• Korean Journal of Health Education and Promotion
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• v.21 no.2
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• pp.147-165
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• 2004

Injury is a leading cause of death in the children and adolescent populations. In particular, more than 80％ of unintentional injury was related to risk-taking behaviors involved in diverse accidents around school and home. Therefore, educational approaches should be provided for children and adolescent populations, and schools are the essential and appropriate sites to conduct safety education. This study was conducted to identify injury prevalence and safety education at schools among middle and high school students in Korea. About 1,034 middle and high students in 28 schools participated in a self-administered survey. The target schools were selected from the stratified random sampling method throughout schools of seven metropolitan cities in Korea. The questionnaires were delivered to the vice-principals by ground mailing service and the vice-principals administered survey data collection. The questionnaire asked about safety education provided in schools, injury experience in the last year, needs for injury prevention class in school, and demographics. All survey responses were entered into SPSS worksheet. Multivariate analysis of variance (MANOVA) and descriptive discriminant analysis (DDA) were used in statistical analysis with SPSS software 11.1. Multivariate analysis of variance was conducted as a preliminary analysis of DDA. According to the result of multivariate analysis of variance, gender (man), grade (poor), living with both parents, and displaying injury prevention messages on school news board were significantly different between the injured student group and the uninjured student group (p＝ .00). These four factors also had significant effects on students' injury experience in DDA, although correlation of the four factors with injury experience was weak overall based on their canonical function coefficients. All structure coefficients of the four factors were greater than .30, which means the four factors have discriminant effects on injury prevalence. The sizes of the discriminant effects, in order, were largly from gender, grade, living with both parents, and safety message display on school news boards.

• The Journal of the Korea Contents Association
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• v.11 no.4
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• pp.303-311
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• 2011

This study aimed to identify success factors of smoking cessation for 6 months in Adolescent smokers. Data were collected from January to December, 2008. The 925 adolescent smokers were registered smoking cessation clinic at public health center in Incheon. Data(demographic, smoking, smoking cessation) were analyzed by logistic regression. Major factors are attempting to quit smoking(no trial, OR=9.48), alcohol drinking(yes, OR=4.61), information source for registration(family, friends's ask, OR=3.94), cessation methods(cognitive+behavior+ nicotine alternative therapy, OR=2.45), gender(male, OR=1.78), grade in school(high schooler, OR=1.65), expiration CO concentration (OR=0.95), and nicotine dependency(OR=0.76). Therefore, smoking cessation policy for adolescence should be emphasized on smoking prevention as well as smoking cessation. We have to help the adolescent to succeed in smoking cessation when they attempt to quit smoking at first time. Female student smokers and middle school smokers should be given advice for smoking cessation motives and more times of counselling for smoking cessation. If adolescent smokers have high expiration CO concentration and high nicotine dependency, they should not only take cognitive-behavior therapy but also nicotine alternative therapy.

• Journal of Korean Academy of Nursing
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• v.6 no.1
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• pp.72-79
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• 1976

Contemper nursing literature place much importance on human- centered and individualized care. Nursing research has related stress during hospitalization of adolescent patients to adaptation to a new environment, isolation from friends, limitation due to illness, over protection of parents and communication with member of the medical team. The investigator conducted this study in the hope that an understanding of adolescents responses to hospitalization, their perceptions, the kinds and levels of stress, and the relationships between stressors and individual characteristics would contribute to the improvement of adolescent patient care. The objective of the study was to obtain informations related to the adolescents psychological stress experience during hospitalization, specifically stress from interpersonal relationships and communication, isolation from the family, social or economic problems, illness and from the treatment environment and nursing care. An interview schedule adopted from Holmes and Rahe's Social Readjustment Rating Scale and selected items from Voicer's instrument on stress-producing events was used with 120 adolescent inpatients aged 13 to 18 years three general hospitals in Seoul during Aug. 10, to Sep. 30, 1975. 1. The sample consisted of 66 male and 54 female patients. Sixty-six percent were late adolescents, aged 16 to 18 years: 4% were early adolescents, aged 13 to 15 years. The primary cause for hospitalization was for orthopedic problems (35.8%). More than half of these (54.4%) were due to injury or accident. 2. Stress eclated to illness revealed the highest score (4.97), followed by stress related to treatment environment and nursing care (4.34) , isolation from family and social or economic problems (4.01) and interpersonal relationships and communication (3.96). 3. The perceived indifference of doctors and nurses was a serious cause of stress (mean=4.83). Fellow patients and visitors caused least stress (mean=2.06). 4. Discontinuation of education or unemployment were major stressful events (mean=4.71). Least stressful was isolation from the family (mean=3.47). 5. More than 94% of the respondents expressed fears related to body image (mean=4.97) 6. Within the category of treatment environment and nursing care, items related to restrictions because of treatment, discomfort because of treatment, inadequate explanation from nurses about procedures were rated as severe stress events (mean=4.6). Items related to the ward environment and to having a relative stay with them were seen by the group as less serious events (mean=3.7). 7. Stress related to interpersonal relationships and communication was correlated positively with female patients and those preferring passive activities. (P〈0.05) 8. Stress related to family problems was positively related to female and early adolescent patients (P< 0.05). Stress related to social problems was positively , elated to students and those preferring active pursuits (P< 0.05). 9. There were no correlation between the high stress related to disease and any of the characteristic items. (P> 0.05) 10. Stress related to treatment environment and nursing care was positively related of early adolescent and female and student patients. (P< 0.05) This group of hospitalized adolescents reported high level of stress related to treatment environment and nursing care, due to lack of consideration of normal growth and development and individual characteristics. The findings have important implications for the planning of effective, individualized, comprehensive nursing care of adolescents during hospitalization.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.29 no.2
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• pp.54-61
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• 2018

