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Original Articles
Differences in Factors Associated with Depressive Symptoms between Urban and Rural Female Adolescents in Korea
Gyuyoung Lee, Ok Kyung Ham, Bo Gyeong Lee, Abuan Micah Kim
J Korean Acad Nurs 2018;48(4):475-484.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.4.475
AbstractAbstract PDF
Abstract Purpose

To examine the prevalence of depressive symptoms and differentiate factors associated with them in urban and rural areas by applying the Ecological Models of Health Behavior.

Methods

We employed a cross-sectional design and convenience sample of 460 female adolescents. The instruments included the Adolescent Mental-Health Problem-Behavior Questionnaire (AMPQ-II) and the Beck Depression Inventory (BDI).

Results

Depressive symptoms were confirmed in 15.7% of urban adolescents and 22.9% of rural adolescents (p<.05). In the urban group, perception of health and stress associated with school performance were significantly associated with depressive symptoms. In the rural group, aca-demic/internet related problems and rule violations were significantly associated with depressive symptoms (p<.05). General life happiness, worry/ anxiety, and mood/suicidal ideation were common factors in both urban and rural areas (p<.05).

Conclusion

Multiple factors were associated with depressive symptoms, and those significant factors differed between urban and rural female youths. Accordingly, tailored approaches are required considering urban and rural differences. The approaches should include intrapersonal, interpersonal, and organizational levels of interventions.

Citations

Citations to this article as recorded by  
  • Rural Suicide: A Systematic Review and Recommendations
    Tyler R. Pritchard, Jennifer L. Buckle, Kristel Thomassin, Stephen P. Lewis
    Clinical Psychological Science.2025; 13(1): 3.     CrossRef
  • Urban-Rural Differences in the Prevalence of Depressive Symptoms in Korean Adults
    Ji-An Jeong, Sun A Kim, Jung Ho Yang, Min-Ho Shin
    Chonnam Medical Journal.2023; 59(2): 128.     CrossRef
  • Urbanicity and depression: A global meta-analysis
    Colin Xu, Lucille Miao, Devon Turner, Robert DeRubeis
    Journal of Affective Disorders.2023; 340: 299.     CrossRef
  • Short Video-Based Mental Health Intervention for Depressive Symptoms in Junior High School Students: A Cluster Randomized Controlled Trial
    Yuting Yang, Hao Wang, Wen Sha, Xiaoqin Guo, Wei Deng, Jingyi Wang, Chaowei Fu
    Psychology Research and Behavior Management.2023; Volume 16: 4169.     CrossRef
  • Association between mental health and executive dysfunction and the moderating effect of urban–rural subpopulation in general adolescents from Shangrao, China: a population-based cross-sectional study
    Qingmin Lin, Cody Abbey, Yunting Zhang, Guanghai Wang, Jinkui Lu, Sarah-Eve Dill, Qi Jiang, M K Singh, Xinshu She, Huan Wang, Scott Rozelle, Fan Jiang
    BMJ Open.2022; 12(8): e060270.     CrossRef
  • Measuring Happiness in Adolescent Samples: A Systematic Review
    Justė Lukoševičiūtė, Gita Argustaitė-Zailskienė, Kastytis Šmigelskas
    Children.2022; 9(2): 227.     CrossRef
  • Effects of Life Skill Training on the School Violence Attitudes and Behavior Among Elementary School Children
    Jae Yeon Lee, Ok Kyung Ham, Hyun Soo Oh, Eun Jin Lee, Young Ko, Bongjeong Kim
    The Journal of School Nursing.2022; 38(4): 336.     CrossRef
  • Factors Affecting Obesity in Urban and Rural Adolescents: Demographic, Socioeconomic Characteristics, Health Behavior and Health Education
    Gyu-Young Lee, Youn-Joo Um
    International Journal of Environmental Research and Public Health.2021; 18(5): 2405.     CrossRef
  • Sociodemographic characteristics associated with adolescent depression in urban and rural areas of Hubei province: a cross-sectional analysis
    Guo Li, Junhua Mei, Jing You, Jinfeng Miao, Xiaoyan Song, Wenzhe Sun, Yan Lan, Xiuli Qiu, Zhou Zhu
    BMC Psychiatry.2019;[Epub]     CrossRef
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Gender Difference in Delinquent Behavior among Korean Adolescents
Hyun Sil Kim
Journal of Korean Academy of Nursing 2002;32(4):492-505.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.4.492
AbstractAbstract PDF

PURPOSE: This paper examined gender differences in a rate, type, relevant variables of delinquent behavior, and a gender differences regarding the relative influence of family,personality, academic achievement, sexual abuse and alcohol drug abuse on delinquent behavior among Korean adolescents. METHOD: Data were collected by self-report questionnaires. Subjects consisted of 2,100 adolescents (male 1,396, female 704) in Korea, using proportional stratified random sampling method. Statistical methods were Chi-square, t-test and path analysis. RESULT: Male adolescents had higher rate of delinquent behavior, and more all types of delinquent behavior (antisocial, aggressive, and psychopathic) than female. Male adolescents showed more dysfunctional family dynamic environments, higher antisocial personality and sociability than female adolescents. Female adolescents had higher depressive tendencies than male. The most powerful contributing variables on male delinquent behavior were age, antisocial personality, parent-child relationship, isolation feelings, and sexual abuse in this order named. Drug abuse, isolation feelings, antisocial personality and parent-child relationship tended to be contributing variables for female delinquent behaviors in this order named. CONCLUSION: This investigation will provides a foundation for theory that addresses the complexities of both gender-specific and gender influences on delinquent behavior and development of preventive strategies for female delinquency.

