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Mi-Sun Lee,Hooyeon Lee 대한신경정신의학회 2023 PSYCHIATRY INVESTIGATION Vol.20 No.11
Objective The health behavior and mental health problems of adolescents have shown a variety of changes due to the coronavirus disease-2019 (COVID-19) pandemic. This study compared health behavior, obesity, and mental health among Korean adolescents before and during the early COVID-19 pandemic.Methods Population-based and cross-sectional data from the 2019 and 2020 Korea Youth Risk Behavior Web-Based Surveys were used. Data of 57,048 and 54,948 adolescents from the 2019 and 2020 surveys, respectively, were compared. Multiple logistic regression analysis was conducted to compare health behavior, obesity, and mental health before and during the COVID-19 pandemic.Results The adjusted odds ratio (aOR) of overweight, obesity, and body image perceived subjectively as fat, were higher in the 2020 sample compared to the 2019 sample. The aOR of the frequency (more than 3 times a week) of fast-food consumption was higher in 2020 than in 2019. However, the aOR of physical activity, alcohol use, and smoking experience were lower in 2020 than in 2019. In addition, during COVID-19, adolescents were less likely to have perceived severe stress, depressive moods, and suicidal ideation.Conclusion Current evidence suggests the co-occurrence of positive and negative changes in health behavior, obesity, and mental health among Korean adolescents during the early COVID-19 pandemic. The results contribute insights for monitoring adolescents’ health behavior and promoting their mental health during school shutdowns.
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Mi-Sun Lee,Hooyeon Lee 대한신경정신의학회 2023 PSYCHIATRY INVESTIGATION Vol.20 No.9
Objective This study aimed to investigate the prevalence of problematic smartphone use (PSU) among adolescents and its association with anxiety and suicidal ideation.Methods The 16th cross-sectional, population-based Korea Youth Risk Behavior Web-Based Survey was administered in 2020 and included 54,948 adolescents. We used the Korean version of the smartphone overdependence scale and the 7-item Generalized Anxiety Disorder scale to assess PSU and anxiety. Suicidal ideation was assessed through responses to the self-report question. Multiple logistic regression analyses with complex sampling were conducted to identify the association of PSU with anxiety and suicidal ideation.Results In total, 25.1% of the adolescents reported PSU, 33.2% had anxiety symptoms, and 10.9% had seriously considered suicide during the past 12 months. Girls with PSU had a higher risk of anxiety (adjusted odds ratio [aOR], 2.81; 95% confidence interval [CI], 2.65 to 2.97) and suicidal ideation (aOR, 1.77; 95% CI, 1.64 to 1.91) than non-PSU girls. Boys with PSU reported more anxiety (aOR, 2.89; 95% CI, 2.72 to 3.07) and suicidal ideation (aOR, 1.82; 95% CI, 1.66 to 1.99) than the non-PSU group. In addition, girls with the lowest household income reported more suicidal ideation than girls with the highest household income (aOR, 3.40; 95% CI, 2.69 to 4.28).Conclusion This study demonstrated the prevalence of PSU among South Korean adolescents in 2020. The prioritization of the detection of PSU and the identification of psychological factors may help improve the diagnosis and management of mental health problems and potentially yield significant psychosocial benefits.
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Kim Seongju,Kim Dong Jun,Lee Mi-Sun,Lee Hooyeon 대한신경정신의학회 2023 PSYCHIATRY INVESTIGATION Vol.20 No.8
Objective This study examined the association between social support and postpartum depression (PPD) according to the time after childbirth within 12 months in South Korea.Methods Data were collected from 1,481 women in Chungnam Province, South Korea from September 21 to 30, 2022. Multivariate logistic regression models were used to examine the association between social support and PPD. Subgroup analysis of the associations of support from family, friends, and significant others with PPD according to the time after childbirth was undertaken using crude and adjusted models.Results Of the participants, 39.91% had PPD. The prevalence of PPD was 36.05% at <3 months, 37.50% at 3≤ to <6 months, and 44.41% at 6≤ to <12 months. A 1-point increase in the social support score was associated with an increase in the adjusted odds ratio of PPD of 0.91 (95% confidence interval=0.90–0.93). Social support from family was significantly associated with PPD regardless of the time after childbirth. Support from significant others was significantly associated with PPD after 6≤ to <12 months.Conclusion Family support should be provided consistently to women after birth; social connections with significant others can prevent PPD.
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김형준(Kim Hyungjoon),박서진(Park Seojin),김정은(Kim Jeongeun),박은철(Park Euncheol),이후연(Lee Hooyeon) 한국의학교육학회 2003 Korean journal of medical education Vol.15 No.2
Purpose: We wanted to further analyze the qualities that influence Korean medical students on their decision to choose each of the specialized areas of medicine. Methods: We were able to obtain questionnaires from 394 students of Y University, School of Medicine. The students rated the various influential factors for specialty selection by using a five-point Likert scale. Result: The factors found to influence the selection of popular specialties were gender, grades/scores, lifestyle attributes, and residency issues. Patient contact, lifestyle attributes, prospects, income prospects, and health care policies were significantly rated factors for choosing clinical-oriented specialties. For the selection of Medical specialties, gender, income, social responsibilities, income prospects, and malpractice insurance costs were the influential factors. Gender, 3rd year students, social responsibilities, prospects, income prospects, and society s views on medical profession affected the students decisions to choose the major specialties. Conclusion: Based on the results of our study, we can conclude that gender and income prospects are some of the most significant factors affecting a student s selection of a specialty. These results suggest reform and improvement for a more stable health care policy and management strategies.
KCI
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