Korean Youth Risk Behavior Survey Research Articles

The impact of alcohol consumption and binge drinking on the risk of dental trauma in South Korean adolescents

Objectives: This study aimed to investigate the impact of alcohol consumption and binge drinking on the occurrence of dental trauma in South Korean adolescents. Methods: Data were analyzed from the South Korean Youth Risk Behavior Survey, which used a complex sampling design to ensure representativeness. A total of 52,875 adolescent were included in this study. Logistic regression analysis was conducted to assess the association between alcohol consumption and tooth fractures. Confounders such as gender, education, city, academic performance, economic status, etc. were adjusted. Results: Logistic regression analysis revealed that alcohol consumption was significantly associated with tooth fractures in adolescents. After adjusting for all factors in Model 3 of binge drinking, the odds ratio remained statistically significant at 1.331 (95% CI: 1.064-1.664). Conclusions: Alcohol consumption and binge drinking increase the risk of tooth fractures in adolescents. Preventive measures targeting alcohol-related behaviors in this population are crucial for improving oral health outcomes.

Social Support and Suicidal Ideation among Children of Cross-Border Married Couples

Abstract Marriage-related migration by women from less developed to high-income nations has been increasing rapidly in Asia, and the proportion of children born to these foreign-born women is increasing as well. Using a unique dataset based on the Korean Youth Risk Behavior Survey, we investigate the relationship between social support and suicidal ideation among children with foreign-born mothers. We find that both maternal advice and teachers’ advice are significantly associated with a reduction in suicidal ideation among these children, with a further decrease of 3.2 and 4.9% points, respectively, compared to children with native Korean mothers. These findings imply that more government attention should be focused on educating and training foreign-born mothers and schoolteachers to improve their capacity to advise these children.

Assocations between fruit intake frequency, sociodemographic characteristics, health behaviors, and dietary habits in Korean adolescents: Based on the 17th(2021) Korean Youth Risk Behavior Survey

Assocations between fruit intake frequency, sociodemographic characteristics, health behaviors, and dietary habits in Korean adolescents: Based on the 17th(2021) Korean Youth Risk Behavior Survey

Effects of COVID-19 outbreak on Korean adolescents: Impact of altered economic perception on physical activity, sedentary behavior, and stress levels in an age-, gender-, and BMI-matched study.

The current study is to examine the disparities in physical activity (PA), sedentary behavior (SB), and stress levels in Korean adolescents concerning changes in their perception of family economic status (ES) during COVID-19. Among a total of 6144 Korean adolescents aged 12 to 18, the participants were categorized into two groups based on their responses regarding changes in their family ES due to COVID-19: Declined ES (n = 3072) and Non-changed ES (n = 3072), with matching in terms of age, gender, and BMI. All variables were assessed using the 16th year (2020) of the Korean Youth Risk Behavior Survey. Statistical analyses were conducted using the SPSS 26.0 version, employing independent t-tests to examine anthropometrics' differences and multinominal logistic regression to predict the impact of perception of family ES on PA, SB, and stress while comparing the two groups. The significance level was set at α = 0.05. Adolescents in the Declined ES group were 1.2 times more likely to engage in MVPA for less than 420 mins/wk (OR = 1.16, p = 0.039), 1.7 times more likely to meet recommended muscular strength activities (i.e., ≥ 3 days/wk) (OR = 1.70, p < 0.001), 37% less likely to not meet recommended recreational sitting time (i.e., ≥ 840 mins/wk) (OR = 0.63, p < 0.01), and were 2.1 times more likely to experience very severe stress level than the Non-changed ES group (p < 0.001). These results shed light on the importance of promoting mental health care in adolescents, regardless of PA levels, for their well-being during potential future pandemics. Understanding the impact of perceived ES changes on health behaviors can inform targeted interventions and support strategies to improve the mental health outcomes of adolescents during challenging times.

Association between tobacco industry advertising expenses and tobacco advertising exposure among Korean adolescents

IntroductionMonitoring the activities and impacts of tobacco industries is vital for tobacco control. Based on tobacco industry financial statements and a nationally representative survey of Korean adolescents, we examined the...

Factors Influencing Depression in Adolescents Focusing on the Degree of Appearance Stress.

