• The Journal of Korean Society for School & Community Health Education
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• v.25 no.2
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• pp.15-26
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• 2024

Objectives: The purpose of this study is to determine the relationship between electronic cigarette use and mental health factors such as stress, suicidal thinking, and generalized anxiety disorder among Korean adolescents. Methods: Based on the 19^th (2023) Youth Health Behavior Survey, cross-analysis(Rao-Scott χ2 test) and complex design logistic regression analysis were conducted to identify e-cigarette use and mental health factors. Results: Lifetime use experience with electronic cigarettes (OR:1.218) and current use of electronic cigarettes (OR:1.266) for male adolescents and lifetime use experience of electronic cigarettes(OR:1.587 ) for female adolescents were influential factors on stress. Lifetime experience with e-cigarettes (OR:1.866) and current use of e-cigarettes (OR:1.651) for male adolescents and lifetime experience with e-cigarettes (OR:2.375) and current use of e-cigarettes (OR:1.841) for female adolescents were influential factors on suicidal thinking. Lifetime experience with e-cigarettes (OR:1.307) among male adolescents and lifetime experience with e-cigarettes (OR:1.616) among female adolescents were influencing factors for generalized anxiety disorder. Conclusion: Because there is a significant relationship between adolescent e-cigarette use and mental health, e-cigarette prevention education is needed early in adolescence.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.11
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• pp.6971-6978
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• 2013

Background: Smoking among adolescents has been linked to a variety of adverse and long term health consequences. "Susceptibility to smoking" or the lack of cognitive commitment to abstain from smoking is an important predictor of adolescent smoking. In 2008, we conducted a study to determine the psycho-sociological factors associated with susceptibility to smoking among secondary school students in the district of Kota Tinggi, Johor. Materials and Methods: Two thousand seven hundred students were randomly selected by proportional stratified sampling. Analyses on 1,736 non-smoking students revealed that prevalence of adolescents susceptible to smoking was 16.3%. Results: Male gender (aOR=2.05, 95%CI= 1.23-3.39), poor academic achievement (aOR 1.60, 95%CI 1.05-2.44), ever-smoker (aOR 2.17, 95%CI 1.37-3.44) and having a smoking friend (aOR 1.76, 95%CI 1.10-2.83) were associated with susceptibility to smoking, while having the perception that smoking prohibition in school was strictly enforced (aOR 0.55, 95%CI 0.32-0.94), and had never seen friends smoking in a school compound (aOR 0.59, 95%CI 0.37-0.96) were considered protective factors Conclusions: These results indicate that follow-up programmes need to capitalise on the modifiable factors related to susceptibility to smoking by getting all stakeholders to be actively involved to stamp out smoking initiation among adolescents.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.28 no.3
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• pp.168-173
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• 2017

Objectives: Adolescent depression is a complex disorder influenced by a variety of personal and familial factors. In this study, we compared the familial, cognitive, and behavioral characteristics of adolescents with and without diagnosed depression. Methods: Forty adolescents with depressive disorder were recruited from two psychiatric clinics, along with 46 healthy adolescents from a middle school and a high school. We then compared the participants' cognitive and behavioral characteristics and the child-rearing attitudes of their parents. Results: Compared to the healthy adolescents, the adolescents with depression exhibited lower self-esteem, higher emotional reappraisal, greater disruptive behavior, and lower attention. Furthermore, compared to the mothers of the healthy adolescents, the mothers of those with depression reported less affective, less autonomic, and more rejecting parenting attitudes towards their children. Conclusion: We found that attentional problems, negative parenting attitudes, negative self-cognition, and expressive suppression are all associated with adolescent depression. Parenting education and interventions appear to be needed to correct the negative cognitions of adolescents with depression.

