Drinking behaviors and policies to reduce harms caused by alcohol use and health promotion policy

건강증진 관점에서 본 음주와 음주폐해 감소 정책

  • Kim, Kwang Kee (Graduate School of Public Health, Inje University) ;
  • JeKarl, Jung (Graduate School of Public Health, Inje University) ;
  • Lee, Ji Hyun (Expert Working Group for Seoul Metropolitan Government on Health Promotion)
  • 김광기 (인제대학교 보건대학원) ;
  • 제갈정 (인제대학교 보건대학원) ;
  • 이지현 (서울시 건강증진사업지원단)
  • Received : 2016.09.12
  • Accepted : 2016.09.29
  • Published : 2016.10.01


Objectives: This is to review drinking behavior and policies to reduce harms caused by alcohol use in Korea and to discuss their implications from a health promotion perspective. Methods: A purported selection was made to include extant literature on drinking behaviors and alcohol control policies into this review. For drinking behaviors reports of national health statistics were used while reports of alcohol control policies submitted to public institutes/organizations were selected for review. Results: Alcohol consumption per capita indicates stable trends over the last two decades. However, percentages of drinkers with high risk drinking over time vary; men remains stable while female appears to increase. Relatively, a few data and/or reports were available about harms derived from alcohol use. Although there are alcohol policies being cost-effective to deal with alcohol related harm in Western society, few alcohol policy available in Korea of being effective, cost-effective with respect to reduction of harms associated with alcohol use. Conclusions: Policy emphasis should be shift from drinkers to availability of alcohol to reduce alcohol related harms with taking health in all policies into consideration. Both statutory mechanism and public acceptance should be of high priority in putting recommended alcohol policy into action.