This descriptive cross-sectional study examined the factors that affect depression in adolescents focusing on how stressed they are regarding their appearance (hereafter, degree of appearance stress). Data from 6493 adolescents from the 2020 Korean Youth Risk Behavior Survey were used. Using SPSS 25.0, a complex sample plan file was created, weighted, and analyzed. The frequency, chi-square test, independent t-test, and linear regression were used for the complex sample analysis. The results showed that among adolescents with low appearance stress, depression was significantly affected by the number of breakfast meals, weight control efforts, smoking, loneliness, subjective physical appearance, and smartphone overdependence. Among those with high appearance stress, depression was significantly affected by academic grades, weight control efforts, drinking habits, loneliness, subjective physical appearance, and smartphone overdependence. Furthermore, these factors differed according to the degree of appearance stress. Thus, while developing interventions for mitigating depression in adolescents, the degree of appearance stress should be considered, and a differentiated strategy should be used accordingly.

한부모가구 청소년의 성별에 따른 음주 영향요인

Objectives This study aimed to analyze the drinking level and influencing factors according to the gender of adolescents from single-parent households.&#x0D; Methods A total of 764 adolescents were selected and analyzed using the 17th Korean Youth Risk Behavior Survey. The Rao-Scott chi-square test was conducted to examine the differences in demographic characteristics, drinking, and health risk behavior according to gender of single parent household adolescents, and the differences in demographic and health risk behavior according to drinking. and complex sample logistic regression was performed for factors affecting drinking according to gender.&#x0D; Results As a result of analyzing the data of 330 female students and 434 male students from single-parent households, 53.3% of female students and 52.3% of male students in single-parent households were drinking. The factor influencing drinking among female students from single-parent households was current smoking, which was 5.89 times more likely to drink than non-smoker female students. The factors influencing drinking among male students from single-parent families were subjective body type, current smoking, and sexual experience. Male students who considered themselves to be thin drank 0.75 times more than male students who considered themselves normal, smokers 4.92 times more than non-smokers, and students with sexual experience 2.41 times more than non-sexual experience.&#x0D; Conclusions Based on the results of this study, differentiated education program according to the gender of adolescents from single-parent households is needed, and continuous attention from home and school is needed so that adolescents from single-parent households can grow up healthy.

Immigrant-origin youths at risk: Trends in suicidal behaviors among Korean adolescents by immigrant origins and ethnic options (2011–2019)

BackgroundIn line with the immigrant paradox, immigrants' health advantages disappear among second-generation immigrant-origin youths, including a high prevalence of suicidal behaviors. Nevertheless, the secular trend in suicidal behaviors among immigrants in South Korea has not been examined. While Korean society was once considered homogeneous, intra-Asian migration has increased in recent decades. It is needed to explore the relationship between ethnic options and mental health outcomes among immigrant-origin youths, including suicidal behaviors. MethodsUsing the nationally representative Korean Youth Risk Behavior Survey from 2011 to 2019 (600,541 non-immigrant-origin and 6,085 immigrant-origin), we examined the rates of suicidal behaviors to identify trends among youths with/without immigrant-origin and depending on the visibility of their immigrant-origin. Then, we conducted logistic regression to examine whether visibility is associated with higher suicidal behaviors among immigrant-origin youths. ResultsOverall, suicidal behaviors have declined, but immigrant-origin youths showed higher levels of suicidal behaviors than non-immigrant-origin youths. Visible minority youths showed higher suicidal behaviors than their invisible counterparts, particularly in suicidal planning and suicide attempts. Among immigrant-origin youths, visible minority status was associated with higher suicidal thoughts, plans, and attempts, controlling for socio-economic factors. Furthermore, female immigrant-origin youths show higher suicidal behaviors than their male counterparts. ConclusionsThe results suggest that data disaggregation is needed when examining the mental health of immigrant-origin youths. Practitioners and policymakers should pay particular attention to immigrant-origin youths and recognize that their visibility may be associated with their risk of suicidal behaviors. Targeted intervention is also required for female visible minority youths.

