• 제목/요약/키워드: at-risk adolescent

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초고속 통신망을 이용한 청소년의 정신건강관리 지원시스템 개발 (Development of a User Centered Web Site for Mental Health Management in Adolescents)

  • 배정이
    • 대한간호학회지
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    • 제37권1호
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    • pp.14-25
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    • 2007
  • Purpose: A user centered web-based mental health management system may be particularly useful in Korea where there is widespread diffusion of personal computers and internet connectivity. The purpose of this paper was to describe the development of a web-based system for mental health management in adolescents using principals of a user centered design. Method: Our design process includes five distinct phases: needs assessment, analysis, design, development/testing/revision, and application release. Results: Web content includes an introduction, information about mental health management in adolescents, self-assessment and guidance, interventions for improving mental health, directory of self-help groups, and counseling and additional community resources. The web site was released using the URL: http://www.baejy.com/youth. Conclusion: The end result was a web based mental health management system for adolescents with a high degree of usability. The author believes that web-based mental health interventions in the future have true potential in helping Koreans who are suffering, or at risk, for mental health problems, particularly because of the stigma related to psychiatric therapy in Korea.

청소년들의 피임실천율 및 피임방법(2007~2009년) (Rates and Methods of Contraception Among Korean Adolescents from 2007 to 2009)

  • 이한주;강희선
    • 여성건강간호학회지
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    • 제17권2호
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    • pp.148-156
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    • 2011
  • Purpose: This study was done to explore the rates and methods of contraception among Korean adolescents from 2007 to 2009. Methods: The study was a descriptive study. The data were taken from a web-based survey on risk behavior of Korean youth that was conducted between 2007 and 2009 by the Korea Centers for Disease Control and Prevention. Results: Among adolescents, 4.7% in 2007, 4.6% in 2008, and 4.7% in 2009 reported having had sexual intercourse. In those who had sexual experiences, less than 30% reported consistent use of contraception, whereas more than 45% report no contraceptive use at all. A condom was the most frequently used contraceptive method and its use has increased continuously among contraceptive users. Some of the adolescents were, nevertheless, using unreliable methods such as withdrawal or the rhythm method. Conclusion: The results of this study indicate that most adolescents are not using contraception consistently and some were relying on unreliable contraceptive methods. Efforts to raise awareness about consistent and correct contraceptive use and the importance of dual protection are essential.

인터넷 기대와 자기효능감이 고등학생의 인터넷 중독에 미치는 영향 (The Influence of Internet Expectation and Self-efficacy on Internet Addiction among High School Students)

  • 오원옥
    • 한국보건간호학회지
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    • 제19권2호
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    • pp.339-348
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    • 2005
  • Purpose: This study was conducted to understand the degree of Internet addiction, Internet expectation and self-efficacy and we also wanted to elucidate the factors influencing this addiction among the high school students in Korea. Method: A total of 348 high school students in the Gyeoung-gi, Daegu and Gyeoung-buk area were surveyed in this study. Data collection was conducted through the use of questionnaires. Results: Internet addiction among high school students in Korea was relatively low. In the overall ratio distribution, however, the students who were classified as either addicted or at risk of addiction accounted were a high percentage of the subjects, 31%. A positive or negative relationship was found between internet addiction and the research variables. Multiple regression analysis revealed that the most powerful predictor of Internet addiction was Internet expectations. Conclusion: Using the above results, it would be necessary to develop an Internet addiction prevention program for adolescents. There should be a qualitative study in the future for an in-depth understanding of internet addiction of adolescents.

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우리나라 청소년의 치간관리용품 미사용에 관한 요인 (Factors related to non-use of interdental care products by Korean adolescents)

  • 박성찬;한선영
    • 한국치위생학회지
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    • 제22권6호
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    • pp.513-520
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    • 2022
  • Objectives: The objective of the study was to investigate the factors related to non-use of interdental care products (ICP) in adolescents. Methods: The 2019 Korean Youth Risk Behavior Web-based Survey was used, examining 57,303 subjects. Complex-sample chi-square test and logistic regression analyses were performed to identify differences in ICP according to sociodemographic characteristics and oral health behavior and to determine the factors related to non-use. Results: The ICP non-use rate was 70.9%. Factors related to the non-use of ICP were middle or low economic status (OR=1.367 and 1.677). The other significant variables were less than one tooth brushing per day (OR=1.542), no scaling within 12 months (OR=1.631), and receiving dental treatment either once or two times or more (OR=1.757 and 2.195). Conclusions: To increase the ICP usage rate, continuous attention is needed from schools and families in addition to interventions at the national level.

