• 대한간호학회지
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• 제41권5호
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• pp.652-662
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• 2011

Purpose: The suicide rate of adolescents in Korea is increasing annually. Therefore, this research was done to identify the suicide attempt rate of middle and high school students and to identify factors that influence suicidal attempts. Methods: The Korea Youth Health Risk Behavior Web-based Survey (2007) was used as data. Discriminant analysis and logistic regression were performed to analyze the data depending on gender to consider the gender difference in assessing the influence of each independent variable on suicidal attempts. Results: Discriminant analysis according on gender showed that 13 factors correlated with suicidal attempts for boys, and 20 factors for girls. The most highly correlated factors were smoking, depression and inhalation experience. For inhalation experience, boys had 2.7 times higher possibility of suicide attempts (95% CI 1.8-3.0) and girls, a 2.4 times higher possibility (95% CI 1.7-3.5). Conclusion: The results of the study indicate a need to classify adolescents for expectation of suicide risk and high danger for suicidal attempts through, and introduce suicide prevention programs for these adolescents. In particular, it is necessary to start intervention with students who smoke, have sexual and inhalation experiences and high levels of depression.

• 한국산학기술학회논문지
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• 제15권3호
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• pp.1606-1614
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• 2014

청소년의 자살생각, 자살계획, 자살시도와 관련된 요인을 분석하여, 청소년의 자살예방 프로그램개발에 기초자료로 이용할 목적으로 2012년 청소년건강행태 온라인 조사 원시자료를 이용하여 연구를 실시하였다. 연구결과 자살생각, 자살계획, 자살시도에 영향을 미치는 요인 중 일반적 특성은 성별, 학년, 학업성적, 경제적 상태, 부모 동거 여부, 주관적으로 인지하는 건강상태였다. 건강행태 관련 특성 및 정서적 특성으로 음주, 흡연, 주단위 중증도 운동, 체중 조절 노력, 주관적 수면 충족률, 스트레스, 우울이었다. 특히 음주, 흡연, 스트레스 등 건강위험 행위를 하는 경우 자살행동이 높은 것으로 나타났다. 자살을 예방하기 위해서는 건강위험행위에 대한 예방교육과 프로그램이 필요하며, 우울이 자살행동으로 발전되지 않도록 우울 감소를 위한 적극적인 관심과 예방대책이 필요하다.

• 지역사회간호학회지
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• 제17권3호
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• pp.387-396
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• 2006

Purpose: This cross-sectional study was conducted to investigate the prevalence of health risk behaviors by gender and grade and to examine the correlation between health risk behaviors and self-efficacy in early adolescents. Method: The sample of this study consisted of 1.693 early adolescents recruited from 7 middle schools in S-Gu, Seoul, Korea. Health risk behaviors were measured by the Youth Risk Behavior Surveillance Survey (YRBS). Self-Efficacy was assessed by General Self-Efficacy (GSE). Results: About a third of the subjects had experience in drinking behavior about 19.4% in cigarette smoking (including cases of just one or two puffs), 25.9% in physical fight, 29.1% in thought about killing themselves (suicide-related behavior), 1.5% in drug. More than a half (60.5%) experienced at least one health risk behavior. Female students were more likely to report drinking experience and suicide-related experience. Health risk behaviors were not significantly correlated with self-efficacy in early adolescents. Conclusions: Many early adolescents had experience in health risk behaviors in the past. The findings of this research suggest the necessity of intensive prevention programs in middle school to motivate and prepare students to avoid these behaviors. In addition, these results may help health professionals plan appropriate screening and counselling for health problems in early adolescents.

• Journal of Nutrition and Health
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• 제37권3호
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• pp.202-209
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• 2004

A case-control study was conducted in order to examine dietary behavioral factors associated with colorectal cancer risks. Data were collected from 128 cases with either colorectal cancer or large bowl adenomatous polyps and 129 controls regarding stages of dietary behavioral change, perceived barrier, self efficacy, nutrition knowledge, social support and food availability as well as body mass index and overall dietary quality. Cases showed less desirable behaviors with respect to fat reduction and vegetable intake compared with controls based on the analyses of the stages of dietary change. After adjustment of relevant covariates (age, gender and smoking), significant trends of increasing risk with higher level emerged for perceived barriers resulted from environmental conditions (OR = 1.6 - 2.0) and self-efficacy (OR = 2.2-2.3). No such relationships were found for nutrition knowledge and social support. The risk of colorectal cancer was associated with the kinds of foods available at home showing a borderline protective relation with milk (OR = 0.6) and respective significant and borderline direct associations for fresh meat (OR = 2.1) and soft drinks (OR = 0.6 when reversely scored). Within-group analyses presented best predictors of overall dietary quality as food availability for the case and self-efficacy and social support for the control. The findings of this study suggested a need for focusing on motivational and reinforcing factors in the development of nutrition education programs for colorectal cancer prevention.

