Adolescent Health Behaviors Research Articles

먹방시청 정도에 따른 청소년의 건강행태와 정신건강

Objectives This research seeks to investigate the health behaviors and mental health of adolescents in relation to their level of engagement in mukbang(eating show) watching. The objective is to offer fundamental data for the improvement of adolescent health behaviors and mental health.
 Methods This secondary analysis study utilized raw data obtained from the 18th Annual Youth Health Behavior Survey of 2022. The analysis involved using the SPSS/WIN 20 program to conduct complex sample frequency analysis, complex sample cross-tabulation, and complex sample logistic regression.
 Results First, daily viewership of mukbang was observed among female students attending girls' schools, as well as adolescents with lower academic performance, lower economic status, and parents with lower educational levels. Second, in terms of dietary habits, adolescents who did not watch mukbang at all had a higher intake of breakfast(1.48 times) and fruits(1.38 times) compared to those who watched it every day. Furthermore, they con-sumed fewer sweetened beverages(0.73 times), fast food(0.66 times), and late-night snacks(0.71 times). Third, in terms of physical activity, adolescents who watched mukbang occasionally engaged in higher levels of high-in-tensity physical activity(1.10 times), moderate-intensity physical activity(1.21 times), and walks lasting 10 mi-nutes or more(1.39 times) compared to those who watched it daily. Fourth, in terms of mental health, adolescents who never watched mukbang exhibited lower levels of loneliness(0.59 times), stress(0.64 times), feelings of sad-ness and despair(0.51 times), suicidal ideation(0.64 times), suicide planning(0.60 times), and suicide at-tempts(0.50 times) compared to those who watched it daily.
 Conclusions The effects on the health behaviors and mental health of adolescents appear to vary based on the levels of mukbang watching. Consequently, it is essential to develop and implement phased mukbang media edu-cation programs and parental intervention programs.

Police Contact, Non-Suicidal Self-Injury, and Suicidal Ideation: Findings From a National Sample of Canadian Adolescents and Young Adults.

The purpose of this research is to investigate associations between police contact, non-suicidal self-injury (NSSI), and suicidal ideation (SI) among a national sample of Canadian adolescents and young adults (ages 16-30). Data used in this study were obtained from the Canadian Study of Adolescent Health Behaviors (N=940), a national survey of Canadians ages 16-30. Police contact was associated with higher odds of NSSI (OR=1.98, 95% CI=1.37, 2.86). Those who reported police contact with intrusion (OR=2.39, 95% CI=1.49, 3.38) and police contact with harassment (OR=3.98, 95% CI=2.30, 6.88) had higher odds of NSSI relative to respondents with no contact. Finally, any police contact was associated with higher odds of SI (OR=1.56, 95% CI=1.04, 2.34) and respondents experiencing police stops with harassment had higher odds of SI compared to those who had never been stopped (OR=2.48, 95% CI=1.45, 4.24). Distressing police contact heightens the risk of NSSI and SI among young people. Rigorous evaluation of trauma-informed, developmentally appropriate strategies for identifying and intervening on NSSI and SI following adverse police encounters should be prioritized.

Role of Social Networks in Shaping Health Behavior of Chinese Adolescents

Aim: The access to social media websites has developed people's social media awareness. Often the misuse of social media adversely affects human behaviour and human health. The prime objective of this study was to provide practical guidelines to the Chinese government for improving the appropriate use of social media with recommended findings to improve the health behaviour of adolescents. Methods: This research used a sample of 382 individuals collected with a survey-based questionnaire using a simple random sampling approach. The data collected for this research was analysed using the R Package programming software RStudio. Resutls: The findings of this research highlighted the factors that significantly impact adolescents' health behaviour, such as frequency of social media use, peer influence, parental involvement, access to health information, and cultural influence. Conclusion: This study contributes to the body of knowledge with the critical findings based on the empirical evidence. These findings also address the inconsistencyfound in the previous literature. The Chinese government is required to work on this study's findings to improve the role of social media in adolescents' health behaviour.

