• Journal of the Korean Society of School Health
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• v.32 no.1
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• pp.32-40
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• 2019

Purpose: The purpose of this study was to investigate the risk factors for addiction-related behaviors among Korean adolescents. Methods: The study's subjects were 60,040 middle and high school students who participated in the 14th (2018) Korea Youth Risk Behavior Web-based Survey. Frequency analysis, $x^2$ test, and multivariate logistic regression were conducted using SPSS 21.0. Results: The risk factors for addiction-related behaviors were sex, school type, living area, academic performance, economic status, residence type, health status, depression, perceived stress and sleep satisfaction. Conclusion: Addiction-related behaviors are associated with mental health. Therefore, in order to prevent addictive-behaviors of adolescents, it is necessary to develop strategies to prevent addictive-behaviors by improving their mental health.

• Child Health Nursing Research
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• v.30 no.1
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• pp.67-74
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• 2024

Purpose: This study aimed to identify the general characteristics and health behaviors of students with non-therapeutic substance use. Methods: This secondary data analysis used data from the 17th Korea Youth Risk Behavior Web-based Survey (2021). Analyses of the 54,848 adolescents used descriptive statisics, the Rao-Scott χ² test, and logistic regression. Results: The risk factors for substance use among students were anxiety, loneliness, living separately from family, suicidal ideation, e-cigarette use, and high stress. Conclusion: The findings help identify the risk factors for non-therapeutic drug use among adolescents. Since South Korea does not have a drug prevention program for its adolescent population, an educational plan based on these findings could help prevent adolescent substance abuse.

• Korean Journal of Health Education and Promotion
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• v.29 no.1
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• pp.13-25
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• 2012

Objectives: The aim of this study was to measure secular trends in health risk behaviors among middle and high school students in Korea between 2005 and 2009 by using data from the Korea Youth Risk Behavior Web-based Survey(KYRBS). Methods: The analyses were performed using data from the 2005, 2006, 2007, 2008, and 2009 KYRBS, which included a nationally representative sample of middle and high school students. A total of 34 health behavior indices were used for the assessment of secular trends in health risk behaviors. Logistic regression models were used to identify statistically significant secular trends in health risk behaviors, after adjusting for gender and grade. Linear and higher-order time variables were simultaneously entered into the statistical models. Results: There was evidence of small, but statistically significant increasing or decreasing trends in certain health risk behaviors. Secular trends in health risk behaviors varied by gender. Conclusions: This study indicates that between 2005 and 2009, changes in health risk behaviors among Korean adolescents were generally small, but represented statistically significant increases or decreases. Further research should explore why certain health risk behaviors are increasing or decreasing and what types of interventions are most effective.

• 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.

• Research in Community and Public Health Nursing
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• v.28 no.2
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• pp.173-181
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• 2017

Purpose: Early sexual intercourse is associated with poor health outcomes in adolescents. It is known that sexual intercourse coincides with other health risk behaviors such as smoking, drinking, and using drugs. The purpose of this study is to identify the relationships between sexual intercourse and health risk behaviors among Korean and US adolescents using nationally representative data. Methods: Data were collected from the 2011 Korea Youth Risk Behavior Web-based Survey (29,676 students) and 2011 Youth Risk Behavior Surveillance System (10,135 high school students). Logistic regression analysis was performed. Results: In Korea, students who had sexual intercourse accounted for 7.0% in total. Among these, 9.7% were male and 4.2% were female students. In the US, a total of 51.3% students had sexual intercourse, and the proportion of the US male (49.3%) and female (53.4%) students who had sexual intercourse was similar. Korean and US students who experienced sexual intercourse were more likely to smoke, drink alcohol, and use drugs. Conclusion: Since the results of this study show the relationships between sexual intercourse and health risk behaviors, it is necessary to develop comprehensive sex education programs with effective strategies to reduce health risk behaviors in adolescents.

• Korean Parent-Child Health Journal
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• v.20 no.2
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• pp.49-57
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• 2017

Purpose: This study was to compare the health behaviors and factors influencing on suicidal ideation according to the gender among adolescents with asthma and to examine the relationship between them. Methods: The data was obtained from the 2014 youth's risk behavior web-based study in South Korea. The data were analyzed with the SPSS/Win 21.0 program, using descriptive statistics, $x^2$ test and multiple logistic regression. Results: As the result of multiple logistic regression, the factors of health behaviors and risk related to suicidal ideation were subjective happiness, stress, depression, drug use, treatment experience due to violence in both male and female. In female, physical activity and alcohol drinking were factors related to suicidal ideation. Conclusion: Therefore, we have to develop suicide prevention program, to decrease the suicidal ideation of adolescents considering such differences by gender differences.

