• 지역사회간호학회지
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• 제29권4호
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• pp.476-487
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• 2018

Purpose: The present study is focused on understanding weight perception related with individual- and school-level multifactorial origins, underestimated and overestimated respectively, in normal body weight adolescents. Methods: Using the 2017 Korea Youth Risk Behavior Web-based Survey data of 45,902 students from 799 secondary schools, a multilevel multinomial logistic regression analysis was performed where adolescents (level1) were nested within schools (level 2). Results: At the school level, the average school body mass index (BMI, $kg/m^2$) and physical education were associated with weight perception among both boys and girls. In boys, geographic areas were associated with weight underestimation. At the individual level, perceived economic status, weekly allowance, BMI ($kg/m^2$), smartphone usage time (hrs/day) and perceived stress were associated with weight perception among both boys and girls. Age, paternal education, academic achievement and alcohol use were associated with weight perception among girls, while part-time job and physical activity were associated with weight perception among boys. Conclusion: Our findings underscore the importance of individual- and school-level environments in developing correct weight perception and have implications for school health education to establish healthy lifestyle behaviors for all adolescents.

• 한국학교보건학회지
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• 제22권2호
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• pp.13-23
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• 2009

Purpose: Suicide was considered as a big public health concern in recent years because suicide mortality has been increased rapidly. This study was to investigate the prevalence and risk factors of suicidal ideation among adolescents in South Korea. Methods: The data of 2007 Youth Health Risk Behavior Web-based Survey collected by Korean Center for Disease Control were analyzed using logistic regression for this study. Results: The prevalence of suicidal ideation was 23.7% in South Korea. The risk factors of suicide ideation were depression (odds 8.43), perceived stress(odds 4.30), drug use (odds 2.47), sexual intercourse(odds 2.36), present smoking (odds 1.76), present alcohol drink (odds 2.39), feeling unhappiness (odds 2.89), living with none of parents (odds 1.71), gender(odds 1.72), health status (odds 1.66), and socioeconomic status (odds 2.0). Conclusion : Health risk behaviors and mental health status were related to suicide ideation. Health risk behavior such as smoking and drinking prevention programs and mental health promotion programs should be implemented to decrease suicide ideation among adolescents. Suicide, mental health and health risk behaviors should be prevented through comprehensive health promotion programs.

• 보건행정학회지
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• 제25권1호
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• pp.22-30
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• 2015

Background: This study investigated the health behaviors of North Korean, multicultural, and Korean family adolescents in Korea. Methods: The study subjects were from the Korea youth risk behavior web-based survey (2011-2013) dataset. We identified 1,954 multicultural family adolescents and twice as many Korean family adolescents. Frequency analysis was used to assess nativity and nationality of the parents, and the chi-square test was used to compare the general characteristics and health behavior of the multicultural and Korean families. Conditional multiple logistic regression was used to compare health behavior between multicultural and Korean families. Results: Of the 5,862 multicultural and Korean family adolescents, current smoking in North Korean family adolescents was higher than Korean family adolescents (adjusted odds ratio [aOR], 2.32; 95% confidence interval [CI], 1.60-3.35) after adjusting for sex, school year, perceived school record, family structure, father's education, mother's education, perceived economic status, place of residence, and survey year. A high drinking rate was significantly greater in North Korean family adolescents compared to Korean family adolescents (aOR, 2.94; 95% CI, 1.89-4.57). Odds ratios for sufficient physical activity of vigorous intensity (aOR, 1.82; 95% CI, 1.31-2.54) were significantly higher in North Korean family adolescents than in Korean family adolescents. Fast food intake (aOR, 1.96; 95% CI, 1.34-2.86) was significantly higher in North Korean family adolescents compared to Korean family adolescents. Conclusion: There were differences in health behavior between North Korean, multicultural, and Korean family adolescents. Further studies are needed to investigate the factors associated with these differences.

