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The Influence of Family Adversities on Longitudinal Changes in Physical Inactivity Among Korean Adolescents During the COVID-19 Pandemic
Tae Kyoung Lee, Jing Zhu, Young Mi Kim, Ze-Kai Jiang, Meilin Zhang, Won Ha Choi, Tae-Young Pak, Hana Song
J Prev Med Public Health. 2024;57(5):443-450.   Published online August 4, 2024
DOI: https://doi.org/10.3961/jpmph.24.236
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AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
Lack of physical activity has a critical effect on the physical and mental health of adolescents. This study examined the influence of family adversities on the longitudinal changes in physical inactivity among adolescents during the coronavirus disease 2019 (COVID-19) pandemic.
Methods
The study used multi-wave data from the Korean Children and Youth Panel Survey, including 2590 Korean adolescents aged 12-14 years. The longitudinal trajectory of physical inactivity among adolescents and the effects of related factors were estimated using a latent growth modeling method.
Results
Our results revealed a significant increase in physical inactivity among adolescents over time. At the onset of the pandemic, approximately one-seventh of Korean middle schoolers reported a lack of physical activity. However, 3 years later, during the quarantine, nearly one-fifth of these adolescents reported a significant increase in their physical inactivity. Initially, low level parental education was predictive of adolescents’ physical inactivity, but this effect diminished over time, becoming statistically insignificant by the end of the 3-year period. Moreover, the increase in physical inactivity over the 3 years was significantly influenced by parental rejection.
Conclusions
These findings suggest that adolescents who experience parental rejection are more likely to report an increase in sedentary behaviors in contexts such as the COVID-19 pandemic.
Summary
Korean summary
본 연구는 팬데믹 기간 동안 청소년의 신체 활동 변화와 신체 활동 부족에 대한 부정적 가정 환경의 영향을 조사했다. 한국 청소년 2,590명을 대상으로 한 3년간의 종단 패널 데이터를 잠재 성장 모형으로 분석하여 신체 활동 부족의 변화를 추적하였다. 그 결과, 팬데믹 기간 동안 청소년들의 신체 활동 부족이 현저히 증가했으며, 부모의 거부가 이러한 증가에 유의한 영향을 미친 것으로 나타났다.
Key Message
This study examined the impact of family adversities on the longitudinal changes in physical inactivity among 2,590 Korean adolescents during the COVID-19 pandemic. Over the 3-year period, physical inactivity increased significantly, with parental rejection playing a key role in this rise. While low parental education initially predicted higher levels of inactivity, its influence diminished over time.
Predictors and Prevalence of Alcohol and Cannabis Co-use Among Filipino Adolescents: Evidence From a School-based Student Health Survey
Yusuff Adebayo Adebisi, Don Eliseo Lucero-Prisno III, Jerico B. Ogaya, Victor C. Cañezo Jr., Roland A. Niez, Florante E. Delos Santos, Melchor M. Magramo, Ann Rosanie Yap-Tan, Francis Ann R. Sy, Omar Kasimieh
J Prev Med Public Health. 2024;57(3):288-297.   Published online May 9, 2024
DOI: https://doi.org/10.3961/jpmph.24.052
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  • 2 Web of Science
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AbstractAbstract AbstractSummary PDF
Objectives
This study explored the prevalence and predictors of alcohol and cannabis co-use among 9263 Filipino adolescents, using data from the 2019 Global School-based Student Health Survey (GSHS).
Methods
We conducted a cross-sectional secondary analysis of the GSHS, targeting adolescents aged 13-17 years and excluding cases with incomplete data on alcohol and cannabis use. Our analysis employed the bivariate chi-square test of independence and multivariable logistic regression using Stata version 18 to identify significant predictors of co-use, with a p-value threshold set at 0.05.
Results
The weighted prevalence of co-users was 4.2% (95% confidence interval [CI], 3.4 to 5.3). Significant predictors included male sex (adjusted odds ratio [aOR], 4.50; 95% CI, 3.31 to 6.10; p<0.001) and being in a lower academic year, specifically grade 7 (aOR, 4.08; 95% CI, 2.39 to 6.99; p<0.001) and grade 8 (aOR, 2.20; 95% CI, 1.30 to 3.72; p=0.003). Poor sleep quality was also a significant predictor (aOR, 1.77; 95% CI, 1.29 to 2.44; p<0.001), as was a history of attempted suicide (aOR, 5.31; 95% CI, 4.00 to 7.06; p<0.001). Physical inactivity was associated with lower odds of co-use (aOR, 0.45; 95% CI, 0.33 to 0.62; p<0.001). Additionally, non-attendance of physical education classes (aOR, 1.48; 95% CI, 1.06 to 2.05; p=0.021), infrequent unapproved parental checks (aOR, 1.37; 95% CI, 1.04 to 1.80; p=0.024), and lower parental awareness of free-time activities (aOR, 0.63; 95% CI, 0.45 to 0.87; p=0.005) were associated with higher odds of co-use. Factors not significantly linked to co-use included age group, being in grade 9, always feeling lonely, having no close friends, being bullied outside school, and whether a parent or guardian understood the adolescent’s worries.
Conclusions
The findings highlight the critical need for comprehensive interventions in the Philippines, addressing not only physical inactivity and parental monitoring but also focusing on sex, academic grade, participation in physical education classes, sleep quality, and suicide attempt history, to effectively reduce alcohol and cannabis co-use among adolescents.
Summary
Key Message
This cross-sectional study examines the prevalence and key predictors of alcohol and cannabis co-use among 9263 Filipino adolescents using data from the 2019 Global School-based Student Health Survey. Significant predictors of co-use include male sex, lower academic grade, poor sleep quality, history of attempted suicide, physical inactivity, non-attendance in physical education classes, infrequent parental checks, and low parental awareness of adolescents' activities, with a weighted co-use prevalence of 4.2%. The study underscores the need for comprehensive interventions addressing these factors to reduce substance co-use among Filipino adolescents.