• Korean Journal of Health Education and Promotion
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• v.34 no.1
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• pp.1-12
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• 2017

Objectives: The aim of this study was to verify relationships between light- and heavy alcohol drinking and health-risk behaviors such as smoking, inappropriate weight control, physical inactivity, and sexual activity among adolescents. Methods: The data of 68,043 adolescents in middle- and high school collected from the Korea Youth Risk Behavior Web-based Survey in 2015 were analyzed. For statistical analysis, logistic regression model was used. Results: The rate of heavy alcohol drinking increased with increasing age up to 21.5% among boys and 13.9% among girls. Among boys, heavy alcohol drinkers were at a higher risk of smoking (adjusted odds ratios [OR]=3.3, 95% confidence interval [CI]=2.8-3.8), inappropriate weight control (OR=1.7; 95% CI=1.4-2.1), having sexual intercourse (OR=3.6; 95% CI=3.0-4.2) than light drinkers. Multiple health-risk behaviors of smoking, inappropriate weight control and sexual intercourse also increased in accordance with the severity of drinking alcohol beverage compared to non-drinker. Physical inactivity was decreased among heavy drinkers compared to light drinkers (OR=0.8; 95% CI=0.7-0.9 for inactivity of moderate exercise). Similar results were observed among girls. Conclusions: Alcohol drinking especially heavy alcohol drinking among adolescents is related to other risky behaviors including smoking, inappropriate weight control, and sexual activity. To prevent health problems in adolescents, it is necessary to adopt a combined approach regarding heavy drinking and health-risk behaviors.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.29 no.1
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• pp.26-30
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• 2018

Objectives: To investigate the association of problematic Internet use with oral health behaviors and oral health status in a nationally representative sample of Korean adolescents. Methods: Data from the 2010 Korea Youth Risk Behavior Web-based Survey (73238 Korean adolescents; mean age $15.06{\pm}1.75years$; age range, 12-18 years) were used. Problematic Internet use was measured using the Korean Internet Addiction Proneness Scale for Youth-Short Form. Self-report questionnaires were used to assess oral health behaviors and oral health status of adolescents. Results: Problematic Internet users were less likely to brush their teeth frequently [adjusted odds ratio (AOR)=0.59; 95% confidence interval (CI)=0.56-0.63] and at school after lunch (AOR=0.89; 95% CI=0.83-0.94) as well as more likely to perceive their oral health to be poorer (AOR=1.63, 95% CI=1.54-1.72) and experience oral symptoms (AOR=1.75, 95% CI=1.65-1.86) compared to usual Internet users. Conclusion: The study results indicate that problematic Internet use may adversely affect the oral health of Korean adolescents. Thus, oral health screening and Internet-based education are needed for adolescents experiencing problematic Internet use.

• Journal of Korean Public Health Nursing
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• v.29 no.2
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• pp.257-271
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• 2015

Purpose: This research examined the trend of school health education, using online research data on health behaviors of adolescents. Then it compared the health perceptions, healthy life practice, and health risk behaviors between students who received health education and students who did not. In addition, it predicted the impact of health education on health risk behaviors of students. Methods: Data from 72,435 participants of this survey were analyzed. Statistical analyses were performed on weighted data using the complex sampling design. Results: In the results of the research, general high schools students had the lowest rate of receiving health education, while sex education was the most actively held throughout the all locations. Next, medium-small cities had the lowest rate of receiving health education. Regarding health risk behaviors, students receiving health education had significantly lower rates of smoking, drinking, and sexual intercourse. Conclusion: This study shows that healthy life practices by students improves with the inclusion of health education, thus indicating that schools should invest in health education. This research generated evidence for the first time in Korea that school health education has a positive impact on health risk behaviors and provides basic data for policy development of school health education.

• The Korean Journal of Food And Nutrition
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• v.35 no.3
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• pp.167-177
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• 2022

The purpose of study was to examine the factors influencing fast food consumption in Korean adolescents. The analysis was conducted using cross sectional study data from the 16^th Korea Youth Risk Behavior Web-based Survey in 2020. A total 54,948 middle and high school students participated in this study. The subjects in the analysis were 28,353 males and 26,595 females, 28,961 middle school and 25,987 high school students. In total, 56.6% Korean adolescents consumed fast food once or twice weekly and 25.4% consumed fast food more than three times weekly. Logistic regression analysis revealed that fast food consumption was significantly associated with dietary behavior such as lower breakfast intake (OR: 0.930, 95%CI: 0.891~0.970, p<0.001), higher soda drinks consumption (OR: 2.563, 95%CI: 2.452~2.678, p<0.001), and higher sweet drinks consumption (OR: 1.898, 95%CI: 1.818~1.982, p<0.001). For psychological and health behavior factors, fast food consumption was also significantly associated with higher perceived stress (OR: 1.239, 95%CI: 1.163-1.321, p<0.001), higher smoking (OR: 1.300, 95%CI: 1.164~1.453, p<0.001), higher drinking (OR: 1.193, 95%CI: 1.112~1.280, p<0.001), higher depression experience, higher loneliness experience, and lower subjective health, In conclusion, fast food consumption in Korean adolescents was associated with undesirable dietary habits and psychological and health behavior, suggesting that appropriate education programs are necessary to reduce such behavior.