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A convergence study on the relationships of alcohol consumption patterns to mental distress and self-rated health

성인 음주자의 음주 패턴에 따른 정신건강과 주관적 건강상태에 대한 융합적 연구

  • Lee, Eun-Sook (Department of Nursing, Gyeongnam National University of Science and Technology) ;
  • Cho, Hye-Chung (Department of Social Welfare, Gyeongnam National University of Science and Technology)
  • 이은숙 (경남과학기술대학교 간호학과) ;
  • 조혜정 (경남과학기술대학교 사회복지학과)
  • Received : 2020.05.15
  • Accepted : 2020.07.20
  • Published : 2020.07.28

Abstract

The purpose of this study is to assess the relationships of alcohol consumption patterns to mental distress and self-rated health. Data of 19,856 adult drinkers over 19 years of age and older from the Korea National Health and Nutrition Examination Survey were evaluated by multivariate logistic regression analysis. Risks of experiencing perceived high stress, depressive symptoms and suicidal thoughts were higher in alcohol use disorder group in male, whereas the risks were higher in both alcohol use disorder and hazardous drinking groups in female, reflecting higher susceptibility to mental distress. In both male and female, former drinkers presented poor self-rated health compared with low-risk drinkers, although no difference was found in the prevalence of mental distress. Specialized mental health management measures for female drinkers are required, and former drinkers are suggested to be assessed separately from never or low-risk drinkers for their physical and mental health status.

본 연구는 성인 음주자의 음주 패턴과 정신건강 및 주관적 불건강 상태와의 관련성을 확인하기 위하여 국민건강 영양조사(2010~2013)의 19세 이상 성인 음주자 19,856명의 자료를 사용하여 복합표본 로지스틱 회귀분석하였다. 저위험 음주를 기준으로 했을 때 남성은 알코올 사용장애에서 스트레스 인지, 우울감 및 자살 생각을 경험할 위험이 높았고, 여성은 알코올 사용장애 뿐만 아니라 위험 음주에서도 스트레스 인지, 우울감 및 자살 생각의 위험이 유의하게 높아 남성보다 음주 문제로 인한 정신건강의 취약성이 높은 것으로 확인되었다. 또한 남녀 모두 과거 음주는 저위험 음주와 비교했을 때 정신건강 손상의 위험에서는 차이가 없었지만, 주관적으로 불건강하다고 평가할 위험은 높은 것으로 확인되었다. 따라서 유해 음주자를 조기 선별하여 신체와 정신 건강 상태에 대한 포괄적 평가와 함께 여성 음주자를 위한 차별화된 정신건강 관리대책이 필요하고, 과거 음주를 비음주나 저위험 음주로부터 분리하여 신체 및 정신 건강 상태를 평가하는 것이 필요하다.

