• 농촌의학ㆍ지역보건
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• 제34권2호
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• pp.202-213
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• 2009

본 연구는 농촌지역 청소년들의 건강행태를 도시지역 청소년들과 비교하기 위해 2005년에 실시한 전국청소년건강행태 온라인 조사 자료를 이용하여 분석하였다. 그 결과 흡연경험률, 중학교 입학전 흡연경험률, 음주빈도, 음주후 위험행동 경험률, 점심 및 저녁 결식, 과일 및 우유 섭취, 칫솔질 횟수, 구강질환 증상 경험, 구강 진료 경험, 구강 에방진료. 안전 및 위생의식 등의 행태에서 도시지역 청소년에 비해 바람직하지 못 한 결과를 보였다. 이러한 결과가 지역규모에 따른 차이인지 혹은 도농간의 사회경제적 수준의 격차와 관련이 있는지에 대하여 향후 추가적인 연구가 필요하다. 본 조사 결과를 통해 청소년 건강행태 개선을 위한 건강증진사업은 농촌 청소년을 대상으로 우선적으로 수행하여야 할 당위성을 확인하였다고 할 수 있다.

• 대한간호학회지
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• 제35권8호
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• pp.1433-1442
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• 2005

Purpose. The purposes of this study were 1) to examine the differences in suicidal ideation and psychological variables by gender, 2) compare the contribution of demographic-behavioral variables and psychosocial variables in explaining the variance in suicidal ideation, and 3) identify the most important predictors of suicidal ideation for male adolescents and female adolescents. Methods. The subjects consisted of 271 male adolescents and 230 female adolescents. Data were collected through self-report questionnaires, which were constructed to include SSI-C, DEP subscale of the SCL-90-R, PACI, and SWLS. The data were analyzed by the SPSS/WIN program. Results. Suicidal ideation differed by gender. Depression and family communication differed by gender. The unique contribution of demographic-behavioral variables and psychosocial variables in explaining the variance in suicidal ideation differed between male adolescents and female adolescents. The significant predictors of suicidal ideation for male adolescents were life satisfaction, depression, and family communication, explaining $28\%$ of the variance in suicidal ideation. The significant predictors of suicidal ideation for female adolescents were depression, smoking, and life satisfaction, explaining $38\%$ of the variance in suicidal ideation. Conclusion. The findings of this study suggest that the approach to effective suicide prevention program for adolescents should consider gender differences.

• 지역사회간호학회지
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• 제26권2호
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• pp.100-107
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• 2015

Purpose: To explore the association between sleep and the risk of accidental injury at school among Korean adolescents. Methods: From the database of the Ninth Korea Youth Risk Behavior Web-based Survey (KYRBS), the researcher selected 63,307 adolescents who responded to a survey on sleep hours. We conducted logistic regression with sleep duration and fatigue after sleep as independent variables, the risk of injury at school as a dependent variable, and gender, grade, school type, economic status, parents' education level, number of participations in physical education, and current smoking and drinking as control variables. Results: Using 9 hours of sleep as the reference, the adjusted injury risk (odds ratio) was 1.74 for those sleeping less than 5 hours a day, 1.61 for 5 hours, 1.45 for 6 hours, 1.31 for 7 hours, 1.13 for 8 hours, and 1.40 for 10 hours or longer. The difference between each pair of groups was statistically significant. In this study, injury risk increased as sleep duration decreased and fatigue after sleep increased. Conclusion: The findings suggest that a short nightly duration of sleep and fatigue after sleep can be considered potential risk factorsfor unintentional injuries at school among Korean adolescents.

• 한국치위생학회지
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• 제16권4호
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• pp.617-623
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• 2016

Objectives: The purpose of this study is to investigate the effect of health behavior on oral health of Korean adolescents. Methods: The study subjects were 1,071 adolescents of 13-18 years old from Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2012. Male students were 54.5% and female students were 45.5%. The study consisted of two groups: 13-15 years old and 16-18 years old groups. Data were analyzed by SAS 9.13 version. Results: Those who ingested alcohol had gingival bleeding in 41.0% and 31.0% in those who did not. Those who did not have regular oral examinations had 38.5% of gingival bleeding while those with regular oral examination had 29.7% of gingival bleeding (p<0.01). Students between 16 to 18 years old without oral care products tended to have more gingival bleeding than those who use auxiliary oral hygiene devices (OR=2.658, 95% CI=1.327-5.324). Conclusions: The oral health management of adolescents is closely related to health behavior. Cessation of alcohol ingestion and smoking is very important to improve the adolescent oral health.

