• 한국학교보건학회지
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• 제35권3호
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• pp.92-103
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• 2022

Purpose: The purpose of this study was to prepare basic data for education and policy proposals related to enhancement of happiness by identifying factors affecting the subjective happiness among Korean adolescents by family type. Methods: The study was a secondary analysis using the raw data of the 16th Youth Risk Behavior Web-based Survey (2020). A complex sample multiple logistic regression analysis was conducted to identify factors affecting adolescent happiness by family type. Results: As a result, the factors that commonly affect the subjective happiness of adolescents for all family types were identified as economic status, academic performance, perceived stress, and loneliness. Additional factors that affect the subjective happiness of adolescents of both Korean two-parent and single parent families were sleep and subjective health status. Financial assistance, number of toilets, breakfast, exercise, depression, suicidal ideation, and suicide attempt were also reported for Korean two-parent families. Conclusion: This study provided empirical basic data for enhancing adolescent happiness in consideration of priority targets and family composition characteristics by identifying factors affecting subjective happiness by family type. Adolescent happiness is a factor that should be actively pursued at home, school, and society, and it should be the goal of education for holistic growth of students.

• 한국직업건강간호학회지
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• 제32권2호
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• pp.39-48
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• 2023

Purpose: This study aimed to understand how changes in income due to the COVID-19 pandemic have affected the health behavior and mental health status of self-employed individuals. Methods: We compared the health behavior and mental health status of regular wage workers and self-employed individuals with no change in income, with that of self-employed individuals with reduced income due to the spread of COVID-19. Results: Smoking status, average amount of smoking per day, changes in the amount of smoking and drinking due to COVID-19, drinking frequency per year, monthly binge drinking experiences, subjective stress, and suicidal thoughts experienced by self-employed individuals with decreased income were not only higher than those of wage workers and self-employed individuals with maintained income, but their happiness index was also lower than the latter group. Conclusion: This study suggests that the change in total household income due to COVID-19 adversely affects the health behavior and mental health status of self-employed individuals. However, COVID-19-related policies focus only on economic loss compensation, and the health behavior and mental health management for self-employed individuals is insufficient. Therefore, it is necessary to establish policies for health behavior and mental health management of self-employed individuals.

• 한국사회복지학
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• 제65권1호
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• pp.127-146
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• 2013

최근 노인 자살이 심각한 사회문제가 되면서 노인 자살예방을 위한 학문적 실천적 노력이 절실히 요구되고 있다. 노인 자살의 위험요인 파악에 치중한 기존 연구와 달리, 본 연구는 내부자 시각에서 자살행동을 극복하게 도움이 되는 것을 살펴보고자 하였다. 본 질적 연구의 목적은 자살시도 후 노인의 삶이 어떻게 전개되며 무엇이 이들에게 삶의 희망을 주는지에 관해 이해하는 것이다. 중심주제분석(thematic analysis)방법을 활용하여 자살시도 노인 35명과의 심층면담 및 연구노트를 통해 얻은 자료를 분석하였다. 연구 결과에 의하면, 참여자의 '다시 살아보자'의 경험은 마음 기울기의 방향과 깊은 관련이 있다. 또한 그 경험은 생각의 전환과 행동이 수반되는 과정이며, 자살행동을 저지하는 요인과 힘을 내서 살게 하는 요인들이 함께 작동한다. 연구 결과를 바탕으로 보호요인 향상에 초점을 맞춘 노인 자살예방을 제언하였다. 그것은 일상의 소소함을 회복시키는 개입, 사회적 지지망을 돈독하게 하는 개입, 강점관점에 따른 개입, 그리고, 자기 의지를 세우게 하는 마음지원 개입이다.

• 디지털융복합연구
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• 제16권12호
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• pp.383-393
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• 2018

본 연구의 목적은 일반가정과 비교하여 다문화가정이 청소년의 주관적 건강상태, 정신건강 및 인터넷 중독 성향에 미치는 영향력 정도를 확인하는 것이다. 2017년 제 13차 청소년건강행태온라인조사의 원시자료를 이용해 복합표본분석을 하였다. 대상자는 일반가정 61,320명(98.5%), 다문화가정 956명(1.5%)이었다. 연구결과, 다문화가정 청소년은 일반가정 청소년보다 건강하지 못한 편, 불행한 편, 우울 경험, 자살생각, 주중과 주말 스마트폰 과의존, 친구나 선후배 관계에서 스마트폰 관련 문제적 경험 비율이 유의하게 높았다. 또한, 다문화가정 청소년은 일반가정 청소년에 비해 자살생각 1.270배, 주중과 주말 스마트폰 과의존 각각 1.359배, 1.297배, 친구나 선후배 관계에서 스마트폰 관련 문제 경험이 1.603배 높은 것으로 나타났다. 그러므로, 본 연구결과는 다문화가정 청소년의 정신건강 및 인터넷 중독 성향을 개선할 수 있는 중재 프로그램의 기초자료를 제공하였다는 것에 매우 큰 의미가 있다고 생각된다.

