Research in Community and Public Health Nursing

Original Articles

[English] Patterns of Adolescent Substance Use: A Comparative Study among the United States, Canada, England, and South Korea from 2014-2021: Chaehee Kim, Kihye Han, Jieun Kim, Alison M. Trinkoff, Sihyun Park, Hyejin Kim; Res Community Public Health Nurs. 2024;35(2):179-193. Published online June 28, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00535

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Purpose
This study aimed to identify the cross-national estimates of substance use, explore problematic substance use patterns among adolescents across countries and over time, and examine the relationship of individual characteristics on substance use patterns.
Methods
This study employed a time-series secondary data analysis spanning from 2014 to 2021 across four countries (United States, Canada, England, and South Korea). We analyzed the usage of five substances (alcohol, binge drinking, cigarettes, electronic cigarettes, and illicit drugs) alongside demographic characteristics. A descriptive analysis was performed to identify estimates of substance use across countries. Latent class analysis was employed to examine adolescents’ substance use patterns across time and countries. A multinomial logistic regression model was fit to assess the relationship between latent class and demographic characteristics.
Results
Adolescents in the United States and Canada had the highest substance use, while Korean adolescents had the lowest, particularly concerning drugs. Latent class analysis revealed two classes (light-user and heavy-user), with the addition of a third class (moderate-user) in some instances. The substance use patterns, while differing significantly among nations, exhibited consistency over time. During COVID-19, a decrease in heavy-substance users was observed across countries. Male or older participants were more likely to belong to the heavy-user class.
Conclusion
This research offers valuable insights into the variations in substance use patterns between nations and over time. A tailored approach is essential to prevent adolescents from becoming heavy-substance users. This approach should consider country regulations and demographics for a targeted and comprehensive preventive strategy.

Citations

Citations to this article as recorded by

Suicide attempts among Korean adolescents before, during and after the COVID-19 pandemic: a cross-sectional study
Sol I Kim, Jeong Soo Kim, Sun Mi Kim, Doug Hyun Han
BMJ Open.2026; 16(1): e110297. CrossRef
Exploring the relationship between lifestyle factors and depressive symptoms in Korean adolescents amid the COVID-19 pandemic
YoonJin Lee, Eunyeong Jang, Sejeong Park, Jinhee Lee
BMC Psychiatry.2025;[Epub] CrossRef
Characteristics of Online Articles Related to Youth Drug Use: An Analysis Using Keyword Network Analysis
Ji-Min Kim
Journal of Digital Contents Society.2025; 26(11): 3087. CrossRef

[English] Association between Environmental Factors in Home and Behavioral Problems in Children with Allergic Diseases: Based on 2015 Panel Study of Korean Children Survey: Mi Seon Son, Eun Sun Ji; J Korean Acad Community Health Nurs. 2019;30(4):426-436. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.426

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Abstract PDF: PURPOSE
This study aimed to investigate the association between indoor environmental exposures and behavioral problems in children with allergic diseases.
METHODS
We used data from 2015 Panel Study of Korean Children (PSKC). The subjects of this study included 825 children aged 7 years with asthma, allergic rhinitis, or atopic dermatitis. The data was analyzed using hierarchical multiple regression.
RESULTS
Factors influencing behavioral problems in children with allergic diseases were passive smoking (Î²=.15, p < .001), painting from 1year after birth until 1 year ago (Î²=.13, p < .001), using of linoleum as floor materials (Î²=.09, p < .001), change of wallpaper From 2 years before pregnancy until 1year after birth (Î²=.08, p < .001), change of wallpaper from 1year after birth until 1 year ago (Î²=.07, p < .001), keeping hot food or water in plastic container (Î²=.06, p < .001), remodeling from 1 year after birth until 1year ago (Î²=.04, p < .001), using of plastic container (Î²=.03, p < .001), and change of floor materials from 1 year after birth until 1year ago (Î²=.01, p=.006) which explained about 10% of behavioral problems.
CONCLUSION
This study showed that indoor environmental exposures were associated with behavioral problems in children with allergic diseases. Based on the findings of this study, programs focusing on controlling of indoor environmental exposures may help to prevent and reduce behavioral problems in children with allergic diseases.

