Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Factors Related to Substance Use among Korean Adolescents: Focusing on Sexual Experiences and Risky Sexual Behaviors

한국 청소년의 약물사용 관련요인: 성경험과 위험 성행동을 중심으로

  • Received : 2015.02.19
  • Accepted : 2015.05.07
  • Published : 2015.05.31
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Abstract

The purpose of this study is to investigate factors related to substance use focusing on the sexual experiences and risky sexual behaviors among Korean adolescents. This study conducted with a secondary data analysis using the Seventh Korea Youth Risk Behavior Web-based Survey 2011 in South Korea. The study participants selected 75,643 Korean adolescents who were recruited anonymously through national web-based survey. Data were analyzed using descriptive statistics, rao-Scott ${\chi}^2$, and logistic regressions considering complex samples. Results indicated that substance use was significantly associated with sexual experiences such as sexual intercourse with the opposite sex (adjusted OR=5.691; 95% CI=4.223-7.670), sexual intercourse with the same sex (adjusted OR=21.180; 95% CI=14.704-30.507) and risky sexual behaviors such as sexual assaults (adjusted OR=9.936; 95% CI=7.217-13.680), date rape (adjusted OR=16.979; 95% CI=11.648-24.751), sexual intercourse after drinking (adjusted OR=6.564; 95% CI=3.986-10.810), unexpected pregnancies (adjusted OR=18.628; 95% CI=8.476-40.936), and sexually transmitted diseases (adjusted OR=21.872; 95% CI=13.920-34.367) in Korean adolescents. Findings of this study show that adolescents who use substances are more likely to engage in risky sexual behaviors. Therefore, intervention program should be designed to consider both substance use and sexual problems and to include the effective approaches at the family and school level.

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.

Keywords

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