• Korean Journal of Health Education and Promotion
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• v.31 no.5
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• pp.147-158
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• 2014

Objectives: This study aims to examine the association of depression, suicidal behaviors with smartphone use behaviors among Korean adolescents. Methods: We analyzed data from 'Youth Health and Life Skills Survey' in 2013. The survey was based on self-reported questionnaires distributed to 915 grade 7th and 8th students at four middle schools in Gangdong-gu, Seoul, Korea in 2013 to evaluate the effects of 'Youth Health and Life Skills' program. Depression and suicidal behaviors were measured in terms of the experience rate, and smartphone use behaviors were measured with average hours of smartphone use a day and overindulged behaviors in smartphone use by using 5-point Likert scales. We examined the association of depression and suicidal behaviors with smartphone use behaviors by using t-test and regression analyses. Results: 21.5% of respondents have ever felt depressed or hopeless to lose interest in school life almost everyday for 2 weeks or longer in the past year. The experience rate of suicidal ideation, suicide plan, and suicidal attempt were 21.1%, 6.1%, and 5.7%, respectively. The mean of average hours of smartphone use a day was 3.9 hours, and the mean score of overindulged behaviors in smartphone use was 2.99. The students who have experienced depression and suicidal behaviors were more likely to have more smartphone using time and higher scores of overindulged behaviors in smartphne use than those who have not. Conclusion: We concluded that for preventing addictive or problematic smartphone use behaviors among adolescents we should consider and develop more positive strategies for the moderate use of smartphone than regulatory measures, which include the implementation of skill-based health education program including life skills at schools and the development of smartphone applications useful for resolving mental stress and promoting mental health.

• Journal of Distribution Science
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• v.21 no.7
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• pp.1-9
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• 2023

Purpose: This study aims to understand if heterogeneous news is evenly consumed and distributed on portals as it examines people's news use and engagement behaviors and news credibility. Focusing on the four behaviors of news use, i.e., viewing news by keyword search, viewing news from subscribed sources, viewing news from the list of most-viewed news, and reading comments, and the three behaviors of news engagement, i.e., sharing news, 'liking' or 'recommending' news, and posting comments, this study investigates the relation between each of the behaviors and portal news credibility. Research design, data and methodology: From 2022 News Audience Survey in Korea, this study conducts a regression analysis to investigate the relations between each behavior and news credibility. Results: The results show a positive relation for the former two news use behaviors and the latter two news engagement behaviors, and a negative relation for the latter two news use behaviors. Conclusions: The positive relations between active news use and engagement behaviors and portal news credibility indicate that news consumers are more likely to use and engage in attitude-consistent news rather than attitude-challenging news, implying that heterogeneous news is less likely to be consumed and distributed evenly on portals across all news users.

• Journal of Preventive Medicine and Public Health
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• v.48 no.2
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• pp.111-117
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• 2015

Objectives: While epidemiologic research indicates that the prevalence of risk-taking behaviors including cigarette smoking among young people with asthma is substantial, the longitudinal patterns of cigarette smoking in this vulnerable population have received little attention. The aim of this study was to evaluate differences in the longitudinal trajectories of cigarette use behaviors from adolescence to adulthood between young people with and without asthma. Methods: Data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) during the years 1994 to 1995 (Wave I, adolescence), 2001 to 2002 (Wave III, young adulthood), and 2007 to 2008 (Wave IV, adulthood) were analyzed (n=12 244). Latent growth curve models were used to examine the longitudinal trajectories of cigarette use behaviors during the transition to adulthood according to asthma status. Results: Regardless of asthma status, the trajectory means of cigarette use behaviors were found to increase, and then slightly decrease from adolescence to adulthood. In total participants, there were no statistically significant differences in initial levels and changes in cigarette use behaviors according to asthma status. However, in select sex and race subgroups (i.e., females and non-whites), former asthmatics showed greater escalation in cigarette use behaviors than did non-asthmatics or current asthmatics. Conclusions: This study indicated that the changing patterns of cigarette use behaviors during the transition to adulthood among young people with asthma are comparable to or even more drastic than those among young people without asthma.