Self-assessment of dental health status, behaviours and oral health risk factors among adolescents from public schools in Maputo City-Mozambique

Self-assessment of dental health status may have an impact on the oral health behaviour of adolescents which could impact their oral health. Oral health has been linked to various medical health conditions, thus eliminating oral health diseases can improve general health. The present study aimed to assess the association between behaviours and risk factors (oral hygiene habits, sugar intake, urban/rural status) and negative self-perception of dental health status among adolescents attending public schools in Maputo City.Method An analytic cross-sectional study, conducted in three Primary public schools from urban and peri-urban areas in Maputo City selected by convenience due to their geographic location was included. The size of the sample was 236 12-year-olds. Data was collected using a self-completion questionnaire designed by the World Health Organization (WHO). Chi-square tests or Fishers’ Exact tests were used for associations. A simple and multiple logistic regression was used to determine the strength of these associations using backward elimination (p < 0.05). Results: The sample consisted of 221 adolescents, with 114 (51.6%) residing in urban areas and 107 (48.4%) in peri-urban areas. More than half of the participants (111 individuals) reported having a negative perception of their dental health. In the urban location, a higher percentage of participants had a “negative” perception of dental health (57.9%, n = 66), while in the peri-urban location, more participants perceived their dental health as “positive” (57.9%, n = 62). Participants residing in an urban setting were 82% more likely to have a negative perception of dental health (AOR = 1.82 [95% C.I.: 1.05 to 3.14]). Those who had experienced dental pain tended to report a higher proportion of negative dental perception (57.2%, n = 91), with 2.7 times more likely to report a negative perception of dental health (AOR = 2.72 [95% C.I.: 1.46 to 5.08]). The majority (n = 139; 63.2%) claimed to clean their teeth twice a day.Conclusion There was a higher negative perception of dental health in urban areas. The need to strengthen oral health promotion in urban schools is high since schools play such a significant role in oral health promotion.

Risk and protective factors for substance use and media addictive behaviors in adolescents during the COVID-19 pandemic.

This study examined the long-term effects of the COVID-19 pandemic on adolescents' substance use, digital media use, and symptoms of internet, gaming, and social media addiction. A nationally representative longitudinal cohort of 1665 Israeli teens and preteens, aged 9-16, completed questionnaires assessing substance use prevalence, daily screen time, symptoms of media addiction, and potential risk and protective factors. Data were collected before the pandemic (October 2019), after the second wave lockdown (November 2020), and after the fifth wave (April 2022) in Israel. The analysis documented significant increases in substance use, daily screen time, and social media addiction indices over time. Gratitude, life satisfaction, positive emotions, future orientation, grit, and secure attachment emerged as significant protective factors. Sensation-seeking, negative emotions, and mental health symptoms were identified as risk factors. These findings highlight the importance of educational and public mental health services in addressing the pandemic's long-term impact on the mental health and addictive behaviors of adolescents. They also emphasize the significance of enhancing protective factors and reducing risk factors to effectively mitigate substance and digital media abuse among adolescents.

Korean Adolescents before and after COVID-19: Changes in Physical Activity, Mental Health, and Hygiene Management.

Adolescence is when health behaviors, namely, physical activity (PA), mental health, and hygiene management, are established. As the young represent our future societal welfare, their health requires attention, particularly in the face of a pandemic. We explored changes in Korean adolescent PA, mental health, and hygiene management before and after the COVID-19 pandemic to identify recommendations for improving adolescent health. We collected 2019-2021 data from the Korea Youth Risk Behavior Surveys from the Korea Disease Control and Prevention Agency for 166,590 middle and high school students (2019: 57,069; 2020: 54,809; 2021: 54,712). We analyzed seven variables (regular PA, high-intensity PA, and strength exercise participation, stress recognition, sleep-time satisfaction, brushing practice, and handwashing practice) to examine changes in adolescent behavior during these years. The findings indicated statistically significant differences in all seven variables over the three years (P<0.05). Specifically, regular PA was higher in 2019 and 2021 than in 2020; high-intensity PAs were highest in 2019, followed by 2021 and 2020; strength exercises were the highest in 2020, followed by 2021 and 2019; stress recognition was higher in 2019 and 2021 than in 2020; sleep-time satisfaction was the highest in 2020, followed by 2021 and 2019; brushing practice was the highest in 2019, followed by 2020 and 2021; and handwashing practice was the highest in 2020, followed by 2021 and 2019. The results recommend the need to encourage structured moderate-to-vigorous adolescent PA and systematic health education to improve Korean adolescent health behavior after COVID-19.