Citations

Citations to this article as recorded by  
  • Adolescents' Attachments to Parents, Teachers, and Friends, and Delinquencies
    Ju-Rhee Lee
    Korean Journal of Human Ecology.2008; 17(4): 563.     CrossRef
  • HIV/AIDS Knowledge, Attitudes, Related Behaviors, and Sources of Information Among Korean Adolescents
    Hyera Yoo, Sun Hae Lee, Bo Eun Kwon, Sulki Chung, Sanghee Kim
    Journal of School Health.2005; 75(10): 393.     CrossRef
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Development and the Effect of Adolescent Smoking Prevention Video
Sung Rae Shin, Na Sun Ha
Journal of Korean Academy of Nursing 2002;32(3):336-343.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.3.336
AbstractAbstract PDF

Recently the rate of adolescent smoking in Korea has increased rapidly, and various health problems related to smoking can be expected to increase in the future. Studies on smoking behavior report that assertiveness is important factor influencing on the adolescent smoking. PURPOSE: This study was conducted to develope a educational video for the purpose of adolescent's smoking prevention. METHOD: The 533 participating subjects, 269 in experimental group and 264 control group, in the study were 7th grade students. The content of video introduces three smoke tempting situations. The experimental group received 17 minute video education, and the control group did not receive any treatments. RESULT: The results show that the student's assertiveness was increased significantly in the experimental group after the video education. Student's attitude on smoking became more negative in the experimental group. However, in the control group, the intention, assertiveness, attitude was not changed. CONCLUSION: This assertiveness video can be useful educational resource for the smoking prevention program for adolescents. Also further study on longitudinal effect and application on drinking, drug abuse are needed.

Citations

Citations to this article as recorded by  
  • Effectiveness of a Secondhand Smoking Prevention Program on Adolescents
    Min Ah Park, Mi Ye Kim, Young Sun Ha
    Journal of Korean Academy of Community Health Nursing.2014; 25(1): 44.     CrossRef
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Recovery outcomes of Korean adolescents with substance Abuse problems
Myung Sun Hyun
Journal of Korean Academy of Nursing 2000;30(7):1658-1666.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.7.1658
AbstractAbstract PDF

Recovery in substance abuse has been simplistically measured; a more comprehensive understanding of recovery outcomes is needed. This study therefore explored recovery outcomes of Korean adolescents with substance abuse by qualitative research. The recovery was found to occur in several domains; they included reconciliation with the self, hope for the future, reconciliation with family, self-liberation, socialization, conventional norm pursuit, and a struggle for realistic independence. An understanding of the recovery process and recovery outcomes may provide guidance for clinical interventions with substance abuse adolescents.

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The Effects of Prevention Programs on Drug Use in Korean Adolescents
Sayaja Kim, Sunah Kim, Sung Suk Kong, Myung Ah Kim, Mia Seo
Journal of Korean Academy of Nursing 1999;29(1):150-160.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.1.150
AbstractAbstract PDF

BACKGROUND AND PURPOSE: Drug abuse is one of the most serious problems among the Korean adolescents today and has been associated with delinquent behavior in adolescents. The number of adolescents who abuse drugs is increasing yearly. Solutions to the problem, however, have not been well developed. The purpose of this study was to determine the effectiveness of a drug use prevention program which was developed by researchers. The program was a modified DARE(Drug Abuse Resistance Education) program for Korean adolescents. MEHTODS: This study used an experimental, one-group pretest-posttest design with a convenience sample of 122 middle school students who were at one middle school located in Seoul. Data were collected using a self-administered questionnaire where 'knowledge and attitude about drug use', 'social skill', and 'self-esteem' were measured. The program had 12 sessions to improve knowledge and attitudes towards drugs, decision making skills, social resistance skills, management of stress and self-esteem of students. Teaching strategies for each session were varied : lectures, group discussion, role-playing, question-and-answer sessions and audiovisual materials. Paired t-test was used to analyze the differences between the pre- and post-test scores on knowledge of and attitudes towards drug use, social skills, and self-esteem. RESULTS: There were significant differences in knowledge and attitudes about drug use between pretest and post-test(p<.05), but no significant differences in social skill and self-esteem(p>.05). CONCLUSION: Our results showed that the drug use prevention program was not effective in promoting social-skill and self-esteem of Korean adolescents. These findings might be due to the respondents being in the period of early adolescence(puberty) and not being good at group discussion. So, further study is needed to develop a drug use prevention program appropriate to students 9 and 10 years old, and to encourage small group discussion.

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Associations between Smoking and Depression in Adolescence: An Integrative Review
Sunhee Park, Dan Romer
Journal of Korean Academy of Nursing 2007;37(2):227-241.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.2.227
AbstractAbstract PDF
Background

Although research has established the existence of an association between smoking and depression among adolescents, researchers have not reached consensus on the nature of the association.

Objectives

The purpose of this paper is to review the literature, to examine the nature of the relationship between smoking and depression in adolescence, and to suggest future research directions.

Method

A literature search was conducted from the following six databases: (a) Ovid MEDLINE, (b) CINAHL, (c) PubMed Unrestricted, (d) PsycINFO, (e) ERIC, and (f) Sociological Abstracts. The combinations of the words, “depression,” “smoking,” “tobacco,” “adolescent,” and “teen” were used for keyword searches to find relevant articles.

Results

In 47 of 57 studies, significant associations between smoking and depression were found. However, these significant relationships may either be spurious or unrelated to depression because a substantial number of studies did not adjust for confounders or did not use validated instruments to measure depression. Additionally, if the relationship is causal, its direction remains controversial. Five relationships have been suggested: (a) Depression causes smoking, (b) smoking causes depression, (c) there is a bidirectional relationship between smoking and depression, (d) smoking and depression occur due to confounders, and (e) subgroups with different relationships between the two conditions exist.

Conclusions

It is necessary to further explore the relationship between smoking and depression. Future research should consider the need for: (a) longitudinal research designs, (b) more accurate measurement of depression, and (c) the control of confounders between smoking and depression.

