increasing. To date, studies on e-cigarettes and oral health, especially on the relationship between smoking styles and oral health in adolescents, are limited. Therefore, this study aimed to identify the risk factors for oral health problems caused by the repeated use of conventional cigarettes and e-cigarettes. Methods: This explanatory research study compared the adolescents' experiences of periodontal disease symptoms according to smoking type through a secondary analysis of the original data from the 15th Adolescent Health Behavior Survey (2019). Cross-analysis was performed to compare the smoking patterns according to the adolescents' general characteristics. Finally, a binary logistic regression analysis was performed to determine how smoking characteristics affect the adolescents' experience of periodontal disease symptoms. Results: In terms of patients' general characteristics, significant differences were observed in sex, school level, grades, household economic status, type of residence, and father's education level between adolescents who smoked conventional cigarettes alone and those who smoked both conventional cigarettes and e-cigarettes (p<0.05). After checking the factors affecting the smoking pattern and the experience of periodontal disease symptoms in adolescents, it was found that the duplicate smoking group was more likely to experience periodontal disease symptoms (odds ratio, 1.20) than the group that smoked conventional cigarettes alone (p<0.05). Conclusion: Duplicate smokers experienced more symptoms of periodontal disease than those who smoked cigarettes alone. Based on the findings of this study, smoking cessation counseling according to the smoking type and differentiated education for oral health promotion should be provided.

• 한국보건간호학회지
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• 제18권2호
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• pp.218-224
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• 2004

This study was conducted to explain adolescents' smoking behavior using Health Belief Model. A cross-sectional study design was used to analyze characteristics and factors that influence smoking behavior among Korean adolescents. A total of 1.535 adolescents attending 21 high schools in one district of Seoul participated in the study. The results indicated that perceived susceptibility, severity, benefits, and barriers were significant in predicting smoking behavior of adolescents. Likewise, the degree of juvenile delinquency, gender, the amount of pocket money, and having smoking parent(s) and friend(s) significantly affect smoking behavior of adolescents. Based on the study results, it is recommended to incorporate HBM components in smoking cessation programs, and to include parents and friends in smoking prevention and cessation programs for high school students in Korea.

• 보건교육건강증진학회지
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• 제33권1호
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• pp.71-85
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• 2016

Objectives: The aim of this study is to verify relationship between suicidal ideation and associated socio-demographic, psychological and behavioral, violence, protective factors among in poor urban area adolescents in Peru. Methods: A cross-sectional survey was conducted in a sample of 981 secondary school adolescents in 2014 collaborating with Korea International Cooperation Agencies (KOICA) Peru office. For statistical analysis, Chi-square test, logistic regression analysis methods were used. Results: 14.0% of male and 37.1% of female were reported having suicidal ideation during the past 12 months. Suicidal ideation experience of male is affected by mother's education level, depression, life satisfaction, sexual intercourse experience, fight experience, insulted experience. Female is affected by depression, life satisfaction, sexual intercourse experience, insulted experience and physical abuse experience. Conclusions: Suicidal ideation experience in poor urban area of Peru is affected by socio-demographic, psychological and behavioral, violence factors. To solve and prevent suicide of adolescents in this kind of area, it is necessary to apply an integrated development program for parents and teachers to participate. For the sustainable preventive program, there is a need to introduce a counseling program, such as psychological counseling to adolescents suicide prevention programs.

• Child Health Nursing Research
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• 제27권3호
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• pp.276-285
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• 2021

Purpose: This study investigated the factors that influence depression in adolescents diagnosed with asthma in South Korea, providing basic data supporting efforts to improve adolescents' mental health. Methods: Multiple regression analysis was conducted on 4,020 subjects who had been diagnosed with lifelong asthma among the 57,303 respondents to the 15th Korea Youth Risk Behaviour Web-Based Survey from 2019. Results: The participants were more likely to have depression if they were female, in middle school, their academic achievement was poor, they were drinkers or smokers, if they felt a very high amount of stress, and if they experienced very inadequate recovery from fatigue. Adolescents with asthma were 9.00 times more likely to experience depression when they felt a very high amount of stress (95% confidence interval [CI]=5.51-14.69, p<.001) than when they felt no stress. Conclusion: Given these factors, measures to improve the mental health of adolescents should be developed and expanded, especially to decrease their stress levels. A separate program that is different from the school's regular health curriculum should be developed to manage the stress levels of adolescents with asthma, such as an after-school program or a program conducted at a local community centre.

• 문화기술의 융합
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• 제4권4호
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• pp.57-65
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• 2018

본 연구는 청소년들의 건강증진행위에 영향을 미치는 요인을 파악하기 위한 서술적 상관관계 연구이다. 연구 대상자는 일 고등학교 학생 643명이며, 조사는 자기기입식 설문지를 통해 이루어졌다. 연구결과, 대상자들의 건강증진 행위는 비교적 높았다. 건강증진행위 하부 영역 중 감염병 예방관리 영역 점수가 가장 높았고, 사고 예방 영역 점수가 가장 낮았다. 대상자들의 건강증진행위의 예측요인으로 통계적으로 유의했던 변수는 흡연여부, 자기효능감, 사회적 지지였으며, 이들 변수가 건강증진행위 변이의 38%를 설명하였다. 이상의 결과에서 청소년들을 위한 건강증진 프로그램은 사고예방 교육이 강화되어야 하며, 특히 흡연 집단 청소년들의 건강증진행위에 관심이 요구된다. 또한 청소년들의 건강증진행위를 위해서 학교뿐만 아니라 가정 및 지역사회의 사회적 지지가 매우 중요함을 확인할 수 있었다.

