Purpose: The purpose of this study was to investigate the effect of the moderate drinking program based on social cognitive theory on changes in the drinking habits of college students with drinking problems. Methods: This study included a total of 68 college students with drinking problems. These participants participated in 10 sessions of a moderate drinking program in which social cognitive theory was applied. Changes in the cognition and behaviors of the participants were then investigated. Results: The moderate drinking program based on social cognitive theory for college students with drinking problems was effective in increasing the subjects' drinking-related knowledge (U=191.50, p<.001), enhancing their drinking refusal self-efficacy(t=8.02, p<.001), and changing their drinking-related attitudes (U=108.50, p<.001), drinking outcome expectancy (t=8.68, p<.001), amount of drinking in a single session ($x^2=25.72$, p<.001), number of drinking sessions per month ($x^2=10.05$, p=.006), and problem drinking behaviors (t=5.77, p<.001). Conclusion: These results can be used to inform a regular on-campus intervention programs for moderate drinking, and to implement education about moderate drinking, thereby increasing the success rate of drinking reduction.
This study, based on stages of behavioral change, was aimed at suggesting strategies for the adoption of moderate drinking habits for community-based health education designed to help rural people. An interview survey was conducted during the period from March 4 to April 5, 2002 by sampling 467 rural people living in 6 villages covered by a public healthcare clinic. The results of this study can be summarized as follows; 1. The perceived non-moderate drinkers were less prepared for behavioral change. 2. The heavier drinking habits were ‘drinking alone’, ‘meals accompanied by drinking’ and ‘drinking twice or more at a time’. The agricultural off-season and the custom of brewing liquor at home were negative environmental factors for moderate drinking. 3. The predisposing factors affecting moderate drinking were recognition of health, expectation of the drinking effect, etiquette encouraging overdrinking and control of drinking. The reinforcing factors were stress from ordinary life and perception of being loved. The enabling factor was accessibility to the public healthcare clinic. 4. Rural residents are less motivated to participate in health education for moderate drinking. Based on the above findings, health education strategies for each stage can be suggested as follows: 1) Pre-contemplation stage: improvement of perception, motivation, sharing of experiences, and reawakening. 2) Contemplation/preparation stag e: measurement of value, departure from the inertia against a change, formation of a habit, and reinforcement of the behavior. 3) Action/maintenance stage: creation of a social atmosphere, encouragement of participation, change of life style, and improvement of environment.
The purspose of this study is to examine the undergraduate students' attitudes, salient beliefs, perceived self-control and intentions for moderate drinking behavior of their own. Two hundred and twenty five students in two universities in Seoul and Suwon participated in this study. Questionnaires developed by this investigator under the guidance of the theory of planned behavior were used to collect data, Descriptive statistics, t-test, ANOVA. Pearson correlation coefficients. and multiple regression were used to analyze the data. The majority of the students showed positive attitudes toward the moderate drinking behavior. Students perceived conflict messages. however. from their significant others about their moderate drinking behavior. While parents and other family members as sisters and brothers strongly supported the moderate drinking behavior of students, friends and school-mates did not. More than half of the students did not intend to reduce their alcohol consumption in the near future. Students' attitudes and perceived self-control were the predictor variables of the intention while subjective norms were not. Students who intended to reduce their alcohol consumption showed a more positive attitude, subjective norm, and higher perceived self-control scores than who did not. These students who were intent for moderate drinking behavior spent less money for drinking, had less opportunities to drink, and drank small amounts of alcohol Moderate Drinking Behavior programs focusing on students who were heavy drinkers, however, did not intend to reduce their alcohol consumption should be developed focused on their characters. Programs for students who intended to reduce their alcohol consumption also recommended to help the students' positive intention continued.
Ryu, So Yeon;Crespi, Catherine M.;Maxwell, Annette E.