• Korean Journal of Health Education and Promotion
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• v.10 no.2
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• pp.73-85
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• 1993

It is necessary to understand the relationship between socio-cultural elements and smoking, alcohol, and marijuana use behaviors in order to plan public health policy or health promotion program of Mexican Americans. Demographic, socioeconomic status, and acculturation are variables which reflect mechanisms socialization influences these behavior patterns among this population. Thus, this study investigates the prevalence of addictive behaviors and individual differences on addictive behaviors related to variables of acculturation, age, gender, education, and income. And the interrelations among addictive behaviors are also examined. The analyses used data for Mexican Americans from the U.S. Hispanic Health and Nutrition Examination Survey conducted from July 1982 through December 1984 by the National Center for Health Statistics. ANOVA and correlation coefficients were used for this study. This study found that there are gender differences among addictive behaviors in their prevalence. Both males' and females' alcohol and marijuana use behaviors are positively related to the acculturation. Females' smoking behavior is positively related to acculturation while males' smoking is negatively related to it. Income and education are negatively related to males' smoking and positively related to males' alcohol behavior. However, males' marijuana behavior is not related to income. Females' smoking behaviors is not significantly related income and education. Education and income are positively related to marijuana behavior among females. Age is related to all three addictive behaviors among both gender. Age is negatively related to both males' and females' marijuana use behavior. Interrelation between smoking and marijuana use behavior is not significant among males. However, interrelations between alcohol and marijuana use behavior and between alcohol and smoking are significant among both genders. Females' smoking and marijuana use behavior is also significantly related.

• Research in Community and Public Health Nursing
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• v.26 no.1
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• pp.52-60
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• 2015

Purpose: The study was performed in order to identify the relationship between health behaviors and Internet use among adolescents. Methods: The study used raw data from the Korean Youth Risk Behavior Web-Based Survey that was performed in 2012. Data of a total of 74,186 students were analyzed using SPSS/WIN 18. The data were analyzed using descriptive statistics, t-test, and Pearson's correlation. Results: Internet use and health behaviors were significantly related to gender, depression, suicidal intent, parents' educational level, cohabitation with parents at home, school location, and grade. There was a significant association between Internet use and health behaviors in adolescents. Conclusion: Health promotion and education programs need to consider factors found relevant in this study.

• Journal of Preventive Medicine and Public Health
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• v.44 no.3
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• pp.118-124
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• 2011

Objectives: Although cigarette smoking is known to be related to the exacerbation of asthma symptoms, several studies have indicated that the prevalence of cigarette smoking among asthmatic adolescents is similar to or even higher than that among non-asthmatic adolescents. The aim of this study was to evaluate the relationship between asthma and cigarette use behaviors and whether or not the presence of suicidal ideation modifies this relationship among Korean adolescents. Methods: We analyzed data from the 2008 Korea Youth Risk Behavior Web-based Survey, which included a nationally representative sample of middle and high school students. Multiple logistic regression models were used to calculate odd ratios and 95% confidence intervals of cigarette use behaviors among current asthmatics, former asthmatics, and nonasthmatics, after adjusting for gender, grade, school records, socioeconomic status, current alcohol use, and suicidal ideation. Results: Of 75 238 study participants, 3.5% were current asthmatics and 4.5% were former asthmatics. Compared with non-asthmatics, asthmatics were more likely to report current cigarette use, frequent and heavy cigarette use, and cigarette use before 13 years of age. There were statistically significant interactions between asthma and suicidal ideation in cigarette use behaviors. Conclusions: This study demonstrated that asthmatic adolescents are more likely than non-asthmatic adolescents to engage in cigarette use behaviors and the presence of suicidal ideation is an effect modifier of the relationship between asthma and cigarette use behaviors. Particular attention should be paid to the awareness of health risks of cigarette smoking and mental health problems among asthmatic adolescents.

• Journal of the Korean Society of School Health
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• v.18 no.2
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• pp.85-92
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• 2005

Purpose： This study reviews the Youth Risk Behavior Surveillance System (YRBSS) in the United States. This review focuses on the purposes, questionnaires, survey methods, and use of survey results. The author also discussesthe establishment and use of Korean Youth Risk Behavior Surveillance System. Results：The YRBSS was developed in 1990 to monitor priority health risk behaviors that contribute to the leading causes of death, disability, and social problems among youth and adults in the United States. The purpose of YRBSS is to determine the prevalence of health risk behaviors, to assess the trend of health risk behavior prevalence, provide comparable data, monitor progress toward achieving the Healthy People 2010. The questionnaires inquire about health-related behaviors, including tobacco use, unhealthydietary behaviors, inadequate physical activity, alcohol and drug use, sexual activity, behaviors that contribute to unintentional injuries and violence. The results of YRBS have been used to estimate the prevalence of risk behaviors among youth, to set goals for school health programs, for training and development of health program personnel, for the development of health education curriculum, to support enactment of health-related regulations, and to support funding for futher research. Conclusions： The YRBSS represents a potentially valuable program that can be applied in Korea. Assessment of risk behaviors among Korean youths will provide invaluable insight for many potential purposes.