Citations

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  • Use of Tobacco Products and Suicide Attempts Among Elementary School–Aged Children
    Phil H. Lee, Brenden Tervo-Clemmens, Richard T. Liu, Maia B. Gersten, Jae-Yoon Jung, Amy C. Janes, Jodi Gilman
    JAMA Network Open.2024; 7(2): e240376.     CrossRef
  • Perceived Occupational Noise Exposure and Depression in Young Finnish Adults
    Marja Heinonen-Guzejev, Alyce M. Whipp, Zhiyang Wang, Anu Ranjit, Teemu Palviainen, Irene van Kamp, Jaakko Kaprio
    International Journal of Environmental Research and Public Health.2023; 20(6): 4850.     CrossRef
  • Risk Factors of Relapse After Smoking Cessation: Results in China Family Panel Studies From 2010 to 2018
    Naifan Hu, Zhenfan Yu, Yurun Du, Jiangping Li
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Association of heated tobacco product use and secondhand smoke exposure with suicidal ideation, suicide plans and suicide attempts among Korean adolescents: A 2019 national survey
    Soyoon Park, Kang-Sook Lee
    Tobacco Induced Diseases.2021; 19(September): 1.     CrossRef
  • Association of Environmental tobacco smoke exposure with depression among non-smoking adults
    Akinkunmi Paul Okekunle, Jeffery Osahon Asowata, Jung Eun Lee, Onoja Matthew Akpa
    BMC Public Health.2021;[Epub]     CrossRef
  • Association Between the Location of Secondhand Smoke Exposure and Depressive Symptoms among South Korean Adolescents
    Bich Na Jang, Wonjeong Jeong, Soo Hyun Kang, Sung-In Jang
    International Journal of Environmental Research and Public Health.2020; 17(14): 5116.     CrossRef
  • Predictive Association of Smoking with Depressive Symptoms: a Longitudinal Study of Adolescent Twins
    Anu Ranjit, Jadwiga Buchwald, Antti Latvala, Kauko Heikkilä, Annamari Tuulio-Henriksson, Richard J. Rose, Jaakko Kaprio, Tellervo Korhonen
    Prevention Science.2019; 20(7): 1021.     CrossRef
  • How Health Behaviour Affects Depression Across Different Age and Gender Cohorts in India?
    Reshmi Sengupta
    SSRN Electronic Journal.2016;[Epub]     CrossRef
  • Smoking, heavy drinking, and depression among U.S. middle-aged and older adults
    Ruopeng An, Xiaoling Xiang
    Preventive Medicine.2015; 81: 295.     CrossRef
  • The association between smoking and depression from adolescence to adulthood
    Tore Tjora, Jørn Hetland, Leif Edvard Aarø, Bente Wold, Nora Wiium, Simon Øverland
    Addiction.2014; 109(6): 1022.     CrossRef
  • Does Smoking Initiation in Adolescence Increase Risk for Depression Across the Lifespan?
    Sunhee Park, Daniel Romer, Sungwon Lim
    Journal of Addictions Nursing.2013; 24(3): 142.     CrossRef
  • Is depression associated with health risk-related behaviour clusters in adults?
    P. Verger, C. Lions, B. Ventelou
    The European Journal of Public Health.2009; 19(6): 618.     CrossRef
  • The Causal Association Between Smoking and Depression Among South Korean Adolescents
    Sunhee Park
    Journal of Addictions Nursing.2009; 20(2): 93.     CrossRef
  • Predictors of the Transition From Experimental to Daily Smoking Among Adolescents in the United States
    Sunhee Park, Terri E. Weaver, Daniel Romer
    Journal for Specialists in Pediatric Nursing.2009; 14(2): 102.     CrossRef
  • La dépression co-morbide favorise-t-elle certains comportements à risque chez les personnes ayant des problèmes de poids?
    Pierre Verger, Sophie Dizière, Aurélie Bocquier, Bruno Ventelou
    Revue française des affaires sociales.2008; (1): 49.     CrossRef
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Peer and Parental Influences on Adolescent Smoking
Eunyoung Lee, Youngran Tak
Journal of Korean Academy of Nursing 2005;35(4):694-700.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.4.694
AbstractAbstract
Purpose

The purpose of this study was to determine the relationship between peer and parental factors and smoking behavior of adolescents in urban cities and to investigate whether there are gender differences.

Methods

A stratified and random cluster sampling design was used to obtain a cross-sectional sample of high school students in two urban cities. The sample consisted of 512 Korean adolescents (256 boys and 256 girls) aged 15 to 18 (mean age 16.7±.58). Self-reported questionnaire consisted of adolescent smoking behavior, peer smoking and alcohol use, parental smoking and alcohol use, father-mother-peer relationships and perceived social support from peers and parents. Multiple logistic regression analysis was used to examine the hypothesized model.

Results

The findings showed that peer and parental factors accounted for 30.3% of the variance in adolescent smoking and peer smoking was most strongly associated with adolescent smoking behavior (OR=10.18). In addition, peer smoking (OR=4.71), peer alcohol use (OR=4.21), and peer relationships (OR=1.03) were significantly associated with boys' smoking behavior. In girls, peer smoking (OR=26.50) and parent smoking (OR=5.48) were significantly associated with smoking behavior.

Conclusions

Consistent with previous findings, peer smoking is a significant factor on adolescent smoking. Specifically, boys would be more influenced from peers than girls. Therefore, smoking prevention programs for adolescents might be focused on the social context such as, resisting to peer pressure and enhancing the self-efficacy to control.

