• Journal of Preventive Medicine and Public Health
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• v.55 no.2
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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.

• Journal of Industrial Convergence
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• v.18 no.3
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• pp.73-82
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• 2020

The purpose of this study was to explore sexual behaviors among adolescents in multicultural families in Korea. The data were obtained from the 15th Korea Youth Risk Behavior Survey 2019. Complex-sample descriptive statistics and the chi-square test were used for data analysis in SPSS 25. Among adolescents in multicultural families, 8.2% reported having sexual experience. Condoms were the most commonly used contraceptive method, and most adolescents received sex education at school. Their likelihood of sexual experience differed according to grade, academic achievement, economic status, residential area, perceived stress, and drinking and smoking experience (p<.001). The results of this study suggest that sex education should be conducted with appropriate consideration of the important factors associated with adolescents in multicultural families.

• Journal of the Korean Society of School Health
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• v.35 no.3
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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 Korean Public Health Nursing
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• v.34 no.1
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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.

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

• The Journal of the Convergence on Culture Technology
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• v.8 no.2
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• pp.139-148
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• 2022

We attempted to determine how adolescents' general characteristics, appearance stress, and anxiety affect adolescents' body image distortion using data from the 16th Korea Youth Risk Behavior Survey. We confirmed Body image distortion in 38.2% of the subjects, and the results of underestimated body image in 19.9% and overestimation in 18.3%. Appearance stress and anxiety were found to have an effect in both underestimate and overestimate groups. We confirmed that demographic characteristics such as gender, economic level, and academic level influence different aspects in the underestimation and overestimation groups. Therefore, we suggested that comprehensive evaluation by subdividing the subjective perception of adolescents' weight into cases of overestimation and underestimation will be an important factor in determining mental health and weight control behavior in the future.

• Journal of Preventive Medicine and Public Health
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• v.53 no.6
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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.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.6
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• pp.475-481
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• 2020

This study investigated the mental health factors of juveniles according to socio-demographic characteristics and mental health related characteristics using the Korea Youth Risk Behavior Web-Based Survey 2019 Data. The study subjects were total 57,303 students (middle school: 29,384, high school: 27,919). The data was analyzed with descriptive statistics, frequency analysis, χ²-tests and regression analysis using SPSS ver. 18.0. The findings revealed that socio-demographic characteristics (gender, residential area, residential type, economic status, school achievement) and mental health related characteristics (subjective assessment, stress cognition, overcoming fatigue through sleeping, experiencing sadness and despair, suicidal ideation, suicidal planning, suicidal attempts, experience of hospital care for violence, experience of smoking, drinking, sexual relations and/or habitual drug use, internet use except for study) were factors that influenced factors related to the mental health of juveniles (p<0.05). The mental health of juveniles was closely related with health behaviors. This study could be used as a tool for the development and establishment of juveniles' health promotion and prevention strategies in the future.

• Journal of Korea Entertainment Industry Association
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• v.14 no.5
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• pp.277-287
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• 2020

The purpose of this study was to investigate the standardization of daily average smartphone use time among adolescents. The data were analyzed using the data from Korea youth risk behavior web-based survey of 2017, and the total number of students analyzed was 54,603. Frequency analysis, independent t test, Pearson correlation analysis, and one-way ANOVA were used for statistical analysis. As a result, the correlation coefficient between smartphone use time, age, and grade was very low (r =.025~.039). There was no significant difference in the usage of smartphone between middle and high school students(p>.05). Time of smartphone use was significantly higher in middle school students as the grade increased(p<.05). In high school students, second-year students had significantly more smartphone usage than first and third grade students(p<.05). The researchers described 54603 adolescents' average(minute) daily smartphone usage about sex(male, female), period of use(weekday, weekend), school(middle school, high school), and grade(first, second, third) as a 7th quartile. We suggest that the standard value of smartphone use time can be used as a basis for the physical and mental health management in adolescents. It is necessary to present a standard value that can prove the future overuse of smartphone.

• Journal of the Korean Society of School Health
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• v.33 no.2
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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.