• 재활간호학회지
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• 제19권2호
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• pp.100-107
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• 2016

Purpose: The goal of this study was to examine the association between perceived racial discrimination and substance use and the potential moderating effect of perceived parental affection between the two variables. Methods: A total of 101 Korean American adolescents participated in this cross-sectional study utilized an online survey. Descriptive statistics were used to describe for means and frequencies and the patterns of substance use. Logistic regression analysis was also used to examine the association between perceived discrimination and substance use. Results: Ninety percent of the participants reported perceiving racial discrimination, and 21% had used at least one kind of substance in the month prior to taking the survey. The most frequently used substance was alcohol, followed by marijuana and tobacco products. Logistic regression analysis revealed a link between perceived racial discrimination and substance use (OR = 1.74, 95% CI = 1.01, 3.00). However, parental affection did not moderate between racial discrimination and substance use. Conclusion: These findings suggest that perceived racial discrimination is positively associated with substance use among Korean American adolescents, and health care providers, counselors, and school nurses should screen for discrimination-related stress and substance use in this population.

• Nutrition Research and Practice
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• 제4권6호
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• pp.528-534
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• 2010

This study explores the influence of health behaviors and individual attributes on adolescent overweight and obesity using data from Wave II (Add Health). Structural equation model/ path analysis using maximum likelihood estimation was utilized to analyze the relationships of health behaviors and attributes with obesity. Results of the model reveal that the causal paths (adolescents' attributes and health behaviors) for overweight and obesity were different for African American and Caucasian adolescents. Generally, African Americans were more susceptible to overweight and obesity than Caucasians. Although increasing levels of vigorous physical activities lowers the risk for obesity among African American and Caucasian adolescents alike, low family SES and being sedentary were associated with overweight and obesity among Caucasians. No significant associations were found among African Americans. Increased hours of sleep at night relate positively with obesity among African Americans. These findings suggest important elements in the consideration of race in developing effective intervention and prevention approaches for curbing the obesity epidemic among U.S. adolescents.

• 아동학회지
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• 제28권6호
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• pp.85-101
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• 2007

The subjects for this study on delinquent behavior, substance use and risk/protective factors consisted of 301 Korean-American students in grades 6 to 12. Findings were that (1) the delinquent behavior rate of adolescents using alcohol, tobacco or other substances was higher than that of non-using adolescents, increasing the odds of delinquent behavior from 3 to 45 times. (2) The probability of delinquents in the substance users group was higher by 7 to 44 times than in the non-users group. (3) The relationship with delinquent behavior of risk factors and substance use was much stronger than the relationship with delinquent behavior of protective factors and substance use. (4) The strongest predictor of delinquent behavior or substance use was the peer-individual domain.

• 한국생활과학회지
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• 제17권6호
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• pp.1115-1124
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• 2008

Although parent-child relationships are fundamental aspects of human development across all societies, this relationship is also shaped in significant ways by culture. Therefore, the present study sought to determine whether adolescent autonomy was predicted in a similar or differential manner by several parent-adolescent variables consisting of parenting behavior, parental authority, and parents' educational attainment in samples of Chinese and American adolescents. The sample for this study included 418 Chinese adolescents and 226 American adolescents. Utilizing structural equation modeling, the results revealed that the effect of paternal authority on adolescent autonomy development is indirect, with the indirect effect being mediated by the authoritative parenting behaviors for both cultural groups. Therefore, the analyses for Chinese and European American youth generated similar association patterns, such that parenting behaviors served as a mediator in the relationship between paternal authority and adolescents' autonomy development. The significance of this present study is to contribute to existing knowledge in the field of adolescent development and to the literature on how parental behaviors and authority in collectivistic societies and individualist societies influence adolescent development.

• Journal of Preventive Medicine and Public Health
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• 제53권1호
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• pp.45-55
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• 2020

Objectives: This study was conducted to explore recent trends in the prevalence of pediatric elevated blood pressure and hypertension (HTN) in Korea and the United States, applying the new HTN reference values for adolescents. Methods: This study analyzed 17 339 (8755 Korean and 8584 American) adolescents aged 10 to 17 who participated in the Korea National Health and Nutrition Examination Survey and the National Health and Nutrition Examination Survey, respectively, between 2005 and 2016. HTN was defined using percentile-based reference values for non-overweight adolescents from 7 nations, and obesity was defined by body mass index (BMI) based on country-specific growth charts. All analyses were stratified by sex and year-over-year changes were evaluated by calculating the p for trend. Results: Systolic blood pressure showed a statistically meaningful upward trend in Korean boys and girls, while diastolic blood pressure did not show any significant changes. Both systolic and diastolic blood pressure levels declined among United States boys and girls. The prevalence of elevated blood pressure and HTN remained similar in Korean adolescents, but declined in both sexes among United States adolescents. BMI increased in both sexes among Korean adolescents, although the overweight and obesity rates stayed the same. No significant trends were found in any obesity indices among United States adolescents. The prevalence of elevated blood pressure and HTN by obesity level was higher among Korean adolescents than among their United States peers in both sexes, and the gap became higher at more severe levels of obesity. Conclusions: Despite the strong correlation between obesity and HTN, recent trends in the prevalence of HTN and obesity among Korean and United States adolescents were strikingly different. Follow-up studies are necessary to determine why the prevalence of HTN was more than twice as high among Korean adolescents than among their United States counterparts.