Association between Second-hand Smoke and Generalized Anxiety Disorder in Korean Adolescents: Based on the 17th Korea Youth Risk Behavior Survey

Objectives: The purpose of this study was to investigate the association between secondhand smoke exposure at home, school, and public places and Generalized Anxiety Disorder (GAD) among Korean adolescents, and to determine whether the risk of GAD increases as the frequency of exposure to secondhand smoke increases. Methods: This cross-sectional study is based on the 17th Korean Youth Risk Behavior Survey (2021), Out of the 54,848 students who participated in the survey, 5,975 current smokers were excluded, leaving the final analysis subject as 48,873 non-smokers. Rao-Scott chi-square analysis was done to examine the difference between general characteristics depending on the GAD levels of the subject and to investigate the association between second-hand smoke exposure and GAD. Multivariate logistic regression analysis was performed to investigate the effect of exposure to secondhand smoke in adolescents on GAD. Results: With all the confounding factors adjusted (Model IV), the risk of high GAD when exposed to secondhand smoke at home was 1.08 times higher for 1-3 days compared to “none” and 1.17 times higher when exposed to more than 4 days. In public places, the risk increased by 1.10 times and 1.49 times, when exposure was 1-3 days and more than 4 days respectively. At school, the risk increased by 1.34 times when exposed to 1-3 days, and 1.40 times when exposed to more than 4 days. Conclusions: Based on the results of this study, public awareness of secondhand smoke should be improved, health policies should be developed to prevent exposure to secondhand smoke among adolescents.

An Investigation on Korean Adolescents' Dietary Consumption: Focused on Sociodemographic Characteristics, Physical Health, and Mental Health.

The promotion of healthful dietary intake in adolescents is an important public health concern, as obesity is on the rise among adolescents. The current study aimed to determine the association between sociodemographic characteristics and dietary intake (breakfast, vegetables, milk, fruits, fast food, carbohydrate beverages, and caffeine beverages) and to examine the influences of physical and mental health on dietary intake. A nationally representative sample of 187,622 adolescents who attended middle and high schools and participated in the Korean Youth Risk Behavior Survey (2015, 2017, and 2019) was used. The results showed a decrease in breakfast, vegetable, milk, and fruit consumption and an increase in the obesity rate from 2015 to 2019. There was a significant association between dietary intake and gender, economic status, BMI, and academic achievement. Multiple logistic regression analysis results revealed that the consumption of breakfast, vegetables, milk, and fruit were associated with greater odds of having enough sleep. Fast food intake was shown to be a significant risk factor for depression with an odds ratio of 1.204 (95% CI = 1.169–1.239), and carbonated beverage consumption was shown to be a significant risk factor for stress with an odds ratio of 1.042 (95% CI = 1.030–1.054). These results provide fundamental data that can be used to develop an effective nutrition intervention program or nutrition policy for adolescents or school food service programs.

Prevalence and Correlates of the Dual Use of Conventional and Electronic Cigarettes among Korean Adolescents: 2016-2018 Korean Youth Risk Behavior Survey

Prevalence and Correlates of the Dual Use of Conventional and Electronic Cigarettes among Korean Adolescents: 2016-2018 Korean Youth Risk Behavior Survey

Identification of oral symptoms associated with atopic dermatitis in adolescents: Results from the Korea national representative survey 2009\u20132017

The relationship between oral health and atopic dermatitis (AD) remains unclear. Here we investigated the association between oral health status and AD using data from 634,299 subjects in the Korean Youth Risk Behavior Survey (KYRBS). Participants with oral symptoms were defined as those with any of following: sensitive teeth, toothache, bleeding gums or gum pain, and dry mouth. Current AD was determined by the question if participant had been diagnosed with AD from doctor within the past 12 months. We estimated the odds ratio (OR) for AD diagnosis according to the presence of oral symptoms. The OR for current AD, which is a dependent variable, was significantly increased in participants with oral symptoms, which are independent variables, in an adjusted model (OR, 1.27; 95% confidence interval [CI], 1.26–1.29; P < 0.001). In detailed analyses, all four oral symptoms were significantly associated with AD diagnosis: sensitive teeth (OR, 1.21; CI, 1.19–1.23; P < 0.001), bad breath (OR, 1.18; CI, 1.17–1.20; P < 0.001), toothache (OR, 1.18; CI, 1.16–1.20; P < 0.001), and bleeding gums (OR, 1.14; CI, 1.12–1.16; P < 0.001). In the presence of oral symptoms, the ORs for having two or more allergic diseases (AD, allergic rhinitis, and/or asthma) were higher than that of AD alone. In this study, oral symptoms appeared to be associated with AD in Korean adolescences.