• 지역사회간호학회지
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• 제32권3호
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• pp.292-302
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• 2021

Purpose: Suicide among adolescents is a serious problem worldwide, and especially, the suicide rate of teenagers is increasing rapidly in South Korea. This study was conducted to investigate the factors affecting the respective suicidal behavior in terms of home-environment characteristics, health behavior characteristics, and psychological health characteristics in Korean adolescents. Methods: The data of the Web-based Survey of the Youth Risk Behavior from 2015 to 2017 collected by the Korea Centers for Disease Control and Prevention (KCDC) was analyzed using multivariable logistic regression analysis. Results: The influential factors by depression and suicidal behavior (suicidal ideation (SI), suicidal plan (SP), and suicidal attempt (SA)) were female(adjusted odds ratios [aOR], 1.45, 1.69, 1.30, 2.19), age (aOR 1.03, 0.98, 0.97, 0.90), no family members (aOR 1.21, 1.36, 2.11, 2.32), living with only the father (aOR 1.05, 1.06, 1.07, 1.11), high economic status (aOR 1.15, 1.22, 1.34, 1.46), residence in relatives' home (aOR 1.6, 1.36, 2.34, 1.97), drinking experience (aOR 1.35, 1.47, 1.57, 1.76), smoking experience (aOR 1.28, 1.30, 1.31, 1.94), hospital treatment experience due to violence (aOR 2.18, 3.33, 6.24, 8.40), bad health status (aOR 1.23, 1.48, 2.00, 2.15), unhappiness (aOR 2.49, 6.14, 6.72, 8.89), and a lot of stress (aOR 6.05, 10.40, 4.86, 5.52). Conclusion: The suicidal behavior risk screening and prevention program for adolescents should be developed considering the subjective happiness and hospital treatment experience status due to violence that affects suicidal behavior.

• 한국치위생학회지
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• 제19권6호
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• pp.963-972
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• 2019

Objectives: This study analyzed the relationship between BMI (body mass index), perceived health status, and oral health behaviors of schoolgirls. Methods: This study utilized data from the 13th (2017) Korea Youth Risk Behavior Web-Based Survey. A total of 29,337 schoolgirls were analyzed. Statistical analysis was performed using PASW Statistics 21.0 (SPSS Inc., Chicago, IL, USA). Results: Compared to the obese group, the rate of being recognized as healthy was 1.882 times higher in the normal-weight group and 1.623 times in the underweight group. The rate of using supplementary oral hygiene devices was 1.383 times higher in the underweight group and 1.091 times in the normal-weight group than in the obese group. Compared to the obese group, the experience rate of the sealant was 1.407 times in the underweight group. Compared to the obese group, the scaling experience rate was 1.282 times higher for the underweight group and 1.205 times for the normal-weight group. Conclusions: These results suggest that individual health behaviors are interrelated. There is a need for an integrated approach in the planning and implementation of future health promotion strategies, and it would be useful to design a program that considers health characteristics such as BMI.

• 한국학교보건학회지
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• 제34권1호
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• pp.53-61
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• 2021

Purpose: The purpose of this study was to investigate the affect of eating behaviors on subjective health of multi-cultural adolescents in South Korea. Methods: This study is designed as cross-sectional. Using the statistics from the 15th (2019) Korea Youth Risk Behavior Web-based Survey, multiple logistic regression analysis was conducted. Overall, 711 multi-cultural adolescents were included in the analysis. Results: When analyzing the factors affecting the subjective health status of multi-cultural adolescents, normal body mass index (OR: 0.56, 95% CI: 0.35~0.89) and milk consumption (OR: 0.54, 95% CI: 0.35~0.83) showed a lower risk of being unhealthy, while skipping breakfast for 5 days (OR: 1.97, 95% CI: 1.33~2.93) and convenience store food consumption (OR: 1.59, 95% CI: 1.05~2.40) showed a higher risk of being unhealthy. Conclusion: It is necessary to form positive eating habits that influence the subjective health perception of multi-cultural adolescents. Therefore, appropriate dietary education and systematic support should be provided for multi-cultural families.

• 한국학교ㆍ지역보건교육학회지
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• 제20권3호
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• pp.1-13
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• 2019

Objectives: The purpose of this study was to examine whether demographic and socio-economic characteristics, health behaviors and health status are related to academic achievement in Korean adolescents. Methods: Data from the 14th Korea Youth Risk Behaviors web-based Survey(KYRBWS) administered in 2018 were analyzed; 60,040 students in middle and high school participated in the survey. It was conducted frequency analysis, Rao-Scott chi-square test and multiple logistic regression analysis after adjusted for variables such as age, school grade. Results: The significant influencing factors on academic achievement were family economic status, living with parents, subjective health status, smoking experience, alcohol use experience, eating breakfast, sleeping, internet use during weekdays, depressive symptom(p<.001). The odds ratio for achieving higher academic achievement compared with those who never smoked was 1.50(p<.001). Conclusion: I found that students' undesirable health behaviors affect their academic performance. To improve academic achievement, I recommend intervention programmes such as school health promotion that reduce undesirable health related behaviors.

