Research in Community and Public Health Nursing

Original Articles

Trajectories of Depressive Symptoms among Multicultural Middle and High School Adolescents: A Longitudinal Study Using Latent Class Growth Model: Sujin Lee, Soo Jin Lee, Hyanglan Kim; Res Community Public Health Nurs. 2024;35(4):401-414. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00696

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Abstract PDF: Purpose
This study aimed to identify latent classifications based on trajectories of change in depressive symptoms among multicultural adolescents in middle and high school and to identify factors that influence classification.
Methods
This study used six time-point data from the Multicultural Adolescents Panel Study (MAPS) conducted by the National Youth Policy Institute (NYPI). We longitudinally analyzed data from 2014 to 2019, which corresponds to the participants' middle and high school years. Latent Growth Curve Modeling (LGCM) was used to analyze the depressive developmental trajectories of multicultural youth in middle and high school. Latent Class Growth Modeling (LCGM) was used to determine the number and shape of latent classes according to the type of depression among multicultural adolescents. We applied multinomial logistics regression analysis to explore the predictors of each class.
Results
A model with three latent classes was identified: (1) low-decreasing class (intercept=13.34, slope=-0.07, 37.9%), (2) moderate-increasing class (intercept=17.76, slope=0.41, 47.6%), (3) high-increasing class (intercept=23.22, slope=0.44, 14.5%). Multinomial logistic regression showed multicultural adolescents who were male, experienced high acculturative stress and social withdrawal, and had low self-esteem, life satisfaction, and family support tended to belong to either the moderate-increasing or high-increasing class.
Conclusion
These findings suggest that preliminary assessments of gender, acculturation stress, self-esteem, life satisfaction, social withdrawal, and family support among multicultural adolescents may be valuable for developing tailored mental health programs.

The Effect of Mother’s Self-esteem, Acculturation Stress and Children’s Perceived Parenting Attitude on Self-esteem of Multicultural Adolescents: An Application of the Family Stress Model: Hun Ha Cho, Jung Mi Kang, Yu Jin Jung; J Korean Acad Community Health Nurs. 2022;33(1):32-42. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.32

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Abstract PDF: Purpose
This study was conducted to develop a predictive model for self-esteem of adolescents in multicultural families. The study was based on the theory of family stress model and literature review.
Methods
This study used some of the data from the 1st year (2011) to the 6th year (2016) of the ‘Multicultural Adolescents Panel Study (MAPS)'. Data analysis was conducted for 1,208 children and 1,208 mothers from the data of the 4th MAPS (2014), which was the first year of the middle school students. The collected data were analyzed using SPSS-WIN Version 20.0 and AMOS Version 20.0.
Results
The factors that have influence on the self-esteem of multicultural adolescents are mother’s parenting attitude and mother’s self-esteem. The explanatory power of these variables was 14%.
Conclusion
To increase the self-esteem of multicultural adolescents, a program that can positively change the self-esteem and parenting attitudes of multicultural mothers should be developed, and various social supports should be provided for multicultural mothers.

The Association of Health Behaviors with Stress Perception among High School Students in Korea: Based on 2015 Korean Youth Risk Behavior Survey: Hyeon Sook Park, Ji Young Han, Nae Young Lee; J Korean Acad Community Health Nurs. 2018;29(1):87-96. Published online March 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.1.87

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6 Citations

Abstract PDF

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.

Citations

Citations to this article as recorded by

Changes in Sleep Satisfaction of Korean Adolescents in the Pre- and Post-COVID-19 Eras and Its Effects on Health Behaviors
Dahyeon Lee, Kang-Sook Lee, Sejin Kim, Woohyun Chung, Jeung Jegal, Hyeonjung Han
International Journal of Environmental Research and Public Health.2023; 20(3): 1702. CrossRef
A study on depression among adolescents with asthma in South Korea using the 15th Korea Youth Risk Behaviour Web-Based Survey
Jin H Park, Mi Jin Kim
Child Health Nursing Research.2021; 27(3): 276. CrossRef
The Sequential Mediating Effects of Dietary Behavior and Perceived Stress on the Relationship between Subjective Socioeconomic Status and Multicultural Adolescent Health
Youlim Kim, Hyeonkyeong Lee, Mikyung Lee, Hyeyeon Lee, Sookyung Kim, Kennedy Diema Konlan
International Journal of Environmental Research and Public Health.2021; 18(7): 3604. CrossRef
Therapeutic Encouragement as Conceptualized by South Korean Youth Counselors
Shin Young Jeung, Dong‐gwi Lee, Kyong‐ae Ham, Jin Hwa Kim
Journal of Multicultural Counseling and Development.2020; 48(4): 231. CrossRef
Influence of Health-Related Perception on Depression among Adolescents: Focusing on the Mediating Effects of Stress
Duck Jin Kim
Journal of Korean Academy of psychiatric and Mental Health Nursing.2020; 29(1): 73. CrossRef
Contextual Association between Political Regime and Adolescent Suicide Risk in Korea: A 12-year Repeated Cross-Sectional Study from Korea
Sang Jun Eun
International Journal of Environmental Research and Public Health.2019; 16(5): 874. CrossRef

