Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
권호 표지

Effects of the Community Environmental Characteristics on Drinking Problems of Adults: A Multilevel Analysis

지역사회의 환경적 특성이 개인의 음주문제에 미치는 영향에 관한 다수준분석

  • Kim, Kwang Kee (Center for Alcohol and Gambling Problems, Inje Institute of Advanced Studies) ;
  • JeKarl, Jung (Center for Alcohol and Gambling Problems, Inje Institute of Advanced Studies) ;
  • Kwon, Yong Mi (Inje Institute of Advanced Studies) ;
  • Park, Min Soo (Center for Alcohol and Gambling Problems, Inje Institute of Advanced Studies)
  • 김광기 (인제대학원대학교, 알코올 및 도박문제연구소) ;
  • 제갈정 (인제대학원대학교, 알코올 및 도박문제연구소) ;
  • 권용미 (인제대학원대학교) ;
  • 박민수 (인제대학원대학교, 알코올 및 도박문제연구소)
  • Received : 2012.12.07
  • Accepted : 2012.12.27
  • Published : 2012.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study aims to identify the effects of environmental characteristics of the community on adults' drinking problems with held constant effects of characteristics of drinkers themselves. Methods: A multi-level regression analysis was employed to differentiate the variances accounted for by measurements both at individual and group levels. Data on individual demographic, behavioral, and mental health status were obtained from the Community Health Survey conducted in 2009 in the province of Kyunggido, which include 41,376 respondents aged 19 and over. This study included 28,335 adults who were classified as drinkers. They were from 45 communities(si, gun, or gu) for which data on contextual characteristics were collected by secondary data available on local government websites and KOSIS(Korea Statistical Information System). Results: Multi-level analyses showed that the variance of the dependent variable, harmful use of alcohol measured by alcohol use disorder identification test was independently accounted for by variance of independent variables at group level, including number of on-premises alcohol outlet per inhabitant and divorce rate, with held other independent variables of the model controlled. Conclusions: This study confirms that in order to prevent and reduce harms caused by harmful use of alcohol requires restricting physical availability of alcohol in the community where the drinker lives.