The effectiveness of an m-Health intervention on the sexual and reproductive health of in-school adolescents: a cluster randomized controlled trial in Nigeria

BackgroundThe implementation of the country-wide comprehensive sexuality education (CSE) curriculum among in-school adolescents remains abysmally low and mHealth-based interventions are promising. We assessed the effect of a mHealth-based CSE on the sexual and reproductive health (SRH) knowledge, attitude and behaviour of in-school adolescents in Ilorin, northcentral Nigeria.MethodsUsing schools as clusters, 1280 in-school adolescents were randomised into intervention and control groups. Data was collected at baseline (T0), immediately after the intervention (T1) and 3 months afterwards (T2) on SRH knowledge, attitude and practice of risky sexual behaviour (RSB). Data analysis included test of associations using Chi-square, independent t-test and repeated measures ANOVA. Predictors were identified using binary logistic regression.ResultsIn the intervention group, there was a statistically significant main effect on mean knowledge score (F = 2117.252, p = < 0.001) and mean attitude score (F = 148.493, p = < 0.001) from T0 to T2 compared to the control group which showed no statistically significant main effects in knowledge (p = 0.073), attitude (p = 0.142) and RSB (p = 0.142). Though the mean RSB score declined from T0 to T2, this effect was not statistically significant (F = 0.558, p = 0.572). Post-intervention, being female was a positive predictor of good SRH knowledge; being male was a positive predictor of RSB while being in a higher-class level was a negative predictor of RSB.ConclusionThe mHealth-based CSE was effective in improving SRH knowledge and attitude among in-school adolescents. This strategy should be strengthened to bridge the SRH knowledge and attitude gap among in-school adolescents.Trial registration Retrospectively registered on the Pan African Clinical Trial Registry (pactr.samrc.ac.za) on 19 October 2023. Identification number: PACTR202310485136014

The influence of socioenvironmental risk factors on risk-taking behaviors among Bahamian adolescents: a structural equation modeling analysis

ABSTRACT Background Adolescents’ risk-taking behaviors can have profound impacts on their future health. Few studies have established a relationship between multiple social environmental factors and adolescent risk behaviors. We used structural equation modeling to examine the role of parental monitoring and environmental risks on adolescents’ behavioral intentions and risk behaviors. Methods Data were collected through the baseline survey of a national implementation project among 2205 Grade 6 students in 24 government schools in The Bahamas in 2019. Structural equation modeling examined relations among parental monitoring, environmental risk factors, behavioral intentions, and risk behaviors. Results Students had engaged in various delinquent, substance use, and sexual risks. In the structural equation model, parental monitoring demonstrated direct negative (protective) effects on behavioral intentions and risk behaviors, whereas environmental risk factors had a direct positive effect on adolescent behavioral intentions and risk behaviors. The model had an R2 value of 0.57 for adolescent risk behaviors. Conclusion Parental monitoring and environmental risk factors had strong influences on risk-taking behaviors of early adolescents. Future adolescent health behavior interventions should consider offering additional prevention resources to early adolescents who are exposed to multiple environmental risk factors.

Association between exposure to tobacco information through mass media, smoking households and secondhand smoke exposure in adolescents: Survey data from South Korea.

To explore the current situation of exposure of Korean adolescents to secondhand smoke (SHS) in households our study aimed to determine the relationship between family member smoking status, exposure to tobacco information through mass media, and household SHS exposure. The present study uses pooled data from the Korean adolescent health behavior online survey conducted in 2015, 2018 and 2021, with 157944 participants. The regression models were used to explore the association between the smoking status of households, and exposure to tobacco information through mass media, and household SHS exposure in adolescents, controlling for potential confounding factors. SHS exposure duration of Korean adolescents in households was 0.88 days per week. The households with smokers including the father (β=1.087; 95% CI: 1.0-1.126), mother (β=1.461; 95% CI: 1.379- 1.543), siblings (β=0.545; 95% CI: 0.493-0.597), grandparents (β=0.224; 95% CI: 0.174-0.272), and other relatives (β=0.170; 95% CI: 0.126-0.214), showed a positive association with SHS exposure in adolescents within the household. At the same time, information about anti-smoking ads on television (β= -0.042; 95% CI: -0.069 - -0.015) and public transportation (β= -0.031; 95% CI: -0.054 - -0.010), showed a negative association with SHS exposure in adolescents. However, broadcasts, online, and newspaper non-smoking ads were not associated with SHS exposure (p>0.05). In addition, regression models revealed that exposure to cigarette advertising in magazines (β=0.131; 95% CI: 0.097-0.166), networks (β=0.151; 95% CI: 0.127-0.175), convenience stores (β=0.061; 95% CI: 0.035-0.087), and supermarkets (β=0.133; 95% CI: 0.108-0.158) is associated with SHS exposure in adolescents. Finally, our study showed stronger ties between SHS exposure, family smoking, and tobacco ads in girls. The link between maternal smoking, supermarket ads, and adolescent SHS exposure intensified in 2021 compared to 2015. Family and media were identified as potential factors associated with SHS exposure in adolescents. Therefore, publicity and education regarding household SHS hazards, and smoking bans in media, can be helpful in protecting adolescents from SHS.