Citations

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  • Smoking of Parents and Best Friend--Independent and Combined Effects on Adolescent Smoking and Intention to Initiate and Quit Smoking
    K.-K. Mak, S.-Y. Ho, J. R. Day
    Nicotine & Tobacco Research.2012; 14(9): 1057.     CrossRef
  • Prevalence and Risk Factors of Adolescents Smoking: Difference Between Korean and Korean-Chinese
    SoonBok E. Park, Soon-Nyung Yoon, Yunjeong Yi, Wenying Cui, Bora Nam
    Asian Nursing Research.2011; 5(3): 189.     CrossRef
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A Study on the Variables Forecasting Male Adolescents' Sexual Intercourse
Kyung Hee Kim, Hye Jin Kwon, Hae Kyung Chung
Journal of Korean Academy of Nursing 2004;34(6):954-963.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.6.954
AbstractAbstract PDF
Purpose

This study was designed to identify the variables affecting male adolescents' sexual intercourse through a comprehensive analysis of individual and environmental factors.

Method

The subjects of this descriptive survey on causal relations were 462 subjects enrolled in liberal and vocational high schools selected on a convenience sampling basis. The data collected from May-July 2002 was put to logistic regression analysis to build a forecast model. Findings: 1) Individual factors such as school record, experience seeking, non-inhibition and sexual permissiveness, 2) family factors such as parental living arrangement, 3) school factorssuch as career tract and 4) peer factors such as having a boy/girl friend were identified as significant variables forecasting sexual intercourse.

Conclusion and Recommendation

The theoretical model built on the basis of the major findings of this study will hopefully help promote a wholesome youth culture related to sexual intercourse.It is recommended that a program be developed that can help control the variables identified in this study along with a follow-up study to verify the model.

Citations

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  • The Effect of Pornography Use Among Adolescents on Violent Sexual Behavior and the Moderating Effect of Family Support
    Jae Yop Kim, Sunah Choi, Lim Jeong Su
    Family and Environment Research.2021; 59(4): 489.     CrossRef
  • The Sexual Risk Behaviors of Middle School Students According to School Nurse Placement Levels in Korea
    Gyu Young Lee, Da Ye Lee
    Asian Nursing Research.2020; 14(4): 212.     CrossRef
  • Smoking Gun: Days of Wine and Roses
    Hae-Wol Cho
    Osong Public Health and Research Perspectives.2019; 10(5): 263.     CrossRef
  • Interaction Between Smoking Cigarettes and Alcohol Consumption on Sexual Experience in High School Students
    Soo Jeong Kim, Kyoung Won Cho
    Osong Public Health and Research Perspectives.2019; 10(5): 274.     CrossRef
  • Influencing factors on female university students' sexual experience and sexual assertiveness
    Nan-Hee Yee, Joon-Sig Jung, Hyea-Suk Song
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(3): 414.     CrossRef
  • Sexual Behaviors and Sexual Experience of Adolescents in Korea
    Gyuyoung Lee
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 71.     CrossRef
  • Effects of Sexual Intercourse on Suicidal Behaviors among Adolescents in South Korea
    Hyun Sik Kim
    Journal of Korean Academy of Nursing.2015; 45(2): 183.     CrossRef
  • Factors Associated with Sexual Debut among Korean Middle School Students.
    Jung Ok Yu, Hyun Hee Kim, Jung Soon Kim
    Child Health Nursing Research.2014; 20(3): 159.     CrossRef
  • Predictors of Sexual Intercourse Among Korean Adolescents
    Eunjung Ryu, Kyunghee Kim, Hyejin Kwon
    Journal of School Health.2007; 77(9): 615.     CrossRef
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A Study on a Model for Internet Addiction of Adolescents
Young Ran Cho, Hwa Ja Lee
Journal of Korean Academy of Nursing 2004;34(3):541-551.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.3.541
AbstractAbstract PDF
Purpose

This study was to identify the effects of the predictive factors ofInternet addiction and to develop a predictive model that explains Internet addiction among adolescents in Korea.

Method

Data was collected from 664 adolescents in Puasan and Ulsan. Data analysis was done using the SPSS 10.0 Win Program for descriptive and correlational statistics and the LISREL 8.53 Win Program for Covariance structural analysis.

Result

The fit of the hypothetical model to the data was moderate, it was modified by deleting four paths. Compared to the hypothetical model, the revised one had a better fit to the data(χ2/df=6.50, GFI=.99, AGFI=.90, RMR=.02, NNFI=.88, NFI=.98, CN=279). Gender, friend support, and loneliness had significant direct effects on Internet addiction. The direct and indirect effect of self-esteem on Internet addiction was significant.The indirect effect of family support on Internet addiction was significant but its direct effect was insignificant. The direct and indirect effects of stress and impulsiveness on Internet addiction were significant but their total effects were insignificant.

Conclusion

Finally, to decrease loneliness, and to increase family support and self-esteem, an effective intervention program and education should be developed to prevent Internet addiction of adolescents.

