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Original Articles
Open Communication About Reproductive Health Is Associated With Comprehensive HIV Knowledge and a Non-stigmatising Attitude Among Indonesian Youth: A Cross-sectional Study
Gede Benny Setia Wirawan, Ni Luh Zallila Gustina, Pande Putu Januraga
J Prev Med Public Health. 2022;55(4):342-350.   Published online June 13, 2022
DOI: https://doi.org/10.3961/jpmph.21.581
  • 6,372 View
  • 141 Download
  • 1 Crossref
AbstractAbstract PDF
Objectives
Human immunodeficiency virus (HIV) prevention among youth seems under-prioritised compared to other key populations. HIV knowledge and stigma are important parts of HIV prevention. To inform HIV prevention among youths, this study quantitatively analysed the associations between open communication regarding sexuality and sexual health, comprehensive HIV knowledge, and non-stigmatising attitudes in Indonesia.
Methods
This study used data from the Indonesian Demographic and Health Survey (IDHS) 2017. The analysis included unmarried men and women aged 15-25 years old. Comprehensive HIV knowledge and a stigmatising attitude were defined according to the IDHS 2017. Open communication about sexuality and sexual health was defined as the number of people with whom participants could openly discuss these topics in their direct network of friends, family, and service providers, with a scale ranging from 0 to a maximum of 7. Primary analysis used binomial logistic regression with weighting adjustments.
Results
The final analysis included 22 864 respondents. Twenty-two percent of youth had no one in their direct network with whom to openly discuss sexual matters, only 14.1% had comprehensive HIV knowledge, and 85.9% showed stigmatising attitudes. Youth mostly discussed sex with their friends (55.2%), and were less likely to discuss it with family members, showing a predominant pattern of peer-to-peer communication. Multivariate analysis showed that having a larger network for communication about sexuality and sexual health was associated with more HIV knowledge and less stigmatising attitudes.
Conclusions
Having more opportunities for open sex communication in one’s direct social network is associated with more HIV knowledge and less stigmatising attitudes.
Summary

Citations

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  • A Scoping Review of Knowledge, Awareness, Perceptions, Attitudes, and Risky Behaviors of Sexually Transmitted Infections in Southeast Asia
    Vimala Balakrishnan, Kok Khuen Yong, Chiong Kian Tiong, Nicholas Jian Shen Ng, Zhao Ni
    Healthcare.2023; 11(8): 1093.     CrossRef
Association Between Sleep Quality and Anxiety in Korean Adolescents
Hyunkyu Kim, Seung Hoon Kim, Sung-In Jang, Eun-Cheol Park
J Prev Med Public Health. 2022;55(2):173-181.   Published online February 10, 2022
DOI: https://doi.org/10.3961/jpmph.21.498
  • 4,164 View
  • 228 Download
  • 8 Web of Science
  • 11 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
Anxiety disorder is among the most prevalent mental illnesses among adolescents. Early detection and proper treatment are important for preventing sequelae such as suicide and substance use disorder. Studies have suggested that sleep duration is associated with anxiety disorder in adolescents. In the present study, we investigated the association between sleep quality and anxiety in a nationally representative sample of Korean adolescents.
Methods
This cross-sectional study was conducted using data from the 2020 Korea Youth Risk Behavior Web-based Survey. The Generalized Anxiety Disorder-7 questionnaire was used to evaluate anxiety. The chi-square test was used to investigate and compare the general characteristics of the study population, and multiple logistic regression analysis was used to analyze the relationship between sleep quality and anxiety.
Results
In both sexes, anxiety was highly prevalent in participants with poor sleep quality (adjusted odds ratio [aOR], 1.56; 95% confidence interval [CI], 1.43 to 1.71 in boys; aOR, 1.30; 95% CI, 1.19 to 1.42 in girls). Regardless of sleep duration, participants with poor sleep quality showed a high aOR for anxiety.
Conclusions
This study identified a consistent relationship between sleep quality and anxiety in Korean adolescents regardless of sleep duration.
Summary
Korean summary
청소년건강행태조사를 이용하여 청소년들의 수면의 질과 불안과의 연관성을 분석하였다. 좋지 않은 수면의 질은 불안감과 연관성이 있었으며 이 연관성은 대상자들의 수면시간과 상관없이 나타났다.

