Sexual Experience, Suicidal Behaviors and Depression Association, and Its Tendency to Lead to Smoking and Alcohol Consumption among Korean Adolescents

Authors

  • Baby Doll Bana Addiction Science Department, Sahmyook University, Seoul, Korea
  • Jinsoo Jason Kim Addiction Science Department, Sahmyook University, Seoul, Korea
  • Jerre Mae Tamanal Addiction Science Department, Sahmyook University, Seoul, Korea
  • Sun Hee Kim Addiction Science Department, Sahmyook University, Seoul, Korea

DOI:

https://doi.org/10.24203/ajhss.v9i4.6744

Keywords:

alcohol consumption, depression, Korean adolescents, sexual experience, smoking initiation, suicidal behaviors

Abstract

In numerous published findings, the cohesion was they have treated sexual experience, suicidal behaviors and depression, as the outcome variables and regard substance use as the core factors. In this study, we aim to do the opposite. We seek to make sense of the linkage by inversing the analytical direction. We intend to examine the association and the likelihood, and observe the levels to which sexual experience, suicidal behaviors, and depression may play a part in the odds of smoking and alcohol drinking among middle school and high school Korean students. The data obtained were cross-sectional from the 2019 Korean Youth Risk Behavior Web-Based Survey, participated by 57, 303 Korean adolescents. Among which are male 52.1%, female 47.9%, ages 15 below 59.2 % and 15 above 40.4%. This study utilized descriptive, Chi-square, and logistic regression analyses. Our basic findings signified that sexual experience and mental health problems doubled the odds of motivation. Chi-square analyses asserted that the association was statistically significant. All variables were notably correlated to substance use at 0.01 level, that is, when sexual experience, suicidal behaviors, and depression tend to increase, there was a high risk of using substances. The results for logistic regression on alcohol drinking, the -2LL statistic is 73157.25, the Cox & Snell R2 is 0.057, and Nagelkerke R2 is 0.078 having the df of 1, with the p value of 0.000l, and the -2LL statistic is 39022.46, the Cox & Snell R2 is 0.064, and Nagelkerke R2 is 0.122 having the df of 1, with the p value of 0.000 for smoking, predicted the maximum likelihood and considerably identified as positive significant indicators in the onset of substance initiation. This study also found that sexual experience had remained robustly substantial with the odds of smoking and drinking, that is, participants with higher sexual experience had the strongest likelihood of substance use motivation. Our overall results contribute to the debate by treating sexual experience, suicidal behaviors, and depression as precedent significant risk factors for developing substance use behaviors among Korean adolescents. For efficient and effective management of sexual experience, suicidal behaviors and depression on teenagers, findings underscore the need for early detection on adolescents at risk. A comprehensive prevention and protective efforts is required along with continuous parental guidance. Intervention programs with coping skills to handle emotional and behavioral problems is essential to help reduce the probability of an increased risk factors and subsequently lessen the threat for developing cigarette smoking and alcohol drinking behaviors among teenagers. School-based programs that can create synergy by embedding teenagers in an academic environment that is equally supportive, beneficial and can help promote a positive mindset is recommended.

References

Schorling, J. B., Gutgesell, M., Klas, P., Smith, D., Keller, A. “Tobacco, alcohol and other drug use among college

students”, Journal of substance abuse, vol. 6 no.1 pp. 105-115, 1994.

Bauman, A., Phongsavan, P., Cousijn., Luijten., Ewing., “Epidemiology of substance use in adolescence: prevalence,

trends and policy implications”, Drug and Alcohol Dependence, vol. 55 no. 3, 187–207, 1999, 2018

Das, J. K., Salam, R. A., Arshad, A., Finkelstein, Y., Bhutta, Z. A., “Interventions for adolescent substance abuse: An

overview of systematic reviews”. Journal of Adolescent Health, vol. 59, no. 4, pp. 61-75, 2016.

Ritchie, H., Roser, M. "Sanitation." Our World in data 2019.

Tomás-Rosselló, J., Rawson, R. A., Zarza, M. J., Bellows, A., Busse, A., Saenz, E., Ling, W., “Treatment Substance

Abuse”, United Nations office on drugs and international crime network of drug dependence treatment and

rehabilitation resource centers, vol. 31 no. 4, pp. 251-263, 2010

Kanyoni, M., Gishoma, D., Ndahindwa, V. “Prevalence of psychoactive substance use among youth in Rwanda”,

BMC research notes, vol.8 pp. 1, pp. 1-8, 2015

Reports about Suicide No. 1 cause of death for S. Korean teens, youths. Korean Herald; [accessed on 26 April 2018].

Available at http://www.koreaherald.com/view.php?ud=20180426000581.

