• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.4
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• pp.160-168
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• 2019

This study was conducted in order to suggest directions for nursing intervention and education to prevent problem drinking of adolescents. We examine the influences of mental health characteristics of adolescents on problem drinking. For the research method, this study conducts secondary analysis using raw data from the 13th (2017) Youth Risk Behavior Web-based Survey. A total of 9,597 cases, excluding adolescents without drinking experience, were used for the final analysis. For the data analysis, the SPSS Win 23.0 program was used, and frequency analysis, ${\chi}^2$-test, and logistic regression analysis were conducted. Research results found general characteristics, school, school record, living type, father's education, and economic state were influencing factors on problem drinking. Regarding characteristics of mental health, depression (95% CI:1.578~1.930, p<.001), subjective happiness (95% CI:1.039~1.491, p=.002), suicidal ideation (95% CI:1.110~1.426, p<.001), and sufficiency of sleep (95% CI:1.085~1.399, p=.001) were primary factors affecting adolescents' problem drinking. Therefore, when conducting education for preventing problem drinking or nursing intervention programs targeting adolescents, it is necessary to provide methods offering experts' in-depth consultation with the consideration of characteristics of mental health of participants. Future research should conduct qualitative studies through in-depth interviews for reviewing problem drinking and identifying characteristics of adolescents. This study provides guidelines for nurses working with problem drinking adolescents in clinical settings and communities.

• Journal of Preventive Medicine and Public Health
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• v.43 no.4
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• pp.283-291
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• 2010

Objectives: The purpose of this study was to develop a prediction model for future smoking intention among Korean adolescents aged 13 to 15 in order to identify the high risk group exposed to future smoking. Methods: The data was collected from a total of 5940 students who participated in a self-administrated questionnaire of a cross-sectional school-based survey, the 2004 Korea Global Youth Tobacco Survey. Chi-square tests and logistic regression analyses were carried out to identify the relevant determinants associated with intentions of adolescents’ future smoking. Receiver Operation Characteristic (ROC) assessment was applied to evaluate the explanation level of the developed prediction model. Results: 8.4% of male and 7.2% of female participants show their intentions of future smoking. Among non-smoking adolescents; who have past smoking experience [odds ratio (OR) 2.73; 95% confidence interval (CI) 1.92- 3.88]; who have intentions of smoking when close friends offer a cigarette (OR 31.47; 95% CI = 21.50 - 46.05); and who have friends that are mostly smokers (OR 5.27; 95% CI = 2.85 - 9.74) are more likely to be smokers in the future. The prediction model developed from this study consists of five determinants; past smoking experience; parents smoking status; friends smoking status; ownership of a product with a cigarette brand logo; and intentions of smoking from close friends’ cigarette offer. The area under the ROC curve was 0.8744 (95% CI=0.85 - 0.90) for current non-smokers. Conclusions: For efficiency, school-based smoking prevention programs need to be designed to target the high risk group exposed to future smoking through the prediction model developed by the study, instead of implementing the programs for all the students.

• Journal of the Korea Society of Computer and Information
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• v.28 no.9
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• pp.113-120
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• 2023

The purpose of this study was conducted to provide scientific data supporting the development of health programs for enhancing adolescents' health, by understanding factors influencing their self-rated health. It conducted a composite sample χ² test of 54,848 adolescents, to understand differences in the self-rated health depending on their sociodemographic characteristics, stress and depression levels, and also implemented a logistic regression analysis, to verify the factors influencing their sense of self-rated health. As a result of the study, Male students were healthier than female students; students with greater scholarly attainments and higher economic levels were more healthier; and students who had less stress and experienced no depression showed higher sense of self-rated health. Therefore, in order to improve the self-rated health of adolescents, it is necessary to continuously manage through the establishment of a customized health promotion program.

• Journal of Dental Rehabilitation and Applied Science
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• v.39 no.1
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• pp.21-31
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• 2023

Purpose: This study aimed to investigate the effects of mental health factors on oral symptoms and the relationship between the two in Korean adolescents. Materials and Methods: Raw data of 54,948 Korean adolescents among the participants of the 17^th Korean Youth Health Behavior Survey conducted in 2021 by the Korea Disease Control and Prevention Agency were analyzed in this study. Results: Mental health factors evaluated in this study included sadness and despair, suicidal thoughts, suicide attempt, loneliness, stress, depression, and anxiety. Our findings showed that all mental health factors were associated with oral symptoms. Particularly, factors affecting dental pain were suicidal thoughts, stress, anxiety, loneliness, depression, sadness, and despair. Further, all mental health factors affected ulorrhagia. Conclusion: In conclusion, the findings in this study are expected to contribute to the development of programs for the intervention of key mental health factors affecting oral symptoms to improve overall health in Korean adolescents.

• Journal of Korean society of Dental Hygiene
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• v.18 no.1
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• pp.115-124
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• 2018

Objectives: The purpose of this study was to investigate the correlation between soft drink consumption and subjective oral symptoms in Korean adolescents. Methods: Data of 65,528 adolescents were derived from the twelfth Korea youth risk behavior web-based survey, which was conducted from 1st June 2016 to 30th June 2016. Sociodemographic factors, dietary habit, and oral health behavior were collected as independent variables. The subjective oral symptoms were used as a dependent variable. The chi-square test and logistic regression analysis were performed to identify the correlation between dental caries and the other variables. Results: A multiple logistic regression analysis revealed that subjective oral symptoms were correlated with sex, age, subjective economic status, soft drink consumption, sweet drink consumption, tooth brushing frequency and dental sealant experience. Conclusions: Since the intake of soft drink adversely effects subjectively perceived oral symptoms in Korean adolescents, oral health education should include information on the pH levels of food and beverages including carbonated drinks, the effects of sugar on the teeth, and precautions to preventing tooth damage.