Citations

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  • Analysis of the underlying mechanism of Ziziphi Spinosae Semen for treating anxiety disorder in a zebrafish sleep deprivation model
    Jian Zhang, Junli Feng, Chenyu Feng
    Pharmaceutical Science Advances.2024; 2: 100019.     CrossRef
  • Insomnia and Migraine: A Missed Call?
    Angelo Torrente, Lavinia Vassallo, Paolo Alonge, Laura Pilati, Andrea Gagliardo, Davide Ventimiglia, Antonino Lupica, Vincenzo Di Stefano, Cecilia Camarda, Filippo Brighina
    Clocks & Sleep.2024; 6(1): 72.     CrossRef
  • The Association between High-Caffeine Drink Consumption and Anxiety in Korean Adolescents
    Ji Ann Cho, Soyeon Kim, Haein Shin, Hyunkyu Kim, Eun-Cheol Park
    Nutrients.2024; 16(6): 794.     CrossRef
  • Association between smartphone overdependence and generalized anxiety disorder among Korean adolescents
    Yeon-Suk Lee, Jae Hong Joo, Jaeyong Shin, Chung Mo Nam, Eun-Cheol Park
    Journal of Affective Disorders.2023; 321: 108.     CrossRef
  • Adölesan Döneminde Sık Görülen Sağlık Riskleri ve Sorunları
    Betül UNCU, Elif DOĞAN, Rukiye DUMAN
    Sakarya Üniversitesi Holistik Sağlık Dergisi.2023; 6(2): 338.     CrossRef
  • The influences of mental health problem on suicide-related behaviors among adolescents: Based on Korean Youth Health Behavior Survey
    Eunok Park
    The Journal of Korean Academic Society of Nursing Education.2023; 29(1): 98.     CrossRef
  • Anxious-Withdrawal and Sleep Problems during Adolescence: The Moderating Role of Peer Difficulties
    Julie C. Bowker, Jessica N. Gurbacki, Chloe L. Richard, Kenneth H. Rubin
    Behavioral Sciences.2023; 13(9): 740.     CrossRef
  • Effects of a Single Session of OnabotulinumtoxinA Therapy on Sleep Quality and Psychological Measures: Preliminary Findings in a Population of Chronic Migraineurs
    Angelo Torrente, Paolo Alonge, Laura Pilati, Andrea Gagliardo, Lavinia Vassallo, Vincenzo Di Stefano, Antonino Lupica, Irene Quartana, Giovanna Viticchi, Mauro Silvestrini, Marco Bartolini, Cecilia Camarda, Filippo Brighina
    Toxins.2023; 15(9): 527.     CrossRef
  • A pooled analysis of temporal trends in the prevalence of anxiety-induced sleep loss among adolescents aged 12–15 years across 29 countries
    Guodong Xu, Lian Li, Lijuan Yi, Tao Li, Qiongxia Chai, Junyang Zhu
    Frontiers in Psychiatry.2023;[Epub]     CrossRef
  • Factors Influencing Adolescent Generalized Anxiety Disorder: A Zero-Inflated Negative Binomial Regression Model
    Kyung Im Kang, Chan Mi Kang
    Journal of Psychosocial Nursing and Mental Health Services.2023; : 1.     CrossRef
  • Impact of sleep dysfunction on psychological burden in patients with empty nose syndrome
    Chien‐Chia Huang, Pei‐Wen Wu, Yun‐Shien Lee, Chi‐Che Huang, Po‐Hung Chang, Chia‐Hsiang Fu, Ta‐Jen Lee
    International Forum of Allergy & Rhinology.2022; 12(11): 1447.     CrossRef
Association Between Parental Marital Status and Types of Suicidal Behavior Among Korean Adolescents: A Cross-sectional Study
Yoon Sik Park, Eun-Cheol Park
J Prev Med Public Health. 2020;53(6):419-428.   Published online September 21, 2020
DOI: https://doi.org/10.3961/jpmph.20.004
  • 3,764 View
  • 175 Download
  • 3 Crossref
AbstractAbstract PDF
Objectives
Adolescent suicide is a global problem. This study aimed to identify associations between parental marital status and suicidal behavior.
Methods
This study analyzed 118 715 middle and high school students from the 13th and 14th Korea Youth Risk Behavior Web-based Survey. The odds ratios (ORs) of suicidal ideation, planning, and attempts were calculated based on parental marital status, living situation, and socioeconomic factors. The data were analyzed using multiple logistic regression.
Results
When compared to those living with 2 married biological parents, the ORs of suicidal ideation among adolescents living with either remarried or no parents were 1.34 (95% confidence interval [CI], 1.17 to 1.53) and 1.36 (95% CI, 1.11 to 1.66), respectively. For suicidal planning, the OR of those living with 1 remarried biological parent was 1.24 (95% CI, 1.01 to 1.52), and that of those living without parents was 1.28 (95% CI, 0.95 to 1.73), when compared to adolescents living with 2 married biological parents. For suicide attempts, when compared to adolescents with 2 married biological parents, the OR of those living with 1 remarried biological parent was 1.48 (95% CI, 1.17 to 1.87) and that of those living without parents was 2.02 (95% CI, 1.44 to 2.83). For adolescents living with 1 remarried biological parent, suicidal behavior was strongly associated with having no siblings and were weakly associated with not living with grandparents.
Conclusions
Suicidal behavior among adolescents was associated with the remarriage and loss of parents. Therefore, special attention and interventions are needed for adolescents in those situations.
Summary