The Sexual Risk Behaviors of Middle School Students According to School Nurse Placement Levels in Korea

PurposeThis study aimed to provide basic data for the future development of school-based sexuality education and school nurse placement policies by examining the sexuality education experience in middle schools according to levels of school nurse placement and identifying factors influencing on adolescent sexual risk behaviors. MethodsThis study examined data from the 2018 14th Korean Youth Risk Behavior Survey. The raw data from 30,229 middle school students enrolled in 400 schools were analyzed using descriptive statistics, Chi-square test, independent t test, and complex sample logistic regression analysis. ResultsIt is found that, in Korea, school nurse placement rates varied by region from 37.9% to 114.8%, resulting in different levels of sexuality and alcohol prevention education (p < .001). Sexuality and alcohol prevention education lowered the likelihood of sexual risk behaviors by 0.54 and 0.87 times, respectively. The experience of drinking alcohol increased a student's likelihood of committing sexual risk behaviors by 4.40 and 3.57 times, respectively, whereas the experience of using a drug increased the risk by 9.42 and 5.00 times, respectively. Personal factors (e.g., gender and academic achievement) and socioenvironmental factors (e.g., school type and perceived economic status) were also found to influence on the sexual risk behaviors of adolescents, although, not to the same degree as sexuality education or health risk behaviors. ConclusionTo protect students' sex-related health equity, more elaborate support policies are needed to ensure adequate placement of school nurses able to provide professional sexuality and related health education.

The association between new graphic health warning labels on tobacco products and attitudes toward smoking among south Korean adolescents: a national cross-sectional study

BackgroundGraphic health warning labels (GHWLs) on tobacco products are more effective than text warnings for communicating the risk of smoking. The implementation of GHWLs can prevent adolescents from initiating smoking. Therefore, this study examined the association between GHWLs newly implemented on December 23, 2016, in South Korea and attitudes toward smoking among adolescents.MethodsThis post-implementation cross-sectional analysis examined the responses of 62,276 students (31,624 boys and 30,652 girls) who participated in the 2017 Web-based Korean Youth Risk Behavior Survey, which was completed anonymously as a self-administered questionnaire by middle and high school students. Multinomial logistic regression was applied to explore the attitudes toward smoking among the youth (13–18 years old) who have been exposed to GHWLs in order to identify relationship of exposure to the GHWLs with smoking initiation and awareness of the danger of smoking.ResultsSix months after implementation, 69.4% of adolescents reported having been exposed to GHWLs in the previous 30 days. Among those exposed to GHWLs both boys and girls in grade 7 were significantly more likely than grade 12 high school students to decide not to start smoking (boys: AOR = 3.96, 95% CI 3.31–4.75, p < 0.001; girls: AOR = 2.76, 95% CI 2.32–3.30, p < 0.001) and to think that smoking was dangerous to their health (boys: AOR = 3.01, 95% CI 2.52–3.58, p < 0.001; girls: AOR = 2.42, 95% CI 2.03–3.88, p < 0.001) after seeing GHWLs. These associations were greater for adolescents who had experienced smoking-prevention education or had been exposed to anti-tobacco advertisements. However, those who smoked, used e-cigarettes, or experienced secondhand smoking were significantly less likely to decide not to smoke and to view smoking as dangerous.ConclusionsTo maintain the perception of the harm of tobacco from childhood through adolescence, the government should implement both comprehensive tobacco controls, including smoking-prevention education in schools, and measures to encourage a smoke-free environment in homes.

흡연경험이 있는 청소년들의 일반담배와 가열담배의 복합흡연경험 영향요인 : 제14차 청소년건강행태조사를 기반으로

흡연경험이 있는 청소년들의 일반담배와 가열담배의 복합흡연경험 영향요인 : 제14차 청소년건강행태조사를 기반으로

Socioeconomic and Sociodemographic Factors related to Allergic Diseases in Korean adolescents based on the 14th Korean Youth Risk Behavior Survey

Socioeconomic and Sociodemographic Factors related to Allergic Diseases in Korean adolescents based on the 14th Korean Youth Risk Behavior Survey

Socioeconomic Disparities in Health Risk Behavior Clusterings Among Korean Adolescents.