Citations

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  • An Integrative Review of Interventions for Preventing Internet and Smartphone Addiction in Elementary School Students: Based on the IMB Model
    Hyemin Park, Bohye Kim, Jaehee Jeong, Hwa Jeong Kim, Yebin Kim
    STRESS.2024; 32(3): 133.     CrossRef
  • Prevalence, determinants and consequences of problematic smartphone use among preschoolers (3–5 years) from Dhaka, Bangladesh: A cross-sectional investigation
    Faruq Abdulla, Md. Moyazzem Hossain, Mohammed Nazmul Huq, Abdul Hai, Azizur Rahman, Russell Kabir, Farhana Jahan Peya, Sinigdha Islam, Hafiz T.A. Khan
    Journal of Affective Disorders.2023; 329: 413.     CrossRef
  • Loneliness and problematic internet use: testing the role of interpersonal problems and motivation for internet use
    Nahathai Wongpakaran, Tinakon Wongpakaran, Manee Pinyopornpanish, Sutapat Simcharoen, Pimolpun Kuntawong
    BMC Psychiatry.2021;[Epub]     CrossRef
  • Factors Affecting the Internet Game Addiction Risk of Elementary School Students in Multicultural Families
    On Choi, Keum Seong Jang, Nam Young Kim
    Journal of Health Informatics and Statistics.2019; 44(1): 64.     CrossRef
  • Effect of Positive Psychological Capital, Sense of Community and Stress on Middle School Students' School Adjustment
    Kyoung Mi Kim, Eun Seon An, Eun Ju Oh
    Child Health Nursing Research.2018; 24(4): 506.     CrossRef
  • Problematic Online Gaming Among a Sample of University Students in Egypt
    Gihan ELNahas, Eman Abo Elella, Doaa Hewedi, Mahmoud Elhabiby, Hussien Elkholy, Omar Mansour, Sarah Baiumy
    Addictive Disorders & Their Treatment.2018; 17(4): 161.     CrossRef
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    Jeong Nam Jang, Yeon Hee Choi
    Journal of Korean Public Health Nursing.2012; 26(3): 375.     CrossRef
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    Hyun Sook Park, Geum Yi Jo
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2010; 19(2): 229.     CrossRef
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    Hee Sook Kim, Yeon Hee Choi, Seong Ja Yoo
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2010; 19(2): 173.     CrossRef
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Influencing Factors on Problem Behaviors among Adolescents: Focused on Middle School Students in Seoul
Myung Sun Hyun, Kyung Hee Kim, Sun Ah Kim
Journal of Korean Academy of Nursing 2004;34(2):252-260.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.2.252
AbstractAbstract PDF
Purpose

This study was to investigate the factors influencing problem behaviors among adolescents.

Method

The subjects for this study were 596 students in middle school in Seoul. The data was collected during the period from May to November, 2001 by use of questionnaires. The instruments used were the Child Problem Behavior list by Hong (1986), the Body Cathexis Scale by Secord and Jourard(1953), and the Beck Depression Inventory by Beck(1978). The data was analyzed by using the SPSS-Win program.

Result

Problem behaviors showed a significant negative correlation with body image (r= -.310. p=.000) and positive correlation with depression (r=.674, p=.000). There were significant differences in the problem behavior scores of subjects according to sex, family status, economic status, and school scores. Female students were found to have a high degree of internalized problem behaviors. In addition, depression, body image, and sex were significant predictors to explain problem behaviors(47.3%). Depression, sex, grade, and school scores were significant predictors to explain externalized problem behaviors(21.9%) and depression and body image, internalized problem behaviors(51.4%).

Conclusion

Since predicting factors of problem behaviors among middle school students by problem behavior type and sex were different, then practitioners should consider these differences when developing programs for them.

Citations

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  • Increased adolescent game usage and health-related risk behaviors during the COVID-19 pandemic
    Young-Jae Kim, Chan Sol Lee, Seung-Woo Kang
    Current Psychology.2024; 43(18): 16821.     CrossRef
  • Multilevel Analysis of the Risk Factors in High-Risk Health Behavior among Korean Adolescents
    Eun Gyeong Kim
    Osong Public Health and Research Perspectives.2018; 9(1): 3.     CrossRef
  • Body Image Dissatisfaction as a Mediator of the Association between BMI, Self-esteem and Mental Health in Early Adolescents: A Multiple-group Path Analysis across Gender
    Mi Heui Jang, Gyungjoo Lee
    Journal of Korean Academy of Nursing.2013; 43(2): 165.     CrossRef
  • Effects of a Mentoring Program on Stress and Self-esteem for Middle School Girls of Low Income Families
    Yun Hee Shin, Jee Hae Lee, So Young Lee, Kyeung Min Lim, Sook Lee
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2012; 21(3): 220.     CrossRef
  • Factors related to Problem Behaviors in High School Girls
    Yeon-Hwan Park, Hye-Jin Hyun, Su Jeong Yu, Do-Hwa Byen
    Journal of Korean Academy of Community Health Nursing.2011; 22(3): 315.     CrossRef
  • Development of the Structural Model of Adolescent's Risk Behavior
    Hyun Sook Park, Sun Young Jung
    Journal of Korean Academy of Nursing.2011; 41(3): 364.     CrossRef
  • Self-Concept and Coping Skills of Female Early Adolescents in South Korea
    Kyung Mi Sung
    The Journal of School Nursing.2011; 27(5): 364.     CrossRef
  • Test of Validity and Reliability of the Adolescent Mental Problem Questionnaire for Korean High School Students
    Soo Jin Kim, Chung Sook Lee, Young Ran Kweon, Mi Ra Oh, Bo Young Kim
    Journal of Korean Academy of Nursing.2009; 39(5): 700.     CrossRef
  • Health Experience of Depressive Adolescents: Reflected from Newman's Praxis Methodology
    Young-Ran Kweon, Chung-Sook Lee
    Journal of Korean Academy of Nursing.2009; 39(2): 217.     CrossRef
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Development of a Sublimation Program for Korean Adolescents' Aggression
Hyun Sil Kim
Journal of Korean Academy of Nursing 2004;34(1):81-92.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.1.81
AbstractAbstract PDF
Purpose

The purpose of this study was to identify a path diagram for the influence of family, personality, sexual abuse, drug abuse, coping strategies, and aggressive impulsiveness on aggression, and to develop a sublimation program for Korean adolescent's aggression.

Method

Data was collected by self-report questionnaires. Subjects consisted of 2,111 adolescents. A proportional stratified random sampling method was used. The major instrument was the Mental Health Questionnaire for Korean Adolescents, and the Cronbach's Alpha ranged from .54 to .95 for each subscale. Statistical methods were Chi-square, correlation analysis, and path analysis.