Citations

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  • Family Functioning and Suicide Attempts in Mexican Adolescents
    Francisco Alejandro Ortiz-Sánchez, Aniel Jessica Leticia Brambila-Tapia, Luis Shigeo Cárdenas-Fujita, Christian Gabriel Toledo-Lozano, María Alejandra Samudio-Cruz, Benjamín Gómez-Díaz, Silvia García, Martha Eunice Rodríguez-Arellano, Edgar Oswaldo Zamora
    Behavioral Sciences.2023; 13(2): 120.     CrossRef
  • Childhood adversities and mental health problems: A systematic review
    Titik Juwariah, Fendy Suhariadi, Oedojo Soedirham, Agus Priyanto, Erni Setiyorini, Auliasari Siskaningrum, Heni Adhianata, Angelina da Costa Fernandes
    Journal of Public Health Research.2022; 11(3): 227990362211066.     CrossRef
  • Experiences and needs of parents whose child has attempted suicide
    Kayla Raney, Kim Popa, Cara Gallegos
    Nursing.2022; 52(11): 57.     CrossRef
Tobacco Use Among Students Aged 13-15 Years in South Korea: The 2013 Global Youth Tobacco Survey
Sunhye Choi, Yoonjung Kim, Jihye Lee, Mina Kashiwabara, Kyungwon Oh
J Prev Med Public Health. 2017;50(1):60-65.   Published online January 11, 2017
DOI: https://doi.org/10.3961/jpmph.16.079
  • 9,190 View
  • 246 Download
  • 10 Crossref
AbstractAbstract PDF
Objectives
We examined the prevalence of tobacco use and exposure to secondhand smoke among middle-school students in Korea using the Global Youth Tobacco Survey (GYTS) in 2013.
Methods
The GYTS in Korea was conducted between July and August 2013 by the Korea Centers for Disease Control and Prevention. Data were collected using a self-administered anonymous questionnaire from a nationally representative sample of middle-school students aged 13-15 years in sampled classrooms.
Results
The GYTS in Korea was completed by 4235 students aged 13-15 years in 43 middle schools. Approximately one in five of the students (17.8%) reported that they had tried cigarettes in the past, while 5.2% reported currently being cigarette smokers. Current cigarette smoking was higher in boys (7.5%) than in girls (2.6%). Of the students, 29.7% had been exposed to secondhand smoke at home, 47.4% inside enclosed public places, and 53.9% in outdoor public places. Of the current cigarette smokers, 25.7% bought their cigarettes from a store despite a law prohibiting this. Additionally, 58.0% of students noticed point-of-sale tobacco advertisements or promotions, 66.8% of current cigarette smokers wanted to stop smoking, and 70.9% of students had been taught about the dangers of tobacco use in school.
Conclusions
These findings provide an opportunity to develop, implement, and evaluate a comprehensive tobacco control policy. The results suggest that youth have relatively easy access to cigarettes and are regularly exposed to secondhand smoke in public places, as well as to point-of-sale tobacco advertisements and promotions. Strict enforcement of the ban on tobacco sales to youth, expanding smoke-free areas, and advertising bans are needed to reduce tobacco use among youth.
Summary

