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5 "Multilevel analysis"
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Original Articles
[English]
Multilevel Analysis of Factors associated with Subjective Weight Perception among Normal Body Weight Adolescents based on the 2017 Korean Youth's Risk Behavior Survey (KYRBS)
Eun Ha Joeng, In Sook Lee
J Korean Acad Community Health Nurs. 2018;29(4):476-487.   Published online December 31, 2018
DOI: https://doi.org/10.12799/jkachn.2018.29.4.476
  • 4,015 View
  • 27 Download
  • 8 Citations
AbstractAbstract PDF
PURPOSE
The present study is focused on understanding weight perception related with individual- and school-level multifactorial origins, underestimated and overestimated respectively, in normal body weight adolescents.
METHODS
Using the 2017 Korea Youth Risk Behavior Web-based Survey data of 45,902 students from 799 secondary schools, a multilevel multinomial logistic regression analysis was performed where adolescents (level1) were nested within schools (level 2).
RESULTS
At the school level, the average school body mass index (BMI, kg/m²) and physical education were associated with weight perception among both boys and girls. In boys, geographic areas were associated with weight underestimation. At the individual level, perceived economic status, weekly allowance, BMI (kg/m²), smartphone usage time (hrs/day) and perceived stress were associated with weight perception among both boys and girls. Age, paternal education, academic achievement and alcohol use were associated with weight perception among girls, while part-time job and physical activity were associated with weight perception among boys.
CONCLUSION
Our findings underscore the importance of individual- and school-level environments in developing correct weight perception and have implications for school health education to establish healthy lifestyle behaviors for all adolescents.

Citations

Citations to this article as recorded by  
  • Association of sleep and generalized anxiety disorder in Korean adolescents
    Ah Jung Ko, Jinhyun Kim, Eun-Cheol Park
    BMC Public Health.2024;[Epub]     CrossRef
  • Body Image Perception in High School Students: The Relationship with Gender, Weight Status, and Physical Activity
    Stefania Toselli, Luciana Zaccagni, Natascia Rinaldo, Mario Mauro, Alessia Grigoletto, Pasqualino Maietta Latessa, Sofia Marini
    Children.2023; 10(1): 137.     CrossRef
  • Factors associated with the adoption of extreme weight control behavior by non-obese adolescents: a secondary analysis
    Eunha Jeong
    BMC Pediatrics.2023;[Epub]     CrossRef
  • Association between body shape misperception and unhealthy eating behaviors among Korean adolescents
    Yejin Kim, Bomgyeol Kim, Vasuki Rajaguru, Sang Gyu Lee, Tae Hyun Kim
    Nutrition Research and Practice.2023; 17(6): 1143.     CrossRef
  • Analysis of Factors Related to Adolescents’ Physical Activity Behavior Based on Multichannel LSTM Model
    Guiling Chang, Jinfeng Liu, Dong Chen
    Computational Intelligence and Neuroscience.2022; 2022: 1.     CrossRef
  • Factors associated with body image perception of adolescents
    Hyunju Chae
    Acta Psychologica.2022; 227: 103620.     CrossRef
  • Factors Associated with the Weight Bias Internalization of the Girls in Early Adolescence
    Jin Suk Ra, Soon Ok Kim
    Journal of Korean Academy of Community Health Nursing.2021; 32(2): 140.     CrossRef
  • Effect of Body Image Distortion on Health Behaviors Practice in High School Students
    Hyun Jung Yun
    Stress.2020; 28(2): 98.     CrossRef
[English]
Regional Factors on the Self-rated Health of Wage Workers
Min Jung Kwon, Eun Suk Choi
J Korean Acad Community Health Nurs. 2018;29(1):21-32.   Published online March 31, 2018
DOI: https://doi.org/10.12799/jkachn.2018.29.1.21
  • 2,267 View
  • 8 Download
AbstractAbstract PDF
PURPOSE
This study attempted to identify regional disparities of self-rated health among Korean wage workers and to investigate the influencing factors on them.
METHODS
The study subjects were 25,069 workers in 16 regions who were extracted from the 2014 Korean Working Condition Survey (KWCS). A multilevel analysis was conducted by building hierarchical data at individual and regional level.
RESULTS
In this study, ‘financial autonomy rate’ and ‘current smoking rate’ were identified as regional factors influencing the workers' self-rated health. When the socio-demographic and occupational factors of the workers were controlled, ‘current smoking rate’, a health policy factor, explained the regional disparity of workers' health status.
CONCLUSION
We found that the health status of workers can be affected by the health behavior level of the whole population in their residential area. In order to improve the health status of working population and to alleviate their regional health inequalities, it is necessary to strengthen macro and structural level interventions.
[English]
Factors Affecting Emotional · Behavioral Problems in Early Adolescence: A Multilevel Model Study
Hee Young Park, Yeon Hee Choi
J Korean Acad Community Health Nurs. 2017;28(4):482-493.   Published online December 31, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.4.482
  • 2,866 View
  • 7 Download
AbstractAbstract PDF
PURPOSE
This study aims to investigate the individual and environmental factors related to emotional/behavioral problems to early adolescence in Korea by applying multilevel modeling.
METHODS
From the database of the 2014 Korean Child and Youth Panel Survey (KCYPS), the researchers selected 1,977 adolescents who are in the second year of middle school. Multilevel model analysis was performed to estimate the impact of relevant factors at the individual and environmental levels.
RESULTS
At the individual level, the significant factors associated with emotional/behavioral problems included BMI and study tendency in boys, and drinking, study tendency and economic levels in girls. At the environmental level, the significant factor associated with emotional/behavioral problems included relationship with the teacher.
CONCLUSION
The emotional/behavioral problems of early adolescence are influenced not only by the individual factors but also by the environment factor. Therefore, the environment surrounding the adolescents should also be considered to prevent emotional/behavioral problems.
[English]
Predictors of Quality of Life among Grandparents Raising Their Grandchildren: An Ecological Approach
Deulle Min, Su Hee Kim
J Korean Acad Community Health Nurs. 2017;28(1):1-12.   Published online March 31, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.1.1
  • 3,641 View
  • 16 Download
  • 2 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this study is to examine factors affecting quality of life among grandparents raising their grandchildren.
METHODS
This study carried out a secondary analysis of data from the 2014 Korean Longitudinal Study of Aging (KLoSA) and Statistics Korea. Data collected from 224 grandparents who reported raising their grandchildren were analyzed using descriptive statistics, independent t-test, ANOVA, pearson correlation coefficient, and multilevel regression analysis.
RESULTS
The mean score of the participants' quality of life was 62.63. Significant predictors of quality of life of the grandparents included subjective health status, last year's total house income, number of last year's travels, frequency of last year's movie seeing, and number of children's parks per 100,000 population.
CONCLUSION
These results suggest that public health nurses in improving quality of life of grandparents focus on children's parks and formal social supports as community factors as well as regular exercise as an individual factor in order to be more effective.

