• 보건교육건강증진학회지
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• 제31권5호
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• pp.59-70
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• 2014

Objectives: The purpose of this study was to identify the current status of contraception use and analyze factors affecting contraception use among Korean adolescents. Methods: This cross sectional study used secondary data from the 2013 Adolescent Health Behavior Online Survey (KYRBS), which included a nationally representative sample of middle and high school students. A total of 3,475 adolescents who had experienced sexual intercourse were included in the study. Results: Almost 4.8% of total adolescents experienced sexual intercourse. Only 26.8% of them had sex with contraception. The significant predictors related to contraception use were as follows: sexual intercourse experience after drinking (OR=2.02) and living with mother (OR=3.00) for male middle school student, first intercourse experience (OR=2.04) for female middle school students, and first intercourse experience (OR=1.59) and intercourse experience after drinking (OR=0.56) for male high school students. On the other hand, there were no predictors for female high school students. Conclusions: Development and application of effective strategies according to gender and school level are needed to increase contraception rate of adolescents.

• 한국사회정책
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• 제25권2호
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• pp.125-163
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• 2018

음주와 관련한 사회적, 보건학적 문제가 심각하다. 음주행태는 개인적 요인뿐만 아니라 환경적 요인에도 영향을 받는다. 이 연구는 개인수준의 변인들을 보정 후에도 지역사회 내 주류 판매점들이 개인의 음주행태에 어떠한 영향을 미치는지 파악하여 알코올 관련 규제정책의 기초자료로 제공하고자 시행하였다. 음주행태에 영향을 미치는 지역요인을 확인하기 위해 현재 음주여부와 고위험 음주여부를 종속변인으로 하는 다수준 로지스틱 회귀분석을 실시하였다. 개인수준의 데이터는 2015년 지역사회건강조사 자료 중 도시지역에 거주하는 사람들의 응답 자료를 활용했으며, 지역수준의 데이터는 통계청에서 제공하는 자료를 활용하였다. 개인수준의 변인으로는 연령, 학력, 소득 수준 등을, 지역수준의 변인으로는 기초생활수급자수, 조 이혼율, $1km^2$당 주점 수, $1km^2$당 소매점 수 등을 활용하였다. 연구결과, 현재 음주 여부에는 상대적으로 높은 학력, 높은 월 가구소득, 자신의 건강상태에 대한 긍정적인 평가가, 고위험 음주 여부에는 상대적으로 낮은 학력, 우울감과 같은 개인적 요인들이 영향을 미치는 것으로 나타났다. 개인수준의 변인들을 보정 후 지역수준의 변인들을 분석한 결과, $1km^2$당 주점 수, 소매점 수, 전체 알코올가용성 수가 높은 지역에 거주하는 사람에게서 현재 음주를 할 가능성이 높은 것으로 나타났다. 반면, 고위험 음주 여부에 있어서는 지역변인으로 조 이혼율만이 음주행태에 영향을 미치는 것으로 나타났다. 개인적 특성(성, 연령, 경제활동 유무)에 따라 층화 분석한 결과에 따르면, 현재 음주 여부에서는 차이가 없었지만, 60세 이상 집단에서 소매점과 전체 알코올가용성 수가 많은 지역에 거주할수록 고위험 음주의 가능성이 높아지는 것으로 나타났다. 이 연구의 결과는 개인을 대상으로 하는 예방정책 뿐만 아니라 지역 수준에서 알코올 가용성 환경을 고려한 알코올 규제 정책이 필요함을 시사한다.

• 한국학교ㆍ지역보건교육학회지
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• 제15권1호
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• pp.121-140
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• 2014

Objectives: Recently, the rate of death by chronic disease, is increasing steadily. To prevent this, the public health center will have taken a leading role in the local community medical business through an establish to the national health promotion act and an amendment to the law of public health center in Korea. Results: Accordingly this research, using the Pender's health promotion model which is related with subject health behavior who government employees serve at the public health center have taken important position in the local community health promotion, have comprehended the actual condition of health behavior. For increasing the health behavior practice of subject to comprehend the factor which have effect on health behavior practice, which can be a correct role model in the local community health promotion. A survey was performed on 406 government employees who serve at five public health centers in Seoul. The period of survey was from 25th October, 2010 to 15th November, 2010. The results of this study were summarized as below. 1. Work-related stress, perceptible beneficial obstacle, and self-efficacy were composed by 5 points measure. The results show those work-related stress were $3.06{\pm}0.469$, 74perceptible beneficial obstacle were $3.74{\pm}0.471$, and self-efficacy were $3.49{\pm}0.469$. 2. As for the health behavior by general characteristic, the results have specific differences on age, education level, state of marriage, rank of the position, field of the occupation and employment forms in statics analysis. 3. As for the past health behavior by health behavior characteristic, work-related stress have specific differences on the past frequency of drinking (p<.05) in statics analysis, perceptible beneficial obstacle have specific differences on the past frequency of having breakfast(p<.05), having snacks(p<.05) and doing exercise(p<.05) in statics analysis. Self-efficacy have specific difference on the past frequency drinking(p<.01) in statics analysis. 4. According to the correlation between the factors related with health behavior and health behavior, the health behavior have specific differences on perceptible health condition(p<.01), the past health behavior and perceptible beneficial obstacle(p<.05). Work-related stress and self-efficacy don't have specific relation in health behavior practice. 5. The factors, which effect on health behavior practice have specific differences on the past health behavior, employment forms and field of the occupations. The ability of explanation occupied 54.8% what explained of the health behavior practice by general characteristic, perceptible health condition, employment forms and perceptible beneficial obstacle. Conclusions: According to the correlation between the factors related with health behavior, the health behavior have specific differences on perceptible health condition(p<.01), the past health behavior and perceptible beneficial obstacle(p<.05). The factors, which effect on health behavior practice have specific differences on the past health behavior, employment forms and field of the occupations.

