{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T11:20:55Z","timestamp":1783336855721,"version":"3.54.6"},"reference-count":45,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100003653","name":"Korea National Institute of Health","doi-asserted-by":"crossref","award":["2013-E63006-00"],"award-info":[{"award-number":["2013-E63006-00"]}],"id":[{"id":"10.13039\/501100003653","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003653","name":"Korea National Institute of Health","doi-asserted-by":"crossref","award":["2022-ER0602-02"],"award-info":[{"award-number":["2022-ER0602-02"]}],"id":[{"id":"10.13039\/501100003653","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003653","name":"Korea National Institute of Health","doi-asserted-by":"crossref","award":["2025-ER0603-01"],"award-info":[{"award-number":["2025-ER0603-01"]}],"id":[{"id":"10.13039\/501100003653","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Women's Health Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare health-related lifestyle behaviors and psychological health between two cohorts of individuals in their 20 s and to examine factors associated with these outcomes using data from the Korea Nurses\u2019 Health Study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A secondary analysis of nationwide cohort data from registered nurses in their 20s during the 1st (2013\u20132014;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 12,055) and 13th (2024;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4,007) surveys. Logistic and linear regression analyses examined between-cohort differences in health-related lifestyle behaviors and psychological health.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In comparison with the 1st-survey group, the 13th-survey group demonstrated higher human papillomavirus (HPV) vaccination rates (odds ratio [OR] = 1.10, 95% confidence interval [CI] = 1.01\u20131.20), later age at first alcohol consumption (regression coefficient [B] = 0.86, 95% CI = 0.76\u20130.95), and lower alcohol consumption frequency (\n                      <jats:italic toggle=\"yes\">B<\/jats:italic>\n                      = \u22120.08, 95%\n                      <jats:italic toggle=\"yes\">CI<\/jats:italic>\n                      = \u22120.08\u20130.00). In contrast, smoking-related behaviors worsened in the 13th-survey group. Regular acetaminophen use was lower in the 13th-survey group (OR = 0.55, 95% CI = 0.48\u20130.63). The 13th-survey group showed higher rates of depression diagnoses (OR = 2.75, 95% CI = 2.08\u20133.63) and perceived stress (OR = 1.22, 95% CI = 1.11\u20131.34), but lower odds of moderate-to-severe depressive symptoms (OR = 0.36, 95% CI = 0.32\u20130.40) and sleep disturbances (OR = 0.42, 95% CI = 0.38\u20130.48).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Over the past decade, HPV vaccination and alcohol abuse have improved in registered nurses in their 20s, but smoking and perceived stress have worsened, highlighting the need for sustained surveillance and targeted prevention policies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26884844261465547","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T07:15:19Z","timestamp":1783062919000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Differences in Health-Related Lifestyle Behaviors and Psychological Health Between Two Cohorts in Their 20s: The Korea Nurses\u2019 Health Study"],"prefix":"10.1177","volume":"7","author":[{"given":"Aram","family":"Cho","sequence":"first","affiliation":[{"name":"College of Nursing, Ewha Womans University, Seoul, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su-Young","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Psychology, Ewha Womans University, Seoul, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minjoo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Psychology, Ewha Womans University, Seoul, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0115-1348","authenticated-orcid":false,"given":"Chiyoung","family":"Cha","sequence":"additional","affiliation":[{"name":"College of Nursing, Ewha Womans University, Seoul, South Korea."},{"name":"College of Nursing &amp; Ewha Research Institute of Nursing Science, Ewha Womans University, Seoul, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1109333"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-024-04132-2"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11906-020-01071-z"},{"key":"e_1_3_3_5_1","unstructured":"4.Global Burden of Disease Study. Global females 20\u201324 years YLDs per 100 000. Available from: http:\/\/ihmeuw.org\/7av3 [Last accessed: November20 2025]."},{"key":"e_1_3_3_6_1","unstructured":"5.Global Burden of Disease Study. Global Females 25\u201329years YLDs per 100 000. Available from: http:\/\/ihmeuw.org\/7av4 [Last accessed: November20 2025]."},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.56875"},{"key":"e_1_3_3_8_1","doi-asserted-by":"crossref","unstructured":"7.Smyth E Nolan A. Disrupted transitions? Young adults and the COVID-19 pandemic. Dublin: Economic and Social Research Institute; 2022. Report No. RS142. doi: 10.26504\/rs142","DOI":"10.26504\/rs142"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2021.614723"},{"key":"e_1_3_3_10_1","unstructured":"9.World Health Organization. WHO guideline on self-care interventions for health and well-being 2022 revision. 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Impact assessment of the national HPV immunization program in the Republic of Korea. Cheongju: KDCA; 2022. Available from: https:\/\/www.kdca.go.kr\/board\/board.es?mid=a20503010000&bid=0031&list_no=719989&act=view [Last accessed: November22 2025]."},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30298-3"},{"key":"e_1_3_3_30_1","unstructured":"29.National Centre for Immunisation Research and Surveillance. Human papillomavirus (HPV) vaccines for Australians: Fact sheet February 2023. Sydney (AU): NCIRS; 2023. Available from: https:\/\/ncirs.org.au\/ncirs-fact-sheets-faqs\/hpv-vaccines-faqs [Last accessed: November23 2025]."},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.shaw.2021.09.003"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0335752"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19148557"},{"key":"e_1_3_3_34_1","unstructured":"33.Wilson CM Oswald AJ. 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