• 한국보건간호학회지
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• 제29권2호
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• pp.257-271
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• 2015

Purpose: This research examined the trend of school health education, using online research data on health behaviors of adolescents. Then it compared the health perceptions, healthy life practice, and health risk behaviors between students who received health education and students who did not. In addition, it predicted the impact of health education on health risk behaviors of students. Methods: Data from 72,435 participants of this survey were analyzed. Statistical analyses were performed on weighted data using the complex sampling design. Results: In the results of the research, general high schools students had the lowest rate of receiving health education, while sex education was the most actively held throughout the all locations. Next, medium-small cities had the lowest rate of receiving health education. Regarding health risk behaviors, students receiving health education had significantly lower rates of smoking, drinking, and sexual intercourse. Conclusion: This study shows that healthy life practices by students improves with the inclusion of health education, thus indicating that schools should invest in health education. This research generated evidence for the first time in Korea that school health education has a positive impact on health risk behaviors and provides basic data for policy development of school health education.

• 디지털융복합연구
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• 제13권5호
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• pp.345-356
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• 2015

본 연구는 한국 남녀 대학생의 건강위험행동을 서울 소재 대학과 지방 지방소재 대학으로 구분, 비교하고 분석하였다. 본 연구에서 건강위험행동(음주, 성, 자살) 그리고 건강위험요인(정신건강, 스트레스)를 융복합적으로 분석하고자 했다. 연구 결과, 대학생들의 음주 행태를 살펴보면, 음주 위험군에 속하는 경우는 2.3% 수준 이었으며, 연구에서 참가한 대학생들 중, 거의 격주 혹은 더 빈번히 술을 마시는 경우는 52.6%로 나타났다. 대학생들 중에 성경험이 있는 경우는 40.6%로 나타났으며, 지금까지 일생동안 두명 이상의 파트너와 성경험이 있는 경우는 서울지역 대학생의 4명중 1명 (25.4%), 지방소재 대학생의 경우 5명중 1 명 (20.3%)로 나타났다. 지방에 소재한 대학생들의 경우 자살 및 정신건강의 수준이 서울 소재 대학생의 경우보다 심각한 수준이라는 경향을 보이고 있으며, 전반적으로 서울소재 대학생과 지방소재 대학생은 자존감에만 통계적으로 유의미한 차이를 보였다. 본 연구의 결과는 대학생의 건강문제에 대한 개입 방안을 모색하는 기초자료로 활용될 수 있을 것이다.

• 한국학교ㆍ지역보건교육학회지
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• 제18권1호
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• pp.1-12
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• 2017

Objectives: This study aimed to analyze sexual experience rates according to socio-demographic factors, health behavioral factors, and internet use time, and to identify sex experience related factors in high school students using the data from the 11th Korean Youth Health Risk Behavior Web-Based Survey. Methods: A total of 33,744 students (17,346 boys and 16,398 girls) in high schools were analyzed using the SPSS WIN version 22 program. SPSS complex samples methods were used for analyses. Socio-demographic factors, health behavioral factors, and internet use time as independents variables were included. The complex samples logistic regression analyses were used to calculate the odds ratio of the sexual experience according to the socio-demographic factors, health behavioral factors and internet use time. Unweighted frequencies and percentages were represented in result tables. Results: 3.6% of girls and 9.9% of boys in high school had sexual experiences. Daily average smoking amount and daily alcohol drinking amount were a dose-response relationship with sexual experience after considering confounding factors. Students who smoke 10-19 cigarettes had 5.74 times higher risk and 20 cigarettes or more had 7.27 times higher risk of sexual experiences, comparing with non-smoking students, relatively. Likewise, students who drink soju less than 1-2 bottles and more than 2 bottles had 3.82- and 4.35 times higher chance of sexual experiences, compared with non drinking students, respectively. Conclusions: We found that there were the dose-response relationship between health behavioral characteristics and sexual experiences. Further research is needed to identify an interaction effect between smoking and drinking alcohol on sexual experiences in high school students.

• 한국산학기술학회논문지
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• 제16권5호
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• pp.3333-3343
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• 2015

본 연구의 목적은 한국 청소년의 성경험과 위험 성행동을 중심으로 약물사용 관련요인을 파악하기 위함이다. 본 연구는 2011년 제7차 청소년건강행태온라인조사의 자료를 활용한 2차 분석연구로, 익명성 자기기입식 온라인 조사를 통해 자발적으로 참여한 청소년의 총 75,643명의 자료가 분석에 이용되었으며, 복합표본분석 방법으로 서술통계, rao-Scott ${\chi}^2$, 로지스틱회귀분석을 이용하였다. 연구결과, 약물사용은 동성과의 성경험(adjusted OR=5.691; 95% CI=4.223-7.670)과 이성과의 성경험(adjusted OR=21.180; 95% CI=14.704-30.507) 및 성폭행(adjusted OR=9.936; 95% CI=7.217-13.680), 데이트 성폭행(adjusted OR=16.979; 95% CI=11.648-24.751), 음주 후의 성관계(adjusted OR=6.564; 95% CI=3.986-10.810), 예상치 못한 임신(adjusted OR=18.628; 95% CI=8.476-40.936), 성병(adjusted OR=21.872; 95% CI=13.920-34.367)과 같은 위험 성행동과 유의한 관련성이 있는 것으로 나타났다. 이러한 연구결과는 약물사용 청소년은 위험 성행동을 경험할 개연성이 높은 것으로 보여준다. 그러므로 한국 청소년의 약물사용은 성문제와 함께 그 해결방안이 모색되어야 하고, 가족과 학교 모두의 참여에 근거한 신체적, 심리적, 사회적 측면의 문제해결을 위한 중재가 개발되어 적용되어야 할 것이다.