다문화가정 청소년의 성행태 실태 분석: 제15차(2019년) 청소년건강행태온라인조사 자료 이용 (Sexual Behavior of Adolescents in Multicultural Families: An Analysis Using Data from the 15th Korea Youth Risk Behavior Survey 2019)

  • 손예동;최혜선
    • 산업융합연구
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    • 제18권3호
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    • pp.73-82
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    • 2020
  • 본 연구의 목적은 우리나라 다문화 청소년의 성행태 실태를 파악하기 위하여 수행되었다. 연구방법은 2019년 청소년건강행태조사 빅데이터를 활용한 이차분석 연구로, SPSS 25 프로그램을 사용하여 복합표본 빈도와 백분율, 복합표본 교차분석을 실시하였다. 연구결과, 우리나라 다문화가정 청소년들의 성관계 경험은 8.2%로 피임 방법은 콘돔을 가장 많이 사용하고 있었고, 대부분의 청소년은 학교에서 성교육을 들은 경험이 있었다. 이들의 성관계 경험은 학년, 학업성적, 경제상태, 거주형태, 스트레스, 평생 음주 및 흡연 경험에 따라 유의하게 차이가 있었다(p<.001). 따라서 다문화 청소년의 성행태에 관련이 있는 요인을 반영하여 성교육을 하는 것이 이들의 성건강에 도움을 줄 것이다.

청소년의 간접흡연이 정신건강에 미치는 영향 (Effects of Secondhand Smoke on Mental Health in Adolescents)

  • 권민;이진화;현숙정
    • 한국학교보건학회지
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    • 제33권1호
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    • pp.10-18
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    • 2020
  • Purpose: The purpose of this study was to investigate the effects of secondhand smoke on depression and suicidal ideation in adolescents. Methods: The study used the raw data of the Korea Youth Risk Behavior Web-based Survey (2018). Age, academic achievement, living with family, economic status, and stress were adjusted and the relationship between secondhand smoke and depression and suicidal thoughts was analyzed by gender. Results: The results showed that secondhand smoke had a significant effect on mental health of adolescents. Male students who experienced secondhand smoke at school and at public places had 1.41 times and 1.37 times higher depression rates, respectively. Female students who experienced secondhand smoke at home, school, and public places had 1.27 times, 1.35 times, and 1.39 times higher depression rates, respectively. Suicidal thoughts were 1.17 times and 1.22 times higher among male students who experienced secondhand smoke at school and at public places. Female students who experienced secondhand smoke at home, school, and public places had 1.12 times, 1.08 times, and 1.21 times more suicidal thoughts. Conclusion: Secondhand smoke has a significant effect on adolescent depression and suicidal thoughts. Therefore, efforts should be made to have institutional changes and increased awareness across the country, such as homes, schools, and communities, to prevent exposure to secondhand smoke.

정신건강시범 중학교에서 수행된 정신건강 증진 프로그램의 효과 (THE EFFECT OF A MENTAL HEALTH PROMOTION PROGRAM AT A MENTAL HEALTH MODEL MIDDLE SCHOOL)

  • 곽영숙;고혜정
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제16권2호
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    • pp.251-260
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    • 2005
  • 목적 : 정신건강증진 프로그램을 정신건강시범학교에 적용하여 그 유용성을 보고자 하였다. 방법 : 제주도교육청 지정 정신건강시범학교인 제주시내 1개 중학교 2, 3학년 학생 748명을 대상으로 Young의 인터넷중독진단척도(IAS), Conner와 Wells의 청소년 집중력 자가보고척도(CASS) 그리고 다면적인성검사(MMPI)를 사용하여 정신건강증진 프로그램 전, 후의 변화를 비교하였다. 정신건강증진 프로그램은 사회정신건강연구소에서 개발한 인성교육 중에서 발췌하여 12시간으로 구성하였다. 자료분석시 프로그램 전후의 차이를 알아보기 위해 paired t-test를 사용하였다. 유의수준은 p<.05수준으로 하였다. 결과 : 프로그램 전후 MMPI상 임상적 수준의 문제를 보인 청소년이 $12.9\%$에서 $11.0\%$로 감소를 보였다. 2학년에서는 감소를 보였으나 3학년에서는 증가하였다. 소척도 점수는 편집증과 경조증 척도에서 통계적으로 유의한 감소를 보였다. IAS에서는 인터넷 과다사용 또는 중독 청소년이 $16.0\%$에서 $6.8\%$로 감소를 보였다. CASS에서는 집중력 문제 위험 청소년이 $22.7\%$에서 $18.3\%$로 감소하였다. IAS와 CASS 점수 모두 통계적으로 유의한 감소를 보였다. IAS 점수의 감소는 임상적 유의도가 중등도였다. 결론 : 정신건강증진 프로그램은 정신건강 문제, 인터넷 중독 위험 또는 집중력문제 위험이 있는 청소년의 감소를 가져왔고 인터넷 중독 예방에 효과가 있었다. 이 결과는 시범학교의 정신건강 증진 프로그램의 효과를 지지하며 일반 학교로의 확대 실시를 제안한다. 향후 프로그램에 맞는 특정화된 평가도구를 사용하여 프로그램의 효과를 재확인하여야 하겠다.

