• 한국학교보건학회지
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• 제30권3호
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• pp.240-250
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• 2017

Purpose: The purpose of this study was to compare the risk of being underweight between multicultural and Korean-origin adolescents. Methods: This study used the Korea Youth Risk Behavior Web-Based Survey data of 2016. A total of 46,457 underweight and normal-weight adolescents were included. General characteristics, health status and health behavior variables, and weight related variables were included. Weighted percentage and means were used to describe the sample. Simple and multiple logistic regressions were conducted using SAS 9.2. Results: From the simple and multiple logistic regression, multicultural adolescents showed a higher risk of being underweight (OR: 1.63, 95% CI: 1.20~2.20; AOR: 1.51, 95% CI: 1.01~2.27) than Korean-origin adolescents. Among the covariates, being female (AOR: 1.90, 95% CI: 1.72~2.10), being older (AOR: 1.18, 95% CI: 1.15~1.22), having poor self-health perception (AOR: 1.56, 95% CI: 1.24~1.82), having longer hours of sleep (AOR: 1.12, 95% CI: 1.09~1.16), having fewer days of exercise (AOR: 0.94, 95% CI: 0.91~0.96), and doing vigorous exercise less (AOR: 0.78, 95% CI: 0.68~0.89) showed a higher risk of being underweight. Self-rated health and effort to control weight were also significantly related to being underweight. Conclusion: Since multicultural adolescents are vulnerable to being underweight, it is necessary to develop intervention programs to reduce the number of underweight multicultural adolescents.

• 대한물리치료과학회지
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• 제28권2호
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• pp.46-56
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• 2021

Purpose: The purpose of this study is to examine whether the level of participation in physical activity affects the mental health of adolescents, that is, their subjective well-being. In addition, we would like to see if adolescents can improve their satisfaction with life away from the negative emotions they are currently feeling through physical activities such as hand-help and consolation activities and check if self-esteem has mediating effects in this process. Design: Survey. Methods: The survey was conducted by the surveyor, with a total of 9,041. Results: First, it shows that the higher frequency of adolescents' physical activity leads to higher self-esteem and subjective well-being. Second, it shows that the higher the self-esteem leads to higher subjective well-being felt by adolescents. Third, the level of youth physical activity itself contributes to subjective well-being while also affecting self-esteem, and the self-esteem also affects the subjective well-being that adolescents perceive. Conclusion: It will be necessary to provide programs to enhance subjective well-being for students with poor school life adaptation and satisfaction with life, as well as continuous attention such as organization and counseling of programs in schools to enhance self-esteem. In addition, it is considered that by encouraging and guiding teenagers with low satisfaction with life and low self-esteem to physical activities such as volunteer activities and leisure activities that suit their aptitude, and the adolescents will get away from the negative emotions they are currently feeling and increase their satisfaction with adaptation to school life and life.

• 한국컴퓨터정보학회논문지
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• 제22권11호
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• pp.89-96
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• 2017

This study analyzed how mental health affects stress in adolescents. The subjects of the study were data of about 60,000 middle and high school students living in the country, using cross-tabulation data and chi - square test to analyze the relationship between stress and mental health of adolescents. As a result of the research, it was found that the adolescents exposed to the excessive stress showed a poor correlation with the recovery of the fatigue, while the adolescents with relatively low stress showed the good recovery of fatigue. In the case of mental illness, depression or despair, the students who answered that they were stressed showed a lot of experience. In the case of suicide ideation, suicide attempt, and suicide attempt, the number of attempts to commit suicide was high when the level of perceived stress was high similar to the result of previous analysis. This finding confirms that stress is an important factor in the quality of life in adolescent mental health. It can be used as a strategy and business to prevent the problem of youth suicide in modern society in advance by stress management.