Communication and Social Determinants of Cancer Preventive Behaviors in Adolescents From Low Socio-Economic Backgrounds in India: A Cross-Sectional Study.

Promoting cancer preventive behaviors among adolescents, especially those from lower socioeconomic backgrounds, is crucial due to the significant impact of health behaviors in adolescence on disease risk in adulthood. With India witnessing a rise in cancer incidence and mortality, adolescence becomes a pivotal stage for establishing healthy habits, emphasizing the need for early cancer prevention efforts. This cross-sectional study used survey data from 2242 adolescents attending public schools of Mumbai, India. Multiple logistic regression was conducted to determine the associations between cancer preventive behaviors and: (1) the individual and social determinants of health, and (2) media exposure. Merely 21.5% of the adolescents ate fruits and vegetables daily, 50% of the adolescents exercised 3 or more times a week, and 20% of the adolescents admitted having used tobacco and/or supari. Girls were found to have lower odds of exercising, as well as using tobacco and/or supari. Wealth and father's education were positively associated with all 3 cancer preventive behaviors. Media exposure was negatively associated, with television exposure linked to reduced fruits and vegetables consumption, while movies and social media exposure were associated with increased tobacco and/or supari use. Our findings suggest that individual and social determinants of health and media exposure can influence cancer preventive health behaviors in low socio-economic status (SES) adolescents. Efforts to increase awareness to promote cancer preventive behaviors among the adolescents, particularly low SES adolescents, a population more vulnerable to poor health outcomes, is critical.

Maintaining healthy lifestyle through fitness app use: A parallel mediation model from a nationwide survey.

Adolescents face various health challenges due to academic pressures and sedentary lifestyles. Establishing healthy habits during this critical period is essential for long-term well-being. With the widespread use of fitness apps, understanding their impact on adolescent health behaviors and the underlying mechanisms is crucial. Guided by social support theory and social comparison theory, this study examined the influence of WeRun, a fitness app within WeChat, on adolescents' adoption of healthy lifestyles. It investigated the correlation between WeRun usage and healthy behaviors, as well as the underlying mechanisms driving this relationship. A cross-sectional survey was conducted across 31 provinces and metropolitans in China, utilizing a random cluster sampling approach targeting high school and freshman students aged 15-24 (N = 1312). A parallel mediation model was employed to test the hypotheses. The analysis showed that WeRun use positively predicted both social support and social comparison. Meanwhile, both social support and social comparison were positively associated with healthy lifestyles. Additionally, WeRun use could not directly predict healthy lifestyles. However, WeRun use indirectly predicted healthy lifestyles via social support and social comparison. The study's findings revealed the pivotal roles of social support and social comparison as mediating variables in the relationship between adolescents' WeRun usage and adoption of healthy lifestyles. The results contributed to the current comprehension of the mechanisms linking app utilization to health-promoting behaviors. Furthermore, it provided valuable insights for promoting adolescent health and informed improved design strategies for fitness apps.

Chronic Conditions and Resilience: Adolescent Health Behaviors in the Midst of the COVID-19 Pandemic in Thailand.