Supported by : 한국연구재단


  1. Anderson, P., & Baumberg, B. (2006). Alcohol in Europe. London: Institute of Alcohol Studies.
  2. Anderson P., Chisholm D., & Fuhr D. (2009). Effectiveness and cost effectiveness of policies and programmes to reduce the harm caused by alcohol. Lancet 373, 22, 34-46.
  3. Babor, T., Caetano, R., Casswell, S., Edwards, G., Giesbrecht, N., Graham, et al. (2010). Alcohol: No ordinary commodity, New York: Oxford University.
  4. Bakke, O., Jernigan, D., & Parry, C. (2013). Alcohol: a key determinant for ill health and an obstacle to development. A paper from the Global Alcohol Policy Alliance to the WHO call for papers: Health in the post-2015 Development Agenda.
  5. Bauer, U., Briss, P., Goodman, R., & Bowman, BA. (2014). Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USA, Lancet, 384, 45-2.
  6. Blas, E., & Kurup, A. S., (2010). Equity, social determinants and public health programmes, Geneva, Switzerland: WHO.
  7. Bruun, K., Edwards, G., Lumio, M., Makela, K., Pan, L., Popham, R.E., Room, R., Schmidt, W., Skog, O-J., Sulkunen, P., & Osterberg, E. (1975). Alcohol control policies in public health perspective, FFAS Vol. 25. Finnish Foundation for Alcohol Studies, Helsinki.
  8. Chikritzhs, T., Fillmore, K., & Stockwell, T. (2009). A healthy dose of scepticism: Four good reasons to think again about protective effects of alcohol on coronary heart disease. Drug and Alcohol Review, 28, 441-444.
  9. Cho, S. K., & Ryu, D. M. (2010). A study on establishment of identity of soju in terms of alcohol proof. A research report to Korea Alcohol Research Center.
  10. Chung, W. J., Chun, H. J., & Lee, S. M. (2006). Socioeconomic costs of alcohol drinking in Korea. Journal of Preventive Medicine & Public Health, 39(1), 21-29.
  11. Chung. W. J., Lee, S. M., & Kim, J. Y. (2009). Socioeconomic costs of alcohol drinking in Korea, Asan Foundation Studies Series no. 281, Paju: Gipmundang
  12. Chung, Y. H., Ko, S. J., Kim, K. K., Lee, H. K., Jung, S. K., Choi, Y. C., & Kim, D. E. (2014). A strategic study to reduce alcohol consumption for prevention of harms caused by alcohol use. A research report to the Ministry of Health and Welfare by Korea Institute for Health and Social Affairs.
  13. Connor, J. (2016). Alcohol consumption as a cause of cancer, Addiction, DOI 10.1111/add.13477.
  14. Edwards, G., Anderson, P., Babor, T., Casswell, S., Ferrence, R., Giesbrecht, N., et al. (1997). Alcohol policy and the public good, New York: Oxford University Press.
  15. Grant M., & Litvak J. (1998). Drinking patterns and their consequences. Washington, DC: Taylor and Francis.
  16. Institute for Health Metrics and Evaluation (2013). GBD Country profile: South Korea, Retrieved from
  17. JeKarl, J., Kim, K. K., Kim, J. M., Lee, J. K., & Park, J. E. (2012). An establishment of strategy of strengthening alcohol policy and reporting domestic efforts to reduce harms by harmful use of alcohol to the World Health Assembly in accordance with the WHO global strategy. A research report to Korea Health Promotion Foundation by Inje Institute of Advanced Studies.
  18. JeKarl, J., Kim, K. K., Lee, J. H., & Park, J. E. (2014). An estimation of alcohol attributable deaths and its associated environmental factors in community level for local government policy. A research report to Korea Health Promotion Foundation by Inje Institute of Advanced Studies.
  19. Keyes, K., & Miech, R. (2013). Commentary on Dawson et al. (2013); Drink to your health? Maybe not. Addiction 108, 723-24.
  20. Kim, H. R. (2014). Socioeconomic, behavioral, nutritional, and biological determinants of mortality in South Korea: Analysis of Korea National Health and Nutrition Examination Survey (K-NHANES) linked data, A research report to Korea Health Promotion Foundation by Korea Institute for Health and Social Affairs.
  21. Kim, K. K, Kim, W. N., JeKarl, J., Kim, Y. J., Kang, H. G., & Choi, J. S. (2005). A study on alcohol policies to create environmental supports to keep drinking in moderation. A research report to Korea Health Promotion Foundation by Graduate School of Public Health, Inje University.
  22. Kim, K. K., Kim, W. Y., & JeKarl, J. (2006). A review study on development of effective policies to reduce alcohol related harms in Korea. A research report to National Mental Hospital by Inje University Center for Alcohol Studies
  23. Kim, K. K., Lee, H. K., Kim, M. S., JeKarl, J., & Jeon, H. J. (2007). Developing national alcohol strategy for international framework convention on alcohol control. A research report to Korea Health Promotion Foundation by Inje Institute of Advanced Studies.
