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이진화 ( Lee Jin-Hwa ) - University of Ulsan Department of Nursing
권민 ( Kwon Min ) - University of Suwon Department of Nursing
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Abstract
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목적: 본 연구의 목적은 코로나 19 팬데믹 상황을 중심으로 발생 전후 변화된 국내 청소년의 건강행태를 확인하기 위함이다.
방법: 제15차(2019년)와 제16차(2020년) 청소년건강행태온라인조사 원시자료를 이용한 이차분석 연구로, 본 연구를 위해 사용된 제15차(2019년) 조사의 표본 학교 수는 800개교, 학생 수 57,303명이었고, 제16차(2020년) 조사의 표본 학교 수는 793개교, 학생 수 54,948명이었다. 자료분석은 Rao-scott x2 test, 로지스틱 회귀분석을 실시하였다.
결과: 국내 청소년의 코로나 19 팬데믹 발생 전후 차이가 있는 건강행동 특성은 좌식시간, 아침식사 결식, 과일 섭취 여부, 흡연 및 신체활동, 체질량지수였으며, 정신건강 특성은 수면충족, 스트레스, 우울, 자살생각, 자살계획, 자살시도였다.
결론: 청소년들의 좌식시간 감소 및 신체활동 중심의 활동 격려, 지속적인 흡연율 및 음주율 관리, 심리적 외로움과 고립을 방지할 수 있는 네트워크 체계 구축이 필요하며, 정신건강 증진을 위한 학교, 가정, 또래 동료 지원 시스템을 마련하고 지역사회 전반의 전문가 참여가 요구된다.
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Purpose: The purpose of the study was to investigate health behavior changes in Korean adolescents before and during the COVID-19 pandemic.
Methods: A descriptive cross-sectional design was employed. Data were obtained from the 15~16th (2019~2020) Korea Youth Risk Behavior Web-based Survey. Overall, the data of 112,251 students, 57,303 before the COVID pandemic and 54,948 during the pandemic, were included. The data were analyzed using rao-scott x2-test, t-test, ANCOVA and logistic regression analysis.
Results: While sitting time for study decreased, sitting time for leisure increased in the 2020 group compared to the 2019 group. The 2020 group was more likely to skip breakfast and have a higher BMI than the 2019 group. The 2020 group was less likely to consume fruit and engage in moderate and vigorous physical activities than the 2019 group. The 2020 group was less likely to engage in CC, EC, and HTP current smoking and be exposed to secondhand smoke at home, school, and public places than the 2019 group. The 2020 group was more likely to be satisfied with sleep, but less likely to experience stress, depression, suicidal ideation, suicidal plans, and suicidal attempts than the 2019 group.
Conclusion: It is necessary to reduce sedentary time, encourage physical activities, manage smoking and drinking rates continuously, and establish a network system to prevent psychological loneliness and isolation for adolescents, which requires participation of experts from the community as a whole.
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KeyWords
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코로나-19, 학교보건, 청소년, 건강행태, 정신건강
COVID-19, School health, Adolescents, Health Behavior, Mental health
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원문 및 링크아웃 정보
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등재저널 정보
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