Keywords

References

  1. World Health Organization. (2018). Global status report on alcohol and health 2018. Geneva: WHO [Online]. www.who.int/substance_abuse/publications/global_alcohol_report/gsr_2018/en/
  2. World Health Organization. (2013). Global action plan for the prevention and control of NCDs 2013-2020. Geneva: WHO [Online]. http://www.who.int/nmh/events/ncd_action_plan/en/
  3. C. T. Veit & J. E. Ware. (1983). The structure of psychological distress and well-being in general population. Journal of Consulting and Clinical Psychology, 51(5), 730-742. DOI : 10.1037/0022-006X.51.5.730
  4. J. Rehm et al. (2003). Alcohol as a risk factor for global burden of disease. European Addiction Ressearch, 9(4), 157-164. DOI : 10.1159/000072222
  5. J. Brady. (2006). The association between alcohol misuse and suicidal behaviour. Alcohol and Alcoholism, 41(5), 473-478. DOI : 10.1093/alcalc/agl060
  6. P. Makela, K. Raitasalo & K. Wahlbeck. (2015). Mental health and alcohol use: a cross-sectional study of the Finnish general population. European Journal of Public Health, 25(2), 225-231. DOI : 10.1093/eurpub/cku133
  7. A. Appleton, R. James & J. Larsen. (2018). The association between mental wellbeing, levels of harmful drinking, and drinking motivations: a cross-sectional study of the UK adult population. International Journal of Environmental Research and Public Health, 15(7), 1333. DOI : 10.3390/ijerph15071333.
  8. G. W. Smith & M. Shevlin. (2008). Patterns of alcohol consumption and related behaviour in Great Britain: a latent class analysis of the alcohol use disorder identification test (AUDIT). Alcohol and Alcoholism, 43(5), 590-594. DOI : 10.1093/alcalc/agn041
  9. A. Sohn, S. Hong, T. K. Kim, E. Ryu, G. J. Oh & S. V. Legaspi. (2009). Alcohol use disorder, stress, mental health and suicide among seoul citizens. Korean Journal of Health Education and Promotion, 26(4), 73-83.
  10. H. Lee & S. Roh. (2011). The relations of alcohol drinking behavior, depressive mood, and suicidal ideation among korean adults. Korean Society of Alcohol Science and Health Behavior, 12(1), 155-168.
  11. E. J. Lee & E. S. Lee. (2020). Factors associated with depressive mood among problem drinkers by gender. Journal of the Korea Convergence Society, 11(2), 375-384. DOI : 10.15207/JKCS.2020.11.2.375
  12. S. I. Saarni et al. (2008). Alcohol consumption, abstaining, health utility, and quality of life-a general population survey in Finland. Alcohol and Alcoholism, 43(3), 376-386. DOI : 10.1093/alcalc/agn003
  13. N. El-Guebaly. (2007). Investigating the association between moderate drinking and mental health. Annals Epidemiology, 17(5), 55-62. DOI : 10.1016/j.annepidem.2007.01.013
  14. A. Gea et al. (2012). A longitudinal assessment of alcohol intake and incident depression: the SUN project. BMC Public Health, 12, 954. DOI : 10.1186/1471-2458-12-954
  15. S. O. Lee & Y. J. Joo. (2018). Finding the cause of subjective declining health and regional differences. Monthly Community Health Report, 25, 8-9.
  16. J. Ryu, K. H. Kang & J. H. Lee. (2011). Factors of problem drinking among korean adults. Journal of Korean Alcohol Science, 12(1), 29-42.
  17. S. Y. Park & S. Yang. (2018). Factors associated with risky drinking of adult women: Focused on convergent implications. Journal of Digital Convergence, 16(7), 469-478. DOI : 10.14400/JDC.2018.16.7.469
  18. Y. C. Lee & B. H. Im. (2010). Associated factors of problem drinking grade and comparison of health behavior by drinking grade among korean men and women. Journal of Korean Alcohol Science, 11(2), 107-123.
  19. H. Lee, H. B. Lee, J. H. Lim & M. Choi. (2012). The structural relations between problem drinking of korean adults and related factors. Journal of Korean Alcohol Science, 13(1), 109-121.
  20. S. S. Chung & K. H. Joung. (2012). Factors associated with the patterns of alcohol use in korean adults. Korean Journal of Adult Nursing, 24(5), 441-453. DOI : 10.7475/kjan.2012.24.5.441
  21. J. Hong, J. Kim & O. Kim. (2014). Factors influencing problem drinking of male drinkers according to life cycle. Korean Journal of Adult Nursing, 26(2), 139-148. DOI : 10.7475/kjan.2014.26.2.139
  22. A. Salonsalmi, O. Rahkonen, E. Lahelma & M. Laaksonen. (2017). The association between alcohol drinking and self-reported mental and physical functioning: a prospective cohort study among city of Helsinki employees. BMJ Open, 7(4), e014368. DOI : 10.1136/bmjopen-2016-014368
  23. J. L. Valencia-Martin, I. Galan & F. Rodriguez-Artalejo. (2009). Alcohol and self-rated health in a Mediterranean country: the role of average volume, drinking pattern, and alcohol dependence. Alcoholism, Clinical and Experimental Research, 33(2), 240-246. DOI : 10.1111/j.1530-0277.2008.00826.x
  24. M. Frisher, M. Mendonca, N. Shelton, H. Pikhart, C. de Oliveira & C. Holdsworth. (2015). Is alcohol consumption in older adults associated with poor self-rated health? cross-sectional and longitudinal analyses from the English longitudinal study of ageing. BMC Public Health, 15, 703. DOI : 10.1186/s12889-015-1993-x
  25. S. Stranges et al. (2006). Alcohol drinking pattern and subjective health in a population-based study. Addiction, 101(9), 1265-1276. DOI : 10.1111/j.1360-0443.2006.01517.x
  26. P. Guallar-Castillon, F. Rodriguez-Artalejo, L. D. Diez Ganan, J. R. Banegas Banegas, P. L. Lafuente Urdinguio & R. H. Herruzo Cabrera. (2001). Consumption of alcoholic beverages and subjective health in Spain. Journal of Epidemiology and Community Health, 55(9), 648-652. DOI : 10.1136/jech.55.9.648
  27. A. G. Shaper, G. Wannamethee & M. Walker. (1988). Alcohol and mortality in British men: explaining the U-shaped curve. Lancet, 2(8623), 1267-1273. DOI : 10.1016/s0140-6736(88)92890-5
  28. K. M. Fillmore, T. Stockwell, T. Chikritzhs, A. Bostrom & W. Kerr. (2007). Moderate alcohol use and reduced mortality risk: systematic error in prospective studies and new hypotheses. Annals of Epidemiology, 17(5), S16-S23. DOI : 10.1016/j.annepidem
  29. T. F. Babor, J. C. Higgins-Biddle, J. B. Saunders & M. G. Monteiro. (2001). The alcohol use disorders identification test: guidelines for use in primary care(second edition). Geneva: World Health Organization.
  30. E. F. Mathiesen, S. Nome, M. Eisemann & J. Richter. (2012). Drinking patterns, psychological distress and quality of life in a Norwegian general population-based sample. Quality of Life Research, 21(9), 1527-1536. DOI : 10.1007/s11136-011-0080-8
  31. B. F. Grant, F. S. Stinson, D. A. Dawson & S. P. Chou. (2004). Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders. Archives of General Psychiatry, 61(8), 807-816. DOI : 10.1001/archpsyc.61.8.807
  32. S. E. Gilman & H. D. Abraham. (2001). A longitudinal study of the order of onset of alcohol dependence and major depression. Drug and Alcohol Dependence, 63(3), 277-286. DOI : 10.1016/s0376-8716(00)00216-7
  33. J. M. Boden & D. M. Fergusson. (2011). Alcohol and depression. Addiction, 106(5), 906-914. DOI : 10.1111/j.1360-0443.2010.03351.x
  34. Mood and Anxiety Disorders in Women Edited by David Castle, Jayashri Kulkarni & Kathryn M. Abel. Cambridge university press. (2006). Cambridge, New York. chap.3 Substance use and abuse in women by Clare Gerada, Kristy Johns, Amanda Baker, David Castle. pp.39-58.
  35. Korea Centers for Disease Control and Prevention. (2018). Korea Health Statistics 2017: Korea National Health and Nutrition Examination Survey(KNHANES VII-2). Sejong: Ministry of Health and Welfare.
  36. H. S. Gweon & H. J. Sung. (2010). Effects of problem drinking of adult on depression : gender difference. Discourse and Policy in Social Science, 3(1), 147-167.