• 지역사회간호학회지
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• 제28권4호
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• pp.431-439
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• 2017

Purpose: This study aims to examine the factors influencing sexually transmitted infection (STI) in Korean adolescents 12 to 18 years. Methods: Using statistics from 10-11th Korea Youth Risk Behavior Web-based Survey, secondary analysis was conducted. The study sample consisted of 4,886 boys and 1,998 girls who had reported initiating sexual intercourse. Results: The proportion of adolescents who had a sexually transmitted infection was 8.8% of boys and 11.0% of girls. In multiple regression analysis, grade, smoking, first intercourse before middle school, intercourse after drinking alcohol, living without family, large amounts of pocket money were factors associated with sexually transmitted infection for both boys and girls. Use of condom is related to STI contraction of boys only. Formal sex education was not associated with reducing risk of STI. Conclusion: The results of this study show the factors associated with STI among Korean adolescents. Gender-related effective interventions should be taken into consideration in school-based sex education programs.

• Child Health Nursing Research
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• 제13권3호
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• pp.338-348
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• 2007

Purpose: This study was done to identify risk factors influencing high school students to runaway from home. A comprehensive analysis of individual, family and social environment-related factors was done. Method: The participants in this descriptive survey on causal relations were 974 students enrolled in high school who were selected by convenience sampling. The data collected in June and July, 2003 were put in to logistic regression analysis to build a prediction model. Results: 1) Individual-related factors for running away in high school students were experience with smoking and sexual intercourse. 2) Family-related factors for running away in high school students were economic status and physically ill-treatment of the types of ill-treatment. 3) social environment-related factors for running away in high school students were number of delinquent friends. Conclusions and Recommendations: Running away from home among Korean high school students was associated not only with individual factors, but also with family and social environmental factors. The findings of study suggest that board intervention programs should be provided to prevent running away form home by adolescent. It is also recommended that a program be developed that can help control the variables identified in this study along with follow up study to verify the model.

• Child Health Nursing Research
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• 제15권2호
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• pp.182-189
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• 2009

Purpose: The purpose of this study was to identify the factors influencing health risk behavior in high school students. Methods: The subjects were 512 students from 4 high schools in 3 cities. The questionnaire measured the level of self-esteem, self-efficacy, internal locus of control and health risk behaviors. The data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient and stepwise multiple regression analysis. Results: There were significant differences in the health risk behaviors according to sex, a classification of the school, whether or not smoking of mother, whether or not live alone, level of harmonious family, level of satisfying school-life and three variables of them were significant differences by Scheffe test. There was a significant positive correlation between sub-dimension of health risk behaviors and the self-efficacy, self-esteem, internal locus of control were negative correlation with health risk behaviors. The most important influential factor of the health risk behaviors was the self-efficacy. Conclusion: From the studies reviewed, improving the self-efficacy, self-esteem, internal locus of control and the general social environment of students will probably be the most effective strategies for primary prevention of health risk behaviors.

• 지역사회간호학회지
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• 제27권4호
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• pp.337-345
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• 2016

Purpose: This study aims at identifying individual- and school-level factors associated with unintentional injuries to Korean adolescents at school by applying multilevel modeling. Methods: From the database of the eleventh Korea Youth Risk Behavior Web-based Survey (KYRBS), the researchers selected 68,043 adolescents from the $7^{th}$ to the $12^{th}$ grades. Data were analyzed using ${\chi}^2$ test for prevalence and multilevel modeling for related factors of unintentional injuries at school. Results: About 22.9 percent of the adolescents had treatment experiences for unintentional injuries at school in the past 12 months. At the individual level, the significant factors associated with unintentional injuries at school included gender, grade, academic achievement, current smoking, alcohol consumption, frequency of high caffeine intake, depression, and relief of fatigue after sleep. At the group level, the significant factors included number of physical education per week and safety education. Conclusion: School based injury prevention programs should be sensitive to both individual- and school-level factors associated with unintentional injury at school among Korean adolescents.

• 지역사회간호학회지
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• 제26권3호
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• pp.190-198
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• 2015

Purpose: This study aimed to compare health risk behaviors among adolescents according to whether or not the parents were born in South Korea. Methods: From the database of the ninth Korea Youth Risk Behavior Web-based Survey (KYRBS), the researchers classify adolescents into four groups: those whose parents were both native Korean, those whose mother only was a native Korean, those whose father only was a native Korean, and those whose parents were both foreign-born. Data were analyzed using ${\chi}^2$-test and multiple logistic regression with the SPSS/WIN 18.0 program. Results: The adolescents with a foreign-born mother were less likely to smoke and drink alcohol than those with native Korean parents, but for other health risk behaviors the two groups were similar to each other. The adolescents with a foreign-born father were at a greater risk of drug use, intercourse, depression and violence at school than those with native Korean parents. The adolescents whose parents were born abroad were at a greater risk of smoking, drug use, intercourse, depression, suicidal ideation and violence at school than those with native Korean parents. Conclusion: Health promotion approaches differentiated by the type of multi-cultural family are needed in order to improve multi-cultural adolescents' health.

• 한국보건간호학회지
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• 제29권2호
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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.