• Journal of the Korean Society of School Health
• /
• v.36 no.3
• /
• pp.113-125
• /
• 2023

Purpose: The purpose of this study is to develop a model for predicting mental health risk among adolescents based on health behavior information by employing a hybrid machine learning method. Methods: The study analyzed data of 51,850 domestic middle and high school students from 2022 Youth Health Behavior Survey conducted by the Korea Disease Control and Prevention Agency. Firstly, mental health risk levels (stress perception, suicidal thoughts, suicide attempts, suicide plans, experiences of sadness and despair, loneliness, and generalized anxiety disorder) were classified using the k-mean unsupervised learning technique. Secondly, demographic factors (family economic status, gender, age), academic performance, physical health (body mass index, moderate-intensity exercise, subjective health perception, oral health perception), daily life habits (sleep time, wake-up time, smartphone use time, difficulty recovering from fatigue), eating habits (consumption of high-caffeine drinks, sweet drinks, late-night snacks), violence victimization, and deviance (drinking, smoking experience) data were input to develop a random forest model predicting mental health risk, using logistic and XGBoosting. The model and its prediction performance were compared. Results: First, the subjects were classified into two mental health groups using k-mean unsupervised learning, with the high mental health risk group constituting 26.45% of the total sample (13,712 adolescents). This mental health risk group included most of the adolescents who had made suicide plans (95.1%) or attempted suicide (96.7%). Second, the predictive performance of the random forest model for classifying mental health risk groups significantly outperformed that of the reference model (AUC=.94). Predictors of high importance were 'difficulty recovering from daytime fatigue' and 'subjective health perception'. Conclusion: Based on an understanding of adolescent health behavior information, it is possible to predict the mental health risk levels of adolescents and make interventions in advance.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.21 no.6
• /
• pp.309-316
• /
• 2020

The aim of this study was to identify the relationship between smartphone usage time and oral health among Korean adolescents using data from the 13th (2017) Korea Youth Health Behavior Survey, which included 62,276 subjects. The daily smartphone usage time was categorized as not used, less than 2 hours, more than 2 hours, less than 4 hours, and more than 4 hours. Our results reveal that 60.1% of participants and 61.7% of smartphone users experienced oral disease symptoms annually, 27.4% of total adolescents used smartphone more than 4 hours daily during weekdays, and 53.8% more than 4 hours daily on weekends. The results from multivariate logistic regression analysis adjusting general characteristics show that the adjusted odds ratio (aOR) for risk of oral disease experience was 1.78 (95% confidence interval, CI 1.67-1.91) times higher in the group that used smartphones more than 4 hours a day on weekdays and 1.81 (95% CI 1.70-1.93) times higher in the group that used smartphones more than 4 hours a day on weekends compared to the group that did not use smartphones. The results indicate that smartphone overuse among Korean adolescents has a harmful effect on oral health. Education programs for reducing excessive use of smartphones among adolescents will help promote oral health.

• Journal of Korea Entertainment Industry Association
• /
• v.13 no.2
• /
• pp.177-186
• /
• 2019

The purpose of this study was to investigate the influences of the smartphone overuse on health and academic impairment in adolescents. This study used data from Korea youth risk behavior web-based survey of 2017. This survey was conducted on 64,991 adolescents(middle and high school students), and 62,276 (95.8%) responded. The researchers used frequency analysis, independent t test, chi-square test and Pearson correlation analysis using SPSS 22. As a result, the usage rate of adolescents's smartphone was 54,603 out of 62,276, which was 87.7%. The purpose of smartphone usage was messenger(1st rank, 27.3%), SNS(2nd rank, 18.7%) and game(3rd rank, 13.3%). The average daily use time of the smartphone was 206.68±194.73 minutes. Girl students showed significantly more use time of smartphones than boy students(p<.001). Students with more than 206 minutes of smartphone use had worse health and academic performance than students with less than 206 minutes(p<.001). Time of smart phone usage and academic ability showed a weak correlation(p<.001, r=.245). The present findings showed that the higher the smartphone usage, the lower the health level and academic ability, and the author discussed these results.

