• Asian Pacific Journal of Cancer Prevention
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• v.14 no.6
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• pp.3483-3489
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• 2013

Background: To identify the prevalence of different stages of smoking and differences in associated risk factors. Materials and Methods: Thos longitudinal study started in February 2011 and the subjects were 2552 form one students aged between twelve to thirteen years of from 15 government secondary schools of Kinta, Perak. Data on demographic, parental, school and peer factors were collected using a self-administered questionnaire. We examined the effects of peer, school and parental factors on the five stages of smoking; never smokers, susceptible never smokers, experimenters, current smokers and ex-smokers, at baseline. Results: In the sample, 19.3% were susceptible never smokers, 5.5% were current smokers 6% were experimenters and 3.1% were ex-smokers. Gender, ethnicity, best friends' smoking status, high peer pressure, higher number of relatives who smoked and parental monitoring were found to be associated with smoking stages. Presence of parent-teen conflict was only associated with susceptible never smokers and experimenters whereas absence of home discussion on smoking hazards was associated with susceptible never smokers and current smokers. Conclusions: We identified variations in the factors associated with the different stages of smoking. Our results highlight that anti-smoking strategies should be tailored according to the different smoking stages.

• Korean Journal of Health Education and Promotion
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• v.22 no.2
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• pp.125-139
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• 2005

Objectives: More than half of youth smokers start to use cigarettes in their middle-school ages. Thus, middle school students should be the primary target population for smoking prevention education although the technical smoking rate is higher in high school students than in middle school students. Based on this significance, this study examined personal and social factors reinforcing non-smoking middle school students to acquire positive attitudes on smoking cigarettes. Methods: A total of 1,081 students of the 3 middle schools in Seoul participated in the self-administered survey. The designated schools were conveniently selected and all the 2nd-grade students of the schools participated in the survey. The questionnaire asked reinforcing social factors of smoking such as, family and parental history of drug use, close-people's smoking and drug use, personal experience of drug use, perceived smoking and drug use knowledge and attitudes, perceived smoking intention in future, and other delinquent behaviors. Results: Personal experience of drug and delinquent behaviors, perceived smoking intention in future, perceived knowledge of smoking, educational experience, and close-people's smoking and drug use were significantly related to students' attitudes on smoking. The significant factors affecting the positive attitudes of smoking were living with broken family and few education experience of smoking in school as social factors and strong smoking intention in future, high score of delinquent behavior, and low score of drug use knowledge as personal factors. Conclusions: Adolescents' strong smoking intention and little smoking education experience would primary personal and social factors reinforcing positive attitudes on smoking. Thus, school-based educational programs preventing smoking intention need to be developed and to be delivered to middle school students to minimize the future smoking population in a long-term perspective.

• Korean Medical Education Review
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• v.20 no.1
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• pp.32-43
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• 2018

Although student research programs have been implemented worldwide, research programs during premedical school have unique characteristics. The purpose of this study is to evaluate factors that influence the effects of premedical school research programs. Eighty second-year premedical students at Pusan National University were included in the study. Effect elements and influential factors were extracted through reference reviews and in-depth individual interviews. A Likert scale questionnaire was developed using the extracted elements and factors, and Cronbach's alpha coefficient was used to analyze the reliability of the survey. The mean value and the standard deviation for each question were calculated to evaluate education effectiveness and learning satisfaction, and the influence of each factor on effect was analyzed using correlation analysis. Students' research skills and knowledge were improved in the short term; however, interest in research or in a career as a researcher did not increase. Student interest, participation, and contributions were important factors. Among professors, passion, considerateness, and teaching method including the level of lesson were influential factors. Implementation of curriculum and support and guidance were influential as well, whereas evaluation system was not a factor. To improve student research programs, several factors that influence education effectiveness and learning satisfaction should be considered.

• Journal of the Korean Society of School Health
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• v.30 no.2
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• pp.103-112
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• 2017

Purpose: The Purpose of this study was to examine school health teachers' burnout, engagement, job demands and job resources and to identify the factors that influence burnout and engagement. Methods: The participants were 222 school health teachers working in elementary, middle or high schools. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression. Results: The significant factors influencing burnout were rewards (${\beta}=-.51$), autonomy (${\beta}=-.15$), and job demands (${\beta}=.13$). These factors explained 42% of the variance in burnout. The significant factors influencing engagement were feedback (${\beta}=.49$), rewards (${\beta}=.21$), type of employment (${\beta}=.15$) and autonomy (${\beta}=.13$). These factors explained 49% of the variance in engagement. Conclusion: The study showed that job demands increase burnout, while job resources such as rewards and autonomy alleviate it. In addition, job resources, such as feedback, rewards and autonomy, increase engagement among school health teachers. Therefore, in order to reduce burnout and increase engagement among school health teachers, it is necessary to reduce the level of job demands and to provide enough job resources such as rewards, autonomy and feedback by improving the job environment.

• 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.