• 한국학교ㆍ지역보건교육학회지
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• 제22권3호
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• pp.1-15
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• 2021

Objectives: The purpose of this study was to examine whether demographic and socio-economic characteristics, health behaviors are related overweight and obesity in Korean adolescents. Methods: Data from the 15^th Korea Youth Risk Behaviors web-based Survey(KYRBWS) administered in 2019 were analyzed: 60,100 students in middle and high school participated in the survey. But except 1,555 missing value, 55,748 students were analyzed. It was conducted frequency analysis, Rao-Scott chi-square test and multiple logistic regression analysis. Results: The significant influencing factors on overweight and obesity of adolescents were gender, economic status, father's educational background, alcohol experience, fastfood consumption, muscle strengthening exercise, stress perception(p<.001). The odds ratio for overweight and obesity of male adolescents compared to female adolescents were 1.19(p<.001). and The odds ratio for overweight and obesity of perceived stress adolescents compared to those who without stress were 1.13(p<.001). Conclusions: I found that adolescents' some undesirable health behaviors affect their overweight and obesity, I recommend that school health promotion programmes should be implemented in schools to form good health behaviors such as healthy eating habits, physical exercise and managing stress.

• Child Health Nursing Research
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• 제30권2호
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• pp.77-86
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• 2024

Purpose: This study examined the combined effects of sugar-sweetened beverage (SSB) consumption, screen-based sedentary behaviors, and sleep duration on adolescent obesity. Methods: It followed a cross-sectional study design and conducted secondary analysis on data from 20,497 high school students who participated in the 17th (2021) Korea Youth Risk Behavior Web-based Survey. This study underwent logistic regression analysis in complex sampling analysis. Results: The combinations of low and medium consumption of SSBs, excessive screen-based sedentary behaviors, and short sleep durations were associated with a 1.18 and 1.12 fold increased likelihood of obesity (95% confidence interval [CI]=1.03-1.35) and (95% CI=1.02-1.22), respectively. The combination of high SSB consumption, appropriate screen-based sedentary behaviors, and short sleep duration (adjusted odds ratio [aOR]=1.15, 95% CI=1.01-1.31) and high SSB consumption, excessive screen-based sedentary behaviors, and short sleep duration (aOR=1.40, 95% CI=1.16-1.69) were associated with obesity. Conclusion: Integrated and tailored programs considering combination patterns of SSB consumption, screen-based sedentary behaviors, and short sleep duration need to be developed for preventing adolescent obesity.

• 한국산학기술학회논문지
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• 제21권6호
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• pp.475-481
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• 2020

본 연구는 2019년 청소년 건강행태조사 온라인 조사 자료를 활용하여 연구대상자의 인구사회학적 특성, 정신건강 관련 특성을 알아보고 그에 따른 주관적 건강인지, 평상시 스트레스인지, 자살생각·자살계획·자살시도에 영향을 미치는 요인들을 알아보고자 하였다. 전체 청소년 대상자는 57,303명이며, 그 중 고등학생 27,919명(48.7%), 중학생이 29,384명(51.3%)이었다. 주관적 건강인지, 평상 시 스트레스 인지, 최근 12개월 동안 자살생각·자살계획·자살시도 등의 정신건강과 관련된 요인을 찾아보기 위해 연구대상 청소년들의 일반적인 특성 및 건강관련 특성 뿐 아니라 그들의 연관성을 분석하였다. 그 결과 청소년의 성별, 학교구분, 거주형태(부모님과의 동거여부), 경제상태, 학업성적, 주중 인터넷 사용시간, 흡연경험, 음주경험, 약물경험, 학교폭력치료경험, 성관계경험, 최근 7일 동안 잠으로 피로회복 정도, 최근 12개월 동안 슬픔 및 절망감 경험 등의 변수를 이용한 결과 모든 변수들이 그 정도는 다르나 정신건강에 영향을 미치는 것을 알 수 있었다(p<0.05). 본 연구의 결과를 토대로 청소년의 건강행태 개선 및 정신건강 관련 예방적 대책 수립을 위한 기초 자료로 삼고자 한다.