• Journal of Preventive Medicine and Public Health
• /
• v.57 no.3
• /
• pp.288-297
• /
• 2024

Objectives: This study explored the prevalence and predictors of alcohol and cannabis co-use among 9263 Filipino adolescents, using data from the 2019 Global School-based Student Health Survey (GSHS). Methods: We conducted a cross-sectional secondary analysis of the GSHS, targeting adolescents aged 13-17 years and excluding cases with incomplete data on alcohol and cannabis use. Our analysis employed the bivariate chi-square test of independence and multivariable logistic regression using Stata version 18 to identify significant predictors of co-use, with a p-value threshold set at 0.05. Results: The weighted prevalence of co-users was 4.2% (95% confidence interval [CI], 3.4 to 5.3). Significant predictors included male sex (adjusted odds ratio [aOR], 4.50; 95% CI, 3.31 to 6.10; p<0.001) and being in a lower academic year, specifically grade 7 (aOR, 4.08; 95% CI, 2.39 to 6.99; p<0.001) and grade 8 (aOR, 2.20; 95% CI, 1.30 to 3.72; p=0.003). Poor sleep quality was also a significant predictor (aOR, 1.77; 95% CI, 1.29 to 2.44; p<0.001), as was a history of attempted suicide (aOR, 5.31; 95% CI, 4.00 to 7.06; p<0.001). Physical inactivity was associated with lower odds of co-use (aOR, 0.45; 95% CI, 0.33 to 0.62; p<0.001). Additionally, non-attendance of physical education classes (aOR, 1.48; 95% CI, 1.06 to 2.05; p=0.021), infrequent unapproved parental checks (aOR, 1.37; 95% CI, 1.04 to 1.80; p=0.024), and lower parental awareness of free-time activities (aOR, 0.63; 95% CI, 0.45 to 0.87; p=0.005) were associated with higher odds of co-use. Factors not significantly linked to co-use included age group, being in grade 9, always feeling lonely, having no close friends, being bullied outside school, and whether a parent or guardian understood the adolescent's worries. Conclusions: The findings highlight the critical need for comprehensive interventions in the Philippines, addressing not only physical inactivity and parental monitoring but also focusing on sex, academic grade, participation in physical education classes, sleep quality, and suicide attempt history, to effectively reduce alcohol and cannabis co-use among adolescents.

• Journal of Korea Game Society
• /
• v.15 no.6
• /
• pp.55-64
• /
• 2015

This study started for the verification of the worry in the relationship within violent game use and youth moral. The survey was conducted and analyze some personal factor: self control, self esteem, aggression and game time. Self control and self esteem show positive relationship with moral, but aggression shows negative relationship. The other side, game use time doesn't show any relationship with moral whether the game is aggressive or not. It is significant for the game has no relations about a laxity of moral fiber of youth and the aggression of the game doesn't show any negative influence on moral.

• Journal of Convergence for Information Technology
• /
• v.11 no.10
• /
• pp.84-92
• /
• 2021

This study was conducted to identify factors related to the problematic experiences of smartphone use among adolescents according to gender. The subjects of this study were 54,603 male and female adolescents. This study data was analyzed using SPSS 25.0 program. As a result of this study, the relevant factors for the problematic experiences of smartphone use among male students were academic performance, economic level, counselors, fast food consumption frequency, depression, suicidal ideation, suicide plan, happiness, subjective body image, stress, and smartphone usage time. Drinking and smoking were found to be significant related factors only for female students. Therefore, in order to reduce the problematic experience of smartphone use, an intervention considering the influence factors according to gender is required.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.19 no.1
• /
• pp.13-18
• /
• 2008