Result

The strongest contributing variables on aggression were person-related aggressive impulsiveness, antisocial personality, self-injured aggressive impulsiveness, gender, sexual abuse, psychosomatic symptoms II, drug abuse, age, parent-child relationship, alcohol abuse and cognitive avoidance coping strategies in the order named. Also the author developed a multi-systemic sublimation program for Korean adolescents's aggression. The multi-systemic sublimation program involves four domains including adolescents, parents, peers and community, and has several therapeutic sub-programs for each domain.

Conclusion

The ecology of human development is composed of multiple, integrated levels of organization, including biological, individual-psychological, social-interpersonal, cultural, and historical levels. Therefore, this multi-systemic sublimation program will prevent and decrease the rate of aggressive behavior among Korean adolescents.

Citations

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Factors Influencing Internet Addiction Tendency among Middle School Students in Gyeong-buk Area
Won Oak Oh
Journal of Korean Academy of Nursing 2003;33(8):1135-1144.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.8.1135
AbstractAbstract PDF
Purpose

This study was conducted to understand the degree of internet addiction tendency and to find out the factors influencing this addiction tendency among middle school students in Gyeong-buk area.

Methods

A total of 450 middle school students in the Daegu and Gyeong-buk area were surveyed in this study. Data collection was conducted through the use of questionnaires.

Results

Internet addiction among middle school students was relatively low (Average user). In the overall ratio distribution, however, students who were classified as either addicted or at risk of addiction accounted for a high percentage, 27%. A positive correlation was found between Internet addiction and Internet expectation, depression and parent control over Internet use. A negative correlation was found between Internet addiction and interpersonal relationship, parent support and self-control. Multiple regression analysis revealed that the most powerful predictor of Internet addiction tendency was depression.

Conclusion

Through the above results, it would be necessary to develop an Internet addiction prevention program for adolescents taking into account for the psychological factors such as depression and Internet use habits. In the future study, the need assessment will be useful for developing this prevention program.

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Perceptions of Obesity and Management Behaviors of Obese Adolescents and Their Families in Korea
Eun Sook Park, Yeo Jin Im, Hye Sang Im
Journal of Korean Academy of Nursing 2003;33(7):1028-1037.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.7.1028
AbstractAbstract PDF
Purpose

The purpose of this study is to explore the perceptions of obesity and management behaviors of obese adolescents and their families in Korea.

Method

Nine adolescents with moderate-degree obesity and of four their mothers of them were investigated using semi-structured interviews.

Result

The perceptions of obesity was classified into four domains and obesity management behaviors was classified into three domains. The domains regarding the perceptions of obesity include definitions of obesity(a danger signal of health status, deviation status, symbols of growth), causes of obesity(out of balance), opinions about their obesity(contempt, negative preconception, superiority) and changes on thought and attitudes owing to obesity(shrinkage, repulsion, sustaining losses, decreased activity, decreased self-confidence, defensive behaviors). The domains regarding obesity management behaviors include attitude about the management of obesity(not having priority, optimistic view, ardent wish), management behaviors for correcting obesity(encouraging physical activity, control of diet, gathering information, trial of diet control), attitudes about performing the management behaviors for correcting obesity(inconsistency, non-autonomy, conflict).

Conclusion

This study helps to enhance the understanding of the perception of obesity and management behaviors of obese adolescents and their families. Futhermore, based on this understanding, effective and appropriate heath management programs can be planned and conducted.

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    Hyun Jung Yun, Jin Suk Ra, Mina Jang
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Effect of Smartphone Apps Applying BodyThink Program on Obesity in Adolescent Girls
Min-Kyung Jun, Ju-Young Ha
J Korean Acad Nurs 2016;46(3):390-399.   Published online June 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.3.390
AbstractAbstract PDF
Purpose

The purpose of this study was to determine the effects of smartphone apps applying BodyThink program on BMI, percentage of body fat, skeletal muscle rate, body image, and self-esteem of adolescent girls.

Methods

Sixty-eight high school girls with a BMI of over 25kg/m2 were recruited to participate in this study. Girls from four schools were divided into two groups: the experimental group, which used the smartphone apps applying BodyThink program, and the control group, which used smartphone apps and small group counseling. The experimental group received the BodyThink program 6 times, scheduled once a week, with each session lasting 40~50 minutes. Test measures were completed before and after the 6 week intervention period for all participants. Collected data was analyzed using Shapiro-Wilk test, descriptive statistics, χ2 test, independent t-test, Mann-Whitney U test with the SPSS/WIN 18.0 program.

Results

The girls in the experimental group significantly improved their results in BMI(Z=-1.67, p=.042), percentage of body fat (Z=-3.01, p=.001), skeletal muscle rate (t=-3.50, p<.001), and self-esteem (t=2.66, p=.005) after the program, compared to the girls in the control group.

Conclusion

Mobile applications applying psychological and emotional intervention programs have the potential to be effective alternative methods to improve the body composition and self-esteem of obese adolescent girls.

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Depression Status of Academic High School Students in Seoul: Mediating Role of Entrapment
Young-Joo Park, Nah-Mee Shin, Kuem Sun Han, Hyun Cheol Kang, Sook-Hee Cheon, Hyunjeong Shin
J Korean Acad Nurs 2011;41(5):663-672.   Published online October 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.5.663
AbstractAbstract PDF
Purpose

Purpose of this study was to investigate the status of depression in academic high school students and path analysis model for exploring the mediating role of entrapment to depression in relation to academic stress and perceived social support.

Methods

Measurements were four reliable questionnaires measuring academic stress, social support, entrapment, and depression. Data were collected from students in 17 high schools in Seoul.

Results

Students (n=5,346) completing the questionnaires indicated depression & entrapment from academic stress. Depression was more prevalent in girls, those whose parents' household income was less than two million won, who did not live with father or mother or both due to divorce, separation, or death, and those who smoked or used alcohol. Entrapment was more prevalent in students similar to cases of depression and in seniors. According to the proposed path model, 48.6% of depression was explained by academic stress, social support, and entrapment. The indirect effect of entrapment as a mediator between academic stress and depression was verified and larger than the direct effect of academic stress on depression.

