직장 여성의 불안, 충동성과 음주문제

Anxiety, Impulsiveness, and Drinking Problems in Employed Women

  • 이현재 (중앙대학교 의과대학 정신과학교실) ;
  • 한덕현 (중앙대학교 의과대학 정신과학교실) ;
  • 이영식 (중앙대학교 의과대학 정신과학교실) ;
  • 기백석 (중앙대학교 의과대학 정신과학교실) ;
  • 권해진 (중앙대학교 의과대학 간호학교실) ;
  • 박두병 (중앙대학교 의과대학 정신과학교실)
  • Lee, Hyun Jae (Department of Psychiatry, College of Medicine, Chung-Ang University) ;
  • Han, Doug Hyun (Department of Psychiatry, College of Medicine, Chung-Ang University) ;
  • Lee, Young Sik (Department of Psychiatry, College of Medicine, Chung-Ang University) ;
  • Kee, Baik Seok (Department of Psychiatry, College of Medicine, Chung-Ang University) ;
  • Kwon, Hye Jin (Department of Nursing, College of Medicine, Chung-Ang University) ;
  • Park, Doo Byung (Department of Psychiatry, College of Medicine, Chung-Ang University)
  • 투고 : 2011.07.11
  • 심사 : 2011.10.18
  • 발행 : 2011.10.30

초록

본 연구 결과 여성에서의 문제음주와 알코올 의존 비율이 남성보다는 적지만 9.8%로 상당수의 여성들이 알코올 문제를 겪고 있음을 알 수 있었다. 그리고 직장 생활을 하는 여성에서 음주 노출 기회가 더 많고, 실제로 음주에 대한 문제가 더 많이 발생하며 이는 여성의 상태불안과 충동성과 관계가 있다. 여성에서는 직업을 가짐으로써 음주 노출기회가 많아지고 직장 생활에서의 불안 및 충동성이 문제 음주를 일으키는 원인이 될 수 있음을 예상해 볼 수 있겠다. 따라서 직장 여성의 음주 노출 기회와 불안 및 충동성 조절이 음주 위험 요소의 중요한 조절 요인으로 생각된다.

Objectives : This study examined drinking habits, anxiety, and impulsiveness in employed women. Methods : We sampled 925 residents aged over 20 years in Gwanak-gu of Seoul. In the process, we divided subjects into employed women and unemployed women groups and then used the Korean Version of Alcohol Use Disorder Identification Test (AUDIT-K), State-Trait Anxiety Inventory (STAI), and Barratt Impulsiveness Scale (BIS) to identify patterns in subjects' alcohol drinking, anxiety and impulsiveness. Results : Among the 925 respondents, 95.7% drank alcohol, and after the analysis, female problematic drinking ($12{\leq}AUDIT-K{\leq}25$) and alcohol dependence ($AUDIT-K{\geq}26$) was apparent in 61 (9.5%) and 2 respondents (0.3%), respectively. Female respondents who had jobs tended to drink more and exhibit higher ratios of problematic drinking, with a higher exposure to alcohol than those that were unemployed. The psychological attributes related to female respondents' alcohol problems related to state of anxiety and impulsiveness. Employed women respondents also showed a higher state of anxiety and impulsiveness than unemployed women. Conclusion : Controlling the frequency of exposure to alcohol, anxiety, and impulsiveness in employed women should be considered to be crucial controlling factors related to the hazards of excessive drinking.