Keywords

References

  1. Anderson, P., & Baumberg, B. (2006). Alcohol in Europe: A public health perspective, policy. London, UK: Institute of Alcohol Studies.
  2. Ansoleaga, E., & Castillo-Carniglia, A. (2012). Associations between social vulnerability, employment conditions and hazardous alcohol consumption in Chile. Drug and Alcohol Review, 2012 Oct 17. doi: 10.1111/j.1465-3362.2012.00522.x. [Epub ahead of print]
  3. Barrientos-Gutierrez, T., Gimeno, D., Mangione, T. W., Harrist, R. B., & Amick, B. C. (2007). Drinking social norms and drinking behaviours: a multilevel analysis of 137 workgroups in 16 worksites. Occupational and Environmental Medicine, 64, 602-608 https://doi.org/10.1136/oem.2006.031765
  4. Berkman, L. F., & Ichiro, K. (2000). Social epidemiology, New York, NY: Oxford University Press.
  5. Bickel, R. (2007). Multilevel analysis for applied research: It's just regression, New York, NY: Guilford Press.
  6. Brenner, A., Bauermeister, J., & Zimmerman, M. (2011). Neighborhood variation in adolescent alcohol use: examination of socioecological and social disorganization theories. Journal of Studies on Alcohol and Drugs, 72, 651-659. https://doi.org/10.15288/jsad.2011.72.651
  7. Chuang, Y. C., Li, Y. S., Wu, Y. H., & Chao, H. J. (2007). A multilevel analysis of neighborhood and individual effects on individual smoking and drinking in Taiwan. BMC Public Health, 7, 151-160. https://doi.org/10.1186/1471-2458-7-151
  8. Giskes, K., Turrell, G., Bentley, R., & Kavanagh, A. (2011). Individual and household-level socioeconomic position is associated with harmful alcohol consumption behaviours among adults. Australian and New Zealand Journal of Public Health, 35(3), 270-277. https://doi.org/10.1111/j.1753-6405.2011.00683.x
  9. Heck, R., & Thomas, S. (2009). An Introduction to multilevel modeling techniques(2nd ed.). New York, NY: Routledge.
  10. JeKarl, J., Kim, K. K., & Lee, J. T. (2010). Structural relationship between drinker's characteristics, work environment, and alcohol problems among employee. Health & Social Science, 28, 5-31
  11. Kavanagh, A. M., Kelly, M. T., Krnjacki, L., Thornton, L., Jolly, D., Subramanian, SV., . . . Bentley, R. J. (2011). Access to alcohol outlets and harmful alcohol consumption; a multi-level study in Melbourne, Australia. Addiction, 106, 1772-1779. https://doi.org/10.1111/j.1360-0443.2011.03510.x
  12. Karriker-Jaffe, K. J. (2011). Areas of disadvantages: A systematic review of effects of area-level socioeconomic status on substance use outcomes. Drug and Alcohol Review, 30(1), 84-95. https://doi.org/10.1111/j.1465-3362.2010.00191.x
  13. Kim, K. K., Choi, S. H., & Bang, H. A. (2005). A survey on drinking behavior among employees and alcohol-related environment in workplace in Seoul. Seoul, Korea: Inje University Center for Alcohol Studies.
  14. Kim, K. K., Jang, S. O., & JeKarl, J. (2006). Effect of environmental correlates on alcohol-related problems among colleges. Journal of Korean Society for Health Education and Promotion, 23(3), 65-83.
  15. Kim, K. K, JeKarl, J., Lee, K. I, & Park, J. E. (2012). Effects of policy and environmental characteristics of university on drinking problems among university students. Korean Journal of Health Education and Promotion, 29(2), 83-91.
  16. Kim, D. H (2010). Analysis of small area variation of health behavior using 2008 community health survey in Korea. Seoul, Korea: Korea Centers for Disease Control & Hallym University.
  17. Kuntsche, E., Kuendig, H., & Gmel, G. (2009). Alcohol outlet density, perceived availability and adolescent alcohol use: a multilevel structural equation model. Journal of Epidemiology & Community Health, 62, 811-816.
  18. Livingston, M., Chikritzhs, T., & Room, R. (2007). Changing the density of alcohol outlets to reduce alcohol-related problems. Drug and Alcohol Review, 26, 557-566. https://doi.org/10.1080/09595230701499191
  19. Nielsen, A., Hill, T. D., French, M. T., & Hernandez, M. N. (2010). Racial/ethnic composition, social disorganization, and offsite alcohol availability in San Diego, California, Social Science Research, 39(1), 165-175. https://doi.org/10.1016/j.ssresearch.2009.04.006
  20. Ministry of Health and Welfare. (2010). 2009 Korean National Health and Nutrition Examination Survey. Seoul, Korea: Author.
  21. Pollack, C. E., Cubbin, C., Ahn, D., & Winkleby, M. (2005). Neighbourhood deprivation and alcohol consumption: does the availability of alcohol play a role? International Journal of Epidemiology, 34, 772-80. https://doi.org/10.1093/ije/dyi026
  22. Room, R. (1984). Alcohol control and public health, Annual Review of Public Health, 5, 293-317. https://doi.org/10.1146/annurev.pu.05.050184.001453
  23. Skog, O. (1985). The collectivity of drinking cultures: a theory of distribution of alcohol consumption. British Journal of Addiction, 80, 83-99. https://doi.org/10.1111/j.1360-0443.1985.tb05294.x
  24. Stokols, D. (1996). Translating social ecological theory into guidelines for community health promotion. American Journal of Health Promotion, 10, 282-298. https://doi.org/10.4278/0890-1171-10.4.282
  25. United Nations. (2011). Political declaration of the High-level Meeting of the General Assembly on the Prevention and Control of Non-communicable Diseases. (UN General Assembly A/66/L.1).
  26. World Economic Forum. (2010). Global Risk 2010: A Global Risk Network Report, Geneva, Switzerland: Author.
  27. World Health Organization. (2008). 2008-2013 Action plan for the global strategy for the prevention and control of noncommunicable diseases, Geneva, Switzerland: Author.
  28. World Health Organization. (2010). Global strategy to reduce the harmful use of alcohol, Geneva, Switzerland: Author.