Association between Sexual Behavior and Depression in South Korean Adolescents: A Cross-Sectional Study
Adolescent depression and suicide have become leading public health and socioeconomic problems. Determining the connection between adolescent behavior and depression can inform strategies to reduce the prevalence of depression and suicide. We investigated the association between sexual behavior and...
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| Veröffentlicht in: | International journal of environmental research and public health 2021-04, Vol.18 (8), p.4228 |
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| creator | Kim, Hyunkyu Jeong, Wonjeong Jang, Sungin Kim, Youseok Park, Euncheol |
| description | Adolescent depression and suicide have become leading public health and socioeconomic problems. Determining the connection between adolescent behavior and depression can inform strategies to reduce the prevalence of depression and suicide. We investigated the association between sexual behavior and depression in South Korean adolescents. Data for this cross-sectional study were obtained from the 2017-2019 Korea Youth Risk Behavior Web-Based Survey. Data of 178,664 subjects were analyzed using chi-square tests and multivariate logistic regression. After adjusting for covariates, the prevalence of depression was found to be higher in subjects with experience of sexual intercourse (adjusted odds ratio = 1.71, 95% confidence interval = 1.59-1.83 in boys; adjusted odds ratio = 1.47, confidence interval = 1.33-1.61 in girls). On categorizing subjects into two groups based on suicidality, subjects with sexual intercourse experience had higher odds ratios for depression with suicidality (aOR:2.16 in boys, aOR:1.80in girls) than depression without suicidality (aOR:1.49 in boys, aOR:1.25 in girls). We identified the relationship between sexual behavior and the prevalence of depression; adolescents with experience of sexual intercourse were more likely to have depression with suicidality. Further research using prospective designs should serve as the basis for appropriate sex education policies to manage the relationship between sexual behavior and depression. |
| doi_str_mv | 10.3390/ijerph18084228 |
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Determining the connection between adolescent behavior and depression can inform strategies to reduce the prevalence of depression and suicide. We investigated the association between sexual behavior and depression in South Korean adolescents. Data for this cross-sectional study were obtained from the 2017-2019 Korea Youth Risk Behavior Web-Based Survey. Data of 178,664 subjects were analyzed using chi-square tests and multivariate logistic regression. After adjusting for covariates, the prevalence of depression was found to be higher in subjects with experience of sexual intercourse (adjusted odds ratio = 1.71, 95% confidence interval = 1.59-1.83 in boys; adjusted odds ratio = 1.47, confidence interval = 1.33-1.61 in girls). On categorizing subjects into two groups based on suicidality, subjects with sexual intercourse experience had higher odds ratios for depression with suicidality (aOR:2.16 in boys, aOR:1.80in girls) than depression without suicidality (aOR:1.49 in boys, aOR:1.25 in girls). We identified the relationship between sexual behavior and the prevalence of depression; adolescents with experience of sexual intercourse were more likely to have depression with suicidality. Further research using prospective designs should serve as the basis for appropriate sex education policies to manage the relationship between sexual behavior and depression.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph18084228</identifier><identifier>PMID: 33923558</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adolescent ; Adolescent Behavior ; Adolescents ; Confidence intervals ; Cross-Sectional Studies ; Depression - epidemiology ; Female ; Humans ; Male ; Mental health ; Prospective Studies ; Public health ; Republic of Korea - epidemiology ; Risk taking ; Sexual Behavior ; Sexual intercourse ; Socioeconomic factors ; Statistical analysis ; Suicide ; Suicides & suicide attempts ; Teenagers ; Youth</subject><ispartof>International journal of environmental research and public health, 2021-04, Vol.18 (8), p.4228</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-d04695a34cc92a4cb378e73a9c0d8d3c2a38d0ec404b7ee3090abf7c4b5795e33</citedby><cites>FETCH-LOGICAL-c418t-d04695a34cc92a4cb378e73a9c0d8d3c2a38d0ec404b7ee3090abf7c4b5795e33</cites><orcidid>0000-0002-2306-5398 ; 0000-0001-5862-9168</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8073982/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8073982/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33923558$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Hyunkyu</creatorcontrib><creatorcontrib>Jeong, Wonjeong</creatorcontrib><creatorcontrib>Jang, Sungin</creatorcontrib><creatorcontrib>Kim, Youseok</creatorcontrib><creatorcontrib>Park, Euncheol</creatorcontrib><title>Association