• Journal of Korean Academy of Nursing
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• v.37 no.5
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• pp.715-723
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• 2007

Purpose: The purposes of this study were 1) to compare the contribution of demographic-behavioral variables and psychological variables in explaining the variance of depression, 2) identify the most important predictors of depression for Korean female adolescents. Method: The participants were 840 female adolescents. Data was collected through self-report questionnaires, which were constructed to include demographic-behavioral factors, self-esteem, hostility, hopelessness, and depression. Data was analyzed using the SPSS program. Result: Female adolescents' demographic-behavioral variables explained 17% of the variance in depression, and perceived physical health status, history of physical abuse, smoking, satisfaction of body weight, parental alcohol abuse, parental divorce, and history of suicidal attempt were the significant predictors of depression for female adolescents. Psychological variables explained 50% of the variance in depression, and self-esteem, hostility, and hopelessness were the significant predictors of depression for female adolescents. The significant predictors of depression among female adolescents' demographic-behavioral variables and psychological variables were self-esteem, hostility, hopelessness, perceived physical health status, parental alcohol problem, and history of physical abuse, explaining 52% of the variance in depression. Conclusion: In order to reduce depression in female adolescents, it is necessary to design an intervention program that emphasizes improving self-esteem while reducing hostility and hopelessness.

• Korean Journal of Health Education and Promotion
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• v.16 no.2
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• pp.41-54
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• 1999

Health behaviors determine people's health status and the Quality of their life. Health education is the most effective method to change people's health behaviors in modem life. Therefore health education for adolescents is essencial to form desirable health behaviors and improve the Quality of their life. This study was administered to analyze important needs for the health education among Chinese, Korean -Chinese adolescents in Gilin, China and Korean adolescents in Seoul. Korea. The data were collected from 387 chinese and 74 Korean-Chinese boys and girls of 3 high schools in Gilin, China and 359 boys and girls of 3 high schools in Seoul, Korea. The results were as follow: 1. Forty percent of Korean students were sick during the past 4 weeks, but only 10.8％ of Korean-Chinese students and 9％ of Chinese students were sick. More than 70％ of Chinese and Korean-Chinese students had health concern, but only 26.6％ of Korean students were interested in health. 2. Korean-Chinese and Chinese students had higher health education needs than the Korean. They were not interested in sex education. On the other hand, Korean students were interested in mental health and not interested in consumer health education. 3. Korean-Chinese students had more health education needs than Chinese or Korean adolescents and the difference was statistically significant (p〈0.05). 4. In Korean-Chinese students, family income and academic grades were significantly related to their health education needs (p〈0.05). Among Chinese students, recent illness was related to their health education needs. In Korean students, the better health status and the more family income. the higher health education needs.

• Research in Community and Public Health Nursing
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• v.19 no.3
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• pp.419-430
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• 2008

Purpose: The purpose of this study was to identify variables influencing suicide ideation among adolescents. Methods: Data were collected from 235 middle school students in Chungbuk Province from April to September 2007. We used the Korean versions of Reynold's Suicide Ideation Questionnaire, Children's Depression Inventory and Conners-Wells' Adolescent Scale, Beck's Hopelessness Scale and Internet Addiction Scale-K for measuring the research variables. Results: Of the subjects, 23.0% were classified into the risk group of suicide ideation. Overall, the score of the suicide ideation scale was 14.25 (${\pm}16.38$). The score of the suicide ideation scale in female adolescents ($17.45{\pm}19.04$) was significantly higher than that in male ones ($11.17{\pm}12.65$). Depression was a major predictor of suicide ideation. ADHD, gender, internet addiction, and hopelessness were the other significant predictors of suicide ideation. Conclusion: A strategy for school mental health education should be provided in order to prevent suicide ideation. The function of school health and Mental Health Center should be reinforced in terms of organization and staff personnel.