Journal of Preventive Medicine and Public Health
/
제46권4호
/
pp.183-191
/
2013
Objectives: In Korea, the proportion of deaths due to alcohol is estimated at 8.9%, far exceeding the global estimate of 3.8%. Therefore, this study was performed to examine the factors associated with low-risk, moderate-risk, and high-risk drinking patterns in Korean adults and to identify target populations for prevention and control of alcohol-related diseases and deaths. Methods: We analyzed data from 230 715 Korean adults aged 19 years and older who participated in the 2009 Korean Community Health Survey. Multinomial logistic regression analysis was used to examine associations between socio-demographic and health-related factors and patterns of alcohol use. Results: A substantially larger proportion of men than women engaged in high risk (21.2% vs. 3.4%) and moderate-risk alcohol use (15.5% vs. 8.2%). In both sexes, moderate- and high-risk uses were associated with younger age, higher income, being currently employed, smoking, being overweight/obese, and good self-rated health. Conclusions: Given the large proportion of the population that is engaging in moderate- and high-risk drinking and given the social norms that support this behavior, public health policies and campaigns to reduce alcohol consumption targeting the entire population are indicated.
This study attempted to investigate the factors influencing alcohol drinking habit of college students in Korea. To find how many students are alcohol dependents and what factors are related to problem drinking habit, the current study estimated problem drinkers and analyzed the relationship of problem drinking and various factors. In 2000, 736 students reported the questionnaires. Estimated rates of problem drinkers standardized by age were 0.7% of male and 0.5% of female students by NAST, amounting 9,300 college students. Age of initiation of alcohol drinking, alcohol or drug use problems of parents or mends, psychological factors, emotional factors, and two of MMPI scales were significantly different between moderate drinkers and alcohol dependents. The moderate and problem drinkers were significantly different in Mf and Pa average scores. However, economic factors were not significantly different between the moderate drinkers and alcohol dependents. Based on the results, this study suggested that further multivariate studies with large sample need be conducted to investigate the relationship between alcohol dependency and its factors.
This study was conducted on the basis of the Theory of Planned Behavior to analyze factors affecting intentions for health behaviors defined as non smoking, moderate drinking and exercise in male office workers. The participants of this study consisted of 230 male office workers of 10 workplaces located in Seoul. The results of this study can be summarized as follows: 1. Non smoking For smokers. perceived behavioral control, subjective norm and attitude were factors affecting on intention for non smoking, and these factors explained 29% of the total variance of non smoking intention. 2. Moderate drinking For drinkers, subjective norm, perceived behavioral control and attitude were factors affecting on intention for moderate drinking. and these factors explained 5% of the total variance of moderate drinking intention. 3. Exercise For those who exercise irregularly or don't exercise, perceived behavioral control, subjective norm and attitude were factors affecting on intention for exercise, and these factors explained 26% of the total variance of exercise intention. 4. Health Behaviors For all participants, perceived behavioral control, subjective norm and attitude were factors affecting on intention for health behaviors, and these factors explained 34% of the total variance of intention for overall health behaviors. And health behavior intention affected practice of health behaviors, but perceived behavioral control didn't.
The purpose of this study was to test whether moderate alcohol consumption has any positive effect on lowering blood pressure among Koreans. Study subjects were Korean adults 20 years or older (n=5,234) who participated in the 2001 Korean National Health and Nutrition Examination Survey (KNHANES). Analysis of variance and analysis of covariance were used to construct univariate and multivariate models relating alcohol consumption to blood pressure for the analysis. After adjustment for possible covariates, drinkers (regardless of drinking level) had significantly higher systolic and diastolic blood pressure, compared with never-drinker for male subjects. Diastolic and systolic blood pressures were also significantly elevated with the drinking frequency and amount of alcohol intake among male subjects. For the female subjects, only diastolic blood pressure was significantly associated with the alcohol consumption at multivariate model. however, low level alcohol consumption did not show any sign of lowing effects on blood pressure. The result implies that moderate alcohol consumption did not have any positive effect on lowering blood pressure among Koreans for either sex.