  24. Kim, K. K., Lee, J. Y., Chung, Y. H., JeKarl, J., Ko, S. J., Park, J. E., Kim, E. J., & Kim S. W. (2012). A study on policy strategic direction for prevention and management of health risk factors including tobacco, alcohol, and junk food. A research report to Korea Health Promotion Foundation by Inje Institute of Advanced Studies.
  25. Kim, K. K. (2013). Trend in relationship between alcohol consumption and health. Korea Social Trends 2013, 79-86. Retrieved from
  26. Kim, K. K.(2015). Effective policy alternatives to reduce harms caused by alcohol use in Korea, Health and Welfare Forum, 67-78.
  27. Kim, K. K., JeKarl, J., Kim, K. Y., Lee, J. H., & Park, J. E. (2015). Correlation between alcohol affordability and alcohol-related harms and its implication for evidence-based alcohol policy. A research report to Korea Health Promotion Foundation by Inje University.
  28. Knupfer, G. (1967) The epidemiology of problem drinking. American Journal of Public Health, 57, 973-986.
  29. Korea Health Promotion Foundation. (2014), A guideline for low-risk drinking
  30. Korean Legal Aid Center for Family Relation. (2007). An analysis of causes on family violence. Seoul: Korean Legal Aid Center for Family Relation
  31. Lee, S. M, Chung, W. J., Kim, I. S., Kim, H. J., Cho, W., Shin, E., Ahn, S. H., Han, K. H., & Hyoung, J. I. (2008). Socioeconomic costs of alcohol drinking in Korea, Journal of Korean Academy of Family Medicine, 29, 201-212.
  32. Lee, S. M., Yun, Y. D., Bak, J. W., Hyun, K. R., & Kang, H. R. (2015). Socioeconomic effects of major health risk factor on policies and evaluation of effectiveness of health risk factors control policies. A research report to National Health Insurance Service.
  33. Lee, S. S. (2014). A trend analysis of medical expenditure and number of visits and days of hospital stay attributable to alcohol misuse, Unpublished thesis, Inje Institute for Advanced Studies.
  34. Meng, Y., Holmes, J., Hill-McManus, D., Brennan, A., & Meier, P. S. (2013). Trend analysis and modelling of gender-specific age, period and birth cohort effects on alcohol abstention and consumption level for drinkers in Great Britain using the General Lifestyle Survey 1984-2009. Addiction, 109, 206-15.
  35. Ministry of Food and Drug Safety. (2016). A 2016 survey on alcohol consumption and drinking behavior, Retrieved from
  36. Ministry of Health and Welfare. (2015). 2014 Korea Health Statistics. Sejong: Ministry of Health and Welfare
  37. Roche, A., Kostadinov, J., Nicholas, R., O'Rourke, K., Pidd, K., & Trifonoff, A. (2015). Addressing inequities in alcohol consumption and related harms, Health Promotion International, 30(52), ii20-ii35.
  38. Rossow, I., & Norstrom, T. (2013). The use of epidemiology in alcohol research, Addiction, 108(1), 20-25.
  39. Room, R. (1984) Alcohol control and public health. Annual Review of Public Health, 5, 293-317.
  40. Room, R. (1991). Measuring alcohol consumption in the U.S.: Methods and rationale. pp. 26-50 in Clark, W. and Hilton, M. (eds.). Alcohol in America: drinking practices and problems. N.Y.: SUNY Press.
  41. Room R. (1999). The idea of alcohol policy. Nordic studies on alcohol and drugs, English supplement, 16, 17-24.
  42. Room, R. (2002). Alcohol In: Detels, R., McEwen, J., Beaglehole, R., Tanaka, H. (eds). Oxford textbook of public health, 4th ed., 1521-1531. Oxford, UK: Oxford University Press.
  43. Room, R., Babor, T., & Rehm, J. (2005). Alcohol and public health. Lancet, 365, 519-530.
  44. Room, R. Ferris, J., Laslett, A., Livingston, M., Mugavin, J., & Wilkinson, C. (2010). The drinker' effect on the social environment: A conceptual framework for studying alcohol' harm to others, International Journal of Environmental Research and Public Health, 107, 1855-1871.
  45. Seeley, J. R. (1960). Death by liver cirrhosis and the price of beverage alcohol. Canadian Medical Association Journal, 83, 1361-1366.
  46. Skog, O. J. (1985). The collectivity of drinking cultures: a theory of the distribution of alcohol consumption. British Journal of Addiction, 80, 83-99.
  47. Statistics Korea, (2012). 2011 Annual report on causes of death statistics, Deajeon: Statistics Korea
  48. Supportive Group for Alcohol Counselling Center, (2010). Annual report on activities of alcohol counselling center. Ilsan, Kyunggido: Korea Alcohol Research Foundation
  49. Supreme Prosecutors' Office. (2015). 2014 White book on crime. Seoul: Supreme Prosecutors' Office
  50. Tigerstedt, C. (1999). Alcohol policy, public health, and Kettil Bruun. Contemporary Drug Problems, 26, 209-235.
  51. World Health Organization. (1980) Expert committee on problems related to alcohol consumption. problems related to alcohol consumption. Technical Report Series 650. Geneva: WHO.
  52. World Health Organization. (2010). Global strategy to reduce harmful use of alcohol. Geneva: WHO.

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