This study aims to investigate the socioeconomic disparities in health risk behavior clusterings among Korean adolescents and to assess the mediating role of stress on this association. We analyzed the 2015 Korean Youth Risk Behavior Survey, a nationally representative sample of Korean middle and high school students aged 12-18years (N = 68,043). The co-occurrence of multiple health risk behaviors (i.e., cigarette smoking, drinking, and unprotected sex) was used to operationalize health risk behavior clusterings that ranged from zero to three. Ordinal and multinomial logistic regressions were conducted to examine socioeconomic disparities in health risk behavior clusterings and mediating effect of perceived stress between socioeconomic status (SES) and health risk behaviors. When SES was grouped into five groups, adolescents in the lowest SES [adjusted odds ratio (AOR) = 2.15, 95% confidence interval (CI) = 1.90-2.44] and the highest SES (AOR = 1.29, 95% CI = 1.18-1.40) showed a higher likelihood of risk behavior clusterings than any other SES groups. Stress partially mediated the relationship between SES and co-occurrence of multiple health risk behaviors while accounting for their demographic characteristics. Adolescents in the lowest and highest SES reported higher stress than other SES groups, which, in turn, was associated with the co-occurrence of multiple health risk behaviors. The results suggest that perceived stress level partly explains why affluent as well as low-SES adolescents engage in multiple risk behaviors. The findings also discourage use of a linear approach in socioeconomic disparity investigation in relation to adolescent health behaviors.

The Association of Health Behaviors with Stress Perception among High School Students in Korea: Based on 2015 Korean Youth Risk Behavior Survey

Purpose: The aim of this study is to identify Korean high school students’ health behaviors and perceived stress and to examine effects of their health behaviors on their stress perception. Methods: The subjects were 33,744 high school students who participated in the 11th Korea youth risk behavior web-based survey 2015 in Korea. Data were analyzed using complex samples analysis with the PASW 18.0 program. The questionnaire utilized in this study is designed to find the subjects’ general characteristics, health behaviors, and perceived stress. Results: The prevalence of subjects with high level stress was 38.9%(n=13,137) in this study. There were significant differences in the general characteristics and stress perception among the Korean high school students in terms of gender, grade, school achievement, family''s affluence, mother''s education, perceived happiness, perceived health status, and stressor. The variables of health behaviors of Korean high school students were significantly different from stress perception. Under complex samples logistic regression, predictive factors of stress for the high school students include gender, grade, father''s education, family''s affluence, living arrangement, perceived health status, perceived happiness, current smoking, current alcohol experience, and enough sleep. Conclusion: The study suggests multilateral efforts are needed to help high school students'' stress management including health behaviors for high school students.

Multilevel Analysis of Factors associated with Subjective Weight Perception among Normal Body Weight Adolescents based on the 2017 Korean Youth's Risk Behavior Survey (KYRBS)

Purpose: The present study is focused on understanding weight perception related with individual- and school-level multifactorial origins, underestimated and overestimated respectively, in normal body weight adolescents. Methods: Using the 2017 Korea Youth Risk Behavior Web-based Survey data of 45,902 students from 799 secondary schools, a multilevel multinomial logistic regression analysis was performed where adolescents (level1) were nested within schools (level 2). Results: At the school level, the average school body mass index (BMI, kg/m2) and physical education were associated with weight perception among both boys and girls. In boys, geographic areas were associated with weight underestimation. At the individual level, perceived economic status, weekly allowance, BMI (kg/m2), smartphone usage time (hrs/day) and perceived stress were associated with weight perception among both boys and girls. Age, paternal education, academic achievement and alcohol use were associated with weight perception among girls, while part-time job and physical activity were associated with weight perception among boys. Conclusion: Our findings underscore the importance of individual- and school-level environments in developing correct weight perception and have implications for school health education to establish healthy lifestyle behaviors for all adolescents.

Factors Influencing Subjective Happiness among Adolescents in Busan : Analysis of Data from the 2016 Korean Youth Risk Behavior Survey

Factors Influencing Subjective Happiness among Adolescents in Busan : Analysis of Data from the 2016 Korean Youth Risk Behavior Survey