• 한국학교보건학회지
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• 제32권2호
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• pp.105-115
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• 2019

Purpose: The purpose of this study was to compare the mental health factors related to health risk behaviors between multicultural and monocultural adolescents. Methods: The study subjects were selected from the 2018 Korea Youth Risk Behavior Web-Based Survey Dataset. A total of 60,040 multicultural and monocultural adolescents were included in the analysis. A $x^2$ test and logistic regression were conducted, using SPSS 18.0, to compare the general characteristics, mental health, and health risk behaviors of the multicultural and monocultural adolescents. This process involved a complex sample design. Results: There was a significant difference in the rates of suicidal behaviors. Multicultural adolescents showed a significantly higher rate of suicidal ideation (8.6% vs. 8.5%, p=.004), suicidal plan (3.2% vs. 2.4%, p=.004), and suicidal attempt (5.0% vs 3.1%, p=.04) than monocultural adolescents. Perceived stress had a significant impact only on monocultural adolescents. Monocultural adolescents with high levels of perceived stress were at a greater risk of drinking (high stress=reference; low stress OR=0.91, p=.025) and smoking (high stress=reference; low stress OR=0.90, p=.029) than those with low stress. Multicultural adolescents who had made suicide attempts were at a higher risk of drinking (multicultural OR=7.879, p<.001; monocultural OR=2.481, p<.001) and smoking (multicultural OR=4.011, p=.015; monocultural OR=2.800, p<.001) than monocultural adolescents. Conclusion: To implement an effective smoking and drinking prevention program, it is necessary to consider how we can reduce the risk factors. Stress management is important for monocultural adolescents and a proactive suicide-screening program and a suicide prevention program should be included in the program for both multicultural and monocultural adolescents.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3533-3540
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• 2016

Background: Cigarette smoking is one of the leading global causes of premature and preventable death. In Brunei Darussalam, smoking-related diseases have been a primary cause of mortality for the past three decades. Despite the increasing efforts that have been made in recent years to reduce the consumption of tobacco products in Brunei, the prevalence of adolescent smoking cigarette, however has risen alarmingly, from 8.9% in 2013 to 11.4% in 2014, with a higher prevalence found in males (17.8%) than in females (4.8%). In response to the need for more effective smoking prevention programmes in Brunei, this study sought to explore factors that influence Bruneian male adolescents to start and continue smoking. Materials and Methods: A qualitative study using focus group discussions (FGDs) as the data collection method was conducted from October to November 2015. A total of 43 studentss, comprising 31 smokers and 12 non-smokers, aged 13-17 years, from two government secondary schools in Bandar Seri Begawan, participated in six FGDs. Discussions were recorded and translated. Transcripts were entered into NVivo10, before thematic analysis was conducted. Results: We identified three themes under the core construct of 'factors influencing smoking initiation' ('family as teachers', 'overt pressure from peers' and 'perceived smoking has many advantages') and three themes under the core construct of 'factors influencing smoking continuation' ('craving and addiction', 'smoking as a 'social activity' and 'easy accessibility of cigarettes'). Conclusions: Based on the findings, it is recommended that future prevention activities should be embedded in a comprehensive approach, involving all stakeholders within a community, and should be focused towards bringing a change in smoking and parenting behavior of parents, social norms within the culture towards all population levels, and at strengthening the existing non-smoking policies in schools and other public places where young people congregate.

• 대한간호학회지
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• 제46권4호
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• pp.552-561
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• 2016

Purpose: The purpose of this study was to investigate factors influencing lifetime smoking and current smoking among adolescents in South Korea. Methods: Hierarchical logistic regression was conducted based on complex sample analysis using statistics from the 10th (2014) Korea Youth Risk Behavior Web-Based Survey. The study sample comprised 72,060 adolescents aged 12 to 18. Results: The significant factors influencing adolescent lifetime smoking were female gender, older age, higher stress, higher weekly allowance, lower economic status, living apart from parents, parental smoking, sibling smoking, peer smoking, observation of school personnel smoking, and coed school compared to boys' school. The significant factors influencing adolescent current smoking were female gender, older age, higher stress, higher weekly allowance, both higher and lower economic status compared to middle economic status, living apart from parents, parental smoking, sibling smoking, peer smoking, observation of school personnel smoking, and coed school compared to boys' school. Conclusion: Factors identified in this study need to be considered in programs directed at prevention of adolescent smoking and smoking cessation programs, as well as policies.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제27권4호
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• pp.306-312
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• 2016

