Earticle

Objectives: There is higher rates of experience of suicide ideation and suicide attempt of adolescents in the Lima and Callao region compared with the results of the epidemiological study (2013) conducted by Peru National Institute of Mental Health and the Global School-based Student Health Survey (2010) which is was conducted among adolescents across all regions of Peru. Based on the PRECEDE model, this study analyzed the prevalence and the factor associated with the suicide attempt among the adolescent in a poor urban area in Peru. Methods: A stratified random sampling was used for the survey to select study participants from the 6 secondary schools based in Comas or Callao. The survey was conducted November 25th and December 4th in 2015 and a total of 738 individuals included in the analysis. In order to analyze factors influencing suicide attempt, comparison of predisposing factor, reinforcing factor, enabling factor, behavioral factor, environmental factor, psychological factors by suicide attempt and suicide risk group were identified through the chi-square test and hierarchical logistic regression. Results: Results showed that those who reported having less parental understanding, less time spent with parents, and ‘almost none/none’ for parental affection had more experience of suicide attempt and were more likely to sort into the high suicide risk group. Also, a greater proportion of those with the experience of suicide attempt had more experience of smoking and alcohol consumption, and experience of physical abuse and feeling insulted and depression in comparison to that of those without experience of suicide attempt. Variables that had a significant effect on suicide attempt included depression, subjective happiness, smoking experience, sexual intercourse, involvement in fight, parental affection, and gender (male). Conclusions: The results of the current study can serve as grounds for the necessity of acknowledging that adolescent suicide does not simply depend on a couple of factors, but arises from situations in which individual, home, school, social factors influence one another, and therefore adolescent suicide should be prevented and addressed through a multi-dimensional and integrated approach.

Objectives: The purpose of this study was to investigate the characteristics of smoking prevention programs and their effectiveness for Korean school-aged children and adolescents by using systematic review and meta-analysis. Methods: Electronic searches were performed in RISS, NAL, DBPia, KISS using keywords according to inclusion criteria. 21 studies published from 2003 to the first half of 2017 that dealt with effects of smoking prevention programs for school-aged children and adolescents were selected for systematic review. Results: All 21 studies were quasi-experimental research designs. More than half of the programs(66.7%) were conducted for male and female. Most of the programs were conducted more than once a week(71.4%). 14 studies(66.7%) did not report using a theoretical model. Five dependent variables(knowledge of smoking, attitude toward smoking, non-smoking intention, self-assertiveness, and self–efficacy) were selected to measure the effectiveness of the smoking prevention programs. Knowledge of smoking was the most effective at hedge’s g=0.673. Self-efficacy and self-assertiveness variables were statistically significant at hedge’s g=0.461 and hedge’s g=0.279, respectively. Effect sizes of attitude toward smoking and non-smoking intention were not statistically significant compared to the control group. As a result of the moderator effect analysis on the knowledge of smoking variable, the statistically significant variables were ‘gender of participants’(p<0.01) and ‘duration of the program’(p<0.001). Conclusions: The results of this study using systematic review and meta-analysis will be evidence-based data for researchers conducting smoking prevention programs in school-aged children and adolescents.

Objectives: The purpose of this study is to examine the relationship between sexually explicit video viewing and social support through the mass media and the sex openness of adolescents. Methods: This study used as the main data of ‘Study on Measures against Sexualization of Juveniles through Mass Media in the Smart Age’ conducted by ‘National Youth Policy Institute’ in 2014 nationwide. 3,176 of the 4,356 adolescents in Korea were selected as the final study subjects after excluding the 1,180 missing adjectives. Results: As a result, sex openness of male students was higher than that of female students. The higher the grade, the higher the sex openness, and the higher the stimulus, the higher the sex openness. The higher the imitation sharing, the higher the sex openness. The higher the human rights violation, the lower sex openness. Finally, the higher the social support, the higher the sex openness. Conclusions: In conclusion, strengthening the management of realistic media providers and emotional education rather than the unconditional regulation of mass media is expected to help prevent adverse effects on the sex openness of adolescents.