Citations

Citations to this article as recorded by  
  • Prevalence, demographic, socio-economic, and lifestyle factors associated with cigarette, e-cigarette, and dual use: evidence from the 2017–2021 Scottish Health Survey
    Yusuff Adebayo Adebisi, Duaa Abdullah Bafail, Oluwatobi Ebenezer Oni
    Internal and Emergency Medicine.2024; 19(8): 2151.     CrossRef
  • Comparing self-rated health among exclusive e-cigarette users and traditional cigarette smokers: an analysis of the Health Survey for England 2019
    Yusuff Adebayo Adebisi, Duaa Abdullah Bafail
    Internal and Emergency Medicine.2024;[Epub]     CrossRef
Prevalence and Factors Associated With Adolescent Pregnancy Among an Indigenous Ethnic Group in Rural Nepal: A Community-based Cross-sectional Study
Kusumsheela Bhatta, Pratiksha Pathak, Madhusudan Subedi
J Prev Med Public Health. 2024;57(3):269-278.   Published online April 26, 2024
DOI: https://doi.org/10.3961/jpmph.24.023
  • 2,369 View
  • 280 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
The Chepang people, an indigenous ethnic group in Nepal, experience substantial marginalization and socioeconomic disadvantages, making their communities among the most vulnerable in the region. This study aimed to determine the prevalence and factors associated with adolescent pregnancy in the Chepang communities of Raksirang Rural Municipality, Makwanpur District, Bagmati Province, Nepal.
Methods
A cross-sectional study was conducted from October 2022 to April 2023 among 231 Chepang women selected using simple random sampling from Raksirang Rural Municipality. A semi-structured questionnaire was used for interviewing the mothers. Bivariate and multivariate logistic regression analyses were performed, using odds ratios with 95% confidence intervals (CIs). Variables with a variation inflation factor of more than 2 and a p-value of more than 0.25 were excluded from the final model.
Results
The study revealed that the prevalence rate of adolescent pregnancy among Chepang women was 71.4% (95% CI, 65.14 to 77.16). A large percentage of participants (72.7%) were married before the age of 18 years. Poor knowledge of adolescent pregnancy (adjusted odds ratio [aOR], 10.3; 95% CI, 8.42 to 14.87), unplanned pregnancy (aOR, 13.3; 95% CI, 10.76 to 19.2), and lack of sex education (aOR, 6.57; 95% CI, 3.85 to 11.27) were significantly associated with adolescent pregnancy.
Conclusions
The prevalence of adolescent pregnancy among the Chepang community was high. These findings highlighted the importance of raising awareness about the potential consequences of adolescent pregnancy and implementing comprehensive sexuality education programs for preventing adolescent pregnancies within this community.
Summary
Key Message
This community-based cross-sectional study found that adolescent pregnancy was highly prevalent (71.4%) among the Chepang community, an indigenous and marginalized ethnic group in Nepal. Key contributing factors included poor knowledge of adolescent pregnancy, unplanned pregnancies, and a lack of sex education. The findings highlighted the urgent need for targeted awareness campaigns and comprehensive sexuality education programs to address and reduce adolescent pregnancies in this vulnerable community.