Objectives: We aimed to compare the smoking behaviors in adolescents from monocultural and multicultural families and to evaluate the associations between their smoking behavior and number of suicide attempts. Methods: The data used in this study was collected from The Tenth Korea Youth Risk Behavior Web-based Survey. The differences in the sociodemographic characteristics between the adolescents in the multicultural and monocultural families were analyzed through the ${\chi}^2$-test, and a logistic regression was conducted to evaluate the relationships between the smoking behavior and number of suicide attempts of the adolescents in multicultural families. The process involved an analysis using a complex sample design. Results: There was significant difference in the weighted rates of the current smoking behavior (13.3% vs. 8.4%, p<0.001), experience of violence (6.8% vs. 2.3%, p<0.001), and number of suicide attempts (5.4% vs. 2.7%, p<0.001) between the adolescents from the multicultural and monocultural families. In both groups, the current smoking behavior was associated with the number of suicide attempts (multicultural families OR=6.5, p=0.005; monocultural families OR=1.5, p<0.001). Conclusion: Our results showed that the percentage of current smokers in the adolescents from multicultural families was higher than that in the monocultural families and that current smoking behavior is related to the number of suicide attempts in both groups, after adjustment for age, sex, socioeconomic status, academic achievement, current smoking behavior, depressive mood and experience of violence.

• 한국학교ㆍ지역보건교육학회지
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• 제12권3호
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• pp.1-15
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• 2011

Objectives: We describe the development of a smoking and drinking prevention program for adolescents, using intervention mapping. Methods: The study sample consisted of 1,000 high school second-grade students from 6 high schools in Seoul. The PRECEDE model was applied for the needs assessment. We carried out a social diagnosis by assessing the factors such as the quality of life, happiness level, and satisfaction with school life; an epidemiological diagnosis on the perceived health status, stress levels, and priority of health issues; a behavioral diagnosis on the smoking and drinking rate and the intention to smoke and drink; and an educational diagnosis on knowledge, beliefs, attitudes, self-efficacy, outcome expectations, social norms and life skills. Results: The development process included a needs assessment, identifying factors that influence smoking and drinking among adolescents. Intention, knowledge, perceived norms, perceived benefit, perceived cost, perceived susceptibility, self-efficacy, and life skills were identified as determinants. Three performance objectives were formulated to describe what an individual needs to do in order to avoid smoking and drinking. Subsequently, we constructed an intervention matrix by crossing the performance objectives with the selected determinants. Each cell describes the learning objectives of the smoking and drinking prevention program. The program used methods from the transtheoretical model, such as consciousness raising, outcome expectations, self-reevaluation, self-liberation, counterconditioning, environmental reevaluation, and stimulus control. The program deals with the effects of smoking and drinking, self-improvement, decision making, understanding advertisements, communication skills, social relationships, and assertiveness. Conclusions: By using the process of intervention mapping, the program developer was able to ensure a systematical incorporation of empirical and new data and theories to guide the intervention design. Programs targeting other health-related behavior and other methods or strategies can also be developed using this intervention mapping process.

• 한국학교보건학회지
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• 제31권1호
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• pp.10-17
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• 2018

Purpose: The purpose of this study was to examine the health behaviors and health status of adolescents in multicultural families according to gender. Methods: The study used raw data of the Korean Youth Risk Behavior Web-Based Survey performed in 2016. The 12th survey was conducted on 67,983 adolescents in 400 middle schools and 400 high schools. Among them, 759 adolescents were included in this study. Their data were analyzed using descriptive statistics, $x^2$-test, and Pearson's correlation. Results: There were significant differences in economic status, smoking experience, age of drinking onset, vigorous physical activity, soft drink consumption, toothbrushing after lunch, handwashing with soap before eating at school and eating at home and after coming home, BMI, subjective health status, stress, depression, and allergic rhinitis according to gender in multicultural adolescents. For boys, significant positive correlations were found between age and the age of drinking onset, between academic achievement and economic status, and between the age of smoking initiation and the age of drinking onset. However, there were significant negative correlations between economic status and stress and between subjective health status and stress. For girls, age had positive correlations with academic achievement, the age of drinking onset, BMI, and stress and economic status had positive correlations with academic achievement, the age of smoking initiation, and subjective health status. Also, the age of smoking initiation had positive correlations with the age of drinking onset and BMI. Lastly, there were negative correlations between age and economic status, between age and subjective health status, academic achievement and the age of smoking initiation, economic status and stress, and subjective health status and stress. Conclusion: The results of this study are expected to be useful as basic data for planning health interventions for boys and girls in multicultural families.

