• The Korean Journal of Applied Statistics
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• v.24 no.4
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• pp.709-719
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• 2011

We investigate the latent stage-sequential patterns of drinking behaviors of U.S. adolescents who have started to drink by age 14 years (seven years before the legal drinking age). A multiple-group latent transition analysis(LTA) with logistic regression is employed to identify the subsequent patterns of drinking behaviors among early-onset drinkers. A sample of 1407 early-onset adolescents from the National Longitudinal Survey of Youth(NLSY97) is analyzed using maximum-likelihood estimation. The analysis demonstrates that early-onset adolescents' drinking behaviors can be represented by four latent classes and their prevalence and transition are influenced by demographic factors of gender, age, and race.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.11
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• pp.6769-6773
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• 2013

Background: Few local studies have explored the process of adverse transition of smoking stages among adolescents. The present investigation aimed to identify adverse transitions prospectively from the early stages till the escalation of the stages after one year. Materials and Methods: Data were collected in two waves from a cohort of 2,552 adolescents aged 12-13 years old studying in 15 secondary schools based in Kinta, Perak. A multistage sampling method was used to select the schools and a self-administered structured questionnaire was applied to help categorize the participants into five different smoking stages. Nonsmokers were divided into never smokers and susceptible never smokers. Ever-smokers were categorized as experimenters, current smokers or ex-smokers. Results: Among the participants 46.8% were Malay, 33.5% Chinese and 17.1% Indians. At baseline, we had 85.3% non-smokers and 14.6% ever smokers. Incidence of adverse transition among all our participants was 24.1%, with a higher value among male participants (16.8%). A higher proportion of susceptible never smokers and experimenters progressed to current smoking stage compared to never smokers. Conclusions: This study highlights the changes and patterns of adverse transition among adolescents. Male adolescents, those who are susceptible to smoking and those who had already tried experimenting with cigarettes have a higher chance of escalating to a higher smoking stage.

• Journal of Korean Home Economics Education Association
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• v.24 no.3
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• pp.89-100
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• 2012

The purposes of this study were to examine the overall tendency of perception of school environment and school adjustment in early adolescents during their transition from elementary to middle school. Also, examine the differences of adolescents' perception of school environment and school adjustment before and after entering secondary education. For this study, a total of 781 adolescents from middle school were asked to answer the questionnaire. And some objects of study, a total of 119 adolescents had answered in the same questionnaire content at the end of sixth grade of elementary school. The main findings were as followings. First, adolescents' perception of school environment during the transition to middle school was relatively good level, but perception of school safety appeared to be lower than average. Second, adolescents' school adjustment during the transition was comparatively good, particularly school life adjustment and school peer adjustment appeared to be above average. Third, there were significant positive relationships between perception of school environment and school adjustment. Fourth, adolescents' perception of school environment significantly decreased after they entered middle school, and significant differences were found in teacher support. Fifth, there were no differences in school adjustment before and after entering middle school, however school class adjustment and school life adjustment were significantly increased after the entrance into middle school.

• Childhood Kidney Diseases
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• v.22 no.1
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• pp.7-11
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• 2018

Significant advances in the diagnosis and medical care of children with chronic kidney disease (CKD) are major reasons for the better survival rates of children and adolescents with CKD than the survival rates reported in previous decades. These patients are reaching adulthood, and therefore require a transition to adult medical care. This transition phase is well-recognized to be associated with considerably increased morbidities and medical problems, such as non-adherence, graft loss after transplantation, and loss to follow-up. Low adherence increases morbidity and medical complications and contributes to poorer qualities of life and an overuse of the health care system. However, these tragic outcomes may be avoidable through a structured and well-defined transition program. In the last decade, there has been increasing interest to resolve these medical and psychological problems that occur during the transfer of young adult patients from pediatric to adult renal units. The aims of a successful transition from pediatric to adult medical care include enhancing the individual development of better health-competence and stabilizing, or even improving, the state of health. This review will focus on various aspects of the transition phase of adolescents who have CKD or who underwent kidney transplantation from pediatric to adult nephrology care.

• Clinical and Experimental Pediatrics
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• v.60 no.2
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• pp.31-37
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• 2017

Steroid 21-hydroxylase deficiency is the most prevalent form of congenital adrenal hyperplasia (CAH), accounting for approximately 95% of cases. With the advent of newborn screening and hormone replacement therapy, most children with CAH survive into adulthood. Adolescents and adults with CAH experience a number of complications, including short stature, obesity, infertility, tumor, osteoporosis, and reduced quality of life. Transition from pediatric to adult care and management of long-term complications are challenging for both patients and health-care providers. Psychosocial issues frequently affect adherence to glucocorticoid treatment. Therefore, the safe transition of adolescents to adult care requires regular follow-up of patients by a multidisciplinary team including pediatric and adult endocrinologists. The major goals for management of adults with 21-hydroxylase deficiency are to minimize the long-term complications of glucocorticoid therapy, reduce hyperandrogenism, prevent adrenal or testicular adrenal rest tumors, maintain fertility, and improve quality of life. Optimized medical or surgical treatment strategies should be developed through coordinated care, both during transition periods and throughout patients' lifetimes. This review will summarize current knowledge on the management of adults with CAH, and suggested appropriate approaches to the transition from pediatric to adult care.