Citations

Citations to this article as recorded by  
  • Letter to the Editor: Teenage Pregnancy in the Philippines: Effects and Interventions
    Dalmacito A. Cordero
    Journal of Preventive Medicine and Public Health.2024; 57(3): 304.     CrossRef
Impact of Physical Activity on the Association Between Unhealthy Adolescent Behaviors and Anxiety Among Korean Adolescents: A Cross-sectional Study
Hyo-jung Lee, Jeong Pil Choi, Kunhee Oh, Jin-Young Min, Kyoung-Bok Min
J Prev Med Public Health. 2023;56(6):552-562.   Published online November 15, 2023
DOI: https://doi.org/10.3961/jpmph.23.313
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AbstractAbstract AbstractSummary PDF
Objectives
Adolescents who engage in unhealthy behaviors are particularly vulnerable to anxiety. We hypothesized that participation in physical activity could influence the relationship between anxiety and unhealthy behaviors in adolescents. These behaviors include smoking, alcohol consumption, and unsafe sexual activity.
Methods
This study included 50 301 students from the first year of middle school to the third year of high school, all from Korea. The unhealthy adolescent behaviors examined included current alcohol consumption, current smoking, and unsafe sexual behavior. Anxiety levels were assessed using the Generalized Anxiety Disorder-7 questionnaire (GAD-7).
Results
The participants had a mean age of 15.19 years and an average GAD-7 score of 4.23. No significant differences were observed in GAD-7 score among exercising participants when categorized by smoking status (p=0.835) or unsafe sexual behavior (p=0.489). In contrast, participants in the non-exercise group who engaged in these behaviors demonstrated significantly higher GAD-7 scores (p<0.001 and 0.016, respectively). The only significant interaction was found between unsafe sexual behavior and exercise (p=0.009). Based on logistic regression analysis, within the non-exercise group, significant positive associations were observed between current smoking and anxiety (odds ratio [OR], 1.36; 95% confidence interval [CI], 1.18 to 1.57), as well as between unsafe sexual behavior and anxiety (OR, 1.33; 95% CI, 1.02 to 1.73). However, within the exercise group, no significant association was found between anxiety and either smoking or unsafe sexual behavior. Furthermore, no significant interaction was observed between unhealthy behaviors and exercise.
Conclusions
These findings are insufficient to conclude that physical activity influences the relationship between unhealthy behaviors and anxiety.
Summary
Korean summary
이 연구는 신체활동이 한국 청소년들사이에서 불안과 불건강행태간의 관계에 어떠한 영향을 미치는지 조사하였다. 이 연구에서 신체활동을 하지 않는 청소년에서만 흡연 및 불안전한 성행위와 같은 불건강행태와 불안 간의 유의미한 연관성을 보였음에도 불구하고, 이러한 불건강행태와 운동 간에는 같은 방향의 유의미한 상호작용이 관찰되지 않았다. 따라서 이 연구는 신체 활동이 청소년들의 불건강행태와 불안간의 관계에 직접 미치는 영향에 대해 명확하게 결론을 내릴 수 없었다.
Key Message
Among Korean adolescents, this study found that significant associations between unhealthy behaviors such as smoking and unsafe sex, and anxiety were only observed in adolescents who did not engage in physical activity. Despite this, no significant interaction was observed between these unhealthy behaviors and exercise. Contrary to popular belief, this study concludes that the evidence is insufficient to definitively say that physical activity influences the relationship between adolescent unhealthy behaviors and anxiety.
Changes in Adolescent Health Behavior and the Exacerbation of Economic Hardship During the COVID-19 Pandemic: A Cross-sectional Study From the Korea Youth Risk Behavior Survey
Chaeeun Kim, Haeun Lee, Kyunghee Jung-Choi, Hyesook Park
J Prev Med Public Health. 2024;57(1):18-27.   Published online November 11, 2023
DOI: https://doi.org/10.3961/jpmph.23.306
  • 2,168 View
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  • 1 Web of Science
  • 1 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
This study investigated the association between exacerbated economic hardship during the coronavirus disease 2019 (COVID-19) pandemic and changes in the health behaviors of Korean adolescents.
Methods
We analyzed data from the 2021 Korea Youth Risk Behavior Survey and included 44 908 students (22 823 boys and 22 085 girls) as study subjects. The dependent variables included changes in health behaviors (breakfast habits, physical activity, and alcohol use) that occurred during the COVID-19 pandemic. The aggravation of economic hardship by COVID-19 and the subjective economic status of the family were used as exposure variables. Multiple logistic regression analysis was utilized to calculate the prevalence odds ratios (PORs).
Results
Severe exacerbation of a family’s economic hardship due to COVID-19 was negatively associated with the health behaviors of adolescents, including increased breakfast skipping (POR, 1.85; 95% confidence interval [CI], 1.55 to 2.21 for boys and POR, 1.56; 95% CI, 1.27 to 1.92 for girls) and decreased physical activity (POR, 1.37; 95% CI, 1.19 to 1.57 for boys and POR, 1.38; 95% CI, 1.19 to 1.60 for girls). These negative changes in health behaviors were further amplified when combined with a low subjective family economic status.
Conclusions
The experience of worsening household hardship can lead to negative changes in health behavior among adolescents. It is crucial to implement measures that address the economic challenges that arise from stressful events such as COVID-19 and to strive to improve the lifestyles of adolescents under such circumstances.
Summary
Korean summary
이 연구는 코로나바이러스감염증-19 (COVID-19) 대유행 기간 악화된 가구의 경제적 상황과 청소년의 건강 행태 변화의 관련성을 청소년건강행태조사를 이용하여 분석하였다. 가구의 경제적 상황이 COVID-19로 인해 심각하게 악화된 경우, 청소년 건강 행태의 부정적인 변화와 연관성이 관찰되었다. 가구의 경제적 상황이 악화되는 경험은 청소년들의 건강 행태에 부정적인 변화를 초래할 수 있다. COVID-19와 같은 사회적 사건으로 인해 발생하는 경제적 어려움에 대응하는 조치를 마련하고, 이러한 상황에서 청소년들의 건강 행태를 개선하기 위한 개입이 필요하다.
Key Message
This study investigated the association between exacerbated economic hardship during the coronavirus disease 2019 (COVID-19) pandemic and changes in the health behaviors of Korean adolescents using the 2021 Korea Youth Risk Behavior Survey. Severe exacerbation of a family’s economic hardship due to COVID-19 was negatively associated with the health behaviors of adolescents. The experience of worsening household hardship can lead to negative changes in health behavior among adolescents. It is crucial to implement measures that address the economic challenges that arise from stressful events such as COVID-19 and to strive to improve the lifestyles of adolescents under such circumstances.

Citations

Citations to this article as recorded by  
  • Family Dynamics, Socioeconomic Hardships, and Health Risk Behaviours of Bulgarian Adolescents during the COVID-19 Pandemic
    Elitsa Dimitrova, Anna Alexandrova-Karamanova
    Children.2024; 11(8): 1016.     CrossRef
An Important Strategy to Improve Adolescent Health Literacy: COVID-19 Modules in High School in Indonesia
Nurina Hasanatuludhhiyah, Visuddho Visuddho, Abdul Khairul Rizki Purba, Annette d’ Arqom, Ancah Caesarina Novi Marchianti
J Prev Med Public Health. 2023;56(6):523-532.   Published online November 1, 2023
DOI: https://doi.org/10.3961/jpmph.23.113
  • 1,912 View
  • 138 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
During the second coronavirus disease 2019 (COVID-19) surge, cases increased sharply due to low awareness and compliance with measures to limit disease spread. Health literacy (HL) is an important component of public health initiatives, and schools are potential sources of health education to increase HL via the presentation of COVID-19 educational modules.
Methods
This cross-sectional study involved an online questionnaire administered to students from 5 high schools in Surabaya and Sidoarjo, Indonesia, 6-7 weeks after the start of government-issued directives restricting public gatherings. We collected data on each respondent’s age, gender, parental education, and socioeconomic variables. HL was determined by the Health Literacy Measure for Adolescents. We additionally measured their attitudes and behaviors related to preventing the spread of COVID-19. The students were asked if they watched the COVID-19 module at school, their feelings about vaccination, and preferred online sources of COVID-19-related information.
Results
Most of the 432 respondents had viewed COVID-19 modules at school. Module exposure was associated with significantly higher total and domain-specific HL and more positive attitudes toward government-issued COVID-19 restrictions on travel and public gatherings (p<0.05). However, behaviors to prevent COVID-19 spread and vaccine acceptance were not associated with module exposure. Most students chose social media as their source of COVID-19-related information.
Conclusions
Schools can provide information to increase adolescents’ HL and the public’s support for health initiatives to prevent or limit the spread of COVID-19.
Summary
Key Message
A cross-sectional study carried out on high school students during the second surge of COVID-19 in Indonesia revealed that they benefitted from the COVID-19 module. Students who viewed the module had higher scores on health literacy measures of adolescents (HELMA), had a more favorable attitude toward government-issued restrictive policies, and were more likely to have adequate health literacy, in regard to the ability to use health information. These imply schools as part of the public health response by providing education to increase adolescents’ health literacy and the public’s support for health initiatives to prevent and limit the spread of COVID-19.