A Comparative Study about Risk Factors Influencing Suicide Ideation between Korean and Multicultural Adolescents: Han Ju Lee; J Korean Acad Community Health Nurs. 2017;28(3):240-250. Published online September 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.3.240

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3 Citations

Abstract PDF

PURPOSE
In South Korea, suicide mortality has rapidly increased, so it has become a major public health concern. Multicultural adolescents are regarded as a high-risk group due to their situation. In this study, we compared the prevalence and risk factors of suicide ideation between Korean and multicultural adolescents.
METHODS
Data from the eleventh Korean Youth Risk Behavior Web-based Survey (2015), collected by the Korean Centers for Disease Control and Prevention, were statistically analyzed using the descriptive statistics and multivariate logistic regression. The total participants were 63,376 in numbers. They were composed of 62,649 (98.9%) Korean and 727 (1.1%) multicultural adolescents.
RESULTS
I found that the prevalence of suicide ideation was significantly higher among the multicultural adolescents (15.8%) compared with those of Korean (11.3%). The risk factors of suicide ideation in the Korean group were co-residence without family, poor perceived health status, depressive mood, high stress level, poor perceived happiness level, and experience of violence. Conversely, the risk factors of the multicultural group were smoking, depressive mood, and experience of violence.
CONCLUSION
These findings suggest that appropriate and practical prevention strategies should focus on psychological and environmental factors in order to prevent suicide ideation and reduce suicide behavior in Korean and multicultural adolescents.

Citations

Citations to this article as recorded by

Factors influencing suicidal tendencies during COVID-19 pandemic in Korean multicultural adolescents: a cross-sectional study
Ju-Young Park, Insook Lee
BMC Psychology.2022;[Epub] CrossRef
Comparative Study of Mental Health States Among Adolescents in Multicultural Versus Monocultural Families, Using the 13th Korean Youth Risk Behavior Web-Based Survey, 2017
Hae Jeong Lee, Cheol Hong Kim, Intae Han, Sung Hoon Kim
Iranian Journal of Pediatrics.2019;[Epub] CrossRef
Health risk behaviors and psychological problems among South Korean, North Korean, and other multicultural family adolescents (2011–2016)
Subin Park, Minji Lee, Se Jin Park, Min Geu Lee
Psychiatry Research.2018; 268: 373. CrossRef

Gender Differences in the Association between Eating Behavior and Depression of Adolescents: Evidence from a National Korean Cross-sectional Survey: Hye Sun Hyun; J Korean Acad Community Health Nurs. 2016;27(2):106-113. Published online June 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.2.106

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Abstract PDF: PURPOSE
The purpose of this study was to determine the relationship between unhealthy eating behavior and depression in adolescents, with confounding variables adjusted.
METHODS
This study is a secondary analysis of the data collected from the 2013 Korean Youth Risk Behavior Web-based Survey (KYRBWS). The analysis included 72,435 participants (36,655 male and 35,780 female). The data were analyzed by Ï‡2 test, t-test, and logistic regression analysis using SPSS Version 21 by complex samples analysis.
RESULTS
Compared with male adolescents with healthy eating behavior, those who with unhealthy eating behavior were more likely to suffer depression with other factors controlled (OR=1.37, 1.07~1.75). On the other hand, female adolescents with unhealthy eating behavior were less likely to feel depressed compared with female adolescents with unhealthy eating behavior and with other factors controlled (OR=0.98, 0.64~1.50). However, it was not statistically significant.
CONCLUSION
Our findings suggest that healthy eating behavior may be a protective factor against depression in male adolescents, but not in female adolescents. Furthermore, our results suggest that the longitudinal associations between mental health and healthy eating behavior and other lifestyle factors are complex.