Objective. To assess the impact of chronic illnesses on risk behaviors and psychosocial adjustments among adolescents during the COVID-19 pandemic in Thailand. Methods. A cross-sectional study was conducted between June 2021 and September 2022, including adolescents aged 10 to 18 years. Participants completed the Thai Youth Risk Behavior Survey and the Strengths and Difficulties Questionnaire (SDQ). Data were analyzed using descriptive statistics, Student's t-test, Chi-square test, and logistic regression. Results. Adolescents with chronic illnesses (n = 120) were more likely to exhibit risk behaviors related to violence (38.3%) and mental health issues (18.3%). They also scored higher on total difficulties (mean = 12.23, SD = 5.14) and emotional symptoms (mean = 3.08, SD = 2.45) than the healthy group (n = 120). Conclusion. During the COVID-19 pandemic, adolescents with chronic illnesses in Thailand demonstrated increased risk behaviors related to violence and mental health issues, highlighting the need for tailored interventions.

Digital health literacy, behavior and knowledge of adolescents for hand hygiene during the COVID-19 pandemic.

to investigate factors associated with digital health literacy, hand hygiene knowledge and behavior among Brazilian adolescents during the COVID-19 pandemic. cross-sectional study with 473 adolescents aged 15 to 19. Data were collected virtually between June and August 2021 through a questionnaire on sociodemographic characteristics, digital health literacy, knowledge and behavior regarding hand hygiene. Variables were adjusted using multiple linear regression models with normal response. the average digital health literacy score was 29.89 ±5.30; for hand hygiene knowledge and behavior was 13.1 ±1.5 and 11.1±2.7, respectively. Higher knowledge and behavior scores for hand hygiene were associated with having completed high school, compared to those attending college, among those who attend health courses, seek information about the pandemic and in scientific articles. Higher digital health literacy scores in adolescents who did not wear masks when playing sports (p= 0.017). There was an association between digital health literacy and knowledge (p = 0.000) and behavior (p = 0.000) regarding hand hygiene. there is an association between higher digital health literacy scores and hand hygiene knowledge and behavior.

학업을 중단한 한국 청소년의 건강상태와 건강행위 특성

The purpose of this study is to identify the health status and health behavior characteristics of Korean adolescents who have dropped out of school in order to maintain and improve their health. Using data from the 8th National Health and Nutrition Examination Survey (2019-2021), a total of 1,097 adolescents aged 12 to 18 years old, excluding those attending elementary school and 2/3-year college or higher, are eligible in terms of education level. Among these, 53 people who responded that they did not continue their studies after graduation or dropped out were subject to discontinuation of studies. Complex sample logistic regression analysis was conducted to identify characteristics associated with dropping out of school. As a result,, adolescents who dropped out of school were more likely to have not received necessary medical services in the past year compared to adolescents who continued their education (OR: 6.77, 95% CI: 1.84-24.93, p = .004). Additionally, they were more likely to have consumed alcohol in the past year (OR: 3.02; 95% CI: 1.00-9.08, p = .050) and to engage in physical activity less than three times a week (OR: 3.77; 95% CI: 1.44- 9.89, p = .007). These research results mean that the health status and health behavior of adolescents who have dropped out of school are more vulnerable, and it is recommended that they receive necessary medical services and provide education and prevention and management programs to prevent drinking and promote physical activity. It indicates that it is required.

청소년의 건강 관련 행동과 구강 증상과의 관련성

Objectives: By analyzing adolescent health behavior and the relationship between health-related behaviors and oral symptoms, we aim to provide an integrated program to improve the oral health of adolescents. Methods: Data from the 18th (2022) youth health behavior online survey was used. Cross-sectional analysis and logistic regression analysis were conducted to analyze the relationship between adolescents' health-related behaviors and oral cavity space. Results: Factors affecting oral symptoms were 1.363 times higher in men and 0.956 times lower in middle school students. The academic performance of ‘low’ was 1.020 times higher, and the economic status of ‘low’ was significantly 1.315 times higher. Conclusions: Based on these research results, it was reviewed that in order to improve the oral health of adolescents, it was necessary to develop and educate an oral health education program on the need for scaling, dietary control, how to use oral hygiene products correctly, and the relationship between stress and oral disease.