• Korean Journal of Health Education and Promotion
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• v.30 no.2
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• pp.83-92
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• 2013

Objectives: The purpose of this study was to investigate factors affecting the drinking behavior in high school students. Methods: There were 620 subjects who were first and second graders of seven high schools in Daegu. This study used Sinhaengwoo (1998)'s drinking behavior scale, Rowlison and Felner (1988)'s stress scale, Kovacs (1981)'s children's depression inventory, Rosenberg (1965)'s self-esteem scale. The data were analyzed by descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression using SPSS/win 18.0 program. This study was approved by the Institutional Review Boards (IRB) of the Keimyung university hospital(No. 12-112). Results: The mean score for drinking behavior in high school students was 23.1points. Factors influencing drinking behavior in high school students were identified as self-esteem(t=-3.67, p<.001), stress(t=6.79, p<.001), school types(t=4.02, p<.001), sex(t=-3.67, p<.001). These factors explained 27% of drinking behavior reported by high school students. Conclusion: The results indicate which factors are majors influencing drinking behavior in high school students. Therefore, self-esteem enhancement could be considered as an effective strategy to reduce the drinking behavior in high school students.

• Journal of Preventive Medicine and Public Health
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• v.51 no.3
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• pp.154-162
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• 2018

Objectives: Early retirement occurs when one's job satisfaction suffers due to employment mismatch resulting from factors such as inadequate compensation. Medical doctors report high levels of job stress and burnout relative to other professionals. These levels are highest among emergency physicians (EPs), and despite general improvements in their working conditions, early retirement continues to become more common in this population. The purpose of this study was to identify the factors influencing EPs intention to retire early and to develop a probability equation for its prediction. Methods: A secondary analysis of data from the 2015 Korean Society of Emergency Physicians Survey was performed. The variables potentially influencing early retirement were organized into personal characteristics, extrinsic factors, and intrinsic factors. Logistic regression analysis was performed to identify risk factors and to develop a probability equation; these findings were then arranged in a nomogram. Results: Of the 377 survey respondents included in the analysis, 48.0% intended to retire early. Risk factors for early retirement included level of satisfaction with the specialty and its outlook, slanderous reviews, emergency room safety, health status, workload intensity, age, and hospital type. Intrinsic factors (i.e., slanderous reviews and satisfaction with the specialty and its outlook) had a stronger influence on early retirement than did extrinsic factors. Conclusions: To promote career longevity among EPs, it is vital to improve emergency room safety and workload intensity, to enhance medical professionalism through a stronger vision of emergency medicine, and to strengthen the patient-doctor relationship.

• Child Health Nursing Research
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• v.23 no.2
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• pp.158-167
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• 2017

Purpose: The purpose of this study was to investigate the ecological factors influencing school adjustment of adolescents from low-income families. Methods: Secondary data analysis was performed using data of 1,321 low-income adolescents in 123 regions found on the Survey on Service Satisfaction with Community Child Care Center. Results: The results of multi-level analysis identified the factors influencing school adjustment of low-income adolescents as follows: individual-level factors were gender, grade in school, and emotional problem; an interpersonal-level factor was family structure; organizational-level factors were length of time attending center and satisfaction with the service of the center; community-level factors were region and perception of community. Conclusion: The results suggest that low-income adolescents' adjustment to school is influenced not only by individual factors but also by diverse environmental factors. Community factors suggest that more education support systems and leisure facilities for adolescents need to be built in small and medium cities. Strategies to enhance positive perception of community are also needed for this population. Further, it is necessary to develop multi-level interventions to improve the school adjustment of adolescents from vulnerable social groups.

• Journal of Family Relations
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• v.22 no.1
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• pp.63-85
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• 2017

Objectives: The purpose of this study was to conduct a meta analysis of the previous studies on parental factors related to psychological and social maladjustment of school children and to examine the moderate effects of publication year using the meta-regression analysis. Method: Subjects of studies was academic journals and thesis published on 1996-Feb. 2016. Final result of selection was 353(122 journal articles, 231 master's thesis & dissertations) and total number of sampling was 126,776 school children. Results: Parental factors had medium effect sizes on psychological and social maladjustment of school children. Parental risk factors had bigger effect size than protective factors on children's maladjustment. There were a tendency that effect size of some parental factors were increased as publish year went by. Conclusions: Attachment, positive communication, and positive marital relationship were major protective factors which had reduced maladjustment of children. Psychological control and negative marital relationship were the strongest risk factors. The impact on parental factors on maladjustment of children were getting stronger recently.

• Journal of the Korea Society of Computer and Information
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• v.17 no.10
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• pp.175-183
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• 2012

This study observed how school resilience of adolescents from multi-cultural families was influenced by risk factors and protective factors. Furthermore, this study verified which protective factor moderated factor to exert positive influence on school resilience. The results showed that risk factors negatively influenced school resilience and protective factors positively influenced school resilience with statistical significance. The results showed that 'high self-esteem' moderated 'negative rearing attitude', 'positive attitude' moderated 'negative rearing attitude' and 'parent conflict', whereas 'teacher support' moderated 'negative rearing attitude' to significantly increase school resilience. The study suggested a measure that can reduce risk factors to increase school resilience of children from multi-cultural families according to the moderation relationship between protective factors and risk factors.