between Sexual Behavior and Depression in South Korean Adolescents: A Cross-Sectional Study</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Adolescent depression and suicide have become leading public health and socioeconomic problems. Determining the connection between adolescent behavior and depression can inform strategies to reduce the prevalence of depression and suicide. We investigated the association between sexual behavior and depression in South Korean adolescents. Data for this cross-sectional study were obtained from the 2017-2019 Korea Youth Risk Behavior Web-Based Survey. Data of 178,664 subjects were analyzed using chi-square tests and multivariate logistic regression. After adjusting for covariates, the prevalence of depression was found to be higher in subjects with experience of sexual intercourse (adjusted odds ratio = 1.71, 95% confidence interval = 1.59-1.83 in boys; adjusted odds ratio = 1.47, confidence interval = 1.33-1.61 in girls). On categorizing subjects into two groups based on suicidality, subjects with sexual intercourse experience had higher odds ratios for depression with suicidality (aOR:2.16 in boys, aOR:1.80in girls) than depression without suicidality (aOR:1.49 in boys, aOR:1.25 in girls). We identified the relationship between sexual behavior and the prevalence of depression; adolescents with experience of sexual intercourse were more likely to have depression with suicidality. Further research using prospective designs should serve as the basis for appropriate sex education policies to manage the relationship between sexual behavior and depression.</description><subject>Adolescent</subject><subject>Adolescent Behavior</subject><subject>Adolescents</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mental health</subject><subject>Prospective Studies</subject><subject>Public health</subject><subject>Republic of Korea - epidemiology</subject><subject>Risk taking</subject><subject>Sexual Behavior</subject><subject>Sexual intercourse</subject><subject>Socioeconomic factors</subject><subject>Statistical analysis</subject><subject>Suicide</subject><subject>Suicides & suicide attempts</subject><subject>Teenagers</subject><subject>Youth</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkc9PwyAcxYnR6JxePRoSL16qtEBLPZjM-TMu8TA9E0q_cyxdmdCq---l2TSbJ0j4fB_vfR9CJzG5oDQnl2YGbjGNBREsScQO6sVpSiKWknh3436ADr2fEUIFS_N9dBBGE8q56KH3gfdWG9UYW-MCmi-AGo_hu1UVvoGp-jTWYVWX-BYWDrzvMBMI2zZT_GwdqBoPSluB11A3_goP8NBZ76Mx6E4zyIybtlweob2Jqjwcr88-eru_ex0-RqOXh6fhYBRpFosmKkkwyBVlWueJYrqgmYCMqlyTUpRUJ4qKkoBmhBUZACU5UcUk06zgWc6B0j66Xuku2mIOZWfKqUounJkrt5RWGbn9UpupfLefUpCM5iIJAudrAWc_WvCNnJuQrapUDbb1MuEJETzmvPvr7B86s60LkTsqrJ6lnPJAXawo3e3FweTPTExk16Hc7jAMnG5G-MN_S6M_ky-aPw</recordid><startdate>20210416</startdate><enddate>20210416</enddate><creator>Kim, Hyunkyu</creator><creator>Jeong, Wonjeong</creator><creator>Jang, Sungin</creator><creator>Kim, Youseok</creator><creator>Park, Euncheol</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2306-5398</orcidid><orcidid>https://orcid.org/0000-0001-5862-9168</orcidid></search><sort><creationdate>20210416</creationdate><title>Association between Sexual Behavior and Depression in South Korean Adolescents: A Cross-Sectional Study</title><author>Kim, Hyunkyu ; 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On categorizing subjects into two groups based on suicidality, subjects with sexual intercourse experience had higher odds ratios for depression with suicidality (aOR:2.16 in boys, aOR:1.80in girls) than depression without suicidality (aOR:1.49 in boys, aOR:1.25 in girls). We identified the relationship between sexual behavior and the prevalence of depression; adolescents with experience of sexual intercourse were more likely to have depression with suicidality. Further research using prospective designs should serve as the basis for appropriate sex education policies to manage the relationship between sexual behavior and depression.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>33923558</pmid><doi>10.3390/ijerph18084228</doi><orcidid>https://orcid.org/0000-0002-2306-5398</orcidid><orcidid>https://orcid.org/0000-0001-5862-9168</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adolescent Behavior Adolescents Confidence intervals Cross-Sectional Studies Depression - epidemiology Female Humans Male Mental health Prospective Studies Public health Republic of Korea - epidemiology Risk taking Sexual Behavior Sexual intercourse Socioeconomic factors Statistical analysis Suicide Suicides & suicide attempts Teenagers Youth |
| title | Association between Sexual Behavior and Depression in South Korean Adolescents: A Cross-Sectional Study |
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