• 구강회복응용과학지
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• 제39권1호
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• pp.21-31
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• 2023

목적: 본 연구에서는 한국 청소년을 대상으로 구강 증상 경험별로 정신건강 요인과의 관련성을 파악하고, 정신 건강 요인이 구강 증상 경험에 미치는 영향에 대해 살펴보았다. 연구 재료 및 방법: 질병관리청에서 2021년 수행한 제17차 청소년건강행태조사의 원시자료를 이용하여 54,948명을 분석하였다. 정신건강 요인은 슬픔과 절망감, 자살생각, 자살시도, 외로움, 스트레스, 우울감, 불안으로 구성하였다. 결과: 모든 정신건강 요인은 구강 증상 경험과 관련성이 있었다. 구강 증상 경험에 영향을 미치는 정신건강 요인은 치아파절 경험에서는 슬픔과 절망감, 자살시도, 불안, 스트레스였고, 치아통증 경험에서는 자살생각, 스트레스, 불안, 외로움, 우울감, 슬픔과 절망감이었다. 잇몸출혈 경험에서는 모든 정신건강 요인이 영향을 미쳤다. 결론: 따라서, 각 구강 증상 경험에 영향을 미치는 주요한 정신건강 요인을 중재하여 청소년들의 건강을 증진시킬 수 있는 프로그램이 개발되길 기대한다.

• 한국학교보건학회지
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• 제33권2호
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• pp.125-138
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• 2020

Purpose: The study investigated the effect of adolescent health behavior on the prevalence of current allergic diseases. Methods: The subjects were 57,303 middle and high school youth. Data were analyzed using Rao-Scott χ² test and complex sample logistic regression analysis. Results: While controlling the affect of the general characteristics of the subjects, health behaviors affecting the current prevalence of allergic diseases were smoking, drinking, physical activity, eating habits, drug abuse, and mental health. Smoking behaviors affecting the current prevalence of allergic diseases were lifetime smoking experience, smoking days, liquid e-cigarette lifetime smoking experience, number of liquid electronic cigarette smoking days, e-cigarette lifetime smoking experience, e-cigarette smoking days, amount of smoking, second-hand smoking and drinking behaviors were lifetime drinking, drinking days, the amount of drinking, and severe drinking. Variables such as physical activity exceeding 60 minutes days, intake of energy and sweet drinks, water intake, habitual drug use and mental health behavior such as stress perception, weekday sleep time, subjective sleep satisfaction, depression, suicidal thoughts/ plan/ attempts affect current allergic diseases (p<.001). Conclusion: The results showed that current allergic disease related health behaviors in Korean adolescents. Therefore, considering these factors, it may be helpful to facilitate a health promotion plan for prevention and management of such diseases and to promote evidence-based health practices at school.

• 여성건강간호학회지
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• 제20권3호
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• pp.185-194
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• 2014

Purpose: The aim of this study was to assess health-related behavior of pregnant women and breastfeeding mothers by investigating relevant risk factors. Methods: Data of 10,396 women (age 19 to 49 years) from the Korea National Health and Nutrition Examination Survey report from 2007 to 2012 was used to analyze factors associated with health-related behavior. The subjects were divided into pregnant women; breastfeeding mothers; and non-pregnant women. Bottle feeding mothers were excluded. Results: Current smoking rate including self-reported smoker and/or positive cotinine urine test were lower for pregnant or breast-feeding group than non-pregnant group. Heavy-drinking was not different among groups while monthly drinking rate was higher in non-pregnant group. Rate of stress recognition was lower in pregnant and breast-feeding group than non-pregnant group. Rate of experience for depressive symptoms and rate of suicidal ideation were not different among groups. Conclusion: Pregnant women and breast-feeding mothers maintain a good pattern of health- related behavior compared to non-pregnant women. However, substantial proportion of pregnant women and breast-feeding mothers continue to drink and smoke. This shows the need for a plan that will modify health-related behavior.

