• Research in Community and Public Health Nursing
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• v.27 no.4
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• pp.337-345
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• 2016

Purpose: This study aims at identifying individual- and school-level factors associated with unintentional injuries to Korean adolescents at school by applying multilevel modeling. Methods: From the database of the eleventh Korea Youth Risk Behavior Web-based Survey (KYRBS), the researchers selected 68,043 adolescents from the $7^{th}$ to the $12^{th}$ grades. Data were analyzed using ${\chi}^2$ test for prevalence and multilevel modeling for related factors of unintentional injuries at school. Results: About 22.9 percent of the adolescents had treatment experiences for unintentional injuries at school in the past 12 months. At the individual level, the significant factors associated with unintentional injuries at school included gender, grade, academic achievement, current smoking, alcohol consumption, frequency of high caffeine intake, depression, and relief of fatigue after sleep. At the group level, the significant factors included number of physical education per week and safety education. Conclusion: School based injury prevention programs should be sensitive to both individual- and school-level factors associated with unintentional injury at school among Korean adolescents.

• Journal of East-West Nursing Research
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• v.24 no.1
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• pp.63-69
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• 2018

Purpose: The purpose of this study was to investigate the factors related to the academic burden on weight loss efforts among adolescents aged 12-18 in Korea. Methods: This study analyzed 29,069 obese adolescents (10.8%) using raw data of the 9th~12th the Korea Youth Risk Behavior Web-based Survey collected from 2013 to 2016. The data was analyzed using descriptive statistics, Chi-square and multivariate logistic regression. Results: Weight control efforts were significantly higher among girls, middle school students, those who are participating in nutrition education, and individuals with perceived fatness or perceived stress. Additionally, a long sitting time and high academic performance were found to be variables affecting the weight control efforts of adolescents. Conclusion: Obese adolescents in Korea spent a lot of time in their studies due to their academic burdens and this caused a lack of time to adjust their weight. Therefore, it is needed to establish a policy by considering these social and cultural factors for obese adolescents in Korea.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.6
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• pp.343-355
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• 2017

This study compared the individual, family, environmental factors, and subjective sleep sufficiency according to gender among Korean adolescents and to examine relevance among the individual, family, environmental factors, and subjective sleep sufficiency. The subjects were 65,528 Korean adolescents(male: 33,803, female: 31,725), who were derived from the 12th Korea Youth Risk Behavior Web-based Survey 2016 in South Korea. As a result, the prevalence of the subjective sleep sufficiency in this study was 33.4% male and 19.5% female. The subjective sleep sufficiency was affected by the depression experience, suicidal ideation, school achievement, feeling of stress, feeling of happiness, subjective health status, alcohol experience, smoking experience, substance experience, allergic rhinitis, and atopic dermatitis in individual factors; economic status, educational level of parents and living arrangement in family factors; school grade, school type and emotional support in environmental factors in both males and females. In individual factors, breakfast eating and asthma affected the male's subjective sleep sufficiency and physical activity affected the female's. The mental health of the individual factors was the most influential factor in adolescent's subjective sleep sufficiency. Therefore, nursing intervention to improve Korean adolescent's subjective sleep sufficiency should be applied considering gender differences.

• Journal of Korean society of Dental Hygiene
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• v.18 no.5
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• pp.821-830
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• 2018

Objectives: This study aimed to examine the factors that affect the school-based oral health education in adolescents. Methods: This study was analyzed using data from the Korea youth risk behavior web-based survey in 2017. A total of 62,276 adolescents participated. The collected data was analyzed using the chi-square test, and logistic regression using SPSS, version 21.0. Results: Among the general factors related to oral health education in schools, male students experienced 1.14 times more oral health education in schools compared to female students, and middle school students experienced 1.81 times more oral health education than other students (p<0.001). With respect to oral health status, the groups without tooth fractures, pain during mastication, or gum pain and bleeding experienced 1.18 times, 0.95 times, and 1.03 times more oral health education in schools, respectively, compared to the group with complaints (p<0.001)(p<0.05). With respect to oral heath behavior, the group that brushed after lunch 'sometimes' during the last seven days received 1.43 times more oral health education compared to the group that 'always'brushed after lunch. Conclusions: It is necessary to supplement, extend, and strengthen oral health education programs in schools as well as motivate and recognize such programs.

• Journal of Korean society of Dental Hygiene
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• v.17 no.2
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• pp.193-202
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• 2017

Objectives: The purpose of this study was to compare oral symptoms in middle school and high school students of multicultural and ordinary families in Korea. Methods: We used data from the web-based survey of the National 2014 Korean Youth Risk Behavior of Korean Center for Disease Control. A total of 71,174 subjects responded about their father or mother's Korean nationality. We classified a subject as an adolescent of a multicultural family if aparticipant's father or mother's nationality was not Korean. Data was analyzed using SPSS Ver. 19.0. Results: High school students of multicultural families have experienced more oral disease symptoms, compared to high school students of ordinary families. After adjusting general characteristics and oral health behaviors, high school students of multicultural families experienced 1.78 times higher frequency of oral disease symptoms compared to high school students of ordinary families. Conclusions: The family type and age characteristics of adolescents should be considered when establishing policies and institutions targeting adolescents to improve oral health.

