• Journal of Preventive Medicine and Public Health
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• 제55권2호
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• pp.173-181
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• 2022

Objectives: Anxiety disorder is among the most prevalent mental illnesses among adolescents. Early detection and proper treatment are important for preventing sequelae such as suicide and substance use disorder. Studies have suggested that sleep duration is associated with anxiety disorder in adolescents. In the present study, we investigated the association between sleep quality and anxiety in a nationally representative sample of Korean adolescents. Methods: This cross-sectional study was conducted using data from the 2020 Korea Youth Risk Behavior Web-based Survey. The Generalized Anxiety Disorder-7 questionnaire was used to evaluate anxiety. The chi-square test was used to investigate and compare the general characteristics of the study population, and multiple logistic regression analysis was used to analyze the relationship between sleep quality and anxiety. Results: In both sexes, anxiety was highly prevalent in participants with poor sleep quality (adjusted odds ratio [aOR], 1.56; 95% confidence interval [CI], 1.43 to 1.71 in boys; aOR, 1.30; 95% CI, 1.19 to 1.42 in girls). Regardless of sleep duration, participants with poor sleep quality showed a high aOR for anxiety. Conclusions: This study identified a consistent relationship between sleep quality and anxiety in Korean adolescents regardless of sleep duration.

• 한국보건간호학회지
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• 제34권1호
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• pp.87-98
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• 2020

Objectives: The aim of this study was to identify the relation of sexual orientation and suicidal ideation. Methods: The study includes 33,309 Korean high school students: 31,213 of whom had no experience of sexual intercourse, 1,739 had heterosexual sexual intercourse, 191 had homosexual sex, and 166 had bisexual intercourse. The study used the 12th(2016) Korea Youth Risk Behavior Web-based Survey with complex sample logistic regression. Results: Adjusted confounding variables related to suicidal ideation of participants except for sexual orientation were analyzed, and suicidal ideation was higher in the homosexual and bisexual groups. These two groups showed a higher risk of suicidal ideation (homosexual: OR=2.28, 95% CI:1.54-3.39) (bisexual: OR=2.78, 95% CI:1.61-4.81). Conclusions: The study results showed sexual orientation was associated with suicidal ideation. Further studies and evaluations are needed.

• 한국학교보건학회지
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• 제35권3호
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• pp.123-132
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• 2022

Purpose: The purpose of this study is to identify factors related to hand washing practice among adolescents before and after the outbreak of the COVID-19 pandemic. Methods: The study was conducted using data from the 15th~16th (2019~2020) Korea Youth Risk Behavior Web-based Survey, and the subjects of the study were 57,303 and 54,948 people who participated in the 2019 and 2020 study, respectively. The data were analyzed with frequency test, rao-scott 𝑥² test and multiple logistic regression analysis using SPSS 27.0. Results: Changes in the hand washing practice rate were observed before and after the COVID-19 pandemic in all five behaviors; before eating in school, after using the toilet in school, before eating at home, after using the toilet at home, and after returning home. The study found that the hand washing practice rate increased by 1.21-2.43 times after the COVID-19 pandemic. In addition, as a result of logistic regression analysis, the hand washing practice rate before and after the COVID-19 pandemic was related to gender, region, school grade, school type, economic status, health status, and personal hygiene education experience. Conclusion: This study confirmed the importance of hand washing education to improve the hand washing practice rate in adolescents. It is necessary to develop and apply an effective youth hand washing education program in consideration of various variables that appeared as significant factors influencing the hand washing practice rate before and after the COVID-19 pandemic.

• 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.