• Journal of Preventive Medicine and Public Health
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• 제45권1호
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• pp.37-46
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• 2012

Objectives: This study was performed to consider the association between Internet using time for non-educational purposes and adolescent health, and to examine how health status differs between Internet users and non-users. Methods: We analyzed 2009 data from the Korea Adolescent Risk Behavior Web-Based Survey, conducted on a nationally representative sample of students in grades 7 to 12. A total of 75 066 adolescents were categorized into four groups according to their Internet using time excluding using for educational purposes: non-Internet users (NIUs), occasional Internet users (OIUs) (<1 h/d), moderate Internet users (MIUs) (${\geq}1$ and <2 h/d), and heavy Internet users (HIUs) (${\geq}2$ h/d). Health factors included eight health risk behavior indices, four mental health indices and six physical health indices. Results: The distribution of Internet use was as follows: NIUs 17.4%, OIUs 68.1%, MIUs 12.7%, and HIUs 1.7%. In multivariate analysis, using OIUs as a reference, U- or J-shaped associations were observed for five health risk behavior indices (current smoking, current drinking, drug abuse, sexual intercourse, sedentary behavior on weekdays) and four mental health indices (stressed, depressed, suicidal ideation, attempted suicide) in both genders. After removing confounding effects, including age, region, school type, subjective school record, subjective economic status, presence of parents, living with family, and sedentary behavior, these associations were still observed. Conclusions: Health professionals should consider both Internet non-users (for non-educational purposes) and heavy users to be high-risk groups in terms of health status. Also, more well-designed studies are needed to clarify what factors are working in these nonlinear associations.

• 한국학교보건학회지
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• 제36권3호
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• pp.113-125
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• 2023

Purpose: The purpose of this study is to develop a model for predicting mental health risk among adolescents based on health behavior information by employing a hybrid machine learning method. Methods: The study analyzed data of 51,850 domestic middle and high school students from 2022 Youth Health Behavior Survey conducted by the Korea Disease Control and Prevention Agency. Firstly, mental health risk levels (stress perception, suicidal thoughts, suicide attempts, suicide plans, experiences of sadness and despair, loneliness, and generalized anxiety disorder) were classified using the k-mean unsupervised learning technique. Secondly, demographic factors (family economic status, gender, age), academic performance, physical health (body mass index, moderate-intensity exercise, subjective health perception, oral health perception), daily life habits (sleep time, wake-up time, smartphone use time, difficulty recovering from fatigue), eating habits (consumption of high-caffeine drinks, sweet drinks, late-night snacks), violence victimization, and deviance (drinking, smoking experience) data were input to develop a random forest model predicting mental health risk, using logistic and XGBoosting. The model and its prediction performance were compared. Results: First, the subjects were classified into two mental health groups using k-mean unsupervised learning, with the high mental health risk group constituting 26.45% of the total sample (13,712 adolescents). This mental health risk group included most of the adolescents who had made suicide plans (95.1%) or attempted suicide (96.7%). Second, the predictive performance of the random forest model for classifying mental health risk groups significantly outperformed that of the reference model (AUC=.94). Predictors of high importance were 'difficulty recovering from daytime fatigue' and 'subjective health perception'. Conclusion: Based on an understanding of adolescent health behavior information, it is possible to predict the mental health risk levels of adolescents and make interventions in advance.

• Journal of Nutrition and Health
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• 제53권5호
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• pp.518-531
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• 2020

본 연구는 2014-2017년도 청소년건강행태조사 원시자료를 이용하여 만 12-18세에 해당하는 남학생 137,101명, 여학생 130,806명을 대상으로 과일과 채소 섭취빈도와 주관적 행복상태, 스트레스 인지, 우울 증상 경험 및 자살 생각과의 관련성을 알아보고자 수행되었다. 연구 결과, 우리나라 청소년의 단 66%가 행복한 편이라고 답하였으며, 2.7명 중 1명은 과도한 스트레스, 4명 중 1명은 우울 증상, 8명 중 1명은 자살 생각을 경험하는 등의 정신건강 문제에 노출되어 있었다. 과일과 채소 섭취빈도는 성별, 나이, 가정경제 수준, 주거 형태, 주관적 학업 성취도, 비만도, 흡연 여부 및 음주 여부에 따라 유의적인 차이가 있었으며, 가당음료, 우유, 패스트푸드 섭취 및 아침 결식 여부와 같은 다른 식습관 요인에 의해서도 유의적인 차이가 있었다. 인구사회학적 특성과 생활습관 변수를 보정한 후 과일과 채소 섭취빈도에 따른 정신건강과의 관계를 살펴본 결과, 남학생과 여학생에서 모두 과일과 채소 섭취가 증가함에 따라 비섭취군 대비 주관적 행복상태에 대한 오즈비는 유의적으로 증가하고, 스트레스 인지, 우울 증상, 자살 생각에 대한 오즈비는 유의적으로 감소하였다. 이러한 관계는 다른 식생활 요인 변수들을 추가로 보정한 후에도 여전히 유의적으로 나타나, 과일과 채소 섭취빈도 증가가 청소년의 긍정적인 정신건강과 관련성이 있는 주요 요인임을 확인하였다. 이상의 연구 결과를 종합해 볼 때, 청소년기 건강한 정신건강을 위해 과일과 채소의 섭취가 중요한 것으로 생각되며, 청소년의 과일과 채소 섭취를 증가시킬 수 있는 효과적인 정책과 교육방안이 개발되어야 할 것으로 생각된다.