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Journal of Korean Academy of Child Health Nursing 2006;12(3):341-350.
Factors Related to High-risk Health Behavior in Middle School Adolescents.
Yu Kyung Ko, II Young Yoo, Kyeong Hwa Kang, Ji Young Lim, Min Jeong Kim, Hyun Jeong Yoo
1Yonsei University College of Nursing, 134 Sinchon-Dong, Seodaemun-Gu, Seoul 120-752, Korea. iyoo@yumc.yonsei.ac.kr
2Division of Nursing, Hallym University, Korea.
3Division of Nursing, College of Medicine, Pochon CHA University, Korea.

The purpose of this study was to describe high-risk health behaviors in middle school adolescents and to identify factors related to this behavior. Method: This survey study employed a self administered questionnaire given to 621 students enrolled in one middle school located in Gyeonggi province. Using the cluster sampling method, 4 classes from the 7th, 8th, and 9th grades were selected. The survey was done between April 20 and May 19, 2004. Data were analyzed using SAS. Result: The results showed that 19.1% of adolescents smoked cigarettes and 8.4 % drank regularly. The mean score for resilience was 6.92 (range:0-10) and for depression, 23.62 (range:0-50). The adolescents in higher grades reported significantly more experience with pornography. Also, adolescents who reported have fewer conversations with their parents had significantly more experience with pornography. Depression was significantly higher for those students who had better academic skills and higher family income. Resilience level was significantly higher for the students who reported better schools records and higher family income. The most important factor related to the high risk behaviors, depression, and resilience was conversations with parents. Conclusion: This study suggests that to develop an effective high-risk health behavior prevention program for adolescents, it is necessary to include communication skills with the parents.
Key words: High-risk health behavior; Resilience; Depression; Adolescents in middle school
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