• 한국산학기술학회논문지
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• 제21권6호
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• pp.309-316
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• 2020

본 연구의 목적은 한국 청소년의 스마트폰 사용시간과 구강건강의 관련성을 확인하기 위함이다. 2017년 제13차 청소년건강행태 설문조사의 원시자료를 이용하여 62,276명의 대상자를 포함시켰다. 스마트폰 하루 총 사용시간은 사용하지 않음, 2시간 미만, 2시간 이상 4시간 미만, 4시간 이상의 그룹으로 분류하였다. 스마트폰 사용시간과 구강질환증상의 관련성을 확인하기 위해 일반적 특성을 보정한 다변량 로지스틱 회귀분석을 시행하였다. 본 연구 결과, 전체 대상자 중 60.1%(37,305명)의 청소년이 최근 12개월 이내 구강질환증상 경험이 있었고, 스마트폰 사용자의 61.7%가 구강질환 증상을 경험한 것으로 보고되었다. 스마트폰 사용시간이 4시간/일 이상인 청소년은 전체 대상자 중 27.4%, 주말의 경우 53.8%로 나타났고, 스마트폰의 4시간/일 이상 사용한 청소년은 스마트폰을 사용하지 않는 청소년에 비해 구강질환증상을 경험할 위험이 주중(adjusted Odds ratio, aOR=1.78; 95% confidence interval, CI=1.67-1.91)과 주말(aOR=1.81, 95%CI=1.70-1.93)에서 통계적으로 유의하게 높았다. 종합해보았을 때, 한국 청소년의 스마트폰 과도한 사용은 구강건강에 해로운 영향을 주는 것으로 확인되었다. 따라서 청소년의 스마트폰 통제를 위한 교육 프로그램은 구강 건강 증진에 도움이 될 것이다.

• Journal of Preventive Medicine and Public Health
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• 제53권6호
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• pp.419-428
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• 2020

Objectives: Adolescent suicide is a global problem. This study aimed to identify associations between parental marital status and suicidal behavior. Methods: This study analyzed 118 715 middle and high school students from the 13th and 14th Korea Youth Risk Behavior Web-based Survey. The odds ratios (ORs) of suicidal ideation, planning, and attempts were calculated based on parental marital status, living situation, and socioeconomic factors. The data were analyzed using multiple logistic regression. Results: When compared to those living with 2 married biological parents, the ORs of suicidal ideation among adolescents living with either remarried or no parents were 1.34 (95% confidence interval [CI], 1.17 to 1.53) and 1.36 (95% CI, 1.11 to 1.66), respectively. For suicidal planning, the OR of those living with 1 remarried biological parent was 1.24 (95% CI, 1.01 to 1.52), and that of those living without parents was 1.28 (95% CI, 0.95 to 1.73), when compared to adolescents living with 2 married biological parents. For suicide attempts, when compared to adolescents with 2 married biological parents, the OR of those living with 1 remarried biological parent was 1.48 (95% CI, 1.17 to 1.87) and that of those living without parents was 2.02 (95% CI, 1.44 to 2.83). For adolescents living with 1 remarried biological parent, suicidal behavior was strongly associated with having no siblings and were weakly associated with not living with grandparents. Conclusions: Suicidal behavior among adolescents was associated with the remarriage and loss of parents. Therefore, special attention and interventions are needed for adolescents in those situations.

• 한국학교보건학회지
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• 제36권2호
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• pp.52-61
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• 2023

Purpose: The purpose of the study was to compare the characteristics between adolescents who have run away from home before and who have contemplated running away from home before, and to find risk factors that predict runaway behavior among them. Methods: The data of 「the survey on adolescents' right to adequate housing and the way to ensure their housing with the focus on social exclusion」 by the National Youth Policy Institute (2020) were analyzed. A total of 494 adolescents were included in the study. Descriptive statistics, x2 test, t-test, and simple and multiple logistic regressions were carried out using SAS 9.2. Results: Gender, depression, anxiety, self-esteem, and school level were significantly different between the two groups. From the multivariate analysis, the adjusted odds ratio for runaway behavior was significantly higher in male students (AOR: 2.14, p<.001), lower in the middle economic class than in the high economic class (AOR: 0.64, p=.051), lower in the 4th quartile group of self-esteem (AOR: 0.52, p=.041), and higher in high school students (AOR: 1.55, p=.050). Conclusion: Considering that male students, students from wealthier families, students with low self-esteem, and high school students are high-risk groups for runaway behavior, among adolescents who have contemplated running away before, interventions targeting these groups are needed.