Citations

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  • Research on Korean Translation in the Context of Epidemic Prevention and Control
    Zhiguo Wang, Chunxiao Ma
    ACM Transactions on Asian and Low-Resource Language Information Processing.2023;[Epub]     CrossRef
  • The Effect of Neighborhood Characteristics and Friends' Smoking Status on the Habitual Smoking Onset in Adolescents
    You-Jung Choi, Gwang Suk Kim
    Journal of Korean Academy of Nursing.2021; 51(1): 54.     CrossRef
  • Spatial, temporal, and demographic patterns in prevalence of chewing tobacco use in 204 countries and territories, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019
    Parkes J Kendrick, Marissa B Reitsma, Mohsen Abbasi-Kangevari, Amir Abdoli, Mohammad Abdollahi, Aidin Abedi, E S Abhilash, Victor Aboyans, Oladimeji M Adebayo, Shailesh M Advani, Bright Opoku Ahinkorah, Sohail Ahmad, Keivan Ahmadi, Haroon Ahmed, Budi Aji,
    The Lancet Public Health.2021; 6(7): e482.     CrossRef
  • Cohort effects of tobacco control policy: evidence to support a tobacco-free norm through smoke-free policy
    Heewon Kang, Sung-il Cho
    Tobacco Control.2020; 29(1): 96.     CrossRef
  • Multidisciplinary Approach to Smoking Cessation in Late Adolescence: A Pilot Study
    Jae Suk Park, Sang Hyung Lee, Ga Hye Lee, Mi Ra Yang, Inhyuk Park, Bumjo Oh
    Global Pediatric Health.2020; 7: 2333794X2094465.     CrossRef
  • A Multi-Disciplinary Study Into the Drivers of Smoking Cessation in South Korea
    James E. Prieger, Anna Choi
    SSRN Electronic Journal.2020;[Epub]     CrossRef
  • Factors affecting cigarette smoking among adolescents in South Korea, Vietnam, and Thailand
    Kyoung H. Joung, Sung S. Chung
    Journal for Specialists in Pediatric Nursing.2019;[Epub]     CrossRef
  • Depressive symptoms and suicidal behaviours in adolescent non-daily smokers compared to daily smokers and never-smokers in Korea: National cross-sectional study
    Jinhee Lee, Tae Hui Kim, Seongho Min, Min-Hyuk Kim, Ki Chang Park, Jin Sil Moon, Joung-Sook Ahn, Vincenzo DeLuca
    PLOS ONE.2018; 13(11): e0207182.     CrossRef
  • Trends in the ease of cigarette purchase among Korean adolescents: evidence from the Korea youth risk behavior web-based survey 2005–2016
    Seo Young Kang, Jung Ah. Lee, Hong-Jun Cho
    BMC Public Health.2018;[Epub]     CrossRef
  • Prevalence and determinants of tobacco use among young people in The Gambia
    Isatou K Jallow, John Britton, Tessa Langley
    BMJ Global Health.2017; 2(4): e000482.     CrossRef
Factors Related to Increasing Trends in Cigarette Smoking of Adolescent Males in Rural Areas of Korea
Nam Soo Hong, Sin Kam, Keon Yeop Kim
J Prev Med Public Health. 2013;46(3):139-146.   Published online May 31, 2013
DOI: https://doi.org/10.3961/jpmph.2013.46.3.139
  • 9,718 View
  • 105 Download
  • 7 Crossref
AbstractAbstract PDF
Objectives

Cigarette smoking prevalence among adolescent males in rural areas of Korea has increased in recent years. The aim of this study was to explore the factors related to increasing trends in cigarette smoking among adolescent males living in rural areas.

Methods

The raw data from the Korea Youth Risk Behavior Web-based Survey from 2006 to 2009 were used. Data were analyzed by using the method of complex survey data analysis considering complex sampling design. Multiple logistic regression models were used to explore the factors affecting cigarette smoking. We evaluated the linear time trends in the prevalence of factors that were related to current smoking status and the linear time trends in cigarette smoking in groups stratified by the exposure to each factor using logistic regression models. Finally, we examined the contributions of the factors to the time trends in cigarette smoking by adjusting for each of those factors in the baseline regression models and changes in the adjusted odds ratio by survey year.