[English] Effects of Intervention Using PARO on the Cognition, Emotion, Problem Behavior, and Social Interaction of Elderly People with Dementia: In Soon Koh, Hee Sun Kang; J Korean Acad Community Health Nurs. 2018;29(3):300-309. Published online September 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.3.300

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23 Citations

Abstract PDF

PURPOSE
This study aims to investigate the effects of intervention using the therapeutic robot, PARO, on the cognition, emotion, problem behavior, and social interaction of elderly people with dementia.
METHODS
A nonequivalent control group pretest-posttest design was used. A total of 33 elderly people with dementia living in a nursing home facility participated in the study, with 17 in the experimental group and 16 in the control group. The intervention program with PARO was administered twice a week for 6 weeks, for a total of 12 sessions. Data were collected before and after intervention, using a questionnaire, direct observation, and video recording.
RESULTS
There were statistically significant differences in positive emotions and problem behaviors between the groups. The experimental group demonstrated a significant improvement in social interaction.
CONCLUSION
PARO intervention can be utilized as an effective nursing intervention to increase positive emotions and social interaction, as well as decrease problem behaviors, in elderly people with dementia living in nursing home facilities.

Citations

Citations to this article as recorded by

How Emotional Dances with Social Robots Influence Group HRI for Older Adults
Yizhu Li, Nan Liang, Goldie Nejat
ACM Transactions on Human-Robot Interaction.2026; 15(2): 1. CrossRef
The Role of Socially Assistive Robots for the Improvement of Quality of Life in Elderly People: A Systematic Review
Juan Guevara, Mariaceleste Fernandez, Jose Balbuena, Dante Arroyo, Miguel Davila, Diego Arce
IEEE Access.2026; 14: 2431. CrossRef
Technologies and Applications of Robots in Dementia Care: A Systematic Review
Dongjun Wu, Lihui Pu, Jun Jo, Wendy Moyle
Journal of Intelligent & Robotic Systems.2025;[Epub] CrossRef
A systematic review on the efficacy of artificial intelligence in geriatric healthcare: a critical analysis of current literature
Rangraze Imran, Shehla Shafi Khan
BMC Geriatrics.2025;[Epub] CrossRef
Yaşlılarda Düşme Tespiti ve Önlemede Yapay Zeka Teknolojilerinin Kullanımı
Melda Başer Seçer
Geriatrik Bilimler Dergisi.2025; 8(1): 72. CrossRef
Effectiveness of Group Interventions With Socially‐Assistive Robots for Older Adults: A Systematic Review
Yong‐Xin Ruan, Mei‐Chun Cheung
Journal of Nursing Scholarship.2025; 57(6): 919. CrossRef
YAŞLI BAKIMI PROGRAMI ÖĞRENCİLERİNDE ROBOTLARA KARŞI TUTUM VE ROBOT KAYGISI
Kadem Gürkan Akyazı, Hatice Kumcağız
Sosyal Politika Çalışmaları Dergisi.2025; 25(68): 507. CrossRef
Intelligent assistive technology devices for persons with dementia: A scoping review
Shakila Dada, Charene van der Walt, Adele A. May, Janice Murray
Assistive Technology.2024; 36(5): 338. CrossRef
Design Attributes of Socially Assistive Robots for People with Dementia: A Systematic Review
Matthew Green, Dzung Dao, Wendy Moyle
International Journal of Social Robotics.2024; 16(2): 415. CrossRef
Technology-Enabled Recreation and Leisure Programs and Activities for Older Adults With Cognitive Impairment: Rapid Scoping Review
Kristina Marie Kokorelias, Josephine McMurray, Charlene Chu, Arlene Astell, Alisa Grigorovich, Pia Kontos, Jessica Babineau, Jessica Bytautas, Ashley Ahuja, Andrea Iaboni
JMIR Neurotechnology.2024; 3: e53038. CrossRef