Effectiveness of School-based Smoking Prevention Program on Ecological Model in Adolescents: Yeon Hee Choi, Young Sun Ha, Min Ah Park; J Korean Acad Community Health Nurs. 2012;23(3):327-337. Published online September 30, 2012; DOI: https://doi.org/10.0000/jkachn.2012.23.3.327

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Abstract PDF: PURPOSE
This study examined the effectiveness of an adolescent school-based smoking prevention program.
METHODS
The study was done with a nonequivalent control group pretest-posttest design. The subjects of the present study were 399 non-smoking high school students in Kyongbuk province. The subjects were divided into 184 experimental group members in G city who participated in a school-based smoking prevention program and 216 control group members in K city who did not participate. Data were collected from June to November 2011. collected data were analyzed using SPSS/WIN 18.0 through chi2-test, independent t-test and ANCOVA.
RESULTS
The experimental group had significantly increased knowledge of smoking, knowledge of smoking prevention program, attitude of smoking, skill of smoking prevention in comparison to the control group.
CONCLUSION
The school-based smoking prevention program delivered to non-smoking adolescents is an effective method of encouraging smoking prevention and can be utilized as an effective nursing intervention for non-smoking adolescents.

Factors Influencing Run Away Impulse in Early Adolescents: Seung Hee Ryu, Kyung Sook Park, Min Sook Seo; J Korean Acad Community Health Nurs. 2012;23(1):1-12. Published online March 31, 2012; DOI: https://doi.org/10.0000/jkachn.2012.23.1.1

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Abstract PDF: PURPOSE
This study carried out a preliminary analysis of available literature and used the ecological approach to define a research hypothesis with focus on individual, family, and school variables related to early adolescents' urge to run away. This study also aimed to examine the influence of each of these variables in order to build a forecast model showing which variables have more influential on early adolescents' urge to run away.
METHODS
Materials were collected from 433 male and female fifth- and sixth-grade students at two schools in Gyeonggi Province. Analysis was carried out using SPSS/WIN 18.0. Frequency analysis, chi2-test, t-test, correlation analysis and logistic regression analysis were conducted.
RESULTS
The results indicate that personal factors related to runaway impulse are gender and previous runaway attempts, family-related factor family functionality, and school-related factor the area of stress from study.
CONCLUSION
Based on the study results as above, individual, family, and school interventions need to be developed.

An Analysis of Articles Related to Smoking and Smoking Cessation of Korean Adolescents: Young Sook Kim, Bok Rae Jeong; J Korean Acad Community Health Nurs. 2010;21(1):53-62. Published online March 31, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.1.53

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15 Citations

Abstract PDF

PURPOSE
The purpose of this study was to analyze the contents and trends of smoking and smoking cessation of adolescents in Korea.
METHODS
The subjects were 315 researches from 1997 to 2008 in Korea. They were examined in terms of subjects, research design, key words, types of intervention, times of intervention, and dependent variables for experimental research, and in terms of subjects, concepts, research questions and research methods for qualitative research.
RESULTS
Of the studies 52.4% were master's theses, and 22.9% of the subjects were male high school students. The most common research design was descriptive design. Major concepts studied were related to emotional cognitive variables. Among 80 experimental researches, 70% were about smoking cessation programs. The number of qualitative studies was only 6. Their concepts were smoking experience, motives for smoking cessation, smoking process, and motives for smoking. A major research question was: What does smoking mean to adolescents? CONCLUSION: More research should be done for the female students' smoking and smoking cessation. Also, research that adapts educational programs for smoking and smoking cessation needs to be performed through at least a 10 times longer period and in regular basis to get desirable results.