• 한국보건간호학회지
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• 제18권1호
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• pp.74-79
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• 2004

The purpose of this study was to evaluate the effects of smoking prevention programs offered to primary and secondary school students in Seoul, and to analyze factors related to smoking for these students. A quasi-experimental study design was employed and a total of 8,717 students for pre-test and 7,925 students for post-test were participated in the study. The smoking prevention programs included poster and slogan contests. smoking cessation workshop. distribution of smoking prevention pamphlets, reinforcement of smoking regulations, and operation of mobile smoking cessation booth. The results indicated that smoking prevalence decreased after the intervention. However. despite the reinforcement of the regulation related to sales of tobacco to adolescents. more than $50\%$ of the participants still purchased tobacco from stores, while $20.8\%$ obtained tobacco through their friends. Stress, juvenile delinquency, and pocket money were identified as significant factors associated with tobacco use for these students. In conclusion, smoking prevention programs with multiple intervention strategies were effective in decreasing the smoking prevalence among adolescents. Further study is recommended to conduct an experimental study using comparison group to control the effect of other social influences such as national smoking cessation campaigns.

• 한국산학기술학회논문지
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• 제19권2호
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• pp.155-163
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• 2018

본 연구의 목적은 '제11차(2015년) 청소년건강행태온라인조사'를 이용하여 흡연을 경험한 청소년의 흡연특성과 흡연유형에 따른 특성을 파악하여 복합흡연에 관련된 요인을 알아보고자 하였다. '제11차(2015년) 청소년건강행태온라인조사'에 응답한 68,043명 중 일반담배 및 전자담배 흡연 경험이 있는 중 고등학생 5,347명을 대상으로 분석하였다. 사용된 데이터는 가중치가 적용된 복합표본분석을 이용하여 빈도분석, 카이제곱 검정, 로지스틱 회귀분석으로 분석하였다. 전체 흡연 청소년의 20%가 복합흡연자였으며 전자담배 이용자 85.6%가 니코틴을 사용하였다. 다중 로지스틱 회귀분석 결과 남학생인 경우(OR 1.63; 95% CI 1.15-2.31), 대도시에 거주하는 경우(OR 1.76; 95% CI 1.32-2.33), 하루에 패스트푸드를 1-2회 먹는 경우(OR 2.48; 95% CI 1.33-4.64), 최초흡연 경험 시기가 고등학교인 경우(OR 0.76; 95% CI 0.58-0.98), 간접흡연 경험이 있는 경우(OR 1.24; 95% CI 1.07-1.44), 음주경험이 있는 경우(OR 2.03; 95% CI 1.65-2.48), 일주일간 용돈수준이 높을수록 복합흡연의 위험이 높았다. 본 연구는 청소년의 전자담배와 복합흡연에 대한 기초자료를 제공하고 금연 프로그램 및 정책 개발에 도움이 되리라 판단된다.

• 한국학교ㆍ지역보건교육학회지
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• 제20권2호
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• pp.1-12
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• 2019

Objectives: The purpose of this study is to understand the factors affecting the dual smoking experience of conventional and heat-not-burn tobacco among adolescents with smoking experience. Methods: The study selected 8,691 people with experience in smoking. Data analysis used SPSS 25.0. Logistic regression was performed to identify the factors affecting the dual smoking experience. Results: In this study, the dual smoking experience rate of conventional and heat-not-burn tobacco was 16.3%. The dual smoking experience rate was 5.09 times higher than the number of smokers among friends. The lower the smoking age, the higher the smoking rate, and the longer the smoking days, the higher the dual smoking rate of heat-not-burn cigarettes. Conclusion: We need a peer-to-peer group arbitration program rather than a separate anti-smoking arbitration program for smokers.

• 한국학교보건학회지
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• 제20권1호
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• pp.11-24
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• 2007

Purpose : Health Risk behaviors are a leading cause of preventable morbidity and mortality. Adolescents is a critical transitional period for establishing health behavior for healthy life. The purpose of this study was to describe the types and frequency of the health risk behaviors being performed by middle school students, examine the gender and grade differences of health risk behaviors, and identify the relationship among health risk behaviors. Methods : A total of 1952 early adolescents recruited from 7 middle schools in a district of urban setting completed questionnaires. Youth Risk Behavior Survey-Middle school questionnaires was used to identify the types of health risk behaviors among early adolescents. Data were analyzed by descriptive statistics and Chi-Square test using SAS program . Results : The results showed the frequency for most health risk behaviors and increased with advancing grade level. Males were more likely than females to behaviors related to smoking and violence, whereas females were more likely than males to have suicidal thoughts, be physical inactive and attempt to lose weight. Among health risk behaviors, the relationship of alcohol experience, smoking, and suicide was high. Conclusion : The findings identify a high risk target group among middle school adolescents and suggest that preventive intervention strategies should take into consideration the types with gender and grade, and provided the evidence that one of health risk behaviors may induce the other health risk behaviors.