• 동아시아식생활학회지
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• 제24권6호
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• pp.933-942
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• 2014

This study examined drinking status, knowledge regarding drinking, and drinking behaviors between non-risky drinking and risky drinking groups and found out the factors determining risky drinking. Data were collected from 355 college students in Gyeongbuk region by a self-administered questionnaire. T tests, ${\chi}^2$ tests and logistic regression analysis were conducted by SPSS Windows V.20.0. Almost 30% of the respondents were categorized as the risky drinking group. The respondents in the risky drinking group showed greater drinking frequency per month, subjective drinking quantity, frequency of resolution not to drinking per month, and drinking expenditure than the non-risky drinking group. There was no statistically significant difference in the percentage of correct answers for knowledge regarding drinking between non-risky drinking group and risky drinking group. However, the respondents in the risky drinking group showed more undesirable drinking behaviors than the non-risky drinking group. Finally, according to the result of logistic regression analysis of the factors determining risky drinking, monthly allowance, major, circle activity status, drinking frequency per month, drinking motive and drinking behaviors were significant.

• 디지털융복합연구
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• 제16권7호
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• pp.469-478
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• 2018

본 연구의 목적은 성년기, 중년기, 노년기 여성을 대상으로 인구사회학적 요인, 사회적 관계 요인, 건강관련 요인이 위험음주에 미치는 영향을 파악하는 것이다. 본 연구는 제6기(2013-2015) 국민건강영양조사 자료를 이용하여 성년기 여성 1,143명, 중년기 여성 1,306명, 노년기 여성 875명을 대상으로 위험음주에 영향을 미치는 요인을 검증하고자 각 연령집단별로 각각의 로지스틱 회귀분석을 실시하였다. 연구결과, 성년기 여성의 경우, 교육수준, 결혼상태, 경제활동상태, 우울감, 흡연이 위험음주에 유의한 영향을 미치는 것으로 나타났다. 중년기 여성의 경우, 주관적 스트레스 수준과 흡연만이 위험음주에 유의한 영향을 미치는 것으로 나타났다. 노년기 여성의 경우, 교육수준, 자살생각, 주관적 건강상태가 위험음주에 유의한 영향을 미치는 것으로 나타났다. 이러한 연구결과는 생애주기에 따라 여성의 위험음주에 영향을 미치는 요인이 상이하다는 것을 의미한다. 이를 토대로 생애주기별 여성의 위험음주를 감소시키기 위한 융복합적 방안을 논의하였다.

• 아동학회지
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• 제37권1호
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• pp.37-48
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• 2016

Objective: To prevent adolescent drinking and smoking, this study proposed a strategy based on the ecological perspective. Methods: The study applied multilevel moderated logistic regression analysis on nationally representative individual-level (2,046 9th grade adolescents) and neighborhood-level (92 geographic areas) data. Results: There was a positive association between risky neighborhood environments (e.g., rate of smoking, drinking, and presence of saloon/bars accommodation) and rates of adolescent drinking and smoking. Furthermore, the interplay between risky neighborhood environments and school adjustment pointed to a possible protective effect of a high level of school adjustment in predicting smoking and drinking among adolescents. Conclusion: Findings highlighted the importance of considering multiple neighborhood social contexts surrounding adolescents to understand their risky behavior. Furthermore, positive intervention strategies that focus on adolescents' positive development within the school domain may act to protect adolescents from harmful neighborhood environments.

• 보건교육건강증진학회지
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• 제25권3호
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• pp.21-43
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• 2008

Objective: This study aimed to understand workplace drinking environment on drinking behaviors among female employees and thereby attempt to lay a ground for future prevention of drinking problems triggered by workplace environment. For the purposes of the study, variables related to drinking behavior and the actual conditions of female employees were explored. And the study examined the effects of individual and environmental factors on drinking behavior. Methods: The sample included 400 female and male employees in enterprises and organizations located in the metropolitan area of Korea. An in-depth interview was conducted to explore workplace variables related to female drinking, and a self-administered questionnaire was conducted to examine the relationship between workplace variables and drinking behaviors (alcohol consumption, risky drinking, and binge drinking frequencies). Results: Major findings of the study are as follows: First, positive function of drinking and drinking culture at workplace and the pressure to drink were derived from in-depth interviews. Second, 47.2% of female employees were current drinkers and 20.4% were risky drinkers. Third, drinking norms and attitude at workplace, influence of peer group, and drinking culture at workplace were found to be predictive factors of harmful drinking. Fourth, drinking expectancy and drinking norms and attitude at the workplace were found to influence drinking binge frequencies. Conclusion: The study indicates the importance of the workplace environmental factors in female employee's drinking behavior, and addresses the need for interventions geared toward changing the workplace environment regarding alcohol use.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권3호
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• pp.149-158
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• 2015

Objectives : The objective of this study was to identify the risky behavior subtypes in adolescents with depression, and the relationship between those subtypes and suicide attempt. Methods : Ninety adolescents who met the Diagnostic and Statistical Manual of Mental Disorders-4th edition criteria for major depressive disorder, dysthymia, or depressive disorder not otherwise specified participated in the study. Participants were interviewed about suicidal attempts, non-suicidal self-injuries. Smoking, drinking behaviors, and searching for the word "suicide" on the internet, negative life events including bulling-bullied experiences, and history of abuse were also included with questionnaires. Results : The results of cluster analysis showed that four risky behaviors were divided into three clusters : non-risky type, characterized by few risky behaviors ; delinquency type, which was characterized by smoking and drinking ; non-suicidal self-injury type. In non-suicidal self-injury type, percentage of girls was higher and clinical symptoms were more severe than delinquency type. In addition, delinquency type members could be a bully, while non-suicidal self-injury type members could be abused by a family member. Logistic regression analysis showed that both risky behavior subtypes were significant predictors of suicide attempt. Conclusion : These results suggest that two types of risky behaviors of depressed adolescents have an effect on the suicide attempts independently. Then, the implications and limitations of the study were discussed and directions for future studies were suggested.