Reports about Forecast of the smoking prevalence in South Korea from 2010 to 2025. Statistica; [accessed on 20 July

. Available at http://www.statista.com/forecasts/1148772/smoking-prevalence-forecast-in-south-korea.

Rappeneau, Virginie, Anne Bérod, “Reconsidering depression as a risk factor for substance use disorder: Insights

from rodent models.” Neuroscience & Biobehavioral Reviews vol. 77, pp. 303-316, 2017

Reports on Alcohol and Drug Foundation. Australian Drug Foundation; [accessed on 13 August 2021]. Available at

https://idpc.net/profile/australian-drug-foundation-adf.

Kuria, Mary W., David M. Ndetei, Isodore S. Obot, Lincoln I. Khasakhala, Betty M. Bagaka, Margaret N. Mbugua,

Judy Kamau, “The association between alcohol dependence and depression before and after treatment for alcohol

dependence”, International Scholarly Research Notices, 2012

Poulin, C., Hand, D., Boudreau, B., Santor, D., “Gender differences in the association between substance use and

elevated depressive symptoms in a general adolescent population”, Addiction, vol. 100, no. 4, pp. 525-535, 2005

Carmo, D. R. P. D., Siqueira, D. F. D., Mello, A. D. L., Freitas, E. D. O., Terra, M. G., Cattani, A. N., Pillon, S. C.,

“Relationships between substance use, anxiety, depression, and stress by public university workers”, Revista

Brasileira de Enfermagem, 73, 2020

Danielson, C. K., Overholser, J. C., Butt, Z. A., “Association of substance abuse and depression among adolescent

psychiatric inpatients”, The Canadian Journal of Psychiatry, vol. 48 no. 11, pp. 762-765, 2003

Chang, H. B., Munroe, S., Gray, K., Porta, G., Douaihy, A., Marsland, A., Melhem, N. M. “The role of substance

use, smoking, and inflammation in risk for suicidal behavior”. Journal of affective disorders, vol. 243, pp.33-41,

Jeon, H. S. “Effects of smoking, drinking, and drug use on the adolescent’s suicidal ideation using the data of the

Korea youth risk behavior through web-based survey from 2008 to 2014”, Journal of the Korean Society of School

Health, vol. 28 no. 2, pp. 99-110, 2015

Han, M. A., Kim, K. S., Ryu, S. Y., Kang, M. G., Park, J., “Associations between smoking and alcohol drinking and

suicidal behavior in Korean adolescents: Korea Youth Behavioral Risk Factor Surveillance 2006”, Preventive [1]

Poorolajal, J., Darvishi, N., “Smoking and suicide: a meta-analysis”. PloS one, vol. 11, no. 7, e0156348, 2016

Hunt, G. E., Malhi, G. S., Lai, H. M. X., Cleary, M., “Prevalence of comorbid substance use in major depressive

disorder in the community and clinical settings, 1990–2019: systematic review and meta-analysis”, Journal of

affective disorders, vol. 266, pp. 288-304 2020

Vincke, E., “Female cigarette and alcohol consumption as a short-term mating strategy”, Evolutionary

Psychology 14, no. 4, 1474704916681300, 2016

Farid, N. D. N., Che'Rus, S., Dahlui, M., Al-Sadat, N., & Aziz, N. A., “Predictors of sexual risk behavior among

adolescents from welfare institutions in Malaysia: a cross-sectional study”, BioMed Central, In BMC public health

Vol. 14, No. 3, pp. 1-8, 2014

Kim, S. J., & Cho, K. W., “Interaction between smoking cigarettes and alcohol consumption on sexual experience in

high school students”, Osong public health and research perspectives, vol. 10, no. 5, pp. 274, 2019

Vincke, E., “The young male cigarette and alcohol syndrome: Smoking and drinking as a short-term mating

strategy”, Evolutionary Psychology, vol. 14, no. 1, 1474704916631615, 2016

Cavazos-Rehg, P. A., Krauss, M. J., Spitznagel, E. L., Schootman, M., Cottler, L. B., Bierut, L. J., “Number of

sexual partners and associations with initiation and intensity of substance use”, AIDS and Behavior, vol.15, no. 4,

pp. 869-874, 2011

Ritchwood, T. D., Ford, H., DeCoster, J., Sutton, M., & Lochman, J. E., “Risky sexual behavior and substance use

among adolescents: A meta-analysis,” Children and youth services review”, vol. 52, pp.74-88, 2015

Viana, T. B. P., Camargo, C. L., Gomes, N. P., Felzemburgh, R. D. M., Mota, R. S., Lima, C. C. O. J., “Factors

associated with cigarette smoking among public school adolescents”, Rev Esc Enferm USP, vol. 52, e03320, 2018

Reports on Reporting guidelines reduced number of suicides: study. Korean Herald; [accessed on 25 July 2021].