키워드

참고문헌

  1. American psychiatric association. Diagnostic and statistical manual of mental disorder DSM-IV-TR. Fourth edition. Washington DC: American Psychiatric Press;2000. p.212.
  2. Lee CK, Lee KH. A nationwide epidemiological study of mental disorder in korea-prevalence rate of alcoholism. J Korean Neuropsychiatr Assoc 1994;33:832-845.
  3. Korean institute for health and social affairs. National Health and Nutrition Examination Survey on 2001-health conscious behavior side; 2003.
  4. Cho SJ. Correlates and risk factors of probable alcohol dependence group among korean adult drinkers. J Korean Neuropsychiatr Assoc 2004;43:1186-1200.
  5. Cho WS, Kang JH. A study on the evaluation of stress in the alcoholic patients. J Korean Acad Fam Med 1993;14:140-146.
  6. Kim MD. Depression, stress and drinking habit including alcohol dependence in Jeju rural area. J Korean Neuropsychiatr Assoc 1998;37: 29-39.
  7. Kim GH, Sin JH. A study of prevalences and correlations among alcoholism, tobacco dependence, bulimia and pathologic gambling in a group of college students. J Korean Neuropsychiatr Assoc 1998;27: 1042-1053.
  8. Lee HY, Nam KK, Lee MH, Min SK, Kim SY. Kangwha psychiatric epidemiologic survey-lifetime prevalence of psychiatric disorder. J Korean Neuropsychiatr Assoc 1989;28:984-999.
  9. Lynn PL, Cynthia RL, Robert BW, Thomas KW. Epidemiology of alcohol use in a group of older American Indians. Ann Epidemiol 1997; 7:241-248. https://doi.org/10.1016/S1047-2797(97)00003-3
  10. Blume SB. Women and alcohol: A review. JAMA 1986; 256:1467-1470. https://doi.org/10.1001/jama.1986.03380110073029
  11. Murray JB. Psychologists and alcoholic women. Psychol Rep 1989;64: 627-644. https://doi.org/10.2466/pr0.1989.64.2.627
  12. Lex BW. Gender differences and substance abuse. Adv Subst Abuse 1991;4:225-296.
  13. Matteo S. The risk of multiple addictions. Guidelines for assessing a woman's alcohol and drug use. West J Med 1988;149:741-745.
  14. Wilsnack SC, Wilsnack RW. Epidemiological research on women's drinking; Recent progress and directions for the 1990s. In: Gomberg ESL, Nirenberg TD, editors. Women and Substance Abuse. Norwood, NJ: Ablex Publishing;1993. p.62-99.
  15. Hamlett K, Eaker ED, Stoke J. Psychosocial correlates of alcohol intake among women aged 45 to 64 years: The Framingham study. Behav Med 1989;12:525-542. https://doi.org/10.1007/BF00844823
  16. Alain Marchand. Alcohol use and misuse: What are the contributions of occupation and work organization conditions? BMC Public Health 2008;8:333-345. https://doi.org/10.1186/1471-2458-8-333
  17. National Center for Health Statistics (1993): Health promotion disease prevention: United States 1990 (DHHS), Washington, DC.
  18. Donatelle RJ, Hawkin MJ. Employee stress claims: increasing implications for health promotion planning. Am J Health Promotion 1989; 3:19-29. https://doi.org/10.4278/0890-1171-3.3.19
  19. Lee DS, Kim JH, Han WS, Woo JM, Kang DW, Ko YG, et al. A standardization study on korean version of occupational stress inventory - reliability and validity. J Korean Neuropsychiatr Assoc 1999;38:1026-1037.
  20. Lee DS, Kim JH, Han WS, Woo JM, Kang DW, Ko YG, et al. A standardization study on korean version of occupational stress inventory - demographic variables and norm. J Korean Neuropsychiatr Assoc 1999;38:1335-1350.
  21. Karasek R, Theorell T. Healthy work: Stress, productivity and the reconstruction of working life. New York, NY, Basic Books, Inc;1990
  22. Johnson H, Hall EM. Social support in the work environment. In Social support and cardiovasular disease, Ed by Shumaker, SA, Czajkowski. New York, Plenum Press;1994.
  23. Copper ML, Russell M. Work Stress and Alcohol Effect: A test of stress-induced drinking. Journal of Health and Social Behavior 1990; 31:260-276. https://doi.org/10.2307/2136891
  24. Kang KH, Lee KS, Kim SI, Meng KH, Hong HS, Jeong CH. The relationship between alcohol use and job stress among firemen. Korean J Occup Environ Med 2001;13:401-412.
  25. San Jose, Van Oers JA, Van de Mheen H, Garretsen HF, Mackenbach JP. Drinking patterns and health outco es: occasional versus regular drinking. Addiction 2000;95:865-872. https://doi.org/10.1046/j.1360-0443.2000.9568654.x