• Journal of Families and Better Life
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• v.25 no.5
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• pp.31-46
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• 2007

The purpose of this study was to determine the differences in internet use motivations and problem behaviors among vocational high school students according to internet addiction and family system type. Five hundred vocational high school students from Daegu took part in the survey. The questionnaire survey consisted of an internet addiction self-assessment scale, a family system type scale, an internet use motivation scale, and a problem behavior scale. The data was analysed using MANOVA and Cronbach a, and the $Scheff\acute{e}$ test was used for post-hoc analysis. The major findings of this study were as follows: First, the study found significant differences in adolescent internet use motivation according to internet addiction. Adolescents in the high dangerous user group showed higher communicative, experiential, and addictive motivations than adolescents in potentially dangerous and normal user groups. Also, there were no significant differences in informative motivation according to internet addiction. Regardless of internet addiction, adolescents tend to use the internet to search for information and to solve problems. Second, there were significant differences in adolescents' problem behaviors according to internet addiction. More specifically, adolescents who were in the high dangerous user group displayed more problem behaviors toward their body, family, school, and society than adolescents in the potentially dangerous and the normal user groups. Third, an adolescent's family system type significantly influenced his/her internet use motivation. Adolescents from an extreme family showed higher communicative and addictive motivations than adolescents from middle and balanced families. Fourth, there were significant differences in the problem behaviors of adolescents according to family system types. Adolescents from an extreme family showed more problem behaviors toward their body, family, school, and society than adolescents from middle and balanced families.

• Quality Improvement in Health Care
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• v.12 no.2
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• pp.93-112
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• 2006

This study reviewed published studies on interventions used by hospitals, health insurance programs, or governments to improve use of medicines in foreign countries. Interventions to improve use of medicines are classified into two categories: 1) information strategies-dissemination of educational materials, group education, one-to-one educational outreach, drug utilization review, and feedback; 2) managerial strategies- formularies, prior authorization, and financial incentives. Dissemination of educational materials, which is a common intervention, was unsuccessful in changing physicians' prescribing behaviors. Problem-based small group education was more likely to change behaviors than didactic large group education. One-to-one educational outreach(academic detailing) was among the most effective strategies used to change prescribing behaviors. Prospective drug utilization review (DUR) program was more successful in improving use of medicines than retrospective DUR program. Feedback intervention has been reported to be ineffective to change behaviors. Formularies are frequently used to control medication use by most health insurance programs. Financial incentives provide physicians economic incentives according to appropriateness of prescribing. However, few published studies have assessed the efficacy of formularies or financial incentives. Prior authorization requires physicians to get authorization from health insurers before prescribing a certain group of drugs which is usually of high costs or risk. There is no magic bullet for quality use of medicines. Multifaceted interventions that help to predispose, enable, and reinforce desired behaviors are more likely to be successful.

• Journal of Korean society of Dental Hygiene
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• v.19 no.2
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• pp.277-286
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• 2019

Objectives: The purpose of this study was to evaluate the association between Internet use and oral health behaviors in Korean adolescents. Methods: This study used the 13th Korea Youth Risk Behavior Web-based Survey (2017) to find an association between Internet use and oral health behaviors. The total number of study subjects was 54,603. A chi-square test and multiple logistic regression analyses were used to estimate the association between Internet use and oral health behaviors. Results: Internet use was significantly increased among female, higher school grade, lower school records, and lower economic status participants (p<0.001). The rate of frequency of toothbrushing more than three times daily and use of oral hygiene devices was increased among female, higher school record, and higher economic status participants significantly (p<0.001). Oral symptoms experienced were significantly increased among female, higher school grade, lower school records, and lower economic status participants (p<0.001). The rate of the toothbrushing more than three times daily and toothbrushing after lunch groups was the highest in the group with less than one hour of Internet use, but the rate of oral symptoms experienced was the highest in the group with over five hours of Internet use. The risk of toothbrushing less than twice daily was 1.61 times higher in the group with over five hours of Internet use, and the risk of not brushing after lunch was significantly higher (1.52 times) in the over five hours group. The risk of not using oral hygiene devices was the highest (1.22 times) in the less than five hours group, and the risk of oral symptoms experiences was 1.40 times higher in the more than five hours group. Conclusions: Internet use was related to oral health behaviors in adolescents. Appropriate Internet use and awareness of oral health care are needed among adolescents.