• 한국치위생학회지
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• 제23권6호
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• pp.467-474
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• 2023

Objectives: To investigate factors related to scaling between Korean and multicultural families using data from the 18th Youth Health Behavior Survey (KYRBS), 38,320 Korean adolescents were selected as subjects. Methods: A complex sample cross-analysis was conducted on general characteristics and oral health characteristics using the IBM SPSS program. Factors related to adolescent scaling were analyzed using complex sample logistic regression analysis. Results: Compared to Korean families, adolescents from multicultural families had 0.50 times less scaling experience within 12 months. Learning achievement was 1.30 times higher in high compared to low, indicating that scaling experience was high. In terms of economic status, scaling experience was found to be high at 1.50 times in high compared to low. Non-smoking adolescents had 1.26 times higher scaling experience. It was found that adolescents who do not use dental floss and interdental brushes have 0.71 and 0.55 times less scaling experience, respectively. Conclusions: Based on the above results, there is a need to increase adolescents awareness of oral health and motivate them to manage their own oral care. There is a need to provide opportunities to participate in various oral health education programs and to deepen continuous oral health education on oral disease prevention.

• 한국콘텐츠학회논문지
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• 제17권3호
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• pp.337-349
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• 2017

본 연구는 근로자의 암에 대한 지식, 태도 및 예방적 건강행위 정도를 확인하고, 암 예방적 건강행위에 영향을 미치는 요인을 파악함으로써 근로자의 건강증진을 위한 표준화된 암 예방 프로그램에 기초자료를 제공하고자 한다. 연구대상은 일개 사업장의 5개 지역, 9개 공장에 근무 중인 근로자 723명이고 자료는 SPSS/WIN 20.0 프로그램을 이용하여 분석하였다. 연구결과, 암에 대한 지식의 평균 점수는 $10.52{\pm}4.02$(범위: 0~30)였고, 암에 대한 태도의 평균 점수는 $31.61{\pm}3.51$(범위: 10~50)였고, 암에 대한 예방적 건강행위의 평균 점수는 $62.37{\pm}9.05$(범위: 19~95)였다. 지각하는 건강상태, 암에 대한 태도, 흡연, 연령, 음주, 운동, 하루근무시간과 같은 변수가 암에 대한 예방적 건강행위를 40.3% 설명하는 것으로 나타났다. 본 연구 결과를 근거로 사업장 근로자의 상황에 적합한 암 예방적 건강행위 증진 프로그램 개발에 이용될 수 있을 것으로 기대된다.

• 산업융합연구
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• 제21권11호
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• pp.147-154
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• 2023

이 연구는 청소년의 일반적 특성과 정신건강에 대한 조사를 통해 만취경험과의 관계를 파악하고, 이를 향후 음주 예방프로그램의 기초자료로 활용하고자 수행되었다. 연구에서는 제18차 청소년건강행태조사(2022년)의 원시자료를 사용하였으며, 최근 30일 동안 만취한 경험이 있는 530명을 대상으로 연구가 진행되었다. 가중치를 적용한 복합표본 분석 방법을 적용하여 빈도분석, 교차분석, 로지스틱 회귀분석을 사용하여 자료를 분석하였다. 연구 결과에 따르면 만취경험은 성별, 학업성적, 경제 상태, 성관계 경험, 흡연 등에 통계적으로 유의한 차이가 있었다. 또한, 정신건강 특성 중 스트레스 인지, 우울, 외로움, 자살생각, 자살계획, 자살시도 등이 만취경험에 영향을 미치는 것으로 나타났다. 이러한 결과는 청소년의 정신적, 신체적 건강을 고려할 때 음주 습관에 대한 예방프로그램의 필요성을 강조한다. 특히, 정신건강과 음주 간의 관련성을 고려하여 프로그램을 개발하고 이를 통해 청소년기에 건강한 생활습관을 형성하는 데 도움을 줄 수 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권16호
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• pp.6755-6760
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• 2014

