Kim Eun Gyeong
Department of Nursing, Kunsan National University, Gunsan, Korea.
Osong Public Health Res Perspect. 2018 Jan;9(1):3-8. doi: 10.24171/j.phrp.2018.9.1.02.
To examine health behaviors among Korean adolescents with a focus on both individual and school-based factors, specifically in relation to predictors of high-risk groups.
Secondary data analysis was conducted with data from the 8th Korea Youth Risk Behavior Web-Based Survey, using descriptive statistics, t tests, χ test, and multilevel logistic regression analysis. Health Practice Index was calculated and a range of 0 to 2 was classified as a high-risk group.
The results revealed that the individual-level variables of sex, age, stress, depression, subjective health status, school performance, health education, father's level of education, and living situation were significant predictors of high-risk behaviors. The risk was greater in girls, greater with higher age and higher stress scores, greater in adolescents with depression, greater with lower paternal educational level, and greater in adolescents who did not live with both parents, as were the school-level variables of school grade and school affluence score. The possibility of being in the high-risk group in health behavior was greater if a student attended a school where the Family Affluence Score (FAS) was lower.
School health education should be expanded to manage students' high-risk health behaviors, especially in schools that have many students from families with a low affluence status.
以个体和学校因素为重点，特别是针对高危群体的预测因素，研究韩国青少年的健康行为。
利用描述性统计、t检验、χ检验和多水平逻辑回归分析，对第八次韩国青少年风险行为网络调查的数据进行二次数据分析。计算健康实践指数，将0至2的范围归类为高危群体。
结果显示，性别、年龄、压力、抑郁、主观健康状况、学业成绩、健康教育、父亲教育水平和生活状况等个体层面变量是高危行为的重要预测因素。女孩的风险更高，年龄越大、压力得分越高风险越大，抑郁青少年的风险更大，父亲教育水平越低风险越大，父母不全的青少年风险也更大，学校年级和学校富裕程度得分等学校层面变量也是如此。如果学生就读于家庭富裕程度得分较低的学校，其健康行为处于高危群体的可能性更大。
应扩大学校健康教育，以管理学生的高危健康行为，特别是在有许多来自富裕程度低的家庭的学生的学校。
