Earticle

Purpose: The purpose of this study is to identify the factors that influence the practices and the intentions of human papillomavirus (HPV) vaccination among adolescent daughters’ mothers. The focus is on the mothers’ HPV knowledge and sex-related communication with their daughters. Methods: The participants were 298 mothers with middle or high school student daughters. Participants were conveniently selected from a mothers’ association and churches in Seoul, Cheonan and Asan city. Information on their demographics, HPV vaccination-related knowledge, sex-related communication, and intention of receiving HPV vaccination were obtained through questionnaires. The results were analyzed using descriptive statistics, the x2 test and logistic regression with SPSS for Windows 21.0 software. Results: The rate of HPV vaccination, the awareness of the HPV vaccine and the rate of giving correct answers to HPV knowledge questions were 13.1%. 84.6%, and 36.3%, respectively. The factors that influenced HPV vaccination most were their family history of cervical cancer, educational backgrounds and awareness of the HPV vaccine. The intention to receive HPV vaccination was mainly influenced by HPV knowledge. However, sex-related communication did not affect the mothers’ intention of obtaining HPV vaccination. Conclusion: The results of this study suggest that strategies to educate mothers with adolescent daughters on HPV are necessary. In addition, this study strongly recommends further studies be planned to examine sex-related communication between mothers and daughters.

Purpose: The Purpose of this study was to examine school health teachers' burnout, engagement, job demands and job resources and to identify the factors that influence burnout and engagement. Methods: The participants were 222 school health teachers working in elementary, middle or high schools. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression. Results: The significant factors influencing burnout were rewards (β=-.51), autonomy (β=-.15), and job demands (β=.13). These factors explained 42% of the variance in burnout. The significant factors influencing engagement were feedback (β=.49), rewards (β=.21), type of employment (β=.15) and autonomy (β=.13). These factors explained 49% of the variance in engagement. Conclusion: The study showed that job demands increase burnout, while job resources such as rewards and autonomy alleviate it. In addition, job resources, such as feedback, rewards and autonomy, increase engagement among school health teachers. Therefore, in order to reduce burnout and increase engagement among school health teachers, it is necessary to reduce the level of job demands and to provide enough job resources such as rewards, autonomy and feedback by improving the job environment.

Purpose: The purpose of this study was to examine and compare the academic engagement, academic burnout, stress, and social support among undergraduate nursing students by grade. Methods: The study is a descriptive comparative survey. The participants were 247 undergraduate nursing students enrolled in 3 universities located in G city. The collected data was analyzed with descriptive statistics, x2 tests, and analysis of covariance, using SPSS/WIN 21.0 program. Results: The students showed significant differences in academic engagement, academic burnout, and stress according to their grade. The post-hoc analysis results showed that sophomores and juniors had lower academic engagement and higher academic burnout and stress than others (i.e., freshmen, or seniors). There was no significant difference in social support among nursing students. Academic engagement had a positive correlation with social support and a negative correlation with academic burnout and stress. Also, academic burnout had a positive correlation with stress and a negative correlation with academic engagement and social support. Conclusion: The findings indicate that nursing students in second and third grade were at risk of academic burnout and under severe stress. Therefore, sophomores and juniors need more attention and care to help them relieve and control stress and burnout and to improve their academic engagement. Also, the findings should be considered when developing plans and/or interventions for nursing students’ major adjustment and academic achievement.

Purpose: This study aimed to examine the effects of group narrative therapy on aggression, depression, and resilience in adolescents with conduct disorder tendency. Methods: Group narrative therapy was conducted from March 7, 2011 to May 3, 2011. The participants were 66 adolescents with conduct disorder tendency living in D city. The participants were divided into two groups, the experimental group (n=32) and the control group (n=34). The experimental group received a 8-session group narrative therapy intervention. Using the SPSS/WIN 17.0 program, data were analyzed by Qui-square test, t-test and ANCOVA. Results: After attending the group narrative therapy, significant differences were found in terms of aggression, depression, and resilience scores between the experimental group and the control group (F=2.77, p=.006; F=2.22, p=.027; F=2.67, p=.008). Conclusion: Group narrative therapy increased resilience and decreased depression and aggression in the experimental group compared to the control group. Therefore, it can be concluded that group narrative therapy programs are an effective nursing intervention for school adaptation in adolescents with conduct disorder tendency.