• Journal of Korean Academy of Nursing
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• v.48 no.4
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• pp.475-484
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• 2018

Purpose: To examine the prevalence of depressive symptoms and differentiate factors associated with them in urban and rural areas by applying the Ecological Models of Health Behavior. Methods: We employed a cross-sectional design and convenience sample of 460 female adolescents. The instruments included the Adolescent Mental-Health Problem-Behavior Questionnaire (AMPQ-II) and the Beck Depression Inventory (BDI). Results: Depressive symptoms were confirmed in 15.7% of urban adolescents and 22.9% of rural adolescents (p<.05). In the urban group, perception of health and stress associated with school performance were significantly associated with depressive symptoms. In the rural group, academic/internet related problems and rule violations were significantly associated with depressive symptoms (p<.05). General life happiness, worry/anxiety, and mood/suicidal ideation were common factors in both urban and rural areas (p<.05). Conclusion: Multiple factors were associated with depressive symptoms, and those significant factors differed between urban and rural female youths. Accordingly, tailored approaches are required considering urban and rural differences. The approaches should include intrapersonal, interpersonal, and organizational levels of interventions.

• Research in Community and Public Health Nursing
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• v.28 no.4
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• pp.359-365
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• 2017

Purpose: This study aims to investigate gender differences in the association between depressive symptoms and weight, weight perception, and body satisfaction among Korean adolescents. Methods: A secondary data analysis was performed on data from 33,374 adolescents who participated in the 2015 Adolescent Health Behavior Online Survey. They were classified as underweight, normal weight, or overweight/obese; weight perception was classified into perception of being underweight, normal weight, or overweight/obese; and weight satisfaction into desire to gain weight, satisfied, and desire to lose weight. Results: Among boys, perception of being underweight (adjusted odds ratio [AOR]: 1.20, 95% confidence interval [CI]: 1.07~1.35) and desire to gain weight (AOR: 1.45, 95% CI: 1.30~1.62) were associated with depression. Among girls, perception of being overweight or obese (AOR: 1.18, 95% CI: 1.07~1.29) and a desire to lose weight (AOR: 1.30, 95% CI: 1.18~1.42) were associated with depression. Conclusion: Gender differences were observed in the association between weight perception and depression in adolescents. The perception of being underweight among boys and the perception of being overweight/overweight among girls were associated with depression. Thus, gender-specific intervention programs to correct weight perception and weight satisfaction are needed in order to relieve depressive symptoms in adolescents.

• Women's Health Nursing
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• v.17 no.2
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• pp.148-156
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• 2011

Purpose: This study was done to explore the rates and methods of contraception among Korean adolescents from 2007 to 2009. Methods: The study was a descriptive study. The data were taken from a web-based survey on risk behavior of Korean youth that was conducted between 2007 and 2009 by the Korea Centers for Disease Control and Prevention. Results: Among adolescents, 4.7% in 2007, 4.6% in 2008, and 4.7% in 2009 reported having had sexual intercourse. In those who had sexual experiences, less than 30% reported consistent use of contraception, whereas more than 45% report no contraceptive use at all. A condom was the most frequently used contraceptive method and its use has increased continuously among contraceptive users. Some of the adolescents were, nevertheless, using unreliable methods such as withdrawal or the rhythm method. Conclusion: The results of this study indicate that most adolescents are not using contraception consistently and some were relying on unreliable contraceptive methods. Efforts to raise awareness about consistent and correct contraceptive use and the importance of dual protection are essential.

• Korean Journal of Health Education and Promotion
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• v.31 no.5
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• pp.59-70
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• 2014

Objectives: The purpose of this study was to identify the current status of contraception use and analyze factors affecting contraception use among Korean adolescents. Methods: This cross sectional study used secondary data from the 2013 Adolescent Health Behavior Online Survey (KYRBS), which included a nationally representative sample of middle and high school students. A total of 3,475 adolescents who had experienced sexual intercourse were included in the study. Results: Almost 4.8% of total adolescents experienced sexual intercourse. Only 26.8% of them had sex with contraception. The significant predictors related to contraception use were as follows: sexual intercourse experience after drinking (OR=2.02) and living with mother (OR=3.00) for male middle school student, first intercourse experience (OR=2.04) for female middle school students, and first intercourse experience (OR=1.59) and intercourse experience after drinking (OR=0.56) for male high school students. On the other hand, there were no predictors for female high school students. Conclusions: Development and application of effective strategies according to gender and school level are needed to increase contraception rate of adolescents.

• Child Health Nursing Research
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• v.27 no.3
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• pp.225-242
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• 2021

Purpose: This study aimed to systematically develop an obesity prevention program for adolescents to promote healthy eating and physical activity in schools. Methods: The development of the Let's Eat Healthy and Move at School program for adolescents followed the six steps of intervention mapping (IM). IM is a widely used protocol for developing systematic and effective interventions based on theories and evidence. Results: To better understand the problem and identify the needs of adolescents, interviews were conducted with teachers, school nurses, and students (step 1). In step 2, the desired behaviors and their determinants were established and combined into a matrix comprising 16 change objectives. In step 3, theoretical methods such as persuasive communication and consciousness-raising were chosen. The program was segmented into three educational activity sessions in step 4. In step 5, an implementation manual was developed for program instructors to ensure effective and accurate implementation. Finally, practices for evaluating the program's effectiveness and procedures were designed in step 6. Conclusion: The Let's Eat Healthy and Move at School program will provide adolescents with guidelines to promote healthy living and prevent obesity in everyday life using strategies for sustainable adolescent obesity prevention and management.