• 제목/요약/키워드: Alcohol problem

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한국 대학생을 대상으로 한 음주관리 프로그램의 효과: 체계적 고찰 및 메타분석 (Effects of Alcohol Management Programs for University Students in Korea: A Systematic Review and Meta-analysis)

  • 채명옥;전해옥
    • 지역사회간호학회지
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    • 제29권1호
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    • pp.120-132
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    • 2018
  • Purpose: This study is a systematic review and meta-analysis designed to investigate effects of alcohol management programs for Korean university students. Methods: Research results published until October 14, 2016 were systematically collected in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). A total of 12 papers were selected for the meta-analysis. To estimate the effect size, meta-analysis of the studies was performed with the Comprehensive Meta-Analysis 3.0. Results: The mean effect size of 12 studies in total (Hedges' g=-0.36; 95% Confidence Interval [CI]: -0.76~0.05) was not significant statistically. In a study of college students classified as problematic drinking (total of 9), the drinking program showed a median effect size of Hedges' g=-0.57(95% CI: -0.96~-0.18). Results of the drinking-related outcome variables showed a significant effect size (Hedges' g=-0.61; 95% CI: -1.10~-0.13), but psychosocial related outcome variables were not significant (Hedges' g=-0.50; 95% CI: -1.24~0.23). Conclusion: It can be seen that the alcohol management program for college students has a significant effect on controlling the problem drinking of college students. In addition, application of a differentiated drinking program with problem drinkers selected as a risk group will be effective in controlling drinking and drinking related factors.

한국 청소년의 음주행동 잠재계층 유형 및 예측요인: 잠재계층분석 방법의 적용 (Patterns of Drinking Behaviors and Predictors of Class Membership among Adolescents in the Republic of Korea: A Latent Class Analysis)

  • 이해인;박선희
    • 대한간호학회지
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    • 제49권6호
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    • pp.701-712
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    • 2019
  • Purpose: Despite the high drinking rates and the complexity of drinking behaviors in adolescents, insufficient attention has been paid to their drinking patterns. Therefore, we aimed to identify patterns of adolescent drinking behaviors and factors predicting the distinct subgroups of adolescent drinking behaviors. Methods: We analyzed nationally representative secondary data obtained in 2017. Our final sample included 24,417 Korean adolescents who had consumed at least one glass of alcohol in their lifetime. To investigate patterns of drinking behaviors, we conducted a latent class analysis using nine alcohol-related characteristics, including alcohol consumption levels, solitary drinking, timing of drinking initiation, and negative consequences of drinking. Furthermore, we investigated differences in demographics, mental health status, and characteristics of substance use across the latent classes identified in our study. To do so, we used the PROC LCA with COVARIATES statement in the SAS software. Results: We identified three latent classes of drinking behaviors: current non-drinkers (CND), binge drinkers (BD), and problem drinkers (PD). Compared to the CND class, both BD and PD classes were strongly associated with higher academic year, lower academic performance, higher levels of stress, suicidal ideation, lifetime conventional or electronic cigarette use, and lifetime use of other drugs. Conclusion: Health professionals should develop and implement intervention strategies targeting individual subgroups of drinking behaviors to obtain better outcomes. In particular, health professionals should consider different characteristics across subgroups of adolescent drinking behaviors when developing the interventions, such as poor mental health status and other substance use among binge and problem drinkers.