Objectives: The purpose of this study was to identify the factors associated with stage of change for drinking cessation among adolescents on the basis of the Transtheoretical Model. Methods: The data was collected from 343 high school students in Kimhae-city, who have experienced any kind of alcohol in their lifetime. For data analysis, descriptive statistics and Logistic regression were performed using the SPSS WIN 18. 0 program. Results: The stage of change was as follows: 24.2% in the precontemplation stage, 8.7% in the contemplation stage, 10.8% in the preparation stage, 39.7% in the action stage and 16.6% in maintenance stage. The predictive factors to move from the precontemplation stage to the contemplation/preparation stage were dramatic relief (OR=1.36, 95% CI:1.13-1.63) and self- efficacy (OR=1.05, 95% CI:1.01-1.09). The predictive factors to move from the contemplation/ preparation stage to the action/maintenance stage were female (OR=0.50, 95% CI:0.27-0.94), the number of friend who have drunk (OR=0.84, 95% CI:0.77-0.91) and self-efficacy (OR=1.04, 95% CI: 1.00-1.07). Conclusions: To stop adolescent drinking, this study suggests the intervention program needs to be considered the individual’s stage of change of drinking. The intervention program to enhance dramatic relief and self-efficacy is needed to adolescents in the precontemplation stage. It is crucial to develop strategies to raise self-efficacy for adolescents in the contemplation/preparation stage, which also respect their gender and peer groups.

Objectives: The purpose of this study was to investigate major satisfaction according to the values and self efficacy of students majoring in health science. Methods: Among the 170 respondents, 25.3% were male and 74.7% were females. The departments were 28.9% of physical therapy, 20.6% of laboratory science, 23.5% of occupational therapy,14.1% of nursing, and dental hygiene 12.9%. Results: In the present study major satisfaction was significantly higher when the higher self efficacy and significantly lower when the higher value. Conclusions: These results indicate that it is necessary to provide contents and appropriate guidance that can enhance the values and self efficacy in order to improve major satisfaction of students majoring in health science.

Objectives: The study was performed to investigate job training stress for university students who have a major in healthcare. Methods: For the analysis, 11 fourth-year students who have experienced job training at healthcare-related agencies were interviewed. Interviews were conducted from May 2016 to June 2016 for 3 weeks. The data were collected with semi-structured open-ended questions and analysed by the method of Consensual Qualitative Research(CQR). Results: The main reasons for the job training stress for students fell into two personal and environmental domains. And the domains were analyzed by 12 categories in-depth. Students felt stress by tasks, personal relationship, and burden of duties. Conclusions: To deal with job training stress, students took emotional and behavioral treatments such as positive thinking, communication, and so on. Universities should provide sufficient information on the characteristics of training agencies and training programs to lighten the stress for students.

Objectives: The purpose of this study is to investigate the knowledge, confidence and coping ability about emergency treatment, and the impact of right knowledge and confidence in practice on coping ability in part of dental hygienists. In addition, we suggest emergency treatment knowledge for develop substantive education program applicable to clinical as required data. Methods: This subjects were 259 dental hygienists working in dental setting Seoul, Gyeonggi-do from June 5 to July 20, 2016. We analyzed the data with frequency analysis, descriptive statistics, t-test, one-way ANOVA, pearson correlation coefficient, regression analysis by using SPSS. Results: Emergencies experienced by a dental hygienist in dental practice were fainting, local anesthetic allergies, and seizures. As a result of comparing the first aid knowledge, self-confidence, coping ability according to general characteristics of the study subjects, university graduation was higher than college and 3∼5 years of working experience showed higher self confidence(F=3.837, p=0.023). The performance of self confidence and coping ability according to the characteristics of first aid showed high results in first aid training and dental hygienist having CPR license. Based on multiple regression analysis, confidence about emergency treatment is the biggest impact on coping ability(p<0.05). Conclusions: Dental hygienists need to develop and provide programs that can improve the ability of dental hygienists to respond appropriately and promptly in case of emergencies by recognizing the importance of first aid through conservative education.