Purpose: This study was conducted to examine the degree of suicidal ideation, social support and self-esteem on depression in middle school students. Methods: The study, based on a correlation study design, selected participants from five middle schools by convenience sampling. Data were collected from April 19 to June 13, 2015 from the 427 participants included in the study. The data were analyzed using SPSS / Win 20.0. Results: There was a significant correlation between depression, self esteem, social support, and suicidal ideation. Depression was negatively correlated with self-esteem(r=-.47, p<.001) and social support(r=-.45, p<.001), while being positively correlated with suicidal ideation(r=.64, p<.001). Conclusion: The findings indicate that depression in middle school students can increase the risk of suicide. Self-esteem and social support of middle school students are also important resources for reduce depression and suicide prevention.

Purpose: The purpose of this study was to identify the association between physical activity and vitamin D deficiency status among Korean adolescents. Methods: This is cross-sectional analysis of Korean adolescents aged 10-18 years from the 5th Korea National Health and Nutrition Examination Survey(KNHANES 2010-2012; n=2,384). We estimated the prevalence of vitamin D deficiency and identified the correlations with the strength of physical activity. x2 test, t-test, and multiple logistic regression using complex sample analysis were done. The odds ratio of vitamin D deficiency by physical activity was calculated using complex sample multivariate logistic regression analysis. Results: The prevalence of vitamin D deficiency was 78.2%. The mean serum 25 (OH) D level in deficiency group and non-deficiency group was 14.4ng/mL, 23.7ng/mL respectively. Differences by age strata (the prevalence ranging from 68.5% to 86.3%) and gender (78.6% for boy and 84.5% for girl) were identified. Among adolescents aged 16-18 or girl in vigorous physical activity, a significant correlation between vitamin D deficiency and physical activity was observed, whereas no significant correlation were found among adolescents in moderate physical activity. Conclusion: In conclusion, vigorous physical activity was associated with vitamin D deficit in Korean adolescents. Thus, intervention programs enhancing vigorous activity than moderate activity need to be developed in schools and community.

Purpose: This study aimed to understand the current situation of Korean adolescents' sexual experience and its characteristics by school level, gender, and related factors to their sexual experience. This could be the basic evidence for the development of various sex education programs for the youth. Methods: This study used the 11th online survey data on youth health behavior (2015) and all 68,043 students who participated in the study were included for the analysis. The binominal logistic regression model was used to identify the characteristics and relevant factors of sexual intercourse experience. Analysis was performed by complex sample design using SPSS/WIN 18.0. The statistical significance was defined as p<.05 with a two-sided test. Results: The factors related to sexual experience of adolescents included grade, sadness and hopelessness, smoking, Internet addiction, and sex education in school, for middle school boys. For middle school girls, grade, residence area, sadness and hopelessness, smoking, drinking, and sex education in school were related. For high school boys, the factors were grade, living with parents, economic situation, sadness and hopelessness, smoking, drinking, and Internet addiction. For high school girls, grade, sadness and hopelessness, smoking, and drinking were found to be related factors. Conclusion: The results of this study suggest that a practical program considering adolescents’ level and characteristics should be developed and applied.

Purpose: Despite the high incidence, the incidence of atopic dermatitis among adolescents has been continuously increasing. The study was conducted to examine the severity of atopic dermatitis among middle school students and to identify the factors affecting the severity. Methods: The data used in the analysis are from 2015 Youth Health Behavior Online Survey. Complex sample analysis was conducted to analyze the severity of atopic dermatitis which was defined by the treatment experience of atopic dermatitis and the number of absent days due to the disease as its criteria. Binary logistic regression of the factors affecting the severity of atopic dermatitis by gender was done. Results: The severity of atopic dermatitis was high in male students who were in a lower grade (freshmen), who smoked, or who consumed soft drinks at least once a week, while in female students who were in a lower grade (freshmen, sophomore), who consumed alcohol, who consumed highly caffeinated drinks at least once a week or who consumed sweet drinks at least once a week. The severity of atopic dermatitis was lower in female students who lived in big cities or medium/small sized cities or engaged in physical activities less than three times a week. Conclusion: For atopic dermatitis among middle school students, the importance of dietary management should be considered. This indicates that families, schools, and communities have their own responsibilities and efforts to relieve the symptoms of the atopic dermatitis.

Purpose: This study examined depression, ego-resilience and health behaviors of high school student in order to understand the relationship among these variables. Methods: The study used raw data from the Korean Children and Youth Panel Survey conducted in 2015. Data was analyzed using SPSS 21.0 for descriptive statistics, t-test, x2 test, Pearson's correlation coefficients, and multiple regression analysis. Results: Gender, school performance, economic status, subjective health status, drinking behavior and ego-resilience had significant effects on depression. Moreover, school performance, subjective health status, smoking behavior, duration of exercise during physical education classes, and depression had significant effects on ego-resilience. Conclusion: Based on these findings, we need to develop the interventions for depression and ego-resilience for adolescents, considering the related factors to health status and behaviors.