Objectives: This study was conducted to investigate the effectiveness of a class-based school violence prevention program for elementary school student. Methods: 29 students were assigned to the school violence prevention program of 8 sessions, 28 students have been assigned to the control group. We assessed participants at baseline and post-intervention, through their self-report questionnaires such as Children's Depression Inventory (CDI), Strengths and Difficulties Questionnaire and school violence experience, awareness about school violence, and coping ability to school violence. We compared the baseline and post-intervention result of each group and compared the post-test scores between the intervention group and the control group. Results: Comparing the intervention group and the control group, the post-intervention CDI total score and the awareness about school violence showed significant improvement in the intervention group. When compared according to gender, male students' perception of school violence was improved, and female students showed significant differences in CDI scores. Conclusion: The CDI total scores and the perception of school violence were improved in the intervention group compared to the control group. And there are differential pattern of intervention effects according to gender. These findings have important implications to develop effective violence prevention programs.

• Korean Journal of Health Education and Promotion
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• v.13 no.1
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• pp.28-44
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• 1996

The purpose of this study is to examine the associated risk factors for adolescent cigarette smoking. In February 1995, a total of 1793 students from 17 general high schools in Seoul were assessed with a self-completing questionnaire pertaining current smoking status and school.family.peer environmental factors. The results are as follows; 1. The overall proportion of current smoker among students in the study was 17.3%; 27.7% in males and 6.6% in females. 2. There was significant association between smoking status and all school environmental factors (ranks at school, satisfaction at school, study hours after school, extracurricular activity) examined. 3. Siblings smoking in males and family structure in females were significantly associated with the smoking status of students. 4. Functional aspect of family environmental factors, such as APGAR score, parental supervision, attachment to father or to mother were related to smoking status of students. 5. Association with friends who smoke was significantly associated with smoking status of students. 6. In males, association with friends who smoke, ranks at school, siblings smoking were significant positive predictors and APGAR score, parental supervision, attchment to mother were significant negative predictors. In females, association with friends whosmoke, ranks at school, satisfaction at school were significant positive predictors and parental supervision, attchment to father were significant negative predictors. These findings suggest that strategies that influence smoking behavior need to be directed not only to the individual student but also to their peer group, family and school environment.

• Child Health Nursing Research
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• v.11 no.1
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• pp.34-42
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• 2005

Purposes: The purposes of this study were ① to identify the rate of suicide attempts, and ② to investigate relevant variables(family dynamic environment, personality factors) and risk factors for attempting suicide among Korean adolescents. Method: Data were collected through a questionnaire survey. Internal consistencies for this questionnaire ranged from 0.63 to 0.88. Nine hundred and twenty two adolescents were surveyed (delinquent : 367, student : 555), using a proportional stratified random sampling method. Statistical methods employed were chi-square, t-test, and logistic regression analysis. Results: ① The rate of suicide attempts was 10.8％ for the total sample, and the delinquents(19.6％) had a higher rate of suicide attempts than the students(5.1％). ② Adolescents attempting suicide had a greater dysfunctional family dynamic environment and more maladaptive personality than those who did not attempt suicide. ③ Risk factors for suicide attempts among Korean adolescents were way of coping, psychosomatic symptoms, and parental child-rearing attitudes, in that order. Conclusions: Suicide and suicidal behaviors are multifaceted events. For suicide prevention, there is a need to make an independent assessment of the variables such as familial problems, personality and dynamic environment of the families of the adolescents.