• 지역사회간호학회지
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• 제28권2호
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• pp.173-181
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• 2017

Purpose: Early sexual intercourse is associated with poor health outcomes in adolescents. It is known that sexual intercourse coincides with other health risk behaviors such as smoking, drinking, and using drugs. The purpose of this study is to identify the relationships between sexual intercourse and health risk behaviors among Korean and US adolescents using nationally representative data. Methods: Data were collected from the 2011 Korea Youth Risk Behavior Web-based Survey (29,676 students) and 2011 Youth Risk Behavior Surveillance System (10,135 high school students). Logistic regression analysis was performed. Results: In Korea, students who had sexual intercourse accounted for 7.0% in total. Among these, 9.7% were male and 4.2% were female students. In the US, a total of 51.3% students had sexual intercourse, and the proportion of the US male (49.3%) and female (53.4%) students who had sexual intercourse was similar. Korean and US students who experienced sexual intercourse were more likely to smoke, drink alcohol, and use drugs. Conclusion: Since the results of this study show the relationships between sexual intercourse and health risk behaviors, it is necessary to develop comprehensive sex education programs with effective strategies to reduce health risk behaviors in adolescents.

• 수면정신생리
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• 제21권2호
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• pp.61-68
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• 2014

목 적 : 본 연구에서는 한국의 청소년을 대상으로 자살사고 고위험군의 비율과 청소년에서 자살사고와 관련된 예측인자에 대해서 조사해 보았다. 방 법 : 일 도시지역 중고등학생 3,691명(남자 2,159명, 여자 1,532명, 평균연령 $15.31{\pm}1.46$)을 대상으로 하였다. 대상자들은 사회인구학적 정보를 비롯한 학급성적, 신체적 혹은 정신 질환유무, 평일 평균수면시간, 평일과 주말 사교육시간, 주관적인 상담의 필요성, Beck 우울척도(Beck depression inventory, 이하 BDI), Reynolds 자살생각척도(Reynolds' suicide ideation questionnaire, 이하 SIQ)에 대한 자가보고식 설문지를 작성하였다. 결 과 : 전체 대상자 중 168명(4.6%)이 SIQ 62점 이상의 자살사고 고위험군으로 분류되었다. 다중로지스틱 회귀분석에서는 여성(p = 0.002), 더 어린나이(p < 0.001), 낮은 학교성적(p = 0.043), 높은 BDI 척도 점수(p < 0.001)가 자살사고 고위험군의 예측인자로 나타났다. 자살사고 고위험군에서는, 더 어린나이(p = 0.045)와 높은 BDI 점수(p < 0.001)가 높은 SIQ 점수와 연관된 것으로 나타났다. 결 론 : 본 연구 결과는 여성, 어린나이, 낮은 학교성적, 우울감이 청소년 자살사고의 고위험군의 예측인자였고, 특히 자살사고 고위험군 중에서는 어린나이와 우울감이 심한 청소년들에게 더 많은 관심을 기울여야함을 보여주었다. 따라서 청소년 자살을 예방하기 위해서는, 이러한 위험요인을 가지고 있는 청소년들에 대해 적극적인 관심과 개입이 필요할 것으로 생각된다.

• Nutrition Research and Practice
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• 제9권5호
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• pp.511-516
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• 2015

BACKGROUND/OBJECTIVES: This study aims to determine contribution of meal frequency, self-efficacy for healthy eating, and availability of healthy foods towards diet quality of adolescents in Kuala Lumpur, Malaysia. SUBJECTS/METHODS: This study was conducted among 373 adolescents aged from 13 to 16 years old. Diet quality of the respondents was assessed using the Healthy Eating Index for Malaysians. Meal frequency, self-efficacy for healthy eating, and availability of healthy foods were assessed through the Eating Behaviours Questionnaire (EBQ), self-efficacy for healthy eating scale, and availability of healthy foods scale, respectively. RESULTS: The majority of the respondents (80.7%) were at risk of poor diet quality. Males ($mean=34.2{\pm}8.2%$) had poorer diet quality than females ($mean=39.9{\pm}9.0%$) (t = -5.941, P < 0.05). Malay respondents ($mean=36.9{\pm}8.7%$) had poorer diet quality than Indian respondents ($mean=41.3{\pm}10.0%$) (F = 2.762, P < 0.05). Age (r = 0.123, P < 0.05), self-efficacy for healthy eating (r = 0.129, P < 0.05), and availability of healthy foods (r = 0.159, P < 0.05) were positively correlated with the diet quality of the respondents. However, meal frequency was not correlated with the diet quality of the respondents. Multiple linear regression analysis showed that being a male, being a Malay, low self-efficacy for healthy eating, and low availability of healthy foods contributed significantly towards poor diet quality among respondents. CONCLUSIONS: In short, sex, ethnicity, self-efficacy for healthy eating, and availability of healthy foods were associated with diet quality among adolescents. Health practitioners should take into consideration of differences in sex and ethnicity during implementation of nutrition-related intervention programs. Self-efficacy for healthy eating and availability of healthy foods should be included as important components in improving diet quality of adolescents.