• 한국학교보건학회지
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• 제33권2호
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• pp.115-124
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• 2020

Purpose: The purpose of this study was to compare the health risk behaviors, mental health and subjective health status of adolescents in multicultural families and monocultural (Korean) families. This study was conducted to prepare basic data for education and policy proposals related to health promotion of adolescents in multicultural families. Methods: The study was a secondary analysis using the raw data of the 15th Youth Risk Behavior Web-based Survey (2019). A complex sample multiple logistic regression analysis was conducted to understand the influence of growing up in a multicultural family on health risk behaviors, mental health and subjective health status by comparing the variables to those of monocultural adolescents. Results: Adolescents from multicultural families had a 3.3 times higher rate of drug use experience, 1.89 times higher rate of sexual experience, and 1.24 times higher rate of not wearing seat belts. In addition, the rate of not washing hands and the rate of suicide attempts were 1.34-1.50 times and 1.62 times higher, respectively, compared to adolescents from monocultural families. Conclusion: This study showed that it is necessary to develop appropriate health promotion programs to solve the problems of drug use, sexual intercourse, not wearing seat belts, not washing hands, and attempting suicides, which are more prevalent among adolescents from multicultural families than from monocultural families. It will serve a basic policy for the long-term development and growth of Korea at this critical time when multicultural adolescents are increasing.

• 보건교육건강증진학회지
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• 제22권4호
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• pp.137-154
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• 2005

Objectives: This study aims to examine the positive effects of developmental assets on the prevention of health risk behaviors among Korean adolescents. The framework of developmental assets was introduced as building blocks for healthy child and adolescent development by Benson and his colleagues. These assets represent positive external environmental factors and internal personal qualities which strongly influence the quality of life of adolescents. Methods: In 2001, we administered self-reported questionnaires to 3,739 girls and boys in grade 9 at eight schools in two cities, Chinju and Suwon in South Korea. The data was compiled into a 'Korean Youth Health Related Behaviors and Developmental Assets Survey' and then analyzed Youth health risk behaviors, which we measured in terms of their frequency, included tobacco, alcohol, and substance use, sexual intercourse, anti-social behaviors, violence, feelings of social isolation at school, depression or attempted suicide, absenteeism from school, gambling. Results: Overall, with respect to developmental assets, the Korean adolescents surveyed only 12.6 of the 40 assets, and 88 percent of adolescents had 20 or fewer of the assets. Based on their number of developmental assets(DA), adolescents were categorized into four groups: Group I(DA 0-10): Group II(DA 11-20): Group III(DA 21-30): Group IV(DA 31-40). We examined the differences in the frequency of each health risk behavior across the four groups, Group I-IV, and found that the frequency of most health risk behaviors decreased as the number of developmental assets increased. Conclusion: We therefore concluded that in order to make effective approaches for the prevention of health risk behaviors among adolescents, we should consider and develop more comprehensive and adolescents-based policy and programs to promote various aspects of adolescents' health and quality of life.

• Journal of the Korean Data and Information Science Society
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• 제28권1호
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• pp.21-28
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• 2017

본 연구는 우리나라 청소년의 성경험에 영향을 주는 개인 및 가족요인을 파악하고자 우리나라 청소년들에 대한 국가 통계량 생산을 위해 복합표본설계 기반으로 조사되고 있는 제11차 (2015년) 청소년건강행태온라인조사 자료를 활용하였다. 연구 대상자는 2015년 국내 중 고등학교에 재학 중인 68,043명이며, 층화 및 집락, 가중치의 복합표본설계를 고려하여 기본 빈도분석과 성경험 유무에 대한 로지스틱회귀분석을 수행하였다. 본 연구결과에 따르면 개인 (나이, 학교유형, 스트레스 정도, 흡연, 음주) 및 가족 (경제상황, 부모동거) 요인이 청소년들의 성경험에 유의한 관련성을 가지고 있었다. 특히 음주경험과 흡연경험이 있는 대상이 그렇지 않은 대상에 비해 각각 2.03배와 4.01배 높은 성경험 가능성을 나타내고 있으며, 양부모와 동거하지 않는 대상이 양부모와 동거하는 대상에 비해 3.47배 높은 성경험 가능성을 나타내고 있다. 따라서 청소년들의 올바른 성문화를 위해 위험요인들을 고려한 전문적인 교육을 강화할 필요가 있으며, 특히 개인요인 중 큰 위험요인으로 나타난 음주와 흡연에 노출된 청소년들을 보호하기 위해 국가의 더욱 적극적인 규제가 필요할 것이다. 그뿐만 아니라 경제상태가 좋지 않거나 부모들과 함께 거주하지 않는 자녀에 대해서도 부모들의 더 큰 관심이 필요할 것이다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제32권4호
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• pp.144-153
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• 2021

