Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2009 Jun;39(3):446-457. Korean.
    Published online Jun 29, 2009.
    https://doi.org/10.4040/jkan.2009.39.3.446
    Copyright © 2009 Korean Society of Nursing Science
    Original Article

    Construction of the Structural Equation Model on Substance Use in Adolescents

    Jeongyee Bae,1 and Panuncio Rosel2
      • 1Associate Professor, Department of Nursing, Inje University, Busan, Korea.
      • 2Research Assistant, Department of Nursing, Inje University, Busan, Korea.
    • Address reprint requests to: Bae, Jeongyee. Department of Nursing, College of Medicine, Inje University, 633-165 Gaegeum-dong, Busanjin-gu, Busan 614-735, Korea. Tel: 82-51-890-6823, Fax: 82-51-896-9840, Email: jibai@inje.ac.kr
    Received December 19, 2008; Accepted June 04, 2009.

    Abstract

    Purpose

    The aim of this study was to construct a structural equation model that would further explain the continuously increasing substance use disorder in Korean adolescents.

    Methods

    Survey visits using a structured questionnaire were conducted with 3,885 students in 2 middle schools and 2 high schools in Busan. A total of 13 instruments were used in this model. The analysis of data was done with both SPSS 14.0 for descriptive statistics and AMOS 5.0 for covariance structure analysis.

    Results

    Based on the constructed model, belief on substance use was found to have a significantly direct effect in influencing adolescent substance use. In addition, other factors such as family environment, satisfaction with school life, self-concept, social support, and personality vulnerability indirectly affected substance use. The final modified model yielded Chi-square=2,987 (p<.001), df=121, χ2/df=22.1, GFI=.96, AGFI=.93, NFI=.91, PNFI=.72, PGFI=.72, RMSEA=.07 and exhibited fit indices.

    Conclusion

    This study constructed a model that addresses the factors related to adolescent substance use and explains the relationship of these factors in influencing substance use among Korean adolescents. Findings from this study can contribute to designing appropriate prevention strategies to reduce substance related disorders in adolescents.

    Keywords
    Adolescent; Substance related disorder; Alcohol; Smoking; Drug abuse

    Figures

    Figure 1
    Conceptual framework for substance use in adolescents.

    Figure 2
    Testing for hypothetical model.

    Figure 3
    Testing for modified model.

    Tables

    Table 1
    Correlation among Factors (N=3,885)

    Table 2
    Model Fitness Index for Hypothetical and Modified Model (N=3,885)

    Table 3
    Direct Effect, Indirect Effect, and Total Effect in Modified Path Model

    Notes

    This work was supported by the Korea Research Foundation Grant funded by Korean Goverment (KRF-2006-311-E00114).

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    MeSH Terms
    Models, Psychological*
    Adolescent
    Adolescent Behavior
    Family Relations
    Female
    Humans
    Male
    Personality
    Questionnaires
    Self Concept
    Social Support
    Substance-Related Disorders/prevention & control
    Substance-Related Disorders/psychology*
    Metrics
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