Background: Oral cancer is a common form of cancer in India, particularly among men. About 95% are squamous cell carcinomas. Tobacco along with alcohol are regarded as the major risk factors. Objectives: (i) To determine associations of oral squamous cell carcinoma (OSCC) with respect to gender, age group, socioeconomic status and risk habits; (ii) To observe the distribution of affected oral anatomical sites and clinico-pathological profile in OSCC patients. Materials and Methods: This is an unmatched case-control study during period January 2012 to December 2013. Total of 471 confirmed OSCC patients and 556 control subjects were enrolled. Data on socio-demography, risk habits with duration and medical history were recorded. Results: There were significant associations between OSCC with middle age (41-50years; unadjusted OR=1.63, 95%CI=1.05-2.52, p=0.02) (51-60 years; unadjusted OR=1.79, 95%CI=1.15-2.79, p=0.009) and male subjects (unadjusted OR=2.49, 95%CI=1.89-3.27, p=0.0001). Cases with both habits of tobacco chewing and smoking were at a higher risk for OSCC than tobacco chewing alone (unadjusted OR=0.52, 95%CI=0.38-0.72, p=0.0001), duration of risk habits also emerged as a responsible factor for the development of carcinoma. The majority of patients were presented in well-differentiated carcinomas (39.9%). Prevalence of advance stages (TNM stage III, IV) was 23.4% and 18.3% respectively. The buccal mucosa was the most common (35.5%) affected oral site. Conclusions: In most Asian countries, especially India, there is an important need to initiate the national level public awareness programs to control and prevent oral cancer by screening for early diagnosis and support a tobacco free environment.

• Asian Pacific Journal of Cancer Prevention
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• 제16권13호
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• pp.5427-5432
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• 2015

Background: Oral cancer stands among the 10 top causes of cancer death in the world. Considering the role of epidemiologic information on planning and effective interventions, the present study aimed to investigate the epidemiology of oral cancer in Iran. Materials and Methods: The required information for this systematic review study was obtained from PubMed, Google Scholar, CINAHL,SID, Medlib, Magiran and Iranmedex databases, using key words "cancer", "oral cancer", "squamous cell carcinoma", "oral cavity carcinoma" and their Persian equivalents in combination with keywords of epidemiology, prevalence, etiology, frequency, and Iran from 1990 to 2014. From 1,065 related studies found, finally 25 were included to the study. Results: The mean age of 8,248 patients in 25 studies was $54.0{\pm}15.1years$. The male/female ratio for oral cancer was 1.91. Tongue with average percentage of 29.9 was the most involved site. Regarding microscopic grade, 65.7% of cases were grade 1. SCCs, accounting for an average of 70.0%, was the most common among all types of oral cancer. In the majority of studies, smoking including cigarette, hookah, and tobacco consumption was found to be a risk factor. Conclusions: The epidemiological pattern of oral cancer in Iran is somewhat similar to that of other countries. Yet the information on hand in this field is limited and considering the role of epidemiological data we suggest conducting more accurate studies to catch data that is required for effective programs and interventions.

• Asian Pacific Journal of Cancer Prevention
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• 제17권12호
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• pp.5295-5302
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• 2016

Objectives: A physically active lifestyle is important for cancer survivors. Therefore, this study was conducted to 1) provide population-based estimates of the prevalence of physical activity and sitting time, and 2) their correlates in Korean cancer survivors. Materials and Methods: This study analyzed a cancer survivor subsample (N=1,482) from 2008-2013 Korea National Health and Nutrition Examination Survey (KNHANES), data selected with a complex sampling design. Overall and subgroup-specific prevalences of physical activity and sitting time were estimated. Correlates of moderate- to vigorous-intensity physical activity ( MVPA) and sitting time were tested using age-group-specific hierarchical multiple regression models. Results: Overall adherence rate to physical activity guidelines was 34.9% (95% CI=31.5-38.4). Age-group-specific adherence rates were 41.1% (95% CI=36.3-45.9) in adults (30-64 years old), and 25.3% (95% CI=21.0-25.3) in older adults (65 years or older). Adults spent 213.33 minutes (95% CI=172.4-254.3) per week on MVPA and 55.3 minutes (95% CI=36.4-64.6) on sitting time per day. In adults, sitting time was significantly associated with employed status (B=28.0, p=0.046), smoking (B=-47.4, p=0.020), and number of comorbidity conditions (B=-13, p=.037). MVPA was significantly associated with marital status (B=134.9, p<0.001), employment status (B=98.12, p=.046), and years since cancer diagnosis (B=104.7, p=0.015). Older adults spent 162.2 minutes (95% CI=119.5-204.8) per week on MVPA and 63.0 minutes (95% CI=45.0-89.5) on sitting time per day. Their significant correlates were sex (B= -45.2, p=0.014), smoking (B=-70.14, p<0.001), and years since cancer diagnosis (B=37.0, p=0.024). Age (B=5.8, p=0.042) and marital status (B=83.8, p=0.033) were also significantly associated with MVPA in older adults. Conclusion: A majority of Korean cancer survivors do not sufficiently participate in physical activity. In general, older, unhealthier, non-working, and being unmarried were risk factors for physical inactivity. While this study informs public health policy makers and practitioners about physical activity intervention demand for cancer survivors, future investigations should address psychosocial mediators to better inform intervention programs.