Citations

Citations to this article as recorded by  
  • TikTok and digital health literacy: A systematic review
    Margaret Kristin Merga
    IFLA Journal.2024;[Epub]     CrossRef
Association Between Parental BMI and Offspring’s Blood Pressure by Mediation Analysis: A Study Using Data From the Korean National Health and Nutrition Examination Survey
Hyowon Choi, Hunju Lee, Yeon-Soon Ahn
J Prev Med Public Health. 2023;56(6):533-541.   Published online October 30, 2023
DOI: https://doi.org/10.3961/jpmph.23.289
  • 2,165 View
  • 102 Download
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
This study analyzed the relationship between parental body mass index (BMI; BMI_p) and hypertension in their adolescent offspring (HTN_a), focusing on the mediating effect of adolescents’ BMI (BMI_a).
Methods
Utilizing data from the Korea National Health and Nutrition Examination Survey, including participants aged 12-18, we conducted a mediation analysis while controlling for confounding factors such as age, sex, physical activity, dietary habits, household income quartile, and parents’ alcohol and smoking habits.
Results
The study included a total of 5731 participants, of whom 3381 and 5455 participants had data on fathers’ and mothers’ BMI, respectively. For adolescent systolic blood pressure (SBP_a), the father’s BMI (BMI_f) had a significant total effect (β, 0.23; 95% confidence interval [CI], 0.12 to 0.34) and average controlled mediated effect (ACME) (β, 0.27; 95% CI, 0.23 to 0.32), but the average direct effect (ADE) was not significant. The mother’s BMI (BMI_m) had a significant total effect (β, 0.17; 95% CI, 0.09 to 0.25), ACME (β, 0.25; 95% CI, 0.22 to 0.28) and ADE (β, -0.08; 95% CI, -0.16 to 0.00). For adolescent diastolic blood pressure, both BMI_f and BMI_m had significant ACMEs (β, 0.10; 95% CI, 0.08 to 0.12 and β, 0.09; 95% CI, 0.07 to 0.12, respectively), BMI_m had a significant ADE (β, -0.09; 95% CI, -0.16 to -0.02) but BMI_f had an insignificant ADE and total effect.
Conclusions
The study found that parental BMI had a significant effect on SBP_a, mediated through BMI_a. Therefore, a high BMI in parents could be a risk factor, mediated through BMI_a, for systolic hypertension in adolescents, necessitating appropriate management.
Summary
Korean summary
본 연구를 통해 부모의 BMI가 청소년기의 BMI를 매개하여 청소년의 수축기 혈압에 영향을 미침을 확인할 수 있었습니다. 그러나 본 연구는 단면적인 데이터를 활용하였으며, 후향적 연구로 이에 대한 한계를 가지고 있으며, 이후 이에 대한 추가 연구가 필요합니다.
Key Message
This study was able to confirm that parents' BMI mediated their BMI during adolescence and affected systolic blood pressure in adolescents. However, this study utilized cross-sectional data, and has limitations on this as a retrospective study, so further studies are needed.
Postpartum Depression in Young Mothers in Urban and Rural Indonesia
Alifa Syamantha Putri, Tri Wurisastuti, Indri Yunita Suryaputri, Rofingatul Mubasyiroh
J Prev Med Public Health. 2023;56(3):272-281.   Published online May 7, 2023
DOI: https://doi.org/10.3961/jpmph.22.534
  • 3,995 View
  • 237 Download
  • 2 Web of Science
  • 4 Crossref
AbstractAbstract PDF
Objectives
Young mothers are vulnerable to postpartum depression due to role transition-related stress. Understanding the causes underlying these stressors is essential for developing effective interventions.
Methods
This study analyzed the 2018 Indonesian Basic Health Research data. The Mini International Neuropsychiatric Interview was used to assess postpartum depression symptoms in mothers aged 15-24 years with infants aged 0-6 months. In 1285 subjects, the risk factors for postpartum depression were evaluated using multivariate logistic regression.
Results
The overall prevalence of depression in the 6 months postpartum was 4.0%, with a higher prevalence in urban areas (5.7%) than in rural areas (2.9%). Urban and rural young mothers showed distinct postpartum depression risk factors. In urban areas, living without a husband (odds ratio [OR], 3.82; 95% confidence interval [CI], 1.24 to 11.76), experiencing preterm birth (OR, 4.67; 95% CI, 1.50 to 14.50), having pregnancy complications (OR, 3.03; 95% CI, 1.20 to 7.66), and having postpartum complications (OR, 5.23; 95% CI, 1.98 to 13.80) were associated with a higher risk of postpartum depression. In rural areas, postpartum depression was significantly associated with a smaller household size (OR, 3.22; 95% CI, 1.00 to 10.38), unwanted pregnancy (OR, 4.40; 95% CI, 1.15 to 16.86), and pregnancy complications (OR, 3.41; 95% CI, 1.31 to 8.88).
Conclusions
In both urban and rural contexts, postpartum depression relates to the availability of others to accompany young mothers throughout the postpartum period and offer support with reproductive issues. Support from the family and the healthcare system is essential to young mothers’ mental health. The healthcare system needs to involve families to support young mothers’ mental health from pregnancy until the postpartum period.
Summary