Conclusion

Considering levels of depression and entrapment demonstrated by these students, better mental health programs with diverse strategies should be developed for their psychological well-being.

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    Sun Yi Yang, Yun Hee Oh
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    Kyoung Sun Park, Gyu Young Lee
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    Dat Tan Nguyen, Christine Dedding, Tam Thi Pham, Pamela Wright, Joske Bunders
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    S. S. Chung, K. H. Joung
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    Suk-Hee Cheon
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    So-Youn Yim, Myoung-Ok Chae, Ja-Hyung Lee
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The Actor Effect and the Partner Effect of Self-esteem and Mother-Adolescent Communication on Depression in Mothers and Adolescents in Kirogi Families according to Adolescent' Development Stage
Eun Kyung Yun, Sung Hee Shin
J Korean Acad Nurs 2010;40(5):620-630.   Published online October 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.5.620
AbstractAbstract PDF
Purpose

This study was conducted to compare the level of depression, self-esteem and mother-adolescent (M-A) communication perceived by both mothers and adolescents between the early adolescent (E-A) group and the late adolescent (L-A) group; and to examine the actor effect and the partner effect of self-esteem and M-A communication on depression in mothers and adolescents.

Methods

Participants were 107 Kirogi families who resided in the Midwest region of the U. S. Data were collected from September, 2008 to March, 2009 using the scales of Center for Epidemiologic Studies Depression (CES-D), Self-esteem and Parent-Adolescent Communication Inventory.

Results

Mothers in E-A group reported higher scores on depression than mothers in L-A group. Adolescents in L-A group reported higher scores on depression and lower scores on self-esteem than adolescents in E-A group. In the E-A group, mothers' self-esteem had big actor effect on mothers' depression and partner effect on adolescents' depression. In the L-A group, self-esteem of mothers and adolescents had actor effect on their depression respectively without partner effect. M-A communication of mothers influences mothers' depression negatively and adolescents' depression positively. In both group, M-A communication influences their depression with mediating effect of self-esteem.

Conclusion

To promote Kirogi families' mental health, programs for mothers and adolescents should be developed differently according to adolescents' development stage.

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    Boram Lee
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    Yu Jeong Yang, Sung Hee Shin
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The Effects of Logotherapy on Meaning in Life and Quality of Life of Late Adolescents with Terminal Cancer
Kyung-Ah Kang, Jeoung-Sook Shim, Dae-Geun Jeon, Myung-Suk Koh
J Korean Acad Nurs 2009;39(6):759-768.   Published online December 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.6.759
AbstractAbstract PDF
Purpose

To evaluate the effects of a logotherapy program entitled 'Finding meaning in my life' for adolescents with terminal cancer.

Methods

A nonequivalent control group, non-synchronized design was conducted with a convenience sample of 44 late adolescents with terminal cancer. The experimental group (n=22) participated in the 'Finding meaning in my life' program which consisted of five-day sessions for one week. The control group (n=22) received the usual nursing care. The effects were measured using adolescent meaning in life (AMIL), and quality of life (QOL) scales. The collected data were analyzed by descriptive statistics, Chi-square, and t-test using SPSS/PC 17.0 program.

Results

There were significant differences in AMIL (t=3.36, p<.05) and QOL (t=2.67, p<.05) between the experimental and control groups.

Conclusion

Logotherapy is effective in improving the meaning in life and quality of life of late adolescents with terminal cancer, and can be used to prevent existential distress.

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    Tracy A. Balboni, George Fitchett, George F. Handzo, Kimberly S. Johnson, Harold G. Koenig, Kenneth I. Pargament, Christina M. Puchalski, Shane Sinclair, Elizabeth J. Taylor, Karen E. Steinhauser
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    Evangelia Psarra, George Kleftaras
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    George Kleftaras, Evangelia Psarra
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The Effects of Aromatherapy on Stress and Stress Responses in Adolescents
Ji-Yeong Seo
J Korean Acad Nurs 2009;39(3):357-365.   Published online June 29, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.3.357
AbstractAbstract PDF
Purpose

This study was done to examine the effects of aromatherapy on stress and stress responses in adolescents.

Methods

A two-group cross-over design was used for this study. The experimental treatment was aroma essential oil inhalation and the placebo treatment was carrier oil inhalation using a necklace. The sample included 36 female high school students. Fisher's exact test, t-test, and paired t-test using SPSS/WIN program were used to analyze the data.

Results

Stress levels were significantly lower when the students received the aroma treatment compared to when they received the placebo treatment. The stress responses except salivary IgA levels were significantly lower when the students received the aroma treatment.

Conclusion

Aroma inhalation could be a very effective stress management method for high school students. Therefore, it is recommended that this program be used in clinical practice as an effective nursing intervention for high school students.

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Menstrual Attitudes and Maternal Child Rearing Attitudes in Middle School Female Students
Kyoung Ja Hong, Hae Won Kim, Hye Young Ahn
J Korean Acad Nurs 2008;38(5):748-757.   Published online October 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.5.748
AbstractAbstract PDF
Purpose

This correlational study was performed to identify the impacts of maternal child rearing attitudes on the menstrual attitudes and the determinants of positive menstrual attitudes in female middle school students.

Methods

With convenience sampling, 198 middle school female students were recruited living in one major city and its surrounding areas in Korea. Data was collected using a self administered questionnaire including menstrual attitudes and maternal child rearing attitudes from April 1 to July 15, 2008.