• 치위생과학회지
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• 제17권4호
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• pp.315-322
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• 2017

본 연구는 2014년 페루 리마 및 까야오 지역 학생 건강증진 프로그램의 기초조사 자료를 활용한 단면연구이며, 연구대상은 페루 리마북부 및 까야오 지역 내 일반 국 공립 중학교에 다니고 있는 11~19세의 청소년 959명이었다. 연구의 목적은 페루 도시 빈곤 지역 학생들의 각 건강위험행동과 칫솔질 빈도 간에 관련성을 파악하기 위해 분석되었으며, 다음과 같은 결론을 얻었다. 첫째, 페루 리마 및 까야오 지역 청소년들의 12.1% (116명)는 하루 1회 이하로 칫솔질 하였으며, 87.9% (843명)는 하루 2회 이상 칫솔질을 하였다. 하루 칫솔질 빈도의 평균은 2.42회였다. 둘째, 연구대상자들의 인구 사회학적 특성을 보정 한 후에 두 가지의 건강위험행동과 칫솔질 빈도 간에 관련성이 나타났으며, 해당 건강위험행동은 여가시간에 주로 비활동성 여가생활(TV, game, internet)을 하는 학생과 외출 후 비누를 이용하여 손을 씻지 않는 학생(never/rarely)이 하루 칫솔질을 1회 이하로 할 OR이 더 높았다. 이상의 결과를 종합하여 보면, 페루 리마 및 까야오 지역 연구대상 청소년들의 하루 칫솔질 평균치는 WHO에서 권장하는 최소 수준인 2회 정도로 파악되었으며, 건강위험행동(비활동성 여가생활, 외출 후 손씻지 않기)을 하는 학생들은 하루 칫솔질 빈도 또한 낮은 것으로 나타났다. 향후 페루 도시 빈곤 지역 청소년들을 대상으로 한 ODA 건강증진 프로그램을 개발할 때에는 본 연구에서 도출된 결과를 토대로 신체활동 프로그램과 개인위생 프로그램에 구강보건교육을 통합적으로 실시할 필요가 있다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제32권4호
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• pp.144-153
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• 2021

Objectives: Anxiety disorders are the most common psychiatric disorders in adolescents and seem to occur the earliest among all forms of psychopathology. The aim of this study was to investigate the association of anxiety severity with health risk behaviors and mental health in adolescents. Methods: Data from the 2020 Korean Youth Risk Behavior Web-Based Survey were analyzed. A total of 54948 adolescents responded to the 7-item Generalized Anxiety Disorder Scale (GAD-7) for the assessment of their anxiety severity as well as to the mental health and health risk behavior survey. Logistic regression analysis, t tests, and variance analysis of a complex sample general linear model were used to examine the association of anxiety severity with health behaviors and mental health. Results: After statistical adjustment for sociodemographic characteristics, the subjects in the severe anxiety group were significantly more likely to be current smokers (odds ratio [OR]: 2.08, 95% confidence interval [CI]: 1.72-2.50), current drinkers (OR: 1.91, 95% CI: 1.67-2.19), experience habitual substance use (OR: 10.89, 95% CI: 8.22-14.42), have sexual intercourse (OR: 2.10, 95% CI: 1.76-2.51), and have unprotected intercourse (OR: 2.21, 95% CI: 1.67-2.92) than those in the normal group. Anxiety severity negatively correlated with sleep satisfaction and happiness, but positively correlated with stress perception, loneliness, depressive symptoms, and suicidality. Conclusion: Adolescent anxiety is associated with health risk behaviors and poor mental health. Thus, early screening and intervention for anxiety in adolescents could contribute to the management and coping of youth health risk behaviors in the community.