Citations

Citations to this article as recorded by  
  • Common Mental Disorders and Associated Factors During Pregnancy and the Postpartum Period in Indonesia: An Analysis of Data From the 2018 Basic Health Research
    Arum Ariasih, Besral, Meiwita Budiharsana, Sudarto Ronoatmodjo
    Journal of Preventive Medicine and Public Health.2024; 57(4): 388.     CrossRef
  • Association Between Maternal Weight Perception Before and During Pregnancy and Postpartum Depression Status in Southern China
    Qin Zhang, Menglu Qiu, Laidi Guo, Yuanyuan Li, Zhencheng Xie, Wanyi Yang, Lishan Ouyang, Jia Yin, Yun Zhou, Minghan Fu, Ye Ding, Zhixu Wang
    Nutrients.2024; 16(21): 3696.     CrossRef
  • Budaya dan Intervensi Depresi Postpartum: Tinjauan Literatur Sistematik Lintas Benua
    Ria Anggraini, Ninik Setiyowati
    Jurnal Psikologi.2024;[Epub]     CrossRef
  • Qualitative Study of Perinatal Mental Health Services: Experiences and Perspectives of Health Workers and Patients
    Evi Diliana Rospia, Dwi Kartika Cahyaningtyas, Siti Mardiyah WD, Cahaya Indah Lestari
    EMBRIO.2023; 15(2): 216.     CrossRef
Discrete-time Survival Analysis of Risk Factors for Early Menarche in Korean Schoolgirls
Yong Jin Gil, Jong Hyun Park, Joohon Sung
J Prev Med Public Health. 2023;56(1):59-66.   Published online December 29, 2022
DOI: https://doi.org/10.3961/jpmph.22.428
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  • 109 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
The aim of this study was to evaluate the effect of body weight status and sleep duration on the discrete-time hazard of menarche in Korean schoolgirls using multiple-point prospective panel data.
Methods
The study included 914 girls in the 2010 Korean Children and Youth Panel Study who were in the elementary first-grader panel from 2010 until 2016. We used a Gompertz regression model to estimate the effects of weight status based on age-specific and sex-specific body mass index (BMI) percentile and sleep duration on an early schoolchild’s conditional probability of menarche during a given time interval using general health condition and annual household income as covariates.
Results
Gompertz regression of time to menarche data collected from the Korean Children and Youth Panel Study 2010 suggested that being overweight or sleeping less than the recommended duration was related to an increased hazard of menarche compared to being average weight and sleeping 9 hours to 11 hours, by 1.63 times and 1.38 times, respectively, while other covariates were fixed. In contrast, being underweight was associated with a 66% lower discrete-time hazard of menarche.
Conclusions
Weight status based on BMI percentiles and sleep duration in the early school years affect the hazard of menarche.
Summary
Korean summary
초경연령의 조기화는 세계적인 현상이나 유독 우리나라에서는 그 단축속도가 매우 빠르나. 그 위험요인은 비만 이외에 확립되어 있지 못하다. 본 연구는 한국아동청소년패널의 2010-16년도까지 추적관찰된 914 명의 여아 자료를 Gompetz 회귀모형 (다중 분절형 생존분석모형)을 통해 분석하였며, 그 결과 과체중은 1년의 초경연령 단축을 유발할 위험도가 정상체중 여아에 비해 1.63배, 수면시간이 충분하지 못한 여아는 충분한 수면을 취하는 여아에 비해 1년의 초경연령 단축이 발생할 위험도가 1.38배 높은 것으로 나타났다.

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  • Neighbourhood environment and early menarche among adolescent girls of five countries
    Erdenetuya Bolormaa, Taemi Kim, Eunson Gwak, Seung-Ah Choe, Adriane Martin Hilber
    The European Journal of Contraception & Reproductive Health Care.2024; 29(6): 263.     CrossRef
Intervention to Improve Menstrual Health Among Adolescent Girls Based on the Theory of Planned Behavior in Iran: A Cluster-randomized Controlled Trial
Fatemeh Darabi, Mehdi Yaseri
J Prev Med Public Health. 2022;55(6):595-603.   Published online November 30, 2022
DOI: https://doi.org/10.3961/jpmph.22.365
  • 3,644 View
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AbstractAbstract PDF
Objectives
Poor menstrual health may lead to school absenteeism and adverse health outcomes for adolescents. The purpose of this study was to determine the effect of pubertal and menstrual health education on health and preventive behaviors among Iranian secondary school girls.
Methods
A quasi-experimental study was conducted to evaluate the effectiveness of a health intervention program. A total of 578 students (including intervention and control participants) in 12 schools in Tehran Province, Iran were included by multistage random sampling. The program comprised seven 2-hour educational sessions. After confirming the reliability and validity of a researcher-made questionnaire, that questionnaire was used to collect the required data, and the groups were followed up with after 6 months.
Results
After the educational intervention, the mean scores of menstrual health-related knowledge and constructs of the theory of planned behavior were significantly higher in the intervention group than in the control group (p<0.001 for all dimensions).
Conclusions
The results of this study emphasize the effectiveness of menstrual health interventions in schools. These findings should also encourage health policy-makers to take committed action to improve performance in schools.
Summary