Citations

Citations to this article as recorded by

Effectiveness of Integrated Change Model-based Smoking Cessation Program for High School Students
Hae Seon Lee, Su Hyun Kim
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(2): 195. CrossRef
The Effects of the Smoking Cessation Program of Life Skill Training Using Flipped Learning for Middle School Male Students
Eun Hee Seo, Eun Suk Choi
Journal of Korean Academy of Community Health Nursing.2021; 32(3): 268. CrossRef
Influencing factors of future non-smoking intentions of Seoul metropolitan students
Jieun Hwang, Hanna Jung, Yeaseul Yang, Suhyun Kwon, Hae-ryoung Chun, Seungwan Kim, Jung JeKarl, Seunghyun Yoo, Sung-il Cho
Korean Journal of Health Education and Promotion.2020; 37(2): 15. CrossRef
Three-month effects of Project EX: A smoking intervention pilot program with Korean adolescents
Sheila Yu, Artur Galimov, Steve Sussman, Goo Churl Jeong, Sung Rae Shin
Addictive Behaviors Reports.2019; 9: 100152. CrossRef
Effects of Self-Efficacy Information and Self-Hand Massage on Psychosocial Factors and Smoking Cessation in South Korean Adolescents
Hyeon-Ah Cho
Journal of Child & Adolescent Substance Abuse.2018; 27(1): 29. CrossRef
Effects of a Strength Based I-Change Smoking Cessation Program for Smoking Middle School Boys
Jung Hee Kim, Yeon Hee Choi
Journal of Korean Academy of Nursing.2017; 47(2): 164. CrossRef
A Study on Relationship between Smoking Habits, Eating Habits and Lifes Satisfaction of the High School Male Students
Jeong-Sill Lee
The Korean Journal of Food And Nutrition.2016; 29(6): 878. CrossRef
Application of social control theory to examine parent, teacher, and close friend attachment and substance use initiation among Korean Youth
Yoonsun Han, Heejoo Kim, DongHun Lee
School Psychology International.2016; 37(4): 340. CrossRef
The Protective Role of School Adjustment Between Risky Neighborhood Environment and Adolescent Drinking and Smoking
Shinah Kim, Yoonsun Han
Korean Journal of Child Studies.2016; 37(1): 37. CrossRef
Affecting Nicotine Dependence of Social Psychological Variables in Smoking middle school
Young-Mun Cho, Mi-Young Woo
Journal of Digital Convergence.2016; 14(2): 295. CrossRef
The effectiveness of a Autonomous Regulation Improvement Smoking Cessation Program on the Amount of Daily Smoking, Perceived Motivation, Cotinine in Saliva, and Autonomous Regulation for Girls High School Students who Smoked
Young-Sun Ha, Yeon-Hee Cho
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(9): 6169. CrossRef
A Study on Relationship between Level of Cigarette Consumption, Eating and Mental-psychological State among Adolescents : Based on 2013 Korea Youth Risk Behavior Survey
Yeon-Hee Choi, Jung-Hwa Chae
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(11): 7321. CrossRef
Effectiveness of the Self-determination Theory based a Motivational Interviewing YOU-TURN Program for Smoking Cessation among Adolescents
Young Sun Ha, Yeon Hee Choi
Journal of Korean Academy of Nursing.2015; 45(3): 347. CrossRef
Effect of School-based Peer Leader Centered Smoking Prevention Program
Sung Rae Shin, Pok Ja Oh, Hye Kyung Youn, Sun Hwa Shin
Journal of Korean Academy of Nursing.2014; 44(6): 649. CrossRef
Evaluation and Development of Tobacco Control Policies Using Delphi Technique
Jeong-Min Kim, Young-Su Ju, Yeol Kim, Hong-Gwan Seo
Journal of the Korean Society for Research on Nicotine and Tobacco.2011; 2(1): 30. CrossRef

The Effect of a Group Counseling Program on Depression and Suicidal Prevention in High School Students: Young Sook Kim; J Korean Acad Community Health Nurs. 2009;20(3):343-350. Published online September 30, 2009

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Abstract PDF: PURPOSE
The purpose of this study was to examine the effect of a group counseling program on high school students'depression and suicidal ideation.
METHODS
This research was conducted as a quasi-experimental pretest and posttest control and experimental group methodological comparison study. The subjects were 25 high school students (Exp = 12, Cont = 13) in U City. The depression and suicide prevention program in this study was based on the Ellis' ABC Model. The experimental group participated in the program through eight sessions, but the control group did not receive treatment. Data were collected from November 4 to November 28, 2008, and analyzed using the SPSS/WIN program by frequency, Mann-Whitney, means, standard deviation and Wilcoxon signed rank test.
RESULTS
There was statistically significant difference in depression (z = -2.983, p = .003) between the two groups. Suicidal ideation also decreased significantly (z = -2.847, p = .004) in the experimental group.
CONCLUSIONS
After the eight sessions of the group counseling program for preventing depression and suicidal ideation, it was found that the program was effective to lower the score of depression and suicidal ideation. The results of this study suggest that a school-based prevention program for adolescents should be developed according to depression and suicidal ideation level.