노숙인 시설 입소 대상자의 음주실태와 음주문제 관련요인: 인천광역시 노숙관련 시설을 중심으로 (Factors related to Drinking Problems among the Homeless in Homeless Facilities in Incheon)

  • 김희경;이미형;한진숙;이상희
    • 보건교육건강증진학회지
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    • 제31권2호
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    • pp.15-26
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    • 2014
  • Objectives: This study investigates the drinking state of the homeless, including the factors that influence this state, and the related services that the homeless require. Methods: A total of 163 adults residing in homeless shelters in Incheon, were recruited from November 15 to December 28, 2013. The Korean version of the Alcohol Use Disorders Identification Test was used. The data collected were analyzed using descriptive statistics, ANOVA, chi-square, and logistic regression. All analyses were conducted using SPSS 18. Results: Among the respondents, 59.5% engaged in normal drinking, 17.2% engaged in problem drinking and 23.3% suffered from high risk drinking. Alcohol Problems of homeless were found to increase along with total drinking periods. And high risk drinker were more likely to have 3.2 times of loneliness, 6.5 times of insomnia, and the reason for homeless is alcohol problem 14.0 times higher. Conclusions: Alcohol problems among the homeless are chronic and difficult to solve through temporary measures and short-term interventions. Therefore, the development of appropriate services and policies for the homeless is important. The results of the study can be used as a basis for the development of management measures tailored to the distinctive needs of the homeless.

전화 상담사례에 나타난 부부갈등문제와 대응행동 (A Case Analysis on marital Conflict Problem and Coping Behavior -Focused on the Telephone Counsdlling-)

  • 이미영
    • 대한가정학회지
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    • 제33권1호
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    • pp.141-154
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    • 1995
  • The purpose of this paper is to investigate the marital conflict problem and coping behavior. The methods of this study are quantitative and qualitative method. For the data, 1069 counselling case of the married people were collected on S counselling center in Daegu, from January to May, 1994. The results of this study are as follows: 1. The main problems are marital debauchery affairs and then the value orientation, character and communication problem in turn. 2. Most clients used the complain type as the coping gehavior. 3. Recognized problem of oneself is debauchery problem and the self-damage and immaturity. Recognized problem of spouse is husband's incapacity, debauchery and violence. alcohol problem in wife case. Recognized problem of couple is a sexual problem for the most case.

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감초가 알코올 섭취 및 금단증상에 미치는 영향 (Effect of Glycyrrhizae Radix on Alcohol Intake and Alcohol Withdrawal Syndrome)

  • 곽재일;김광중
    • 동의생리병리학회지
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    • 제21권1호
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    • pp.33-38
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    • 2007
  • Recently, the lifetime prevalence rate of alcoholism in Korea shows to be quite higher than that in American, European and Asian countries indicating approximately 11 %. Also prevalence rate of male adult alcoholism in total inpatient of a polyclinic hospital shows to be very high indicating 16.5 % to 38.2 %, and from this result it is could be supposed that considerable physical diseases are related with alcoholic problem. According to the disorder related with alcohol is one of the most important hygienic problems in our society. In spite of the development of medicine, there is no certain medication or method in the field of the adult diseases or cancers under the actual circumstances that foods and drugs have been taking approximately for the purpose of prevention; and from this viewpoint, functional foods proved to be physically effective compared to general foods have been developing and the natural substances that could increase the effectiveness of general food have been produced. Alcohol addiction has been inducing several social problems and according to the increasing trend following the development of society it is strongly required to develop the medication. Therefore the research regarding to the treatment for the alcohol addiction has been performed widely, and especially the attempt to developof new medication using herbal medicine has been performing as in the development of the medication for other diseases. This study was designed to investigate the effect of Glycyrrhizae Radix which is the representative herbal medicine and has been used widely in the preparation of herbal medicine on alcohol intake and alcohol withdrawal syndrome.

알코올 사용장애 환자를 대상으로 시행된 인지행동치료에 대한 연구의 통합적 문헌고찰 (An Integrative Review of Cognitive Behavioral Therapy for Patients with Alcohol Use Disorder)