• 한국산학기술학회논문지
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• 제20권4호
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• pp.160-168
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• 2019

본 연구는 청소년의 정신건강 특성이 문제음주에 미치는 영향을 파악하여 청소년의 문제음주 예방을 위한 간호중재 및 교육의 방향을 제시하고자 수행되었다. 연구방법으로는 2017년 청소년건강행태온라인 조사의 원시자료를 이용한 이차분석 연구로, 본 연구에서는 연구주제의 특성 상 음주경험이 전무한 청소년은 제외한 후 9,597명이 최종분석에 사용되었다. 자료 분석은 SPSS Win 23.0 프로그램을 이용하여 빈도분석, ${\chi}^2$-test, 로지스틱회귀분석을 실시하였다. 연구결과 일반적 특성에서는 학교, 주관적 학업성적, 거주형태, 아버지의 학력, 경제 상태가 문제음주에 영향을 미치는 요인으로 나타났고 정신건강 특성에서는 우울감 경험(95% CI:1.578~1.930, p<.001), 주관적 행복감(95% CI:1.039~1.491, p=.002), 자살생각의 유무(95% CI:1.110~1.426, p<.001), 주관적 수면충족(95% CI:1.085~1.399, p=.001)이 청소년의 문제음주에 영향을 미치는 주요 요인으로 나타났다. 따라서 청소년을 대상으로 하는 문제음주 예방 교육이나 간호중재 프로그램을 진행 할 때 대상자의 정신 건강 특성을 고려하여 전문가의 심도 있는 상담을 받을 수 있도록 제공하는 방법이 필요하다. 본 연구의 제한점을 보완하여 문제음주에 대한 추세를 살펴보거나 청소년의 특성을 깊이 파악하기 위해 심층 면접을 통한 질적 연구를 시행하면 임상에서 나 지역사회에서 청소년 문제음주 대상자들을 중재하는데 있어 간호사의 역량을 발휘하는데 좋은 지침이 될 것이다.

• 한국산학기술학회논문지
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• 제13권2호
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• pp.668-677
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• 2012

이 연구는 2009년 청소년 건강행태온라인조사에 참여한 우리나라 고등학교 3학년 학생 11,753명을 대상으로 위염 및 장염에 영향을 미치는 관련 요인들을 알아보기 위해 SAS 9.2 version, E-Miner를 이용하여 서베이 로지스틱과 의사결정나무분석을 하였다. 대상자중 남자가 5,685명(47.6%), 여자가 6,068명(52.4%) 이었으며 '오랫동안 위염 및 장염을 앓고 있다'고 응답한 응답자는 8.7% 이었고, 여자가 위염 및 장염 발생률이 조금 더 높게 나타났다(P<.001). 위염 및 장염 발생에 스트레스 및 건강행태는 양의 상관관계가 있는 것으로 나타났으며 스트레스 인지가 높을수록, 주관적 건강상태가 좋지 않을수록, 흡연, 자살생각, 자살시도, 심한 음주나 13세 이전에 음주를 시작 할수록, 대상자의 위염 및 장염 발생에 유의하게 영향을 미치는 것으로 나타났다.(P<.001) 따라서 청소년의 위염 및 장염인지에 대한 호소에 관심과 면밀한 평가 및 관리에 대한 간호중재가 필요할 것으로 여겨진다.