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  • Preferences for and intention to use an app for premenstrual mental health symptoms using the Health Behaviour Model (HBM)
    Erin L. Funnell, Nayra A. Martin-Key, Jiri Benacek, Benedetta Spadaro, Sabine Bahn
    npj Women's Health.2024;[Epub]     CrossRef
  • Development and validation of a survey instrument for reusable sanitary products toward sustainable menstrual hygiene
    Vysakh Kani Kolil, Krishnashree Achuthan
    Scientific Reports.2024;[Epub]     CrossRef
  • The Effect of Educational Intervention on the Caring Attitude of Caregivers in Residential Rehabilitation Centers Towards people with intellectual disabilities
    fatemeh darabi, shahin soltani
    Occupational Health Journal.2023; 20(1): 228.     CrossRef
The Impact of Household Economic Deterioration Caused by the COVID-19 Pandemic and Socioeconomic Status on Suicidal Behaviors in Adolescents: A Cross-sectional Study Using 2020 Korea Youth Risk Behavior Web-based Survey Data
Sanggu Kang, Yeri Jeong, Eun Hye Park, Seung-sik Hwang
J Prev Med Public Health. 2022;55(5):455-463.   Published online September 12, 2022
DOI: https://doi.org/10.3961/jpmph.22.241
  • 3,654 View
  • 135 Download
  • 5 Web of Science
  • 6 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
Economic hardship has a serious impact on adolescents’ mental health. The financial impact of the coronavirus disease 2019 (COVID-19) pandemic was more severe for low-income families, and this also impacted adolescents. This study aimed to examine the associations of economic deterioration (ED) caused by the COVID-19 pandemic and low socioeconomic status (SES) with adolescents’ suicidal behaviors.
Methods
This study analyzed data from the 2020 Korea Youth Risk Behavior Web-based Survey, which included 54 948 middle and high school students. Odds ratios (ORs) of suicidal ideation, suicidal planning, and suicide attempts related to ED and SES were calculated using multivariable logistic regression. We calculated relative excess risks due to interaction to assess additive interactions.
Results
The ORs for suicidal ideation, suicidal planning, and suicide attempts related to combined severe ED and low SES were 3.64 (95% confidence interval [CI], 3.13 to 4.23), 3.88 (95% CI, 3.09 to 4.88), and 4.27 (95% CI, 3.21 to 5.69), respectively.
Conclusions
ED and low SES were significantly associated with suicidal behaviors in adolescents. Although no significant additive interaction was found, the ORs related to suicidal ideation, suicidal planning, and suicide attempts were highest among adolescents from low-income families with severe ED. Special attention is needed for this group, considering the increased impact of economic inequality due to the COVID-19 pandemic.
Summary
Korean summary
청소년의 정신건강은 가정의 경제상황에 크게 영향을 받는다. 청소년건강행태조사(KYRBS)(2020)에 참여한 54948명의 중고등학생을 대상으로 가정의 기존 경제적 형편과 코로나19로 인한 가정경제 악화가 자살위험에 미치는 영향을 분석하였다. 그 결과 자살사고, 자살계획, 자살시도 모두 코로나19로 인한 경제상황 악화 정도가 심한 저소득층 가정 청소년에서 위험이 제일 높은 것으로 확인되었다. 코로나19(COVID-19)로 인해 심화된 경제적 불평등이 청소년 정신건강 불평등으로 이어지지 않게 하기 위한 개입이 필요하다.

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  • Latent class analysis of health behaviors, anxiety, and suicidal behaviors among Korean adolescents
    Mi-Sun Lee, Hooyeon Lee
    Journal of Affective Disorders.2024; 354: 339.     CrossRef
  • Demographic and clinical profile of adolescents suicide attempters admitted to an emergency department during the COVID-19 pandemic – a retrospective cohort study using hospital information system
    Lucyna Tomaszek, Paulina Kurleto, Edyta Turkanik, Ewa Bielec, Irena Milaniak, Wioletta Dąbrowska-Mędrzycka
    Frontiers in Psychiatry.2024;[Epub]     CrossRef
  • Exploring the effect of family function on non-suicidal self-injury among Chinese adolescents in different family socioeconomic status
    Meng Qin Ao, Dan Luo, Hao Hou, Yu Lei Jiang, Zi Yao Lv, Bowen Li, Na Lyu, Shu Yan, Huijing Zou, Bing Xiang Yang
    International Journal of Social Psychiatry.2024;[Epub]     CrossRef
  • Nationwide trends in sadness, suicidal ideation, and suicide attempts among multicultural and monocultural adolescents in South Korea during the COVID-19 pandemic, 2011–2022
    Hyesu Jo, Jaeyu Park, Hyeri Lee, Kyeongmin Lee, Hayeon Lee, Yejun Son, Jiseung Kang, Sooji Lee, Yujin Choi, Jun Hyuk Lee, Guillaume Fond, Laurent Boyer, Lee Smith, Jinseok Lee, Guillermo Felipe López Sánchez, Elena Dragioti, Mark A. Tully, Masoud Rahmati,
    World Journal of Pediatrics.2024;[Epub]     CrossRef
  • Letter to the Editor: Addressing Children’s Mental Health Issues Related to Economic Changes Caused by the COVID-19 Pandemic
    Dalmacito A. Cordero
    Journal of Preventive Medicine and Public Health.2023; 56(1): 95.     CrossRef
  • 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
    Jisu Kim, In-Whi Hwang, Jeong-Hui Park, Youngdeok Kim, Jung-Min Lee, Sandra Celina Fernandes Fonseca
    PLOS ONE.2023; 18(11): e0294270.     CrossRef
Determinants of Depression in Indonesian Youth: Findings From a Community-based Survey
Indri Yunita Suryaputri, Rofingatul Mubasyiroh, Sri Idaiani, Lely Indrawati
J Prev Med Public Health. 2022;55(1):88-97.   Published online December 28, 2021
DOI: https://doi.org/10.3961/jpmph.21.113
  • 5,475 View
  • 265 Download
  • 4 Web of Science
  • 9 Crossref
AbstractAbstract PDF
Objectives
This study investigated the determinants of depression in adolescents and young adults.
Methods
The present study analyzed data from the 2018 Indonesia Basic Health Survey (Riset Kesehatan Dasar; RISKESDAS). The study subjects were adolescents (15-17 years old) and young adults (18-24 years old). In total, 64 179 subjects were included. Univariable, bivariable, and multivariable logistic regression analyses were performed to determine associations between youths’ characteristics, risky behavior, chronic disease, parents’ health, and youths’ depression.
Results
The prevalence of depression was 5.1% in adolescents and 5.6% in young adults. The risk factors for depression in adolescents were being women (adjusted odds ratio [aOR], 3.53; 95% confidence interval [CI], 2.89 to 4.30; p<0.001), an ex-smoker (aOR, 2.99; 95% CI, 2.10 to 4.25; p<0.001), or a current smoker (aOR, 2.60; 95% CI, 1.97 to 3.44; p<0.001); consuming alcohol (aOR, 2.00; 95% CI, 1.33 to 3.01; p=0.001), having a chronic disease (aOR, 2.64; 95% CI, 1.41 to 4.96; p=0.002); maternal depression (aOR, 2.47; 95% CI, 1.97 to 3.09; p<0.001); and paternal depression (aOR, 2.63; 95% CI, 1.98 to 3.50; p<0.001). In young adults, the risk factors were being women (aOR, 2.23; 95% CI, 1.82 to 2.75; p<0.001) or an ex-smoker (aOR, 2.47; 95% CI, 1.67 to 3.67; p<0.001), consuming alcohol (aOR, 2.42; 95% CI, 1.89 to 3.09; p<0.001), maternal depression (aOR, 3.12; 95% CI, 2.54 to 3.84; p<0.001), and paternal depression (aOR, 2.80; 95% CI, 2.17 to 3.63; p<0.001).
Conclusions
Being women, smoking, drinking alcohol, having a chronic disease, and having a parent with depression were crucial factors associated with youth depression. Mental health screening, prevention, and treatment should involve collaboration among primary healthcare, schools, universities, professionals, and families.
Summary