• Korean Journal of Health Education and Promotion
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• v.31 no.5
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• pp.59-70
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• 2014

Objectives: The purpose of this study was to identify the current status of contraception use and analyze factors affecting contraception use among Korean adolescents. Methods: This cross sectional study used secondary data from the 2013 Adolescent Health Behavior Online Survey (KYRBS), which included a nationally representative sample of middle and high school students. A total of 3,475 adolescents who had experienced sexual intercourse were included in the study. Results: Almost 4.8% of total adolescents experienced sexual intercourse. Only 26.8% of them had sex with contraception. The significant predictors related to contraception use were as follows: sexual intercourse experience after drinking (OR=2.02) and living with mother (OR=3.00) for male middle school student, first intercourse experience (OR=2.04) for female middle school students, and first intercourse experience (OR=1.59) and intercourse experience after drinking (OR=0.56) for male high school students. On the other hand, there were no predictors for female high school students. Conclusions: Development and application of effective strategies according to gender and school level are needed to increase contraception rate of adolescents.

• Korean Journal of Health Education and Promotion
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• v.27 no.2
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• pp.95-108
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• 2010

Objectives: The Purpose was to investigate the effects of the '5&6 smoking cessation program' and '5 days smoking cessation program' on the high school student's perception, urine cotinine, and smoking behaviors. Methods: This study was designed using nonequivalent control group pretest-posttest. The '5&6 smoking cessation program' was applied to the experimental group 1(28 students). The '5 days smoking cessation program' was applied to the experimental group 2(19 students). Control group was 53 students. Data was analyzed using descriptive statistics, $X^2$-test, Fisher's exact test, Independent-sample t-test, Paired t-test, ANOVA, Wilcoxon signed ranks test, Cronbach's coefficient alpha. Results: The '5&6 program' was significantly increased on smoking self-efficacy, stage of smoking cessation behavior change, Cons. for smoking and significantly decreased on daily smoking amount, urine cotinine level than control group. The '5 days program' was significantly decreased on urine cotinine level and Pros. for smoking than control group. The '5&6 program' was significantly increased on stage of smoking cessation behavior change than '5 days program'. Conclusion: This study showed that the '5&6 program and the '5 days program' are effective in adolescent's smoking cessation behaviors.

• Journal of the Korean Society of School Health
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• v.32 no.1
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• pp.10-19
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• 2019

Purpose: The purpose of this study was to compare the factors related to depression between non-multicultural and multicultural middle school students. Methods: In this study, data were collected using structured questionnaires targeting students of 9 middle schools in G Province, Korea. Finally, the data of 304 students were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation, and multiple regression analyses using SPSS 24.0. Results: The multicultural students showed a higher depression score ($47.14{\pm}8.33$) than the counterpart ($44.22{\pm}8.11$) (p<.001). The results of the multiple regression analysis revealed that academic stress (${\beta}=.33$, p<.001), peer attachment (${\beta}=-.13$, p<.02), and body image (${\beta}=.25$, p<.001) were the influencing factors on depression in non-multicultural students. However, in multicultural students, depression was related to peer attachment (${\beta}=-.16$, p=.03) and self-esteem (${\beta}=-.42$, p<.001). Conclusion: To prevent and manage depression in non-multicultural middle school students, it is essential to help them relieve academic stress and build peer relationships and positive body image. For multicultural middle school students, helping them to have high self-esteem and peer attachment would be the first measure to prevent and manage depression.

• Journal of Korean society of Dental Hygiene
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• v.22 no.1
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• pp.37-45
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• 2022

Objectives: The purpose of this study is to analyze the relationship between dental caries and the frequency of dental cariesrelated dietary intake among primary, middle, and high school students. It is intended to be used as a basic data for adolescent dietary guidance. Methods: The data were analyzed using the health questionnaire survey and oral examination data from the raw data of the 2019 student health test sample statistics conducted by the Korean Ministry of Education. A total of 59,370 primary, middle, and high school students were selected. Results: For middle and high school students, the more frequent the intake of sodas, the more cases of dental caries were noted. The rate of dental caries was increased in comparison to the group which did not consume dairy products or consumed these once or twice a week. Conclusions: For middle and high school students, dietary guidance should be employed so that consumption of sodas will decrease or consumption will be reduced to less than twice a week.