• The Journal of Learner-Centered Curriculum and Instruction (JLCCI)
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• v.19 no.6
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• pp.175-197
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• 2019

This study analyzed the structural relationship between peer communication experienced by ninth and twelfth graders who will undergo school transition, self-efficacy, depression, and life satisfaction. Through this, the study aimed to gain an understanding on ways to improve adolescents' life satisfaction from a life-span developmental perspective. It especially attempted to investigate whether a positive attitude toward oneself and negative emotions play a mediating role in the relationship between peer communication, which can provide environmental support for adolescents, and life satisfaction. To this end, the data of ninth grade (third year, 2012) and twelfth grade (sixth year, 2015) of the 7th Grade Panel of Korean Children and Youth Panel Survey (KCYPS) were used. The key results of study are as follows. First, peer communication, self-efficacy, and depression had a significant effect on life satisfaction directly and indirectly. Second, peer communication affected life satisfaction indirectly by the media of self-efficacy and depression. These findings suggested the importance of self-efficacy and depression in promoting adolescents' healthy and satisfactory lives that lead to adulthood. Also, the study suggested that the environmental background of adolescents in a transition can improve life satisfaction through training and counseling on cognitive and emotional factors.

• The Journal of the Korea Contents Association
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• v.19 no.2
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• pp.638-649
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• 2019

The development of career knowledge and career attitude in adolescence is significant to achieve a successful transition to adulthood. The aim of this study was to assess effects of family income and career guidance and counseling experience on changes in career maturity during the transition from high school to college. The study used data from Youth Panel 2007 collected by Korea Employment Information Service. The data included 456 adolescents who were high school students in the first and third waves of survey and college students in the fifth wave of survey. The results suggested that family income was a significant factor affecting the career maturity of adolescents. The experience of career guidance and counseling while in high school had a sustained and positive impact on the career maturity of adolescents even after entering college. Therefore, career education in the secondary educational system should expand continuously.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.3
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• pp.164-172
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• 2020

This study investigated the longitudinal transition of adolescents' psychological character profiles, which includes self-esteem, acculturative stress, depression, and social withdrawal, and the predictive effects of parental efficacy, families' support, and friends' support in multicultural families. The sample consisted of 1,188 adolescents in elementary school, who were re-examined in three years, when they were in middle school from the part of waves 2 and 6 of the Multicultural Adolescents Panel Study. A latent profile analysis identified three distinct profiles of psychological character among adolescents in elementary school and middle school: stable, social withdrawal, and unstable. As compared to elementary school, adolescents' psychological characteristics stayed stable and played critical roles on the latent classes. Parental efficacy, and supports from family and friends played critical roles on the latent classes. Specifically, as adolescents perceived full of supports from friends, they were more likely to make transitions to the stable group. Implications for intervention in multicultural families are discussed.

• Journal of Preventive Medicine and Public Health
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• v.36 no.4
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• pp.377-382
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• 2003

Objectives : The purpose of this study was to investigate the predictor associated transitions with each stage of smoking cessation based on the Transtheoretical Model, and to provide basic data for smoking cessation programs for adolescents. Methods : The participants were 297 current and former smokers, obtained from stratified random sampling of 2nd graders from 127 high schools in B cities. The data were collected between April 6th and 16th 2002, using a structured self-report questionnaire, and analyzed using a multiple logistic regression, with the SPSS program for Windows (Version 10.0). Results : The predictors of transition from precontemplation to contemplation were consciousness raising (OR=1.22, 95% CI:1.07-1.40), coping pros (OR=.84, 95% CI:.70-1.00) and attitude of parents to smoking (OR=2.97,95% Cl: 94-9.24). The predictors of transition from contemplation to preparation were helping relationships (OR=.83, 95% CI:.72-.96), self-liberation (OR=1.15, 95% CI: 99-1.33) and nicotine dependence (OR=.76, 95% CI: 56-1.03). The only predictor of transition from preparation to action was the social pros (OR=.66, 95% CI:.57-.82). The predictors of transition from action to maintenance were self-reevaluation (OR=.81, 95% CI:.71-.92) and negative affective situation (OR=.85, 95% CI:.72-1.00). Conclusion : Adequate examination on the factors for predicting the transitional stages of change for smoking cessation in Koreans are presented in this study. The results of this study will become the pillar of smoking cessation Planning and application programs.

• Therapeutic Science for Rehabilitation
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• v.11 no.3
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• pp.23-36
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• 2022

Objectives : This study aimed to provide basic data on intervention strategies that occupational therapists can access by systematically analyzing the intervention and effectiveness for youth with disabilities. Methods : The RISS, PubMed, and Web of Science databases were used to search for papers published between 2006 and 2021. The keywords were "Disability AND Adolescents OR Young adult AND Transition education OR Transition program". Seven papers were selected for analysis, and the full text was reviewed. The keywords and national relations were analyzed and visualized using the WoS (Web of Science) and VOSviewer programs. Results : The participants were classified into five types (ASD or ADHD, ID, DD, and physical disability). The areas used for the intervention were mixed into three categories: occupation (academic), self-management (time), and interaction (personal relations and communication). Sociality and adaptation, quality of life, and at least one of the three categories of daily life activities showed significant improvement. Conclusions : This study can be used as basic data to expand the area where only OTs can contribute while grasping the research trend of the conversion program and presenting the direction of exchange with various experts by organizing the application and its effects.