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    Andry Juliansen, Rivaldo Steven Heriyanto, Michelle Patricia Muljono, Charista Lydia Budiputri, Yulita Delfia Sari Sagala, Gilbert Sterling Octavius
    Journal of Medicine, Surgery, and Public Health.2024; 2: 100062.     CrossRef
  • Social participation among individuals with depression is associated with the use of informal healthcare facilities: findings from the Indonesian family life survey-5
    Sofa D. Alfian, Clara F. Kusuma, Imam A. Wicaksono, Irma M. Puspitasari, Martin Wawruch, Rizky Abdulah
    Current Psychology.2024; 43(25): 21596.     CrossRef
  • The Response of the Hormone Cortisol as a Biomarker of Stress and Its Influence on Blood Glucose Levels After 6 Weeks of Routine Tahajjud in Healthy Young Men
    Yusni Yusni, Safrizal Rahman
    Islamic Guidance and Counseling Journal.2024;[Epub]     CrossRef
  • Changes in Daily life due to the COVID-19 Pandemic and Mental Health Status in Korean Adolescents
    Taeseok Kang, Sangjin Kim, Eunseo Kim, Jinhyeong Kim, Jihoon Yoon, Donggeun Lee, Jeesoo Lee, Mi Ah Han
    Psychiatric Quarterly.2024; 95(3): 469.     CrossRef
  • Sleep Disturbances and Depression Levels among General Indonesian Population: A National Survey
    Sofa D. Alfian, Jihan N. Thurfah, Meliana Griselda, Irma M. Puspitasari
    Clinical Practice & Epidemiology in Mental Health.2024;[Epub]     CrossRef
  • Rural-urban differences in common mental disorders among Indonesian youth: a cross-sectional national survey
    Marizka Khairunnisa, Diah Yunitawati, Leny Latifah, Diyan Ermawan Effendi, Yunita Fitrianti, Sri Handayani, Hastin Dyah Kusumawardani
    Osong Public Health and Research Perspectives.2024; 15(5): 440.     CrossRef
  • Analysis of The Prevention Needs of Adolescent Girls' Mental Health Disorders: A Qualitative Study
    Risza Choirunissa, Sri Achadi Nugraheni, Cahya Tri Purnami, Nur Endah Wahyuningsih
    JURNAL INFO KESEHATAN.2024; 22(3): 554.     CrossRef
  • Exploring Mental Health Issues and Priorities in Indonesia Through Qualitative Expert Consensus
    Ray Wagiu Basrowi, Tjhin Wiguna, Kristin Samah, Nila Djuwita F Moeloek, Mudji Soetrisno, Semiarto Aji Purwanto, Maria Ekowati, Adriana Elisabeth, Andre Rahadian, Bacelius Ruru, Bunga Pelangi
    Clinical Practice & Epidemiology in Mental Health.2024;[Epub]     CrossRef
  • Barriers and facilitators to access mental health services among people with mental disorders in Indonesia: A qualitative study
    Lafi Munira, Pranee Liamputtong, Pramon Viwattanakulvanid
    Belitung Nursing Journal.2023; 9(2): 110.     CrossRef
Association Between Parental Marital Status and Types of Suicidal Behavior Among Korean Adolescents: A Cross-sectional Study
Yoon Sik Park, Eun-Cheol Park
J Prev Med Public Health. 2020;53(6):419-428.   Published online September 21, 2020
DOI: https://doi.org/10.3961/jpmph.20.004
  • 4,546 View
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AbstractAbstract PDF
Objectives
Adolescent suicide is a global problem. This study aimed to identify associations between parental marital status and suicidal behavior.
Methods
This study analyzed 118 715 middle and high school students from the 13th and 14th Korea Youth Risk Behavior Web-based Survey. The odds ratios (ORs) of suicidal ideation, planning, and attempts were calculated based on parental marital status, living situation, and socioeconomic factors. The data were analyzed using multiple logistic regression.
Results
When compared to those living with 2 married biological parents, the ORs of suicidal ideation among adolescents living with either remarried or no parents were 1.34 (95% confidence interval [CI], 1.17 to 1.53) and 1.36 (95% CI, 1.11 to 1.66), respectively. For suicidal planning, the OR of those living with 1 remarried biological parent was 1.24 (95% CI, 1.01 to 1.52), and that of those living without parents was 1.28 (95% CI, 0.95 to 1.73), when compared to adolescents living with 2 married biological parents. For suicide attempts, when compared to adolescents with 2 married biological parents, the OR of those living with 1 remarried biological parent was 1.48 (95% CI, 1.17 to 1.87) and that of those living without parents was 2.02 (95% CI, 1.44 to 2.83). For adolescents living with 1 remarried biological parent, suicidal behavior was strongly associated with having no siblings and were weakly associated with not living with grandparents.
Conclusions
Suicidal behavior among adolescents was associated with the remarriage and loss of parents. Therefore, special attention and interventions are needed for adolescents in those situations.
Summary