Results

A statistically significant increasing trend in smoking was observed after adjusting for the factors affecting cigarette smoking. Significant factors related to cigarette use were perceived stress, experience with depression, current alcohol drinking, exposure to secondhand smoke, and academic performance. The factor related to increasing trends in cigarette smoking was academic performance.

Conclusions

Stress about academic performance is an important factor affecting the increase in cigarette smoking among adolescent males in a rural area of Korea.

Summary

Citations

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  • Association of health-risk behaviors with perceived academic performance among middle and high school students: A cross-sectional study in Shanghai, China
    Chunyan Luo, Xuelai Wang, Yanting Yang, Qiong Yan, Lijing Sun, Dongling Yang, Hadi Ghasemi
    PLOS ONE.2023; 18(5): e0285261.     CrossRef
  • Türkiye'de Bir Çocuk Hastanesinde Motivasyonel Görüşme Kullanarak Ergenlerde Sigara Bırakma Müdahalesi: Bir Pilot Çalışma
    Demet TAŞ, Alkım ÖDEN
    Turkish Journal of Pediatric Disease.2020; : 1.     CrossRef
  • Active, passive, and electronic cigarette smoking is associated with asthma in adolescents
    So Young Kim, Songyong Sim, Hyo Geun Choi
    Scientific Reports.2017;[Epub]     CrossRef
  • Association between Family and Friend Smoking Status and Adolescent Smoking Behavior and E-Cigarette Use in Korea
    Myoung Joung, Mi Han, Jong Park, So Ryu
    International Journal of Environmental Research and Public Health.2016; 13(12): 1183.     CrossRef
  • A systematic review of secondhand tobacco smoke exposure and smoking behaviors: Smoking status, susceptibility, initiation, dependence, and cessation
    Chizimuzo T.C. Okoli, Jonathan Kodet
    Addictive Behaviors.2015; 47: 22.     CrossRef
  • Risk Factors for Current Smoking Among American and South Korean Adolescents, 2005–2011
    Sung Suk Chung, Kyoung Hwa Joung
    Journal of Nursing Scholarship.2014; 46(6): 408.     CrossRef
  • Physical activity and cardiovascular risk factors in university students in the city of Leon, Mexico
    Maciste H. Macías-Cervantes, Victoriano Pérez-Vázquez, Antonio E. Rivera-Cisneros, Andrés Martínez-Rivera, Joel Ramírez-Emiliano, Carlos Kornhauser
    Health.2013; 05(11): 1861.     CrossRef
Trends in Cigarette Use Behaviors Among Adolescents by Region in Korea
Nam Soo Hong, Keon Yeop Kim, Soon-Woo Park, Jong-Yeon Kim, Jisuk Bae, Won Kee Lee, Ki Su Kim
J Prev Med Public Health. 2011;44(4):176-184.   Published online July 29, 2010
DOI: https://doi.org/10.3961/jpmph.2011.44.4.176
  • 10,344 View
  • 63 Download
  • 8 Crossref
AbstractAbstract PDF
Objectives

Understanding recent trends in cigarette smoking among adolescents is important in order to develop strategies to prevent cigarette smoking. The aim of this study was to compare recent trends in cigarette smoking for adolescents living in rural areas, small towns and metropolitan cities in Korea.

Methods

The raw data from the Korea Youth Risk Behavior Web-based Survey (KYRBWS) from 2005 to 2009 were used. Data were analyzed by using the method of complex survey data analysis considering complex sampling design. Logistic regression models were used to evaluate significant linear time trends in cigarette smoking. The indicators of cigarette use behaviors were 'current smoking rate', 'frequent smoking rate', 'heavy smoking rate' and 'smoking experience rate before 13 years of age'. All analyses were conducted according to gender.

Results

Statistically significant increasing trends in current smoking rate and frequent smoking rate were observed and borderline significant increasing trends in heavy smoking rate were shown among rural boys. Among metropolitan city boys, statistically significant increasing trends were also seen for frequent smoking. Statistically significant decreasing trends in current smoking rate were observed among small town and metropolitan city girls. Smoking experience rate before 13 years of age for rural girls decreased significantly.

Conclusions

Cigarette smoking prevalence among adolescents in the rural areas has increased in the last five years especially among boys. Our findings suggest that anti-tobacco program for adolescents should be conducted primarily for those in rural areas.