• 한국학교보건학회지
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• 제33권2호
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• pp.79-88
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• 2020

Purpose: The purpose of this study was to identify 14 years of trends in sexual intercourse and sex education experiences among Korean adolescents from 2006 to 2019, based on online data. Methods: The study was a secondary analysis using the raw data of the 2^nd (2006) through 15^th (2019) Youth Risk Behavior Web-based Survey. The data of 504,105 male adolescents and 473,053 female adolescents were used for the analysis. A complex-sample cross-analysis (Rao-Scott χ² test) was performed to identify differences in sexual intercourse, sex education experience, and contraception over time, and logistic regression was performed to identify factors affecting adolescent sexual intercourse. Results: Sexual intercourse was found to increase as the year progressed. More high school students had sexual experiences than middle school students. Students who had ever smoked or drunk were more likely to have had sexual intercourse than the ones who had not. Students living with relatives or living in boarding houses or dormitories showed a higher rate of sexual intercourse than those living with family members. Students who never received sex education also showed a high rate of sexual intercourse. Conclusion: It is significant to grasp the trends in sexual intercourse, sex education experience, and contraception among adolescents over time. Providing adolescents with healthy sex education is becoming more and more important every year and health-related education including sex education that meets the need of teenagers should be incorporated into the regular curriculum.

• 한국학교보건학회지
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• 제33권1호
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• pp.39-47
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• 2020

Purpose: The purpose of this study was to compare unsafe sex experiences of multicultural and non-multicultural adolescents. Methods: The study analyzed the data of 3,029 respondents who responded that they had sex in the Korea Youth Risk Behavior Web-Based Survey of 2018. Weighted percentages and simple and multiple logistic regression were conducted using SAS 9.2. Results: As a result of univariate analysis, the odds ratio of unsafe sex was significantly higher in multicultural adolescents, but the difference between the two groups was not significant after controlling for the related variables. Among the covariates, the odds of unsafe sex were significantly higher in boys (AOR: 1.34; 95% CI: 1.08~1.66), those who did not live with their family (AOR: 1.68; 95% CI: 1.17~2.39), those with low academic achievement (AOR: 1.33; 95% CI: 1.02~1.73), binge drinkers (AOR: 1.61; 95% CI: 1.29~2.02), smokers (AOR: 1.37; 95% CI: 1.06~1.78), and those who did not receive sex education (AOR: 1.59; 95% CI: 1.20~2.11). Conclusion: There was no significant difference in unsafe sex experience between multicultural and non-multicultural adolescents. This study also shows the positive effect of school sex education on safe sex in teenagers. It is necessary to strengthen sex education for male students, students not living with their family, students with low academic achievement, binge drinkers, and smokers.

• Nutrition Research and Practice
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• 제18권2호
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• pp.269-281
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• 2024

BACKGROUND/OBJECTIVES: The objective of this study was to compare dietary habits and mental health among middle school students in urban and rural areas based on bedtime, and to provide evidence supporting appropriate bedtime for Korean middle school students in relation to their healthy dietary habits and mental well-being. SUBJECTS/METHODS: The study population consisted of 25,681 second-year middle school students who participated in the Korea Youth Risk Behavior Survey in 2020-2022. Participants were asked about their bedtime and wake-up time during the past 7 days and were classified into five categories. The study compared the general characteristics, academic factors, dietary habits, and mental health of urban and rural students based on their bedtime. RESULTS: Bedtime was found to be later in the following order: urban female students, rural female students, urban male students, and rural male students. As bedtime got later, the rates of smoking and alcohol consumption increased. Students who went to bed before 11 p.m. had lower academic performance, while rural male students who went to bed after 2 a.m. had lower academic performance. Later bedtime was associated with increased smartphone usage, skipping breakfast, consuming fast food, and drinking carbonated beverages. Later bedtime was also associated with higher perceived stress levels, particularly among students who went to bed after 2 a.m., higher rates of suicidal ideation, experiencing sadness and despair, as well as the prevalence of clinically significant anxiety disorders. CONCLUSION: These results suggest that middle school students who go to bed too late have higher rates of smoking and alcohol drinking, as well as unhealthy eating habits, stress, suicidal ideation, sadness, and anxiety. Therefore, it is necessary to provide educational and social institutional support to promote adequate sleep for the health of adolescents.