• Child Health Nursing Research
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• v.16 no.3
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• pp.184-194
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• 2010

Purpose: The purpose of this research was to develop an interpersonal caring program "Muldan Dongsan" for vulnerable adolescents in mental health clinics and to identify the effect of this program. Methods: The interpersonal caring program was composed of group interpersonal caring (one time per week for two weeks, for a total of 8 hr) and individual interpersonal caring (1-2 times per day for 2 weeks). For this research, a non-synchronized quasi-experimental model including nonequivalent experimental and control groups was used. The experimental group was made up of 17 students and the control group, of 22 students. The data were collected from May 11 to July 25, 2009 and the collected data were analyzed using the SPSS/WIN 17.0 program. Results: The interpersonal caring program "Muldan Dongsan' was effective for mental health, including self-esteem, hope, and quality of life for vulnerable adolescents. Conclusion: The positive findings on the effectiveness of the interpersonal caring program "Muldan Dongsan" and the participants' high satisfaction with this program indicate that it can be utilized actively as a specific nursing intervention program for adolescents at school and in the community.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.35 no.4
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• pp.230-242
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• 2024

Objectives: Depression and anxiety are emotional difficulties that are common among adolescents. Adolescents suffering from depression and anxiety can exhibit problems such as antisocial behavior, aggression, and academic slump. This study aimed to explore the factors influencing adolescents' depression and anxiety during the coronavirus disease 2019 (COVID-19) pandemic. Methods: This study examined the data from an online student health survey conducted by the Ministry of Education in 2022. The survey participants were 131194 students ranging from the first grade of middle school to the third grade of high school. The influence of each variable on depression and anxiety was examined. Results: Factors that predicted depression and anxiety were sex (female), grade level (higher), financial difficulties (existing or unknown), physical activity (higher), sleep time (shorter), media usage time (higher), family/friends relationship (worse), and change in the health status of family, friends, and oneself due to COVID-19 (worse). Conclusion: These results may help identify patterns of depression and anxiety among adolescents caused by COVID-19 and maximize the intervention effect.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.6
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• pp.603-610
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• 2020

This study examined the mental health-related factors of Korean adolescents, especially focusing on the influence of internet use. This study analyzed the raw data from the 14th Korea Youth Risk Behavior Survey, 2018. The study population was 60,040, with 50.7% male students and 49.3% female students, and 49.7% high school students and 50.3% middle school students. The dependent variables were stress, sadness and despair, suicidal ideation, suicidal plan, and suicidal attempt. The independent variables were gender and age, health behaviors, and time using the internet. Logistic regression analysis was applied to derive the related factors. For all dependent variables, the main contributing variables were gender, grade, economic status, and academic performance. The mental health of adolescents was related to various factors. In particular, the time using the internet was linearly related to the degree of stress, and a higher student group of time using the internet had a more significant effect on sadness, despair, suicidal thoughts, and suicidal plans. In conclusion, the time using the internet has harmful effects on the mental health of Korean adolescents.

• Journal of Korean society of Dental Hygiene
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• v.18 no.1
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• pp.125-138
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• 2018

Objectives: The purpose of the study was to investigate the effect of gender in the association between the oral symptoms experience and health behavior. Methods: The subjects were 54,219 adolescents selected from the web-based survey of the 11th (2015) Korean Youth Risk Behavior of Korean Center for Disease Control. Data were analyzed using SPSS 18.0. The subjects consisted of 27,198 male students(50.2%) and 27,021 female students(49.8%) from 400 middle schools and 400 high schools. Results: Multiple logistic regression analysis after adjustment to demographic characteristics and oral health behavior showed experience with drinking and smoking in adolescents increased oral symptoms experienced by both male and female students (OR = 1.3, 95% CI = 1.20-1.34 / OR =1.3, 95% CI = 1.18-1.33), (OR = 1.3, 95% CI = 1.24-1.40 / OR = 1.4, 95% CI = 1.43-1.30). But the difference was not significant between genders. In terms of diet, consumption of carbonated beverages, snacks and fast food saw an increase in oral symptoms experience both gender compared with those whose "No(weekly)" in particular to women, alternatively vegetable, fruit consumption(weekly) were having less intake adolescents increase oral symptoms experience than "time daily(weekly)" intake adolescents both boy and girl especially to girl. Conclusions: There was a correlation between oral symptom experiences and health behaviors. There was also slight differences between genders, with more effect shown on female students. Based on this study, proper and systematic education of oral health management should be carried out at schools.