• Journal of health informatics and statistics
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• 제43권4호
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• pp.344-351
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• 2018

Objectives: The purpose of this study is to investigate the impact of health behaviors of male workers without diabetes such as smoking, drinking and physical activities on HbA1c using 2015 and 2016 data from Korea National Health and Nutrition Examination Survey (KNHANES). Methods: The final study subjects of KNHANES were a total of 1,703 male workers in their 30s-50s who had normal levels of fasting blood sugar level, HbA1c, and hemoglobin. For the study variables, age, household income, educational level and occupation were included as socio-demographic characteristics; smoking behavior, drinking behavior, and physical activity behavior as characteristics of health behavior; and waist circumference, body mass index, systolic and diastolic blood pressures, total cholesterol, triglyceride and HDL cholesterol as medical examination characteristics were included. The analysis was conducted using independent variables t-test, one-way ANOVA, Pearson's correlation analysis and multiple regression analysis. Results: Socio-demographic factors that affect HbA1c were age, educational level, and occupation. As for HbA1c according to the status of current smoking, it was higher in order of the present, past and nonsmoking and HbA1c according to smoking amount pack-year increased linearly in between less than 1 pack-year and over 30 pack-year (p<0.001). Muscular exercises affected the reduction of HbA1c (p<0.05). In the multiple regression analysis with independent variables of the socio-demographic characteristics and health behavior, factors affecting HbA1c were age, occupation and smoking amount pack-year (p<0.05). In the multiple regression analysis where the characteristics of physical examination were added, factors affecting HbA1c were age, occupation, smoking amount pack-year, waist circumference and total cholesterol (p<0.001). Conclusions: As a result, the health behavior that had the most effect on HbA1c management for male workers without diabetes was the total lifetime smoking amount. Therefore, it is essential to prevent smoking as well as control, cholesterol to prevent diabetes for male workers.

• 지역사회간호학회지
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• 제28권4호
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• pp.482-493
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• 2017

Purpose: This study aims to investigate the individual and environmental factors related to emotional/behavioral problems to early adolescence in Korea by applying multilevel modeling. Methods: From the database of the 2014 Korean Child and Youth Panel Survey (KCYPS), the researchers selected 1,977 adolescents who are in the second year of middle school. Multilevel model analysis was performed to estimate the impact of relevant factors at the individual and environmental levels. Results: At the individual level, the significant factors associated with emotional/behavioral problems included BMI and study tendency in boys, and drinking, study tendency and economic levels in girls. At the environmental level, the significant factor associated with emotional/behavioral problems included relationship with the teacher. Conclusion: The emotional/behavioral problems of early adolescence are influenced not only by the individual factors but also by the environment factor. Therefore, the environment surrounding the adolescents should also be considered to prevent emotional/behavioral problems.

• 보건의료산업학회지
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• 제7권2호
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• pp.161-177
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• 2013

This study aims to provide basic evidence for establishing prevention programs of school' mental health by identifying the factors of middle and high school student's depression and suicidal ideation related to stress of peer-relationship. For this purpose, we analyzed the data of 6,924 (who Experienced stress related to peer-relationship) among the 2012 Korean Youth Health Risk Behavior Online Survey(8th). In demographic characteristics, subjective academic achievement affects depression in the case of girls. In health-related characteristics, medical treatment by violence, drinking experience, smoking experience have an effect on depression in the case of boys. Subjective health, drinking experience, smoking experience, drug experience are the factors affecting suicidal ideation both boys and girls. In order to promote mental health of youth, school-based prevention education complementing existing realistic problems needs to be implemented.

• Child Health Nursing Research
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• 제23권3호
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• pp.259-267
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• 2017

Purpose: This study was done to identify contraceptive practices in adolescent girls in South Korea and predictors of contraceptive practices. Methods: The study sample included 743 girls who had experienced sexual activity. Using statistics from the 12th (2016) Korea Youth Risk Behavior Web-based Survey, hierarchical logistic regression analysis was conducted. Results: The contraceptive practice rate for adolescent girls was 34%. Contraceptive practice was associated with 'age at first intercourse' and 'sexual intercourse after drinking'. For adolescent girls who had early sexual initiation and drank alcohol before sexual intercourse there was a tendency to reduce the practice of contraception. Conclusion: It is necessary to provide practical sex education to improve the practice of contraception in these adolescents. In addition, adolescent girls should be encourage to delay their first intercourse. The results of this study can also be used to develop education interventions regarding healthy sexuality behaviour including the practice of contraception.

• 한국학교보건학회지
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• 제34권3호
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• pp.161-169
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• 2021

Purpose: The purpose of the study was to investigate the effect of loneliness on habitual drug use in Korean adolescents. Methods: The study was designed as a cross-sectional study. Using statistics from the 16th (2020) Korea Youth Risk Behavior Web-based Survey, multiple logistic regression analysis was conducted. A total 54,948 adolescents were included in the analysis. Results: Adolescents were more likely to engage in habitual drug use when they were lonely than when they were not (OR: 1.55, 95% CI: 1.20~2.02). As for sociodemographic characteristics, gender, academic achievement, and living with family were factors influencing habitual drug use. As for health behavior characteristics, perceived stress, depression, current drinking, violence, sexual intercourse, and perceived health were identified as factors affecting habitual drug use. Conclusion: Provision of education that includes loneliness as a factor, which was not previously considered important in school education for preventing habitual drug use of adolescents, should be considered.