Available at http://www.koreaherald.com/view.php?ud=20180426000581.

Reports on Brands of cigarettes ranked by number of users in Great Britain from 2018 to 2020. Statistica; [accessed on 23 July 2021].

Available at https://www.statista.com/forecasts/1148772/smoking-prevalence-forecast-in-south-korea.

Lim, D., Ha, M., Song, I., “Trends in the leading causes of death in Korea, 1983-2012”, Journal of Korean medical

science, vol. 29, no. 12, pp. 1597-1603, 2014

Hong, C. H., “Current health issues in Korean adolescents”, Korean journal of pediatrics, vol. 54, no.10, 395, 2011

Park, B., Park, B., Han, H., Choi, E. J., Kim, N. E., Shin, Y., Park, H., “Projection of the Years of Life Lost, Years

Lived with Disability, and Disability-Adjusted Life Years in Korea for 2030”, Journal of Korean medical science,

(Suppl 1), 2019.

Jeon, H. S., “Effects of smoking, drinking and drug use on the adolescent's suicidal ideation by using the data of the

Korea youth risk behavior web-based survey through from 2008 to 2014”, Journal of the Korean Society of School Health, vol. 28, no.

, pp. 99-110, 2015

Singh, A., “The Scourge of South Korea: Stress and suicide in Korean society”, Berkeley Political Review 23,

Trends in percentage of Korean adolescents who experienced depression, 2007-2018/

http://www.kdca.go.kr/board/board.es?mid=a30501000000&bid=0031&list_no=143514&act=view#

http://www.cdc.go.kr/yhs

Gunter, Rebekah, Edwin Szeto, Se-Hoon Jeong, Sooyeon Aly Suh, and Andrew J. Waters., “Cigarette smoking

in South Korea: a narrative review”, Korean journal of family medicine, vol. 41, no. 1, :3, 2020

Lee, G. Y., Choi, Y. J., “Analysis of Korean adolescents' sexual experience and substance use: Social Behavior

and Personality”, an international journal, vol. 45, no. 5, pp. 809-817, 2017

Clayton, S., Young people today actively expressed their sexual curiosity and interest in sex, and more inclined

and open, they tend toward it, 1991/ Daehee Lee, Jonghwa Lee, “The Relationship between Youth’s View of Sexual Experience and

Temperament and Its Impact on Crime,” Autonomous Police Research, Vol. 4, No. 1, pp.228-261, 2011.

Best, C., Fortenberry, J. D., “Adolescent sexuality and sexual behavior”, In Handbook of adolescent health

psychology, pp. 271-291, Springer, New York, NY, 2013 /Yunjeong Bu, Moonjeong Kang, Jiseon Lee, “Factors Related to the Biblical

Experience of Youth,” Journal of the Korean School Health Association, Vol. 30, No. 2, pp.154-163, 2017

Sussman, S., “Relations of cigarette smoking with risky sexual behavior among teens”, Sexual Addiction &

Compulsivity, vol. 12 no. 2-3, 1pp. 81-199, 2005

Kristman-Valente, A. N., Brown, E. C., Herrenkohl, T. I, “Child physical and sexual abuse and cigarette smoking in

adolescence and adulthood”, Journal of Adolescent Health, vol. 53, no. 4, pp. 533-538, 2013

LaBrie, J. W., Kenney, S. R., Migliuri, S., Lac, A., “Sexual experience and risky alcohol consumption among

incoming first-year college females”, Journal of child & adolescent substance abuse, vol. 20, no. 1, pp. 15-33. 2010

Han, M. A., Kim, K. S., Ryu, S. Y., Kang, M. G., Park, J., “Associations between smoking and alcohol drinking and

suicidal behavior in Korean adolescents: Korea Youth Behavioral Risk Factor Surveillance, 2006 ”, Preventive

medicine, vol. 49, no. 23, pp. 248-252, 2009

De Von Figueroa-Moseley, C., Landrine, H., Klonoff, E. A., “Sexual abuse and smoking among college student

women”, Addictive Behaviors, vol. 29, no. 2, pp. 245-251, 2004

Breslau, N., Peterson, E. L., Schultz, L. R., Chilcoat, H. D., Andreski, P., “Major depression and stages of smoking:

a longitudinal investigation”, Archives of general psychiatry, vol. 55, no. 2, pp. 161-166, 1998

Kendler, K. S., Neale, M. C., MacLean, C. J., Heath, A.C., Eaves, L. J., Kessler, R. C., “Smoking and major

depression: a causal analysis”, Arch Gen Psychiatry, 5036- 43 Google Scholar, 1993/ Hughes, JR. Clonidine., “depression, and smoking

cessation”, JAMA. 2592901- 2902 Google Scholar.