Results

Among the Maternal child rearing attitudes, affectionate, achievement oriented and rational attitudes had positive correlations to a positive menstrual attitude, and an autonomous attitude had a negative correlation to a negative menstrual attitude. As determinants of positive menstrual attitudes, feeling of menarche, mother's response at first menstruation, and rational maternal child rearing attitudes were delineated and their explained variance for a positive menstrual attitude was 18.5%. There was no difference on menstrual attitudes by K clustering in terms of maternal child rearing attitudes.

Conclusion

These results support the critical role of the mother. Especially desirable maternal child rearing attitudes in relation to a positive menstrual attitude would be affectionate, achievement oriented and rational for early adolescent girls. In further studies, considerations are needed for menstruation related education and research for early adolescents and active involvement of the mother & daughter together.

Citations

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  • Effect of Early Menarche on Sexual Experience among Korean High School Girls
    Jaeyoung Lee
    Child Health Nursing Research.2017; 23(2): 137.     CrossRef
  • The Relationship between Metabolic Syndrome and Childhood Maternal Education Level, Job Status Findings from the Korean National Health and Nutrition Examination, 2007-2009
    Bo-Yoon Choi, Duk-Chul Lee, Eun-Hye Chun, Jee-Yon Lee
    Korean Journal of Family Medicine.2014; 35(4): 207.     CrossRef
  • Emotional Reaction to Menarche, Support to Menarche, Children-Parents Communication and Menstrual Attitude in Middle School Female Students
    Cho Hun Ha, kim ji eun
    JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH.2012; 16(2): 238.     CrossRef
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Relationships among Cybersex Addiction, Gender Egalitarianism, Sexual Attitude and the Allowance of Sexual Violence in Adolescents
Hyun Young Koo, Seong Sook Kim
Journal of Korean Academy of Nursing 2007;37(7):1202-1211.   Published online December 31, 2007
DOI: https://doi.org/10.4040/jkan.2007.37.7.1202
AbstractAbstract PDF
Purpose

This study was done to investigate cybersex addiction, gender egalitarianism, sexual attitude and the allowance of sexual violence in adolescents, and to identify the relationships among these variables.

Method

The participants were 690 students from two middle schools and three high schools in Seoul. Data was collected through selfreport questionnaires which included a cybersex addiction index, a Korean gender egalitarianism scale for adolescents, a sexual attitude scale and a scale for the allowance of sexual violence. The data was analyzed using the SPSS program.

Results

Of the adolescents, 93.3% reported not being addicted to cybersex, 5.7% reported being mildly addicted, 0.4% moderately addicted, and 0.6% severely addicted. Cybersex addiction, gender egalitarianism, sexual attitude and the allowance of sexual violence in adolescents were different according to general characteristics. Cybersex addiction of adolescents correlated with gender egalitarianism, sexual attitude and the allowance of sexual violence.

Conclusion

Gender egalitarianism, sexual attitude and the allowance of sexual violence in adolescents were influenced by cybersex addiction. Therefore, nursing interventions for prevention and management of cybersex addiction need to be developed and provided to adolescents. In addition, varied programs for teaching sexuality to adolescents should be developed and provided.

Citations

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  • Motivations for Internet Pornography Search and Perception on Cybersex: Focusing on Gender and Internet Pornography Use
    Jae Woong Shim
    The Journal of the Korea Contents Association.2013; 13(6): 148.     CrossRef
  • The Study of Sexual Behavior of the Middle School Students
    Sun Young Jung, Hyun Sook Park, Geum Yi Jo
    Journal of the Korea Academia-Industrial cooperation Society.2013; 14(12): 6330.     CrossRef
  • Cybersex Addiction among Korean College Students: Current Status and Relationships of Sexual Knowledge and Sexual Attitude
    Hyojung Park, Sook Jung Kang
    Journal of Korean Public Health Nursing.2013; 27(3): 608.     CrossRef
  • Mediating Effects of Relationship Satisfactions on the Relationships among Self-esteem, Internet Pornography Addiction, and Sexual Behavior in Male and Female Freshmen
    Sung-Rye Hong, Yeo-Joo Jung
    Journal of Korean Home Management Association.2012; 30(3): 69.     CrossRef
  • Validation of a Path Model to Prevent Sexual Risk Behavior in Adolescents
    Hyun Sook Park, Sun Young Jung
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2011; 20(1): 49.     CrossRef
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Alcohol Experience, Alcohol Knowledge, and Alcohol Expectancy in Early Adolescents
Young Ran Tak, E Hwa Yun, Ji Yeon An
Journal of Korean Academy of Nursing 2007;37(1):35-43.   Published online February 28, 2007
DOI: https://doi.org/10.4040/jkan.2007.37.1.35
AbstractAbstract PDF
Purpose

This study was to explore the prevalence of alcohol experiences and to identify the expectancy on the effects of alcohol and alcohol knowledge in early adolescents.

Method

The cross-sectional survey of 1854 students from seven middle schools in one district of Seoul was conducted by convenience sampling. Alcohol experience and early onset of alcohol use were measured by the Youth Risk Behavior Survey. Alcohol expectancy was measured by an Alcohol Effects Questionnaire.

Result

Over sixty five percent of adolescents reported that they had previous drinking experiences. The participants with no alcohol drinking experience had a lower level of alcohol knowledge than those with experience(t=2.73, p=.007). In expectancy on effects of alcohol, girls had a more positive alcohol expectation than boys(t=-2.54, p=.011). Alcohol knowledge negatively correlated with alcohol expectancy(r=-.40 p=.000). In regression of alcohol expectancy, gender and alcohol knowledge were significant predictors explaining 17%.

Conclusion

The results support that alcohol expectancy is an important link with early drinking experiences and alcohol knowledge, focusing on the importance of gender differences. Therefore, an alcohol prevention program in early adolescence is needed and should be focused on multidimensionality of the alcohol expectancy with developmental and psychosocial factors for early adolescents.

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