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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Korean Acad Oral Health</journal-id>
<journal-id journal-id-type="publisher-id">JKAOH</journal-id>
<journal-title-group>
<journal-title>Journal of Korean Academy of Oral Health</journal-title>
</journal-title-group>
<issn pub-type="ppub">1225-388X</issn>
<issn pub-type="epub">2093-7784</issn>
<publisher>
<publisher-name>Korean Academy of Oral Health</publisher-name>
</publisher>
</journal-meta>

<article-meta>
<article-id pub-id-type="doi">10.11149/jkaoh.2019.43.3.149</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Relationship between health risk behaviors, oral health-related behaviors, and experiences of oral symptoms in Korean adolescents: based on 2018 Korea Youth Risk Behavior Web-based Survey</article-title>
</title-group>

<contrib-group>

<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-8558-9082</contrib-id>
<name>
<surname>Jeong</surname>
<given-names>Sun Rak</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author" corresp="yes">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-4788-6043</contrib-id>
<name>
<surname>Jang</surname>
<given-names>Ji Eon</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>

</contrib-group>

<aff id="A1"><label>1</label>Department of Dental Hygiene, Daegu Health College, Daegu, <country>Korea</country>.</aff>
<aff id="A2"><label>2</label>Department of Dental Hygiene, Suseong University, Daegu, <country>Korea</country>.</aff>

<author-notes>
<corresp>Corresponding Author: Ji Eon Jang. Department of Dental Hygiene, Suseong University, 15 Dalgubeol-daero 528-gil, Suseong-gu, Daegu 42078, Korea. Tel: +82-53-749-7332, Fax: +82-53-749-7336, <email>jbjjbj0429@hanmail.net</email></corresp>
</author-notes>

<pub-date pub-type="ppub">
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>43</volume>
<issue>3</issue>
<fpage>149</fpage>
<lpage>156</lpage>

<history>
<date date-type="received">
<day>25</day>
<month>07</month>
<year>2019</year>
</date>
<date date-type="rev-recd">
<day>26</day>
<month>08</month>
<year>2019</year>
</date>
<date date-type="accepted">
<day>27</day>
<month>08</month>
<year>2019</year>
</date>
</history>

<permissions>
<copyright-statement>Copyright &#x00A9; 2019 by Journal of Korean Academy of Oral Health</copyright-statement>
<copyright-year>2019</copyright-year>
<copyright-holder>Journal of Korean Academy of Oral Health</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">http://creativecommons.org/licenses/by-nc/4.0/</ext-link>), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>

<abstract>
<sec>
<title>Objectives</title>
<p>This study investigates the relationship between risky health behaviors, occurrence of oral symptoms, and oral health-related behaviors.</p>
</sec>
<sec>
<title>Methods</title>
<p>The subjects were 60,040 adolescents selected from the web-based survey from the 2018 Korean Youth Health Behavior of Korean Center for Disease Control. The data were analyzed using a combined sample analysis method. The software SPSS version 12.0 was used to conduct the analyses.</p>
</sec>
<sec>
<title>Results</title>
<p>1. Men were observed to partake in risky health behavior at significantly higher rates than were women in terms of smoking, drinking, drugs, and sexual intercourse. Our data showed the percentages of men taking part in these behaviors to be 21.1%, 46.4%, 1.3%, and 7.6%, respectively (<italic>P</italic>&#x003C;0.01). 2. Of all subjects, 49.1% brushed their teeth more than three times a day, and 43.6% brushed more than twice a day. Further, a significantly higher number of men (46.0%) did not brush their teeth after lunch compared with women (29.1%) (<italic>P</italic>&#x003C;0.01). 3. Of all subjects, 52.9% had developed oral symptoms in the previous year. The rate of women experiencing oral symptoms was significantly higher, at 58.1%, compared with men (48.1%, <italic>P</italic>&#x003C;0.01). 4. Risky health behavior, such as smoking, drinking, drugs, and sexual intercourse, was significantly associated with occurrence of oral symptoms (<italic>P</italic>&#x003C;0.01). Those that had not partaken in smoking, drinking, and sexual intercourse were significantly lower by 0.73, 0.87, and 0.89 times, respectively, compared with those that responded with &#x201C;yes&#x201D; (<italic>P</italic>&#x003C;0.01).</p>
</sec>
<sec>
<title>Conclusions</title>
<p>We have evaluated the rates of risky health and oral health-related behavior in Korean youth and identify their association with the oral symptoms. It is essential to understand the risks of oral diseases so that appropriate oral health education can be provided to adolescents for promoting behavioral changes.</p>
</sec>
</abstract>

<kwd-group>
<kwd>Health risk behavior</kwd>
<kwd>Korea Youth Risk Behavior Web-based Survey (KYRBS)</kwd>
<kwd>Oral health-related behaviors</kwd>
</kwd-group>

</article-meta>
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</back>

<floats-group>

<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption>
  <title>Health risk behaviors by general characteristics</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkaoh-43-149-i001"></graphic>
<table-wrap-foot>
<fn>
  <p><italic>P</italic>-value determined by Chi-squared test.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption>
  <title>Oral health related behaviors by demographic characteristics</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkaoh-43-149-i002"></graphic>
<table-wrap-foot>
<fn>
  <p><italic>P</italic>-value determined by Chi-squared test.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption>
  <title>Oral symptom experiences by demographic characteristics</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkaoh-43-149-i003"></graphic>
<table-wrap-foot>
<fn>
  <p><italic>P</italic>-value determined by Chi-squared test.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T4">
<label>Table 4</label>
<caption>
  <title>Oral symptom experiences by health risk behavior and oral health related behaviors</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkaoh-43-149-i004"></graphic>
<table-wrap-foot>
<fn>
  <p><italic>P</italic>-value determined by Chi-squared test.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T5">
<label>Table 5</label>
<caption>
  <title>Logistic regression analysis of dependent variable to oral symptom experiences</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkaoh-43-149-i005"></graphic>
<table-wrap-foot>
<fn>
  <p><italic>P</italic>-value determined from multiple logistic regression analysis.</p>
</fn>
</table-wrap-foot>
</table-wrap>

</floats-group>

</article>