Citations

Citations to this article as recorded by  
  • Impact of Pain on Activities of Daily Living in Older Adults: A Cross-Sectional Analysis of Korean Longitudinal Study of Aging (KLoSA)
    Ambrish Singh, Sreelatha Akkala, Minakshi Nayak, Anirudh Kotlo, Naresh Poondla, Syed Raza, Jim Stankovich, Benny Antony
    Geriatrics.2024; 9(3): 65.     CrossRef
  • Intensity of Grandparent Caregiving, Health, and Well-Being in Cultural Context: A Systematic Review
    Athena C Y Chan, Sun-Kyung Lee, Jingchen Zhang, Jasmine Banegas, Scott Marsalis, Abigail H Gewirtz, Patricia C Heyn
    The Gerontologist.2023; 63(5): 851.     CrossRef
[English]
Factors associated with Unintentional Injuries to Korean Adolescents at School: A Multilevel Study
Jung Ok Yu, Myo Sung Kim
J Korean Acad Community Health Nurs. 2016;27(4):337-345.   Published online December 31, 2016
DOI: https://doi.org/10.12799/jkachn.2016.27.4.337
  • 2,889 View
  • 9 Download
  • 6 Citations
AbstractAbstract PDF
PURPOSE
This study aims at identifying individual- and school-level factors associated with unintentional injuries to Korean adolescents at school by applying multilevel modeling.
METHODS
From the database of the eleventh Korea Youth Risk Behavior Web-based Survey (KYRBS), the researchers selected 68,043 adolescents from the 7(th) to the 12(th) grades. Data were analyzed using χ² test for prevalence and multilevel modeling for related factors of unintentional injuries at school.
RESULTS
About 22.9 percent of the adolescents had treatment experiences for unintentional injuries at school in the past 12 months. At the individual level, the significant factors associated with unintentional injuries at school included gender, grade, academic achievement, current smoking, alcohol consumption, frequency of high caffeine intake, depression, and relief of fatigue after sleep. At the group level, the significant factors included number of physical education per week and safety education.
CONCLUSION
School based injury prevention programs should be sensitive to both individual- and school-level factors associated with unintentional injury at school among Korean adolescents.

Citations

Citations to this article as recorded by  
  • Prevalence and Associated Factors Accounting for In‐School Adolescents' Serious Injuries in Bolivia: A Population‐Based Cross‐Sectional Survey
    Jacob Owusu Sarfo, Richmond Stephen Sorkpor, Edmond Kwesi Agormedah, Medina Srem‐Sai, Paul Obeng, Newton Isaac Gbordzoe, John Elvis Hagan
    Health Science Reports.2026;[Epub]     CrossRef
  • Unintentional Injury and its Determinants among Adolescents
    Reddy B Venkatashiva, Ashish Pundhir, Arti Gupta
    Journal of Public Health Research.2021;[Epub]     CrossRef
  • Multilevel factors associated with adolescents’ obesity: Analysis of 2017-2019 Korea Youth Risk Behavior Survey data
    Soo Kyoung Kim, Saegyeol Choi, Hyekyeong Kim
    Korean Journal of Health Education and Promotion.2021; 38(1): 13.     CrossRef
  • Prevalence and Correlates of Unintentional Injuries among In-School Adolescents in Ghana
    Richard Gyan Aboagye, Abdul-Aziz Seidu, Samuel Adolf Bosoka, John Elvis Hagan, Bright Opoku Ahinkorah
    International Journal of Environmental Research and Public Health.2021; 18(13): 6800.     CrossRef
  • The influence of behavioural and socioeconomic factors on the community injury rates of adolescents assessed by the south Korean emergency medical services: an ecological approach
    Ki Ok Ahn, Jungeun Kim, Sang Do Shin, Hyesook Park, Federico E. Vaca, Ju Ok Park
    BMC Public Health.2019;[Epub]     CrossRef
  • Factors Affecting the Practice of Accident Prevention Behavior in Middle-school Students
    Seon Su Kim, Mi Yu
    Child Health Nursing Research.2019; 25(4): 388.     CrossRef

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