Factors Influencing Suicide Ideation among Adolescents: Jae Soon Yoo, Jung Woo Son, Min Sun Nam; J Korean Acad Community Health Nurs. 2008;19(3):419-430. Published online September 30, 2008

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Abstract PDF: PURPOSE
The purpose of this study was to identify variables influencing suicide ideation among adolescents.
METHODS
Data were collected from 235 middle school students in Chungbuk Province from April to September 2007. We used the Korean versions of Reynold's Suicide Ideation Questionnaire, Children's Depression Inventory and Conners-Wells' Adolescent Scale, Beck's Hopelessness Scale and Internet Addiction Scale-K for measuring the research variables.
RESULTS
Of the subjects, 23.0% were classified into the risk group of suicide ideation. Overall, the score of the suicide ideation scale was 14.25 (+/-16.38). The score of the suicide ideation scale in female adolescents (17.45+/-19.04) was significantly higher than that in male ones (11.17+/-12.65). Depression was a major predictor of suicide ideation. ADHD, gender, internet addiction, and hopelessness were the other significant predictors of suicide ideation.
CONCLUSION
A strategy for school mental health education should be provided in order to prevent suicide ideation. The function of school health and Mental Health Center should be reinforced in terms of organization and staff personnel.

Stages and Processes of Smoking Cessation among High School Students in Rural Community: Mi Young Kim, Soon Lim Suh, Ok Kyung Ham; J Korean Acad Community Health Nurs. 2007;18(3):431-440. Published online September 30, 2007

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Abstract PDF: PURPOSE
The purpose of this study was to describe stage distribution of current and former smokers and to analyze significant variables that used by adolescents at each stage using the Transtheoretical Model.
METHODS
A cross-sectional study was performed with 145 students attended to five high schools in one rural area. The survey instruments included stages and processes of change, decisional balance, self-efficacy, and knowledge related to smoking.
RESULTS
Among the participants, 47.6% were in the precontemplation and contemplation stages, 20.7% were in the preparation stage, and the other 31.7% were in the action and maintenance stages. Analysis of variance tests revealed that behavioral processes, pros and cons of smoking, and self-efficacy were significantly associated with the stages of smoking cessation, while among 10 processes of change, self-reevaluation, self-liberation, and reinforcement management were significantly different by the stages.
CONCLUSIONS
The study results suggest that smoking cessation programs should emphasize behavioral strategies, self-efficacy, and decisional balance to help students adopt and maintain smoking cessation

Predictive Factors of Adolescents' Illicit Drug Use: Hee Young Kim; J Korean Acad Community Health Nurs. 2007;18(1):136-145. Published online March 31, 2007

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Abstract PDF: PURPOSE
This study was attempted to illuminate danger signals through an extensive analysis of factors influencing adolescents' illicit drug use. On this basis, it built predictive factors of adolescents' illicit drug use.
METHOD
A questionnaire was distributed to 1,238 subjects living in Seoul, and of them 1,082 answers were analyzed using the SAS 8.2 program. Also logistic regression analysis was conducted based on the stepwise selection method for constructing the predictive factors.
RESULTS
The findings of this study are as follows. Individual-related factors were psychosomatic symptoms, self-esteem, fortune delinquent experience, and sexual-violence delinquent experience. Home-related factors were insincerity, threatening and the assessment of the parent (rearer)-adolescent communication type. Society-related factors were affection of friends and friends' attitude toward delinquency.
CONCLUSION
These findings of this study suggest that a broad intervention program should be provided to nurture wholesome youth culture related to illicit drug use. It is also recommended that a variety of individual, home and society-related programs should be developed for drug users.

An Analysis of the Factors Affecting Smoking Cessation Intention of Smoking Adolescents: Eun Sun Lim, Jang Hak Yoo; J Korean Acad Community Health Nurs. 2006;17(2):253-262. Published online June 30, 2006

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Abstract PDF: No abstract available.

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