  • 류소임;권태균;노은영;김유나
    • Perspectives in Nursing Science
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    • 제15권1호
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    • pp.29-40
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    • 2018
  • Purpose: The present study aimed to review the characteristics of cognitive behavioral therapy (CBT) programs for alcohol use disorders and to examine the outcomes of such programs. Methods: We searched for domestic and foreign studies that implemented a CBT program for alcohol use disorders, published from 2006 to 2017. Studies that met inclusion/exclusion criteria were selected and a quality assessment was performed using the Risk of Bias (RoB) and Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS) instruments. We utilized a five-stage analysis process, through which nine experimental studies were selected. Results: Of these nine studies, four were randomized controlled trials, four used a quasi-experimental design, and one used a qualitative design. The CBT involved the three domains of cognitive reconstruction, problem solving, and coping. Coping with drinking situations and communication constituted most of the sessions. The outcomes of such interventions showed that CBT had a positive effect on alcohol use and self-evaluation. Conclusion: CBT is an effective way to change alcohol use behaviors, motivation, interpersonal relationships, emotional control, and self-efficacy among patients with alcohol use disorders. This study provides evidence for the effectiveness of CBT-based programs for the treatment of alcohol use disorders.

국내외 알코올사용장애 선혈도구의 비교를 통한 한국성인의 알코올사용장애에 관한 역학조사 (A Epidemiological Study on the Prevalence of Alcohol Use Disorders among the Korean Adult Population)

  • 김용석
    • 한국사회복지학
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    • 제37권
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    • pp.67-88
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    • 1999
  • 본 연구조사는 사회복지학계에서는 최초로 국내외에서 개발된 다양한 알코올사용장애 선별도구를 이용하여 신뢰성이 높은 알코올사용장애율을 밝히는 것을 주목적으로 하였다. 조사대상자는 전국에 거주하는 성인으로 충화표집을 이용하여 추출되었고 총 614명이 본 조사에 참여하였다. Alcohol Use Disorder Identification Test, Brief Michigan Alcoholism Screening Test, 한국형 알코올 중독선별 도구를 이용하여 조사대상자의 음주문제를 측정하였고 조사대상자의 음주빈도, 음주 양, 폭음정도를 측정하였다. 본 조사의 주요결과로는 한국성인의 32.2%가 음주와 관련된 문제를 경험한 것으로 나타났으며 전체 성인의 4.2% (한국성인의 134만명)가 알코올사용장애가 있는 것으로 선별되어 우리 나라 성인의 음주문제가 상당히 심각한 수준에 와 있는 것으로 제시하고 있다. 사회복지사는 우리 나라 성인의 음주문제의 심각성을 인식하고 초기면접시 AUDIT나 NAST 같은 선별도구를 사용하여 클라이언트의 음주문제를 항상 파악하여야 할 것이고 알코올 및 약물사용으로 인해 고통 받고 있는 개인들과 그들의 가족을 위한 효과적인 프로그램과 자원을 개발하는데에도 노력을 기울여야 할 것이다. 마지막으로 후속연구를 위한 세 가지 제안점을 언급하고 있다.

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대학생의 성별에 따른 음주 이유와 문제음주 관련요인 (A Comparison of Alcohol-related Problems between Men and Women in Korean University Students)

  • Sung, Ki-Wol;Kim, Mi-Han
    • 보건교육건강증진학회지
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    • 제26권5호
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    • pp.85-95
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    • 2009
  • 목적: 이 연구의 목적은 한국의 일부 대학생을 대상으로 성별에 따라 음주 이유와 문제음주 관련요인의 차이가 있는지를 파악하기 위한 것이다. 방법: 연구 대상자는 472명의 한국 대학생이며 사용한 측정도구는 Reasons for Drinking Questionnaire(RFDQ), Alcohol Use Disorders Identification Test(AUDIT)이다. 결과: 남자 대학생의 평균 AUDIT 점수는 9.6(${\pm}5.4$), 여자 대학생은 6.4(${\pm}4.7$)이었으며 AUDIT 점수와 음주 이유에는 상관관계가 있었다. 남자 대학생의 AUDIT 점수 관련요인으로는 나이, 처음으로 흡연한 나이, 음주 이유가 사회적 관계를 위한 것이었다. 여자 대학생의 AUDIT 점수 관련요인은 종교, 처음으로 흡연한 나이, 음주 이유가 부정적인 감정 때문으로 서로 차이가 있었다. 결론: 대학생의 성별에 따라 음주 이유와 문제음주 관련요인이 다름을 확인하였고 따라서 성별에 따른 다른 접근법의 대학생 음주 예방 프로그램이 계획되어야 할 것이다.