Effects of a cognitive-based intervention program using social robot PIO on cognitive function, depression, loneliness, and quality of life of older adults living alone
JunSeo Lim
Frontiers in Public Health.2023;[Epub] CrossRef
Robots in Assisted Living Facilities: Scoping Review
Katie Trainum, Rachel Tunis, Bo Xie, Elliott Hauser
JMIR Aging.2023; 6: e42652. CrossRef
The effectiveness of a therapeutic robot, ‘Paro’, on behavioural and psychological symptoms, medication use, total sleep time and sociability in older adults with dementia: A systematic review and meta-analysis
Nur Lidiya Abdul Rashid, Yihong Leow, Piyanee Klainin-Yobas, Sakiko Itoh, Vivien Xi Wu
International Journal of Nursing Studies.2023; 145: 104530. CrossRef
Application of Artificial Intelligence in Geriatric Care: Bibliometric Analysis
Jingjing Wang, Yiqing Liang, Songmei Cao, Peixuan Cai, Yimeng Fan
Journal of Medical Internet Research.2023; 25: e46014. CrossRef
Getting the Seal of Approval: A Critical Literature Review of the Evidence for the Use of the PARO Robotic Companion Seal with Older Adults with Cognitive Impairment in Long-Term Care
Katie Granier, Katie Oltz, Rebecca Ingram, Daniel Segal
Journal of Aging and Long-Term Care.2023; : 57. CrossRef
Artificial intelligence for older people receiving long-term care: a systematic review of acceptability and effectiveness studies
Kate Loveys, Matthew Prina, Chloe Axford, Òscar Ristol Domènec, William Weng, Elizabeth Broadbent, Sameer Pujari, Hyobum Jang, Zee A Han, Jotheeswaran Amuthavalli Thiyagarajan
The Lancet Healthy Longevity.2022; 3(4): e286. CrossRef
The use of technology for social interaction by people with dementia: A scoping review
Merryn Anderson, Rachel Menon, Katy Oak, Louise Allan, Matthew Chua Chin Heng
PLOS Digital Health.2022; 1(6): e0000053. CrossRef
The Effect of Cognitive Function Health Care Using Artificial Intelligence Robots for Older Adults: Systematic Review and Meta-analysis
Hocheol Lee, Min Ah Chung, Hyeji Kim, Eun Woo Nam
JMIR Aging.2022; 5(2): e38896. CrossRef
Socially assistive robots for people with dementia: Systematic review and meta-analysis of feasibility, acceptability and the effect on cognition, neuropsychiatric symptoms and quality of life
Clare Yu, Andrew Sommerlad, Lena Sakure, Gill Livingston
Ageing Research Reviews.2022; 78: 101633. CrossRef
Methodologies Used to Study the Feasibility, Usability, Efficacy, and Effectiveness of Social Robots For Elderly Adults: Scoping Review
Aysan Mahmoudi Asl, Mauricio Molinari Ulate, Manuel Franco Martin, Henriëtte van der Roest
Journal of Medical Internet Research.2022; 24(8): e37434. CrossRef
Effectiveness of robot therapy in the management of behavioural and psychological symptoms for individuals with dementia: A systematic review and meta-analysis
Yoke Chin Ong, Arthur Tang, Wilson Tam
Journal of Psychiatric Research.2021; 140: 381. CrossRef
Can Use of Digital Technologies by People with Dementia Improve Self-Management and Social Participation? A Systematic Review of Effect Studies
David Neal, Floor van den Berg, Caroline Planting, Teake Ettema, Karin Dijkstra, Evelyn Finnema, Rose-Marie Dröes
Journal of Clinical Medicine.2021; 10(4): 604. CrossRef
Systematic review of the current psychosocial interventions for people with moderate to severe dementia
Esther K. Hui, Victoria Tischler, Gloria H. Y. Wong, W. Y. Tiffany Lau, Aimee Spector
International Journal of Geriatric Psychiatry.2021; 36(9): 1313. CrossRef

[English] Factors Affecting Emotional Â· 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

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7 Download

Abstract 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.

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