@article{ref1,
title="How are depression and suicidal ideation associated with multiple health risk behaviors among adolescents? A secondary data analysis using the 2016 Korea Youth Risk Behavior web-based survey",
journal="Journal of Psychiatric and Mental Health Nursing",
year="2020",
author="Kim, Eun-Mi and Kim, Heejung and Park, Eunhee",
volume="ePub",
number="ePub",
pages="ePub-ePub",
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. <br><br>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. <br><br>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. <br><br>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. <br><br>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.<br><br>© 2020 John Wiley & Sons Ltd.<p /> <p>Language: en</p>",
language="en",
issn="1351-0126",
doi="10.1111/jpm.12610",
url="http://dx.doi.org/10.1111/jpm.12610"
}