Objectives : Internet addiction or pathologic internet use is one of the major mental health problems in children and adolescents in Korea. Internet addiction is defined as uncontrollable, markedly time-consuming internet use, which lasts for a period of at least six months. Internet addiction results in poor academic performance and negative parent-child relationships. By using $^{18}F$-fluorodeoxyglucose-positron emission tomography (FDG-PET), we investigated the effects of internet addiction on functional changes occurring in the adolescent brain. Methods : Adolescent patients with an internet addiction (4 boys and 2 girls; $15.6{\pm}1.2$ years) participated in this study. Eight healthy young adults (5 males and 3 females; 18-30 years old) with no previous history of psychiatric illness also participated as normal controls. Brain FDG-PET data was obtained with the participants in the resting condition and with no addictive stimuli. Results : Statistic parametric mapping analysis of the brain FDG-PET data revealed hypometabolic changes in the visual information processing circuits and hypermetabolic changes in the prefrontal areas in the adolescents with internet addiction, as compared with normal controls (p<.001). Conclusion : These results suggest a neuronal adaptation to excessive visual stimulation and synaptic plasticity due to internet addiction.

• Korean Journal of Child Studies
• /
• v.37 no.4
• /
• pp.17-29
• /
• 2016

Objective: The purpose of this study was to examine the bidirectional relation between mobile phone dependency (MPD) and self-regulated learning (SRL) of early Korean adolescents in $4^{th}$, $6^{th}$ and $8^{th}$ grade, while taking into account gender differences. Methods: The study made use of panel data from the Korean Children and Youth Panel Study (KCYPS), and three waves of data collected from 2,264 adolescents were analyzed by means of autoregressive cross-lagged modeling. Results: The results can be summarized as follows. Firstly, MPD and SRL were consistently stable for adolescents in $4^{th}$, $6^{th}$ to $8^{th}$ grades. Secondly, a bidirectional relations between MPD and SRL were confirmed. In other words, there was a significant influence of a high level of MPD on a subsequent low level of SRL, and the high level of SRL also had a significant effect on the lower level of MPD across time. According to multi-group analysis, no gender differences were found in the relations between two constructs during the studied period. Conclusion: Findings highlighted not only the necessary media usage education but also parenting intervention strategies may help early adolescents to be prevented from negative effects of media usage and to enhance self-regulated learning ability. Based on the results, more implications were also discussed.

• Journal of Digital Convergence
• /
• v.12 no.8
• /
• pp.459-465
• /
• 2014

Despite the ever-increasing smartphone addiction of adolescents and a variety of consequent problems not much research has been conducted on the issue. It is time to prepare a set of countermeasures to protect them from the addiction. The central purpose of the current paper is to identify how use motives, self-control and social withdrawal affect their smartphone addiction. It was found (i) that the motives of information acquisition, social relationship, amusement and use of leisure time exert significant influence on smartphone addiction, (ii) that less self-control and greater impulsiveness result in greater addiction, and (iii) that social withdrawal of users also have significant effect on smartphone addiction. Such findings are expected to provide base data for any attempt to develop countermeasures against addiction. It is desirable that we had better check the play activities of adolescents and develop self-control programs to help them alleviate impulsiveness than simply impose strict restrictions on the use of smartphones.

• Journal of Korean Public Health Nursing
• /
• v.33 no.1
• /
• pp.47-58
• /
• 2019

Purpose: Regarding the rapid growth of the obesity in Korea's youths, environmental factors as well as biological tendencies have been major focus of years of study. Methods: This study, as a secondary analysis research, bases its source upon the raw data from the 13th on-line survey of the Korean adolescents' health behaviors. In particular, it is a descriptive research for clarifying the relevance of the Korean youths' smart phone use with their health behaviors and obesity. Results: In logistic analysis, variables showing a significant difference are as follows: soft drinks frequency(p<.001), sweet drinks intake frequency(p<.001), fast food intake frequency(p<.001) and smoking status (p=.005). Based on the amount of time the teenagers using smart phones, there have been different results in the risk of obesity. Four to six hours a week of smart phone use (p=.002) has a 1.132 times higher risk, six to eight hours(p<.001) are 1.212 times higher, over eight hours(p=.020) are 1.132 times higher, than less than two hours'. Conclusion: This study has significance in that it has emphasized the new lifestyle, teenagers' smart phone use, as an additional important factor for the increased risk of obesity.