Jeongyee Bae; Panuncio Rosel

doi:10.4040/jkan.2009.39.3.446

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Original Article
Construction of the Structural Equation Model on Substance Use in Adolescents: Jeongyee Bae, Panuncio Rosel; Journal of Korean Academy of Nursing 2009;39(3):446-457.
DOI: https://doi.org/10.4040/jkan.2009.39.3.446
Published online: June 29, 2009

¹Associate Professor, Department of Nursing, Inje University, Busan, Korea.

²Research Assistant, Department of Nursing, Inje University, Busan, Korea.

Address reprint requests to: Bae, Jeongyee. Department of Nursing, College of Medicine, Inje University, 633-165 Gaegeum-dong, Busanjin-gu, Busan 614-735, Korea. Tel: 82-51-890-6823, Fax: 82-51-896-9840, jibai@inje.ac.kr

• Received: December 19, 2008 • Accepted: June 4, 2009

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The aim of this study was to construct a structural equation model that would further explain the continuously increasing substance use disorder in Korean adolescents.
Methods
Survey visits using a structured questionnaire were conducted with 3,885 students in 2 middle schools and 2 high schools in Busan. A total of 13 instruments were used in this model. The analysis of data was done with both SPSS 14.0 for descriptive statistics and AMOS 5.0 for covariance structure analysis.
Results
Based on the constructed model, belief on substance use was found to have a significantly direct effect in influencing adolescent substance use. In addition, other factors such as family environment, satisfaction with school life, self-concept, social support, and personality vulnerability indirectly affected substance use. The final modified model yielded Chi-square=2,987 (p<.001), df=121, χ²/df=22.1, GFI=.96, AGFI=.93, NFI=.91, PNFI=.72, PGFI=.72, RMSEA=.07 and exhibited fit indices.
Conclusion
This study constructed a model that addresses the factors related to adolescent substance use and explains the relationship of these factors in influencing substance use among Korean adolescents. Findings from this study can contribute to designing appropriate prevention strategies to reduce substance related disorders in adolescents.
Keywords: Adolescent; Substance related disorder; Alcohol; Smoking; Drug abuse

This work was supported by the Korea Research Foundation Grant funded by Korean Goverment (KRF-2006-311-E00114).

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Figure 1

Conceptual framework for substance use in adolescents.

Figure 2

Testing for hypothetical model.

Figure 3

Testing for modified model.

Table 1

Correlation among Factors (N=3,885)

x1=parenting; x2=family satisfaction; x3=school achievement; x4=school adjustment; x5=friend's support; x6=teacher's support; y1=depression; y2=anxiety; y3=impulsiveness; y4=antisocial personality; y5=self acceptance; y6=self esteem; y7=self confidence; y8=perception; y9=self efficacy; y10=substance use.

Table 2

Model Fitness Index for Hypothetical and Modified Model (N=3,885)

Table 3

Direct Effect, Indirect Effect, and Total Effect in Modified Path Model

CR=critical ratio; SMC=squared multiple correlations.

Figure & Data

REFERENCES

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