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Journal Article

Citation

Kim EM, Kim H, Park E. J. Psychiatr. Ment. Health Nurs. 2020; ePub(ePub): ePub.

Affiliation

School of Nursing, University at Buffalo, Buffalo, NY, United States.

Copyright

(Copyright © 2020, John Wiley and Sons)

DOI

10.1111/jpm.12610

PMID

31999868

Abstract

INTRODUCTION: There is limited understanding about whether poor mental health is associated with certain combinations of multiple health risk behaviors (HRBs) such as smoking, drinking, early sexual activity, and substance abuse.

AIM: To determine the prevalence of multiple HRBs and to identify associations between poor mental health and multiple HRBs as the number of HRBs increases.

METHODS: This cross-sectional study was conducted using the 2016 Korea Youth Risk Behavior Web-based Survey (N = 65,528). Descriptive statistics and multinomial logistic regression analyses were conducted using the complex sample data.

RESULTS: Overall, 28.6% and 13.9% of Korean adolescents were involved in one or multiple HRBs, respectively. Adolescents who were depressed (OR = 1.43-4.47, 95% CI = 1.37-1.49 to 3.23-6.20) and/or who had suicidal ideation (OR = 1.33-3.19, 95% CI = 1.25-1.42 to 2.25-4.51) were more likely to engage in multiple HRBs.

DISCUSSION: A considerable numbers of Korean adolescents are engaged in multiple HRBs. When adolescents self-reported depression and suicidal ideation, they were more likely to engage in a greater number of HRBs than single HRB. IMPLICATIONS FOR PRACTICE: Tailored interventions to decrease multiple HRBs should be designed and provided by considering adolescents' mental health status and needs.

© 2020 John Wiley & Sons Ltd.


Language: en

Keywords

child and adolescent; depression; health promotion; suicide

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