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  • Risk Factors for Multiple Suicide Attempts in Adolescents From 10 Years Suicide Repository
    Sunghwan Kim, Eun-Young Yang, Kyoung Ho Choi, Hae Kook Lee, Yong-Sil Kweon, Kyoung-Uk Lee
    Journal of Korean Medical Science.2024;[Epub]     CrossRef
  • Family Functioning and Suicide Attempts in Mexican Adolescents
    Francisco Alejandro Ortiz-Sánchez, Aniel Jessica Leticia Brambila-Tapia, Luis Shigeo Cárdenas-Fujita, Christian Gabriel Toledo-Lozano, María Alejandra Samudio-Cruz, Benjamín Gómez-Díaz, Silvia García, Martha Eunice Rodríguez-Arellano, Edgar Oswaldo Zamora
    Behavioral Sciences.2023; 13(2): 120.     CrossRef
  • ВЛИЯНИЕ СЕМЕЙНОГО ПОЛОЖЕНИЯ НА СУИЦИДАЛЬНОЕ ПОВЕДЕНИЕ ВОЕННOСЛУЖАЩИХ
    E.S. Mehdiyev
    Azerbaijan Medical Journal.2023; (2): 133.     CrossRef
  • Childhood adversities and mental health problems: A systematic review
    Titik Juwariah, Fendy Suhariadi, Oedojo Soedirham, Agus Priyanto, Erni Setiyorini, Auliasari Siskaningrum, Heni Adhianata, Angelina da Costa Fernandes
    Journal of Public Health Research.2022;[Epub]     CrossRef
  • Experiences and needs of parents whose child has attempted suicide
    Kayla Raney, Kim Popa, Cara Gallegos
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Sexual Intercourse and Its Correlates Among School-aged Adolescents in Indonesia: Analysis of the 2015 Global School-based Health Survey
Anissa Rizkianti, Iram Barida Maisya, Nunik Kusumawardani, Christine Linhart, Jerico Franciscus Pardosi
J Prev Med Public Health. 2020;53(5):323-331.   Published online August 7, 2020
DOI: https://doi.org/10.3961/jpmph.20.028
  • 8,086 View
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AbstractAbstract PDF
Objectives
This study aimed to determine the prevalence and correlates of sexual intercourse among junior secondary and high school students in Indonesia from the 2015 Global School-based Health Survey (GSHS).
Methods
The survey was conducted among 11 110 students from 75 schools in Indonesia using a self-administered questionnaire. Univariate and multivariate analyses were conducted to explore associations between sexual intercourse and socio-demographic variables, substance use, mental distress, and protective factors.
Results
Overall, 5.3% of students reported having ever had sex (6.9% of boys and 3.8% of girls). Of students who engaged in sexual intercourse, 72.7% of boys and 90.3% of girls had an early sexual debut (before reaching the age of 15) and around 60% had multiple sex partners. Sexual intercourse was associated with gender, school grade, smoking, alcohol consumption, drug use, suicidal ideation, truancy, peer support, and parental supervision.
Conclusions
These findings indicate a pressing need to develop more comprehensive sexual health education in the national curriculum. An effective strategy should also address other risky behaviours.
Summary

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  • The Development and Initial Validation of the Youth Sexual Intention Scale: Indonesian Version
    Rahmi Lubis, Zahrotur R. Hinduan, Ratna Jatnika, Baydhowi Baydhowi, Hendriati Agustiani
    INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2022;[Epub]     CrossRef
  • Factors Related to Sexual Intercourse Among Korean Middle and High School Students
    Joohee Shim, Jihyun Baek, Seungwoo Han
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Investigation of the Relationship Between Sociodemographic Characteristics and Sexual Health Behaviours of University Students
    Şahika ŞİMŞEK ÇETİNKAYA, Esra DEMİRARSLAN
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  • Knowledge, Attitude, and Practice Towards Reproductive Health Issue of Adolescents in Rural area, Indonesia: A Cross-sectional Study
    JM Seno Adjie, Andrew Pratama Kurniawan, Raymond Surya
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    Ariane Utomo, Aris Ananta, Diahhadi Setyonaluri, Calvin Aryaputra
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Comparison of Trends in Blood Pressure and the Prevalence of Obesity Among Korean and American Adolescents: A 12-Years Cross-sectional Study
Somi Heo, Seyoung Kwon, Yu-Mi Lee, Ji-Yeon Shin, Duk-Hee Lee
J Prev Med Public Health. 2020;53(1):45-55.   Published online November 20, 2019
DOI: https://doi.org/10.3961/jpmph.19.198
  • 5,269 View
  • 204 Download
  • 7 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
This study was conducted to explore recent trends in the prevalence of pediatric elevated blood pressure and hypertension (HTN) in Korea and the United States, applying the new HTN reference values for adolescents.
Methods
This study analyzed 17 339 (8755 Korean and 8584 American) adolescents aged 10 to 17 who participated in the Korea National Health and Nutrition Examination Survey and the National Health and Nutrition Examination Survey, respectively, between 2005 and 2016. HTN was defined using percentile-based reference values for non-overweight adolescents from 7 nations, and obesity was defined by body mass index (BMI) based on country-specific growth charts. All analyses were stratified by sex and year-over-year changes were evaluated by calculating the p for trend.
Results
Systolic blood pressure showed a statistically meaningful upward trend in Korean boys and girls, while diastolic blood pressure did not show any significant changes. Both systolic and diastolic blood pressure levels declined among United States boys and girls. The prevalence of elevated blood pressure and HTN remained similar in Korean adolescents, but declined in both sexes among United States adolescents. BMI increased in both sexes among Korean adolescents, although the overweight and obesity rates stayed the same. No significant trends were found in any obesity indices among United States adolescents. The prevalence of elevated blood pressure and HTN by obesity level was higher among Korean adolescents than among their United States peers in both sexes, and the gap became higher at more severe levels of obesity.
Conclusions
Despite the strong correlation between obesity and HTN, recent trends in the prevalence of HTN and obesity among Korean and United States adolescents were strikingly different. Follow-up studies are necessary to determine why the prevalence of HTN was more than twice as high among Korean adolescents than among their United States counterparts.
Summary
Korean summary
본 연구에서는 새로운 소아청소년 고혈압 기준을 이용하여, 최근 한국과 미국 소아청소년들의 혈압 및 고혈압 유병률의 변화 추이를 비교하였다. 비만과 고혈압간의 높은 관련성에도 불구하고 한국과 미국 소아청소년의 고혈압 유병률과 비만율은 서로 다른 변화 추이를 나타내었으며, 고혈압 발생에 있어서 한국 소아청소년들이 미국 소아청소년들보다 비만에 더 취약할 가능성을 나타내고 있어 이에 관한 후속연구가 필요하다.

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JPMPH : Journal of Preventive Medicine and Public Health
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