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The Prediction Model of Body Image Distortion in Korean Adolescent in the Era of COVID-19 Using Decision Tree Analysis
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Myeunghee Han
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Res Community Public Health Nurs. 2023;34(2):96-107. Published online June 30, 2023
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DOI: https://doi.org/10.12799/rcphn.2023.00052
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Abstract
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- Purpose
Body image distortion (BID) in adolescents is a crucial problem that causes both abnormal eating habits and unhealthy weight control behaviors. COVID-19 has had a negative impact on adolescents’ psychological and behavioral status, and this might influence the onset of BID in adolescents. This study aimed to develop a prediction model for BID in Korean adolescents using decision tree analysis.
Methods The decision tree analysis was used to develop a prediction model for BID in Korean adolescents using the data of 2021 Korea Youth Risk Behavior Survey Web-based (KYRBS).
Results In the present study, about one-third of the study subjects (31%, n=6,316) showed BID. The BID rate was higher in females (37.2%, node1) than in males (21.2%, node2). Female students with severe GAD-7 level and smartphone use on the weekend over 12h showed the highest rate of BID (66.9%). As to males, the BID rate was the highest (33.1%) among middle school male students who did strength training once a week or none.
Conclusion In order to reduce BID, there is a need to develop a customized BID education and management programs.
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