• Clinical and Experimental Pediatrics
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• 제58권4호
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• pp.123-128
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• 2015

Osteosarcoma is the most frequent primary bone tumor. Advances in combination chemotherapy and surgical technique have greatly improved the survival of patients with osteosarcoma. In Korea, improvements in osteosarcoma treatment have been made over the past two decades. The 5-year event-free survival rate of Korean children and adolescents with localized disease is 64.6%, comparable to that of American or European patients. This article provides an overview of current therapies for osteosarcoma in Korea.

• 아동학회지
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• 제26권2호
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• pp.91-106
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• 2005

The subjects for this study consisted of 301 Korean-American students in grades 6 to 12. Findings of this study showed that most of the risk factors in all domains demonstrated a strong relationship to the use of alcohol, tobacco, and other illicit drugs. In the community domain the most common risk factor was "laws favorable toward drug use"(60.2%); this risk factor increased the odds of substance use by approximately 3 times. The protective factor, "opportunity for positive involvement" in school domain reported by 82% of the sample decreased the probability of substance use by 3 times. The percentage of students "resilient" on all protective factors in the family domain was much lower than that of protective factors in other domains. The strongest predictors of substance use were shown in the peer-individual domain.

• 한국사회복지학
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• 제56권4호
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• pp.269-290
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• 2004

본 연구는 미국 청소년들의 문제성 음주에 대한 심리사회적 보호변인들과 위험변인들의 영향력을 확인하고, 이들 중 보호변인들의 역할을 보다 구체적으로 검토하기 위해서 개별 보호변인의 보상효과와 완충효과를 분석하였다. 연구 자료는 The Monitoring the Future 2002 연구의 10학년 4,362명의 사례를 활용하였으며, 자료 분석방법으로는 위계회귀분석이 사용되었다. 분석결과는 친구의 영향력, 감각추구성향, 일탈행동경험이 문제성 음주에 대해 유의미한 위험변인으로 기능함을 보여주었다. 보호변인의 경우에는 음주결과에 대한 부정적 기대, 부모와의 유대, 학교에 대한 유대, 친사회적 활동이 직접적으로 문제성 음주의 감소에 영향을 주는 보상효과를 나타냈다. 또한 음주결과에 대한 부정적 기대는 친구의 영향력을 완화시켜 문제성 음주를 감소시키는 유의미한 완충효과를 가지고 있었다. 본 연구는 이러한 결과를 바탕으로 문제성 음주에 대한 예방적 개입을 위한 실천적 방안을 제시하였다.

• 한국사회복지학
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• 제47권
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• pp.71-106
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• 2001

The purposes of this study were to provide information on the prevalence and change of Korean adolescent alcohol use and to identify related factors to adolescent alcohol use. This study collected data from a total of 4,373 adolescents nationally. Followings are the major findings of this study. First, 75.7 percent of respondents reported that they tried alcohol in their life time. More male respondents tried alcohol in their lifetime than female respondents, but there was no big difference. Findings on alcohol consumption by grade showed that as adolescents get older, they are more likely to try alcohol. Second, this study also found that whereas the drinking rates of male adolescents and higher graders were steady, the rates of female adolescents and lower graders were increased since 1997. Third, this study compared its findings with adolescent alcohol use in the United States. Little differences existed in measures of adolescent alcohol use in the two countries, but the differences in the rates of the past-month alcohol use and heavy drinking was greater in Korean adolescents than in American adolescents. Finally, this study found that peer related factors such as friend's alcohol use was the strongest factor related to respondents' alcohol use. Family-related factors and respondents' levels of psychosocial resources (cognitive control, coping skills, social support) were also significantly related to their alcohol use. This study suggest that future studies consider cultural aspects and regional differences in order to understand adolescent alcohol use in more depth.

• 아동학회지
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• 제17권1호
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• pp.137-152
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• 1996

The goal of this study was to investigate how daily experiences of schoolwork and leisure activities explained cultural differences in levels of adolescent depression. A combined sample of 58 high school seniors in Korea and 62 high school seniors in the United States reported time use patterns and affect states in daily activities and levels of depression. The time use pattern in daily independent study during class hours and in active leisure activities significantly explained cultural differences in levels of depression. Affect states in all schoolwork activities and passive leisure activities also significantly explained cultural differences in levels of depression. These findings suggest that Korean adolescents' experience of 'exam hell', particularly the lack of active leisure activities and more negative emotional experiences of daily activities are partly responsible for their higher depression relative to American counterparts.