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Differences in Factors Associated with Depressive Symptoms between Urban and Rural Female Adolescents in Korea

Journal of Korean Academy of Nursing 2018³â 48±Ç 4È£ p.475 ~ 484
KMID : 0806120180480040475
À̱Կµ ( Lee Gyu-Young ) - Chung-Ang University Red Cross College of Nursing

ÇÔ¿Á°æ ( Ham Ok-Kyung ) - Inha University Department of Nursing
À̺¸°æ ( Lee Bo-Gyeong ) - Catholic University of Daegu College of Nursing Research Institute of Nursing Science
 ( Kim Abuan Micah ) - Inha University Department of Nursing

Abstract

Purpose: To examine the prevalence of depressive symptoms and differentiate factors associated with them in urban and rural areas by applying the Ecological Models of Health Behavior.

Methods: We employed a cross-sectional design and convenience sample of 460 female adolescents. The instruments included the Adolescent Mental-Health Problem-Behavior Questionnaire (AMPQ-II) and the Beck Depression Inventory (BDI).

Results: Depressive symptoms were confirmed in 15.7% of urban adolescents and 22.9% of rural adolescents (p<.05). In the urban group, perception of health and stress associated with school performance were significantly associated with depressive symptoms. In the rural group, academic/internet related problems and rule violations were significantly associated with depressive symptoms (p<.05). General life happiness, worry/anxiety, and mood/suicidal ideation were common factors in both urban and rural areas (p<.05).

Conclusion: Multiple factors were associated with depressive symptoms, and those significant factors differed between urban and rural female youths. Accordingly, tailored approaches are required considering urban and rural differences. The approaches should include intrapersonal, interpersonal, and organizational levels of interventions.
KeyWords

Female Adolescents, Depression, Behavioral Problem
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