Objectives: Anxiety disorders are the most common psychiatric disorders in adolescents and seem to occur the earliest among all forms of psychopathology. The aim of this study was to investigate the association of anxiety severity with health risk behaviors and mental health in adolescents. Methods: Data from the 2020 Korean Youth Risk Behavior Web-Based Survey were analyzed. A total of 54948 adolescents responded to the 7-item Generalized Anxiety Disorder Scale (GAD-7) for the assessment of their anxiety severity as well as to the mental health and health risk behavior survey. Logistic regression analysis, t tests, and variance analysis of a complex sample general linear model were used to examine the association of anxiety severity with health behaviors and mental health. Results: After statistical adjustment for sociodemographic characteristics, the subjects in the severe anxiety group were significantly more likely to be current smokers (odds ratio [OR]: 2.08, 95% confidence interval [CI]: 1.72-2.50), current drinkers (OR: 1.91, 95% CI: 1.67-2.19), experience habitual substance use (OR: 10.89, 95% CI: 8.22-14.42), have sexual intercourse (OR: 2.10, 95% CI: 1.76-2.51), and have unprotected intercourse (OR: 2.21, 95% CI: 1.67-2.92) than those in the normal group. Anxiety severity negatively correlated with sleep satisfaction and happiness, but positively correlated with stress perception, loneliness, depressive symptoms, and suicidality. Conclusion: Adolescent anxiety is associated with health risk behaviors and poor mental health. Thus, early screening and intervention for anxiety in adolescents could contribute to the management and coping of youth health risk behaviors in the community.

• Journal of Preventive Medicine and Public Health
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• 제57권4호
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• pp.370-378
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• 2024

Objectives: Comorbidities increase susceptibility to severe coronavirus disease 2019 (COVID-19) infections, but limited information has been published regarding human immunodeficiency virus (HIV) and COVID-19 co-infections. This study explored the relationships among socioeconomic characteristics, sexual behaviors, and COVID-19 infection rates among Korean men who have sex with men (MSM) who are also living with HIV. Methods: Data were collected through a web survey aimed at members of the largest gay portal site in Korea, supported by the National Research Foundation of Korea (n=1005). The primary independent variables included COVID-19-related vaccinations and sexual behaviors. The dependent variable was the incidence of COVID-19 infection among respondents during the pandemic. For statistical analysis, hierarchical multiple logistic regression was performed, controlling for potential confounding variables. Results: Model I indicated that older MSM were less likely to contract COVID-19 (adjusted odds ratio [aOR], 0.98; 95% confidence interval [CI], 0.96 to 0.99). Model II demonstrated that HIV-positive MSM were nearly twice as likely to be infected with COVID-19 compared to their HIV-negative counterparts (aOR, 1.97; 95% CI, 1.14 to 3.41). Furthermore, even after accounting for COVID-19 vaccination status in model III, HIV-positive MSM continued to show a higher risk of infection (aOR, 1.93; 95% CI, 1.12 to 3.35). Conclusions: The findings of this study indicate that HIV-positive MSM are at an increased risk of contracting COVID-19, even when their vaccination status is considered. Therefore, it is essential to prioritize the prevention of COVID-19 infections in HIV-positive individuals by administering appropriate antiretroviral therapy and ensuring adherence to public health guidelines.

• 보건교육건강증진학회지
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• 제19권4호
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• pp.45-60
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• 2002

The aim of this study was to assess adolescents' sexuality and to gather student opinions on current school-based sex education in South Korea. A self-administered questionnaire survey was conducted in Seoul, Incheon, and Kyunggi Province to assess the status and needs of high school sexuality education. Survey data was obtained from 1,130 senior high school students. The rates of sexual intercourse for boys and girls were 33.1% and 13.2% respectively. Boys were more likely to be sexually involved (p = .000) and experienced earlier at first sexual intercourse than girls (p = .006). Among students who had sexual intercourse, only 20.3% (21.1% of boys and 19.1% of girls) used contraceptives at first sexual intercourse. The proportion of respondents who had had sexual intercourse was higher among those with poor self-perceived academic performance (p = .000). The proportion was also higher among those with a boy or girl friend (p = .000). Other risk-taking behaviors such as smoking and drinking were associated with sexual activity (p = .000). This study found that most students were not satisfied with sex education because of teachers' lack of information and skills in delivering it. Most teachers providing sex education were not qualified and/or trained. They should receive adequate training and guidelines for the training. Training should also give teachers time to practice and become comfortable in delivering it.