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Delayed-Onset Methicillin-Resistant Staphylococcus aureus Infection at 18 Months after Absorbable Plate Fixation for Zygomaticomaxillary Complex Fracture

  • Lee, Hyun Rok;Shin, Hea Kyeong;Lee, Dong Lark;Jung, Gyu Yong
    • 대한두개안면성형외과학회지
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    • 제17권4호
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    • pp.229-232
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    • 2016
  • None of the reports of delayed infection mentioned a latent period exceeding 13 months. we report an infection that developed 18 months after implantation of an absorbable plate. A 16-year-old adolescent girl had undergone reduction and fixation with an absorbable plate for Lefort I and zygomaticomaxillary complex fractures 18 months prior at our hospital. In her most recent hospital visit as an outpatient, abscess was observed in periocular area. Computed tomography revealed sinusitis with an abscess above the infraorbital rim. Wound culture yielded methicillin-resistant Staphylococcus aureus. Despite conservative treatments, wound state did not improve. Therefore, our department decided to perform surgery. Absorbable plate had been mostly absorbed but remained a bit. Bony depression of infraorbital rim and mucosal exposure of maxillary sinus anterior wall were observed. After the surgery, the patient recovered. We believe that the reason the wound infection and sinusitis manifested at the same time is because of several factor such as alcohol abuse, smoking, and mucosal exposure of maxillary sinus anterior wall. Absorbable plate takes 9 months to 3 years to be completely absorbed, thus we suggest studies with a follow-up of at least 3 years be undertaken to determine the outcomes of patients with many risk factors.

청소년정서행동발달검사 표준화연구 자료를 활용한 학교폭력 피해 전국유병률 및 관련요인 조사 (Victims of Bullying among Korean Adolescents: Prevalence and Association with Psychopathology Evaluated Using the Adolescent Mental Health and Problem Behavior Screening Questionnaire-II Standardization Study Data)

  • 방수영;유한익;김지훈;김봉석;이영식;안동현;서동수;조수철;황준원;반건호
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제23권1호
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    • pp.23-30
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    • 2012
  • Objectives : This study was conducted to investigate the prevalence of victims of bullying and the demographic characteristics of victims, and their related psychopathology, in a Korean nationwide sample of youths in middle and high school over a one month period. Methods : During the autumn of 2009, students in the 7th to 12th grades at 23 secondary schools participated in a nationwide, cross-sectional study. The study subjects completed the Adolescent Mental Health and Problem Behavior Screening Questionnaire-II (AMPQ-II) and Symptom Checklist-90-Revision (SCL-90-R). Based on the data acquired, descriptive statistics, correlation coefficients and multiple logistic regression analysis were performed. Results : Among the 3364 participants, 2272 (67.54%) completed the questionnaire. The prevalence of victimization was 28.9%. Male gender was positively associated with victimization, and grade level was negatively related to victimization. The AMPQ-II bullying score (Factor 4) was significantly (p<.001) and positively correlated to the AMPQ-II student total score (r= 0.50), Worry and thought (Factor 1 ; r=0.38), Mood and suicide (Factor 2 ; r=0.31), Academic and Internet-related problems (Factor 3 ; r=0.24), Rule violations (Factor 5 ; r=0.23), and AMPQ-II teacher total score (r=0.11). Somatization (r=0.23), Obsessive-compulsive behavior (r=0.24), Interpersonal sensitivity (r=0.30), Depression (r=0.33), Anxiety (r=0.26), Hostility (r=0.30), Phobic anxiety (r=0.22), Paranoid ideation (r=0.36), and Psychoticism (r=0.31) results from the SCL-90-R were also found to be positively related to the AMPQ-II bullying score, and remained significant after adjusting for age and gender. A total of 26% of the victims reported suicidal ideations as compared to 9% of non-victims over the month prior to the evaluation ($x^2$=119.595, df=1, p<.001). The multiple logistic regression analysis indicated that the AMPQ-II bullying score significantly increased the risk of suicidal ideation [Exp(b)=1.55, df=1, p<.001] after adjusting for age and gender. Conclusion : School bullying was highly prevalent among Korean middle and high school students. This study provided strong evidence that suicidal ideation and psychopathology were serious problems among the victims of bullying.

초등학교 여학생의 초경시기와 관련된 결정요인 분석 (Determinants of age at menarche in Korean elementary school girls)

  • 권미경;서은민;박경
    • Journal of Nutrition and Health
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    • 제48권4호
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    • pp.344-351
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    • 2015
  • 본 연구는 초경시기의 결정요인을 규명하기 위하여 대구 3개 지역 초등학교 5, 6학년 여학생 190명을 대상으로 개별 짝짓기 환자-대조군 연구를 실시하였고, 본 연구 결과를 요약하면 다음과 같다. 첫째, 비초경군에 비하여 초경군의 평균 수면시간이 더 적었다. 둘째, 어머니의 초경 나이가 빠를 수록 같은 또래에 비해 더 이른 초경 경험을 할 확률이 높았다. 셋째, 초경시기와 관련된 요인 중 비만이 가장 강한 연관성을 보였다. 전 세계적으로 초경 나이가 낮아지는 경향을 보이고 있으며, 우리나라 여성의 초경 나이도 현저하게 낮아지는 상황에서 본 연구의 결과는 중요한 기초자료로 활용될 것이다.