• 한국식생활문화학회지
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• 제38권1호
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• pp.38-47
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• 2023

In this study, we aimed to explore whether eating alone is associated with mental health conditions in Korean adolescents. The data of 2,012 Korean adolescents aged 12-18 years were obtained from the Korea National Health and Nutrition Examination Survey 2015-2019. Participants were classified into three groups based on the frequency of eating alone: none (all meals with others); 1 meal/day alone; and ≥2 meals/day alone. Mental health conditions were assessed based on stress recognition, depressive symptoms, and suicidal ideation. Multivariable logistic regressions were employed to calculate the adjusted odds ratios (AORs) and 95% confidence intervals (CIs) of poor mental health conditions according to the frequency of eating alone. Adolescents who ate ≥2 meals/day alone had higher odds of stress recognition (AOR: 2.65, 95% CI: 1.94-3.63), depressive symptoms (AOR: 2.55, 95% CI: 1.47-4.42), and suicidal ideation (AOR: 2.53, 95% CI: 1.05-6.08) than those who ate all their meals with others. In addition, having breakfast or dinner alone increased the odds of stress recognition. Considering the continuous increase in the social phenomenon of eating alone, nutritional educations are needed to develop adolescents' ability to choose more nutritionally balanced and healthy meals when eating alone.

• 대한지역사회영양학회지
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• 제27권3호
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• pp.192-204
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• 2022

Objectives: This study examined the association between dietary behaviors and perceived health status among Korean adolescents from multicultural families. Methods: This cross-sectional study included 2,459 Korean adolescents from multicultural families (aged 13 ~ 18 years) who participated in the 2017 ~ 2019 Korea Youth Risk Behavior Surveys. Information on the sociodemographic variables, dietary behaviors, and lifestyle variables was self-reported using a web-based questionnaire. The dietary behaviors analyzed in this study were the breakfast and food intake frequencies, including fruit, vegetable, milk, fast food, carbonated drink, sweet drink, and high caffeine/energy drinks. The adolescents' health perception was self-rated as healthy, average, or unhealthy. The dietary behaviors associated with health perception were examined using a multiple logistic regression after adjusting for the confounding variables. Results: In this study population, 7.6% of adolescents perceived their health status as unhealthy, and 25.4% perceived it as average. The adolescents who were girls, middle school students, and in households with a low economic status showed significantly higher percentages of poor health perception (P-values < 0.001). Skipping breakfast was significantly associated with a negative health perception. Compared to the adolescents who consumed fruits every day, those who did not consume fruits during the previous week showed a higher odd ratio (OR) for a negative health perception [OR = 2.29, 95% confidence interval (CI) = 1.32-3.97]. The adolescents who frequently consumed carbonated drinks (≥ 5 times/week) perceived their health status as unhealthy relative to those who did not consume carbonated drinks (OR = 2.15, 95% CI = 1.25-3.71). Skipping breakfast was significantly associated with an increased OR for a negative health perception in girls but not in boys. Compared to adolescents with a normal weight, those with overweight/obesity (OR = 1.75, 95% CI = 1.21-2.52) and underweight (OR = 2.19, 95% CI = 1.25-3.82) showed higher ORs for negative health perception. Positive associations of overweight/obesity and underweight with negative health perception were observed in boys but not in girls. Conclusions: Dietary behaviors and weight status were associated with the health perception in Korean adolescents from multicultural families. These findings suggest that nutrition interventions on breakfast intake and healthy food choices for this population might effectively improve their weight and perceived health status.