The purpose of this study was to compare the anthropometry, nutrient intakes, dietary - related behaviors and health - related behaviors of male workers that were divided according to their alcohol consumption. The mean height, weight and BMI of all subjects were 172.0$\pm$5.8 cm, 67.8$\pm$9.3 kg and 22.9$\pm$2.6 kg/$m^2$, respectively. The WHR was higher in the heavy drinking group than in the other groups(p<0.01), while the other anthropometric indices were not significantly different among the three groups. The calorie intake was highest(p<0.001) in the heavy drinking group(3,270.4$\pm$686.5 kcal), followed by moderate(2,602.8$\pm$415.8 kcal) drinking group and light drinking group(2,341.5$\pm$449.4 kcal). As alcohol consumption increased, there was a decrease in the percent of energy derived from carbohydrates and lipids, while there was an increase in the percent of energy derived from proteins and alcohol(p<0.001). The heavy and moderate drinking groups had a highers intake of protein compared to the light drinking group, and the heavy drinking group had a higher intake of lipid compared to the light and moderate drinking groups(p<0.01). The intakes of vitamin $B_2$, niacin and phosphorus were lower in the moderate group than the other groups(p<0.01). The average MAR(Mean adequacy ratio) was 1.44$\pm$0.35 and the intake of all nutrients, except for folic acid, was much higher than the Korean RI(Recommended intake). The fruit intake frequency and sleeping hours were the lowest in the heavy drinking group(p<0.05) and the subjects preferred the following order of food products when they drink: meat(42.5%), fish & shellfish(30.0%), fruit & vegetable(22.5%) and others(5.0%) as a side dish. The average rates of smoking and exercise for all the subjects were 77.5% and 67.5%, respectively. The results of this study showed that heavy alcohol drinkers were more prone to abdominal obesity and related chronic degenerative diseases, indicating the need for extensive nutritional education for heavy alcohol drinkers.
The prevalence of diabetes continues to increase worldwide, and the problem is also important in Korea, and about 14% of Korean adults have diabetes. Alcohol consumptions are increasing rapidly around the world and are recognized as one of the major problems in the country. Alcohol consumption is an environmental factor previously known to be associated with the risk of developing diabetes. Alcohol consumption can cause problems in the endocrine system and gastrointestinal function, and oxidative stress of acetaldehyde, an ethanol metabolite, can damage beta cells in the pancreas. In the present study, we found the effect of alcohol intake on fasting blood sugar and the difference between men and women in the risk of diabetes according to alcohol intake. In men, the high-drinking group had a higher risk of diabetes than the non-drinking group (OR, 1.41; P=0.058). In women, the Moderate-drinking group had a lower risk of diabetes compared to the non-drinking group (OR, 0.42; P=0.039). The high-drinking group had a higher risk of diabetes than the non-drinking group (OR, 2.97; P=0.034). The group that consumed more than the WHO's daily alcohol intake risk standard tended to have a higher risk of diabetes than the group that did not (OR, 5.48; P=0.001). This study suggest that moderate alcohol consumption reduce the risk of developing diabetes, and high alcohol consumption increase the risk of developing diabetes.
This study was performed to investigate the nutritional status associated with alcohol consumption in Korean adults men and women. The data was derived from the 2001 Korean National Health and Nutrition Survey. The number of subjects included were 6090 (Men: 2789, Women: 3031) aged 20 (equation omitted) < 65y. Men consuming moderate alcohol ((equation omitted) 24 g/day but < 48g/day) had higher intakes of energy and vitamin B groups than the ones consuming less than 24g/day. Heavy drinking men reporting more than 48g alcohol/day were observed as having 3207.2kcal of energy intake (130% of Korean RDA) and significantly elevated levels in most of the nutrients. For women drinkers, when the alcohol consumption was moderate ((equation omitted) 12g/day but 24g/day) or heavy((equation omitted) 36g/day) the energy intake was 2188.9kcal(100% of RDA) or 2627.5kcal (130% of RDA). The other nutrients protein, fat, calcium, iron and vitamin B group were also higher in women with heavy alcohol consumption. Heavy drinking women showed significantly higher weight, BMI and HDL-C. In contrast, heavy drinking men did not show any significant difference in BMI but showed significantly elevated blood pressure, HDL-C and lower serum cholesterol.
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