• The Korean Journal of Food And Nutrition
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• v.25 no.3
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• pp.579-589
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• 2012

This study was performed to investigate the eating habit, body image, and weight control behavior by BMI in Korean female high school students. Data on the 16,574 subjects was obtained from the sixth Korea Youth Risk Behavior Web-based Survey (2010). Only 52.2% of the subjects had regular breakfast. The rate of skipping breakfast was higher in the underweight group than in the obese group, but the rate of skipping dinner was on the contrary to this. Underweight students had a higher intake frequency of fruits, fast food, instant noodle, and snacks than the obese groups. 3.5% of underweight students considered themselves to be overweight or obese. 53.4% of obese students considered themselves to be overweight. The experience of weight control increased according to BMI, but underweight students considered weight control as an effort to be slimmer. Meal restriction was used more frequently to control weight. The perceived stress level was higher in obese student, especially due to appearance. Therefore, an appropriate, integrated and personalized high school nutrition program should be established for proper body image perception and to develop the self-esteem of female high school students.

• Journal of the East Asian Society of Dietary Life
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• v.22 no.6
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• pp.720-733
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• 2012

This study was conducted to investigate the eating habits, self-perception of body image, and weight control behavior in Korean adolescents by gender. Data pertaining to 70,809 subjects(male 37,090, female 33,719) were obtained from the sixth Korea Youth Risk Behavior Web-based Survey(2010). The rate of skipping breakfast was 42.5% in male, and 45.8% in female students. The intake frequency of vegetable, milk, soda, fast food, and instant noddles was higher in male than female students. Moreover, 33% of male and 31.9% of female students considered themselves to be somewhat or very obese. Notably, 2.3% of underweight students considered themselves to be obese. Weight control measures were practiced in 44.6% of male, and 54.6% of female students. Meal restrictions were used more frequently to control weight by females, while exercise was used more by males. The perceived stress level was higher in female than male students, especially that due to appearance. Therefore, integrated and personalized high school nutrition programs according to gender should be implemented to establish proper body image perception and eating habits, as well as to develop selfesteem.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.31 no.1
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• pp.33-40
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• 2020

Objectives: There is an increasing number of North Korean adolescents in South Korea. These adolescents need clinical attention as they experience a high risk of suicidal behavior because of the childhood adversity and acculturative challenges that they face before and after arriving in South Korea. This study assessed the risk of suicide attempts among North Korean adolescents compared to South Korean adolescents, and investigated the contributing factors for each group. Methods: We used data from the Korean Youth Risk Behavior Web-Based Survey (KYRBS) spanning 2011 to 2018, in which 404 adolescents had a father and/or mother who was a North Korean native. Data on 1,212 propensity-matched South Korean adolescents were extracted from the 2011 to 2018 KYRBS. Prevalence was calculated and compared by group. Separate odds ratios were calculated by group. Results: The North Korean group had a significantly higher suicide attempt rate [unadjusted odds ratio (OR)=8.27; adjusted OR=8.45]. Multivariate analysis indicated that having a low or high socioeconomic status and depressive symptoms were significantly associated with suicide attempts in North Korean adolescents, while being female, having a high socioeconomic status, alcohol use, and depressive symptoms were significantly related to suicide attempts in South Korean adolescents. Conclusion: The results found similarities and differences in the factors associated with the likelihood of suicide attempts in the two groups. From these results, different approaches are needed when planning interventions for each group.