Summary

Citations

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  • Differences in Health Behavior Profiles of Adolescents in Urban and Rural Areas in a Korean City
    Myungah Chae, Kihye Han
    Healthcare.2021; 9(3): 282.     CrossRef
  • Gender differential secular trend in lifetime smoking prevalence among adolescents: an age-period-cohort analysis
    Jun Hyun Hwang, Soon-Woo Park
    BMC Public Health.2019;[Epub]     CrossRef
  • Trends in the ease of cigarette purchase among Korean adolescents: evidence from the Korea youth risk behavior web-based survey 2005–2016
    Seo Young Kang, Jung Ah. Lee, Hong-Jun Cho
    BMC Public Health.2018;[Epub]     CrossRef
  • Age-period-cohort analysis of smoking prevalence among young adults in Korea
    Yong Ho Jee, Sung-il Cho
    Epidemiology and Health.2016; 38: e2016010.     CrossRef
  • Data Resource Profile: The Korea Youth Risk Behavior Web-based Survey (KYRBS)
    Yoonjung Kim, Sunhye Choi, Chaemin Chun, Suyeon Park, Young-Ho Khang, Kyungwon Oh
    International Journal of Epidemiology.2016; : dyw070.     CrossRef
  • Incidence of Multiple Sclerosis and Related Disorders in Asian Populations of British Columbia
    Joshua D. Lee, Colleen Guimond, Irene M. Yee, Carles Vilariño-Güell, Zhi-Ying Wu, Anthony L. Traboulsee, A. Dessa Sadovnick
    Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques.2015; 42(4): 235.     CrossRef
  • Factors Related to Increasing Trends in Cigarette Smoking of Adolescent Males in Rural Areas of Korea
    Nam Soo Hong, Sin Kam, Keon Yeop Kim
    Journal of Preventive Medicine and Public Health.2013; 46(3): 139.     CrossRef
  • Physical activity and cardiovascular risk factors in university students in the city of Leon, Mexico
    Maciste H. Macías-Cervantes, Victoriano Pérez-Vázquez, Antonio E. Rivera-Cisneros, Andrés Martínez-Rivera, Joel Ramírez-Emiliano, Carlos Kornhauser
    Health.2013; 05(11): 1861.     CrossRef
English Abstract
The Determinants of Adolescent Smoking by Gender and Type of School in Korea.
Hyuncheol Kim, Eun Kyong Kim, Eun Sil Choi, Yu Jeong Kim, Hyun Ju Lee, Jong Ju Kim, Hyung Suk Jang, Kyung Seon Shim, Sang Nam Jeon, Yo Han Kang, Hyunseok Kang, Juwhan Oh, Kung Sook Cho, Soonman Kwon
J Prev Med Public Health. 2006;39(5):379-388.
  • 2,522 View
  • 67 Download
AbstractAbstract PDF
OBJECTIVES
This study assessed the influences of various factors that are related to youth smoking such as gender, age and type of school, and we wanted to provide supporting data for tailored and effective policy initiatives to reduce adolescent smoking. METHODS: A self-report survey was conducted on 14,910 teen-age students who were selected based on the nationwide distribution of students in large and small cities and counties, the gender ratio of the students and the ratio of students attending various type of school at 38 middle and high schools in six representative areas of each province. The survey was handled and managed by a health education teacher at each school. Binary and multinomial logistic regression was used in the analyses. RESULTS: Smoking by adolescents was associated with gender, age and even height. Male high school students tended to smoke more than female high school students, but this differences was not significant for middle school students. The older the adolescents were, the more likely that they smoked, except for the female high school students. Height was meaningful for all adolescents, except for the boys at the vocational high schools. Monthly allowance was significant for all adolescents. School factors such as type of school and the students' school performance were also crucial factors. Attending a vocational high school was strongly related to smoking, especially for girls. Students' school performance and the perceived level of stress were strongly associated with smoking, especially for boys. Home factors such as the relationship with parents and conversation time with family members were closely related to smoking behavior. Knowledge about the health hazard of smoking was also found to be strongly related to adolescent smoking. CONCLUSIONS: In conclusion, demographic factors, school factors, home surroundings and the perception on the harmfulness of smoking are strongly related to adolescent smoking behavior, but these differ from gender and type of school.
Summary

JPMPH : Journal of Preventive Medicine and Public Health