Factors Associated With Reproductive Health Behaviors Of Adolescents

This cross-sectional study looks at the variables that affect the reproductive health behaviors of 500 individuals, ages 10 to 19, in a varied sample. The results show that cultural norms are moderately adhered to (mean score: 3.8) and that religion has a mixed effect on reproductive health. Good communication from parents (mean score: 4.2) is in contrast to a range of peer influences. Although exposure to sex education is positive (mean score: 3.9), 30% of respondents say they have no access to medical treatment. Mean score for media influence is 3.5, and 45% of respondents say they use technology heavily. Consistencies and discrepancies are found when compared to previous research, highlighting the necessity of context-specific interventions. These understandings guide focused strategies to improve teenage reproductive health outcomes worldwide.

Factors Related to Adolescent Reproductive Health Behavior at SMKN I Subang, West Java Province in 2023

Adolescents have a significant position in the development process because adolescents are the next generation of the nation. Health conditions, including reproductive health, are important. Based on interviews with 20 students, it was found that 80% of female students and 90% of male students had less knowledge about reproductive health behaviors. The purpose of this study was to determine the factors associated with adolescent reproductive health behavior. Mixed methods (sequential explanatory) research method cross-sectional research design. The population in this study is all grade X students of SMKN 1 Subang as many as 849 students. The research sample was class X as many as 201 students, quantitative sampling techniques purposive sampling, qualitative informants 6 people who had risky behavior. Analysis of univariate, bivariate data with chi-square test and multivariate with logical regression. The results of the bivariate analysis showed an association between sex (p-value = 0.000), exposure to information (p-value = 0.000), living with parents (p-value = 0.000), knowledge (p-value = 0.000), no attitude relationship (p-value = 0.171) access to health services with reproductive health behavior (p-value = 0.457). The dominant factor associated with reproductive health behavior is exposure to information (p-value = 0.000). The conclusion is that adolescent reproductive health behavior is greatly influenced by exposure to information. It is expected that the school will be able to collaborate and cooperate with the puskesmas to increase knowledge about reproductive health behavior, especially about sexually transmitted diseases through health counseling which is carried out a maximum of once every 3 months.

Urbanisation negatively impacts sleep health and mood in adolescents: a comparative study of female students from city and rural schools of North India.

This study investigated the impact of social settings on sleep, physical and mental health in female adolescents of North India (latitude 29.5oN; longitude 77.5oE). Using a battery of questionnaires, we compared the chronotype, sleep-wake pattern, sleep health (e.g. sleep quality, daytime sleepiness and fatigue) and mood (via depression, anxiety and stress symptoms) in female students (age 14-18years) from rural (N = 719) and urban (N = 1033) schools separated by about 35km, but families had almost similar socio-demographic details. The morning type was prevalent amongst rural, whilst the evening type was prevalent amongst urban students who also had access to smart phones, suggesting a possible greater use of the internet. There were greater negative sleep effects, daytime sleepiness, overall poor sleep quality, higher fatigue and anxiety levels in urban than the rural cohort. Interestingly, these measures also differed between school days and free days, suggesting an impact of the conflict between internal biological and social timings (= social jet lag). We also found a significant relationship between chronotype, internet addiction, mood-related parameters and measures of sleep health. Overall, these results suggest a possible impact of social settings on sleep health and mood-related behaviours in female adolescents.

Adolescent health behavior research.

The Adolescent Brain Cognitive Development (ABCD) Study is the largest, long-term study of brain development and child and adolescent health that has ever been conducted in the United States. The ABCD Research Consortium is supported by the National Institutes of Health and includes a central coordinating center, a data analysis and informatics core, and 21 research sites across the country. This special issue of Health Psychology presents some important findings on adolescent health behavior that have recently emerged from the ABCD Study (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Leveraging the adolescent brain cognitive development study to advance and promote adolescent health: Introduction to the special issue.

The empirical reports in this special issue of Health Psychology showcase the work of a diverse array of accomplished early-stage investigators who are members of the Adolescent Brain Cognitive Development (ABCD) study consortium and who are drawn from the community of female and underrepresented scientists. Their studies focus primarily on youth assessed during preadolescence and early adolescence, and they are based on the ABCD data that were available to the scientific community at the time this special issue was being prepared (e.g., baseline, Years 1 and 2 assessments). They address a variety of questions about adolescent health behavior, such as the effects of screen time and caffeine on sleep; individual lifestyle, neighborhood, and environmental factors associated with physical health conditions and brain development; and the antecedents and consequences of prenatal and adolescent substance exposure. (PsycInfo Database Record (c) 2023 APA, all rights reserved).