• Journal of Preventive Medicine and Public Health
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• 제43권4호
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• pp.341-351
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• 2010

The purpose of this study was to estimate the socioeconomic costs resulting from alcohol drinking among adolescents as of 2006 from a societal perspective. Methods: The costs were classified into direct costs, indirect costs, and other costs. The direct costs consisted of direct medical costs and direct non-medical costs. The indirect costs were computed by future income losses from premature death, productivity losses from using medical services and reduction of productivity from drinking and hangover. The other costs consisted of property damage, public administrative expenses, and traffic accident compensation. Results: The socioeconomic costs of alcohol drinking among adolescents as of 2006 were estimated to be 387.5 billion won (0.05% of GDP). In the case of the former, the amount included 48.25% for reduction of productivity from drinking and hangover, 39.38% for future income losses from premature death, and 6.71% for hangover costs. Conclusions: The results showed that the socioeconomic costs of alcohol drinking among adolescents in Korea were a serious as compared with that of the United States. Therefore, the active interventions such as a surveillance system and a prevention program to control adolescents drinking by government and preventive medicine specialist are needed.

• 한국치위생학회지
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• 제15권3호
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• pp.505-512
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• 2015

Objectives: The purpose of this study was to compare the oral health behavior in adolescents between multicultural and ordinary Korean families. Methods: The subjects were 66,797 adolescents who were derived from the web-based survey of the National 2014 Korean Youth Risk Behavior of Korean Center for Disease Control. A self-reported web-based questionnaire survey was carried out from June 1 to 30, 2013. A multicultural family is defined as the immigrant mother and child in the study. The variable included demographic, socioeconomic, and oral health related behavior. The demographic characteristics included sex, age, residence area, subjective academic achievement, type of family, education of parents, subjective economic status, and nationality before marriage. Data were analyzed by PASW statistics 18.0. Results: Tooth brushing frequency was closely related to family type, age, residence area, academic achievement, residential type, education level of the parents, and economic status. Conclusions: It is necessary to support oral health services and oral health promotion programs for the adolescents in the multicultural family.

• 대한치위생과학회지
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• 제4권1호
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• pp.79-87
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• 2021

Background: The purpose of the present study was to confirm the degree of physical activity and oral health behaviors of adolescents, and to investigate the relationship between them. Methods: The present study utilized data from the 15th (2019) Korea Youth Risk Behavior Web-Based Survey data, which included a total of 57,303 adolescents for analysis. Statistical analysis was performed using PASW Statistics 21.0. The significance level for significance was set at 0.05. Results: The rate of toothbrushing before sleeping was 1.152 times higher in the group that performed muscle strengthening exercises more than 3 times a week than in the group that did not (p < 0.001). The rate of use of oral hygiene products was 1.246 times higher in the group that performed physical activity for 60 min or more every day than in the group that did not, and 1.207 times higher in the group that performed muscle strength exercise at least 3 times a week than in the group that did not (p < 0.001). Conclusions: Adolescents who engaged in physical activities had a high rate of practice for some oral health behaviors. These results suggested that the group with positive health behaviors has a higher rate of oral health behavior practice, showing that health behaviors are highly interrelated.

• 한국환경보건학회지
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• 제46권4호
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• pp.388-397
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• 2020

Objectives: The aim of this study was to assess the association between the use of heated tobacco products (HTP) and suicidal behaviors such as suicidal ideation, suicide planning, and suicide attempts among adolescents in South Korea. Methods: The study used a cross-sectional design. Data was from the 15th Korea Youth Risk Behavior Web-based Survey (KYRBS) performed in 2019 by the Ministry of Education, Ministry of Health and Welfare, and Korean Center for Disease Control and Prevention. Heated tobacco product use was used as a main independent variable and suicide-related behaviors such as suicidal ideation, planning, and attempts were applied as dependent variables. Out of 60,100 students, 57,303 responded. Results: HTP use significantly increased the odds of a suicide attempt and suicide planning among adolescents. After controlling for confounders, when comparing 'current HTP users' with 'never HTP users', the adjusted odds ratio (OR) was 1.78 (95% confidence interval (CI): 1.38-2.30) for suicide attempts among adolescents. After controlling the confounders, comparing 'current HTP users' with 'never HTP users', the adjusted OR was 1.36 (95% CI: 1.06-1.73) for suicide planning among adolescents. For sadness/despair among adolescents, when comparing 'current HTP users' with 'never HTP users', the adjusted OR was 1.29 (95% CI: 1.11-1.50). However, HTP use had no significant association with suicidal ideation among adolescents. Conclusions: Current HTP users were more likely to attempt to commit suicide, and more likely to plan to commit suicide than never HTP users among adolescents. These results may be useful in developing a scientific basis for designing suicide prevention programs targeting adolescents.