• Journal of the Korean Society of School Health
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• v.32 no.2
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• pp.105-115
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• 2019

Purpose: The purpose of this study was to compare the mental health factors related to health risk behaviors between multicultural and monocultural adolescents. Methods: The study subjects were selected from the 2018 Korea Youth Risk Behavior Web-Based Survey Dataset. A total of 60,040 multicultural and monocultural adolescents were included in the analysis. A $x^2$ test and logistic regression were conducted, using SPSS 18.0, to compare the general characteristics, mental health, and health risk behaviors of the multicultural and monocultural adolescents. This process involved a complex sample design. Results: There was a significant difference in the rates of suicidal behaviors. Multicultural adolescents showed a significantly higher rate of suicidal ideation (8.6% vs. 8.5%, p=.004), suicidal plan (3.2% vs. 2.4%, p=.004), and suicidal attempt (5.0% vs 3.1%, p=.04) than monocultural adolescents. Perceived stress had a significant impact only on monocultural adolescents. Monocultural adolescents with high levels of perceived stress were at a greater risk of drinking (high stress=reference; low stress OR=0.91, p=.025) and smoking (high stress=reference; low stress OR=0.90, p=.029) than those with low stress. Multicultural adolescents who had made suicide attempts were at a higher risk of drinking (multicultural OR=7.879, p<.001; monocultural OR=2.481, p<.001) and smoking (multicultural OR=4.011, p=.015; monocultural OR=2.800, p<.001) than monocultural adolescents. Conclusion: To implement an effective smoking and drinking prevention program, it is necessary to consider how we can reduce the risk factors. Stress management is important for monocultural adolescents and a proactive suicide-screening program and a suicide prevention program should be included in the program for both multicultural and monocultural adolescents.

• The Journal of Korean Academic Society of Nursing Education
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• v.29 no.1
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• pp.31-60
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• 2023

Purpose: This study explored the influencing factors on suicide-related behaviors (ideation, plans, and attempts) focusing on mental health problems (anxiety, depression, and loneliness) among Korean adolescents. Methods: A secondary analysis was conducted with data from the 16th Korean Youth Health Behavior Survey collected from in 2020 by the Korea Centers for Disease Control and Prevention. Chi-square tests and multivariate logistic regression analyses were performed. Results: After the adjustment of demographic characteristics and health risk behaviors, the influences of mental health problems on suicidal ideation, plans, and attempts showed the anxiety odds ratio (OR) for severe anxiety vs. minimal (OR 4.65, 4.67, and 3.75), depression (OR 4.27, 3.69, and 4.49), loneliness (OR 2.18, 1.96, and 1.96). Health risk behaviors (violence experience, drug use, stress, smoking, and drinking alcohol) and demographic variables (gender, school record, and socioeconomic status) were also significantly associated with suicide-related behaviors. Conclusion: Anxiety, depression, and loneliness were strong predictors of suicide-related behaviors. Early detection of suicide risks through screening for comprehensive mental health problems was recommended. Suicide prevention that considers the risk factors, including mental health problems and other risk factors, needs to be developed and implemented to reduce suicide risks among adolescents.

• Journal of the Korean Society of School Health
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• v.28 no.2
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• pp.89-98
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• 2015

Purpose: The purpose of this study was to determine the factors that influence suicidal ideation and suicidal attempts of adolescents who had been bullied. Methods: This study used data extracted from Korea Youth Risk Behavior Web-Based Survey of 2014. The data of 1,926 adolescents, in total, who had experienced violence were included in the analysis, The analysis was done using SPSS/WIN. Results: The adolescents with an experience of being bullied were more likely to engage in suicidal ideation and suicidal attempts than the average teenagers in Korea. In addition, suicidal thoughts were affected by gender, experience of habitual drug use, subjective happiness, as well as sadness and despair. Suicidal attempts were influenced by gender, grade, smoking experience, experience of habitual drug use, size of the city of residence, subjective happiness, sadness and hopelessness, existence of people to get counseling, and habit of walking for 10 minutes every day. Conclusion: More attention should be given to the suicidal risk of adolescents having experienced violence. Further studies are required to develop an intervention program for suicide prevention targeting adolescents who have experienced violence and assess the program's effectiveness.