바이오알코올 혼합연료의 엔진오일 희석특성에 대한 실험적 연구 (An Experimental Study on Characteristics of Engine Oil Diluted by a Bio-Alcohol Mixture Fuel)

  • 김현준;이호길;오세두;김신
    • Tribology and Lubricants
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    • 제32권6호
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    • pp.183-188
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    • 2016
  • Engine oil plays an important role in the mechanical lubrication and cooling of a vehicle engine. Recently, engine development has focused on the adoption of gasoline direct injection (GDI) and turbocharging methodology to achieve high-power and high-speed performance. However, oil dilution is a problem for GDI engines. Oil dilution occurs owing to high-pressure fuel injection into the combustion chamber when the engine is cold. The chemical components of engine oil are currently developed to accommodate gasoline fuel; however, bio-alcohol mixtures have become a recent trend in fuel development. Bio-alcohol fuels are alternatives to fossil fuels that can reduce vehicle emissions levels and greenhouse gas pollution. Therefore, the chemical components of engine oil should be improved to accommodate bio-alcohol fuels. This study employs a 2.0 L turbo-gas direct injection (T-GDI) engine in an experiment that dilutes oil with fuel. The experiment utilizes a variety of fuels, including sub-octane gasoline fuel (E0) and a bio-alcohol fuel mixture (Ethanol E3~E7). The results show that the lowest amount of oil dilution occurs when using E3 fuel. Analyzing the diluted engine oil by measuring density and moisture with respect to kinematic viscosity shows that the lowest values of these parameters occur when testing E3 fuel. The reason is confirmed to influence the vapor pressure of the low concentration bio-alcohol-fuel mixture.

한국 성인의 문제 음주 유병률 및 위험요인 (Prevalence and related risk factors of problem drinking in Korean adult population)

  • 박혜진
    • 한국산학기술학회논문지
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    • 제19권1호
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    • pp.389-397
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    • 2018
  • 본 연구는 한국 성인의 문제음주 유병률과 문제음주에 영향을 주는 위험요인을 살펴보고자 시행하였다. 연구 대상자는 2007년과 2008년에 수행된 국민건강영양조사에 참여한 19세 이상 성인 7,867명을 대상으로 하였다. 자료 분석을 위해 대상자의 인구사회학적 특성, 건강관련 자료, 알코올 사용 장애 선별검사(Alcohol Use Disorders Identification Test, AUDIT) 자료를 국민건강영향조사 데이터베이스에서 추출하였고 AUDIT 점수별로 문제음주 저위험군, 중간위험군, 고위험군으로 분류하여 분석하였다. 연구결과, 문제 음주 중간위험군은 21.1%, 고위험군은 12.2%로 나타났고 각 군에서 AUDIT 점수의 평균치를 비교한 결과 남성, 젊은 연령층, 낮은 교육수준, 흡연하는 경우 높은 평균 점수를 보였다. 로지스틱 회귀분석을 통해 고위험군의 음주 위험도에 영향을 미치는 요인을 살펴본 결과 연령, 성별, 교육수준, 흡연으로 확인하였으며 특히 이러한 위험 인자 중 흡연이 고위험 음주에 대한 위험도를 4.78배[(95% confidence interval (CI)=3.75-6.10, p<.0001)] 높여 제일 중요한 위험요인인 것으로 분석되었다. 본 연구 결과는 여러 가지 사회문제를 야기 시키고 많은 질병 부담의 원인이 되는 문제 음주에 대한 개선 및 적절한 음주 소비를 위한 다양한 음주관리 보건정책 및 건강증진 프로그램에 활용될 수 있을 것이다.