• Journal of Korean society of Dental Hygiene
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• v.19 no.2
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• pp.297-306
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• 2019

Objectives: The purpose of this study was to investigate the relationship between stress and oral health symptoms in adolescents in multicultural families. Methods: The data from the 10th Korea Youth Risk Behavior Web-based Survey (KYRBWS) were analyzed using PASW Statistics 18.0 (SPSS Inc., Chicago, IL, USA). A total of 795 adolescents, whose mother or father's home country is not Korea, were selected as the final analysis subjects. Results: There was a correlation between the subject's stress level and oral health symptoms. Toothache was significantly increased 2.474 times (p<0.001) compared to lower stress levels. Gum pain and halitosis were significantly increased by 2.394 times and 1.820 times, respectively, compared with those who had low stress (0.001, 0.008). Conclusions: The results suggest that stress experienced by adolescents in multicultural families affects oral health symptoms. Therefore, it is necessary to identify the stress factors and levels in adolescents belonging to multicultural families whose physical and emotional changes are evident and develop a customized program considering their characteristics.

• Journal of Preventive Medicine and Public Health
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• v.45 no.1
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• pp.47-59
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• 2012

Objectives: This study was conducted to observe recent changes in adolescents' dietary behavior and indirectly evaluate the effects of the government's nutritional policies in Korea. Methods: We analyzed the secular trends in seven dietary behaviors using the Korea Youth Risk Behavior Web-based Survey data from 2005 to 2009. Through literature review, we included the policies implemented for the improvement of adolescents' dietary behaviors during the same periods. Results: The significant linear trends were observed in all dietary behaviors (p<0.05). Overall, all behaviors except the fruit intake rate were desirably changed during five years but undesirable changes were observed between 2008 and 2009 in all behaviors. Within those periods, several policies were implemented including 'Ban on carbonated-beverages in school', 'Green Food Zone', etc. Despite confirmed evidence of their effects, the policies on individual behavior such as nutrition education didn't influence the prevalence of dietary behaviors because they were conducted to too limited persons. Polices on the school environmental improvement, such as ban on carbonated beverage in school, were more effective because they decreased the exposure of undesirable food environment. However, for effect of Green Food Zone improving community environment we couldn't come to a conclusion because of too short period after full implementation. Conclusions: Among government nutrition policies conducted from 2005 to 2009, those on environmental improvement, especially in school, were more effective than those on individual behavior. Therefore, the development and implement of policies on school environmental improvement are needed in Korea.

• The Journal of Korean Society for School & Community Health Education
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• v.12 no.1
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• pp.103-116
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• 2011

Objective: The study analyzed degrees of participation in physical activities, demographic and sociological characteristics of middle and high school students, and the relations to mental health related factors, based on "Korea youth risk behavior web-based survey." Therefore, the study can be used as preliminary data for establishing mental health promotion plans for youth and setting contents and directions of health education. Methods: The study analyzed the data, collecting from 75,066 middle and high school students, regarding their demographic and sociological characteristics, mental health, and relations to physical activities by using SPSS Win 15.0. Results: 19.1% of the students answered they had seriously contemplated suicide during the past 12 months, and 43.2% said they are usually under enormous pressure. 55.3% answered that academic achievements and the pressure from future paths are major factors of their stress. The students showed noteworthy differences in whether they think about suicide depending on whether the students live with their father or mother. The study found that the students whose parents' levels of education are low, or their academic records are low, or economic conditions are poor are more likely to think about suicide. The students tend to think more about killing themselves if they spend more time sitting to study than being engaged in physical activities, or spend little time walking. And they are more likely to think about committing suicide if they spend little time exercising, or are not engaged in physical activities on the playground or a gym in PE classes.

• Journal of Korean society of Dental Hygiene
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• v.19 no.2
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• pp.277-286
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• 2019

Objectives: The purpose of this study was to evaluate the association between Internet use and oral health behaviors in Korean adolescents. Methods: This study used the 13th Korea Youth Risk Behavior Web-based Survey (2017) to find an association between Internet use and oral health behaviors. The total number of study subjects was 54,603. A chi-square test and multiple logistic regression analyses were used to estimate the association between Internet use and oral health behaviors. Results: Internet use was significantly increased among female, higher school grade, lower school records, and lower economic status participants (p<0.001). The rate of frequency of toothbrushing more than three times daily and use of oral hygiene devices was increased among female, higher school record, and higher economic status participants significantly (p<0.001). Oral symptoms experienced were significantly increased among female, higher school grade, lower school records, and lower economic status participants (p<0.001). The rate of the toothbrushing more than three times daily and toothbrushing after lunch groups was the highest in the group with less than one hour of Internet use, but the rate of oral symptoms experienced was the highest in the group with over five hours of Internet use. The risk of toothbrushing less than twice daily was 1.61 times higher in the group with over five hours of Internet use, and the risk of not brushing after lunch was significantly higher (1.52 times) in the over five hours group. The risk of not using oral hygiene devices was the highest (1.22 times) in the less than five hours group, and the risk of oral symptoms experiences was 1.40 times higher in the more than five hours group. Conclusions: Internet use was related to oral health behaviors in adolescents. Appropriate Internet use and awareness of oral health care are needed among adolescents.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.10
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• pp.4669-4675
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• 2012

Smoking among adolescents is a major public health problem. This study was performed to determine the association between cigarette smoking and depression Symptoms of high school students. Data were drawn from the Korea Youth Risk Behavior Web-based Survey 2009. Subjects were 36,657 high school students living in the community. Adjusting for covariates (sex, school year, school education, economics, school record, hours of sleep per day, self-reported stress, self reported happiness, self-reported health status, suicidal thinking), smoker(OR=1.43, 95% CI: 1.35-1.50), 10~19 cigarettes per day(OR=1.48, 95% CI: 1.22-1.79) and more than 20 cigarettes per day(OR=2.05, 95% CI: 1.59-2.64) were independent risk factors for depression Symptoms. It was found that cigarette smoking is a independent factor related to adolescent depression. Adolescent smoking cessation is needed to management of adolescent depression.