• Journal of the Korean Data and Information Science Society
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• v.28 no.1
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• pp.21-28
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• 2017

This study aims to identify individual and familial factors associated with youth sexual experience by using the nationally representative sample data in South Korea. Specifically, we select 68,043 students in middle and high schools participating in the 2015 Korea Youth Risk Behavior Web-based Survey. Considering the complex survey design, we conduct a descriptive analysis and multiple logistic regression for sexual experience. The main results identify factors on sexual experience such as age, type of school, stress level, drinking, smoking, economic status, and cohabiting parents. In particular, the drinking and smoking behaviors are positively associated with sexual experience and the youth living with neither parent is more likely to have a sexual experience than those who lived two parents. In conclusion, the plan of sex education should consider the risk factors and the quality of sex education should be enhanced in order to build more appropriate sexual culture and behaviors among the youth.

• Journal of Preventive Medicine and Public Health
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• v.43 no.5
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• pp.403-410
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• 2010

Objectives: A web-based survey has been administered annually since 2005 throughout Korea to assess the prevalence of adolescent health risk behaviors among middle and high school students. The aim of this study was to evaluate the test-retest reliability of the Korea Youth Risk Behavior Web-based Survey (KYRBWS) questionnaire. Methods: A convenience sample of 2298 middle and high school students participated in self-administered questionnaire surveys twice, approximately two weeks apart, in 2008. The percent agreement, kappa statistics, and prevalence rates at the first and second surveys were computed for the core subset of 39 self-reported health risk behavior indices of the KYRBWS. Results: Among 39 indices, seven indices had kappas $\geq$ 0.81 and all of the indices had kappas $\geq$ 0.41. Based on nonoverlapping 95% confidence intervals, three indices had significantly different prevalence rates between the first and second surveys. In the subgroup analyses by school grade and gender, two indices had significantly different reliability estimates between middle and high school students. There were no significantly different reliability estimates between male and female students, except for one index. Conclusions: This study demonstrated that the reliability estimates for the KYRBWS questionnaire are varied, but generally reliable over time. The indices with low reliability estimates need to be evaluated further in order to determine whether the indices should be modified or deleted from future versions of the KYRBWS.

• The Korean Journal of Food And Nutrition
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• v.36 no.4
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• pp.286-295
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• 2023

The purpose of this study was to investigate the association between household economic changes by COVID-19 and dietary habits in Korean adolescents. The study analyzed data from the 17th Korea Youth Risk Behavior Survey in 2021. A total of 54,848 middle and high school students, 28,401 males and 26,447 females, participated in this study. COVID-19 lead to deterioration of household economy in the lower level of household economic status (p<0.001). The deterioration of household economic status by COVID-19 was associated with dietary habits such as lower breakfast intake, and higher fast food, soda drinks, and sweet drinks consumption (p<0.001). Logistic regression analysis showed that deterioration of household economic status was significantly decreased in frequency of breakfast intake (OR: 0.73, 95% CI: 0.67~0.80). The deterioration of household economic status by COVID-19 was also significantly associated with increased frequency of fast food (OR: 1.28, 95% CI: 1.16~1.41), soda drinks (OR: 1.42, 95% CI: 1.30~1.56) and sweet drinks (OR: 1.35, 95% CI: 1.24~1.46) consumption (p<0.001). In conclusion, it was confirmed that the change in household economy caused by COVID-19 was associated with dietary habits in adolescents. As the household economy deteriorated, there was an increase in undesirable dietary habits including skipping breakfast and fast food consumption.

• Journal of Korean society of Dental Hygiene
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• v.22 no.5
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• pp.355-363
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• 2022

Objectives: This study aimed to assess the relationship between oral symptoms and changes in daily life after coronavirus disease (COVID-19) in middle and high school students. Methods: Data were obtained from the 17th Korea Youth Risk Behavior Survey (2021). The subjects comprised 53,868 people who responded to survey questions related to this study. Multiple logistic regression analysis with complex samples was performed to identify the correlation between daily life changes and oral symptoms. Results: The analysis showed that compared to the group without changes in daily life after COVID-19, changes in daily life, such as skipping breakfast, drinking, and smoking, either decreased or increased. Furthermore, increase in depression and decreased physical activity and family economic status were related to oral symptoms. Conclusions: It is necessary to develop oral health programs for adolescents suitable for changing situations after COVID-19.