Rappeneau, V., & Bérod, A., “Reconsidering depression as a risk factor for substance use disorder: Insights from

rodent models”, Neuroscience & Biobehavioral Reviews, 77, 303-316, 2017

Hartka, E., Johnstone, B., Leino, E. V., Motoyoshi, M., Temple, M. T., Fillmore, K. M., “A meta‐analysis of

depressive symptomatology and alcohol consumption over time”, British journal of addiction, vol. 86, no. 10, pp. 1283-1298, 1991

Crum, R. M., Storr, C. L., Ialongo, N., Anthony, J. C., “Is depressed mood in childhood associated with an increased

risk for initiation of alcohol use during early adolescence?”, Addictive behaviors, vol. 33, no. 1, pp. 24-40, 2008

Wu, P., Bird, H. R., Liu, X., Fan, B., Fuller, C., Shen, S., Canino, G. J., “Childhood depressive symptoms and early

onset of alcohol use”, Pediatrics, vol. 118, no. 5, pp. 1907-1915, 2006

Maughan, B., Collishaw, S., Stringaris, A., “Depression in childhood and adolescence”, Journal of the Canadian

Academy of Child and Adolescent Psychiatry, vol. 22, no.1, pp. 35, 2013

Gonzalez, V. M., Bradizza, C. M., Collins, R. L., “, Drinking to cope as a statistical mediator in the relationship

between suicidal ideation and alcohol outcomes among underage college drinkers”, Psychology of Addictive Behaviors, vol.23, no. 3,

pp. 443, 2009

Breslau, N., Peterson, E. L., Schultz, L. R., Chilcoat, H. D., Andreski, P., “Major depression and stages of smoking:

a longitudinal investigation”, Archives of general psychiatry, vol. 55, no. 2, pp. 161-166, 1998

Brynner J.M., “The Young Smoker”, London, England: Her Majesty’s Stationery Office; 1969. Kandel, DB.,

Davies, M., “Adult sequelae of adolescent depressive symptoms”, Arch Gen Psychiatry. 43255- 262, 1986

Han, M. A., Kim, K. S., Ryu, S. Y., Kang, M. G., Park, J., “Associations between smoking and alcohol drinking and

suicidal behavior in Korean adolescents: Korea Youth Behavioral Risk Factor Surveillance”, Preventive medicine, vol. 49, no. 2-3, pp.

-252, 2006

Kim, H. H. S., Kim, H. J., & Kim, E. M., “Exploring the Association between Suicidality and Smoking Behavior

among School-Based Children in Lao People’s Democratic Republic (PDR)”, Journal of psychoactive drugs, vol. 52, no. 1, pp. 46-55,

Byeon, K. H., Jee, S. H., Sull, J. W., Choi, B. Y., Kimm, H., “Relationship between binge drinking experience and

suicide attempts in Korean adolescents: based on the 2013 Korean Youth Risk Behavior Web-based Survey”, Epidemiology and

health, 40, 2018

Dawes, M. A., Mathias, C. W., Richard, D. M., Hill-Kapturczak, N., Dougherty, D. M., “Adolescent suicidal

behavior and substance use: developmental mechanisms”, Substance abuse: research and treatment, 2, SART-S1044, 2008

Bagge, C. L., & Sher, K. J., “Adolescent alcohol involvement and suicide attempts: Toward the development of a

conceptual framework”, Clinical Psychology Review, vol. 28, no. 8, pp. 1283-1296, 2008

Spokas, M., Wenzel, A., Brown, G. K., Beck, A. T., “Characteristics of individuals who make impulsive suicide

attempt”, Journal of affective disorders, vol. 136, no. 3, pp. 1121-1125, 115, 2012 / Sussman, S., “Relations of cigarette smoking with

risky sexual behavior among teens”, Sexual Addiction & Compulsivity, vol. 12, no. 2-3, pp. 181-199, 2005

Fergusson, D. M., Boden, J. M., Horwood, L. J., “Structural models of the comorbidity of internalizing disorders

and substance use disorders in a longitudinal birth cohort”, Soc Psychiatry Psychiatry Epidemiol, 46:933–942.

[PubMed] [Google Scholar], 2011

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Published

2021-09-13

How to Cite

Bana, B. D., Kim, J. J., Tamanal, J. M., & Kim, S. H. (2021). Sexual Experience, Suicidal Behaviors and Depression Association, and Its Tendency to Lead to Smoking and Alcohol Consumption among Korean Adolescents . Asian Journal of Humanities and Social Studies, 9(4). https://doi.org/10.24203/ajhss.v9i4.6744

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