• Asian Pacific Journal of Cancer Prevention
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• 제15권16호
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• pp.6571-6574
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• 2014

Background: Alcohol is well established as a risk factor for cancer development in many organ sites. To assess the reliability and validity of the Alcohol Use Disorders Identification Test - Consumption (AUDIT-C) for detecting alcohol use disorders or risky drinking in Japanese adults the present study was conducted. Materials and Methods: A test-retest method was applied with a 2-week interval with 113 health care employees. The k coefficient, Cronbach's coefficient alpha, Spearman's correlation coefficient, and intraclass correlation coefficient (ICC) were determined and the validity of the AUDIT-C was analyzed using the data from a nationwide survey on adult alcohol use conducted in 2008 (n=4,123). Results: The reliability of the AUDIT-C score was high (${\kappa}$ coefficient=0.63, Cronbach's alpha=0.98, correlation coefficient=0.95, and ICC=0.95). According to the likelihood ratio and Youden index, appropriate cutoffs for the AUDIT-C were ${\geq}5points$ in men and ${\geq}4$ points in women. The sensitivity and specificity of these cutoffs for identifying ${\geq}8$ points on the AUDIT were 0.88 and 0.80, respectively, for men (positive likelihood ratio [LR+]=4.5) and 0.96 and 0.87, respectively, for women (LR+=7.7). The sensitivity and specificity of the cutoffs for identifying ${\geq}12$ points on the AUDIT were 0.90 and 0.84, respectively, for men (LR+=5.8) and 0.93 and 0.94, respectively, for women (LR+=15.8). The sensitivity and specificity of the cutoffs for identifying ${\geq}16$ points on the AUDIT were 0.93 and 0.80, respectively, for men (LR+=4.7) and 0.92 and 0.98, respectively, for women (LR+=55.6). With higher scores on the AUDIT, the specificity decreased and false-positives increased. The appropriate cutoffs for identifying risky drinking were the same for both genders. Conclusions: The reliability and validity of the AUDIT-C are high, indicating that it is useful for identifying alcohol use disorders or risky drinking among the general population in Japan, a group at high risk of cancer development.

• 가정∙방문간호학회지
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• 제22권2호
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• pp.265-279
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• 2015

Purpose: Most research on risky drinking among adults in Korea has focused on problem drinking and high-risk drinking. This paper examines the nature of heavy episodic drinking_(HED) among adults and seeks to identify the risk factors for HED by analyzing differences by gender and age. Method: Participants were 3,886 adults aged 19-64 years from the database of the fifth Korean National Health and Nutritional Examination Survey (KNHANES-V, 2010). Data were analyzed by conducting the Rao_Scott chi-square test, an ANCOVA, and logistic analysis with SAS 9.2. Results: Individuals between 19 and 29 years of age had the highest HED among all age groups. Individuals between 40 and 49 (male adults) and those between 30 and 39 (female adults) showed HED associated with stress, suicidal ideation, smoking, and other health behavior-related variables. Risk factors that affected HED in male adults were age, educational status, and current smoking, while for female adults, the factors were age, educational status, employment, marital status, and current smoking. Conclusions: It is necessary to develop appropriate intervention programs that abate negative emotions and lessen the risk of HED in adults with consideration to gender and age differences.

• 한국산학기술학회논문지
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• 제14권8호
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• pp.3858-3865
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• 2013

이 연구는 2009년 지역사회 건강조사 자료를 활용하여 부모의 고위험 음주행동이 자녀의 건강행동에 미치는 영향을 조사하여 가족의 건강문제의 예방 및 관리를 위한 기초자료를 제공하고자 하는 목적에서 이루어 졌다. 대상은 19세 이상의 자녀를 둔 세대 중 고위험 음주에 노출된 16,383명을 선택하여 각 ID별로 부모가 고위험 음주자인 916명을 분류하여 빈도분석, 카이제곱 검정과 로지스틱 회귀분석을 실시하였다. 고위험 음주 부모의 자녀가 정상인 음주부모의 자녀에 비해 고위험 음주행동이(p<0.01)이 높았으며 부정적 건강행태에 영향을 미쳤다. 그러므로 고위험음주들에 대한 가족형 보건교육이 제도적으로 필요함을 고려하여 음주로 인한 문제의 해결이 가정에서부터 이루어져야 함을 제안한다.

• Journal of Audiology & Otology
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• 제23권2호
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• pp.63-68
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• 2019

Background and Objectives: To investigate the relationship between hearing impairment and alcohol drinking patterns in South Korean adults. Subjects and Methods: Data collection was performed by Korean National Health and Nutrition Survey from January 1 to December 31, 2012. Data analyses were performed from February 20 to March 3, 2018. Data from 3,860 adults 20 years of age or older without a history of malignancy or chronic otitis media in the Korean National Health and Nutrition Survey 2012 database who participated in the health questionnaires, and who had available results from otologic examinations that included pure tone audiogram, were included. Pure-tone average hearing thresholds were calculated at 500, 1,000, 2,000, and 4,000 Hz. Hearing loss was defined as a pure-tone average >40 dB in one or both ears. The Alcohol Use Disorder Identification Test was used to evaluate drinking statuses of subjects. Data were analyzed using the complex-sample χ²-test of independence and a complex-sample logistic regression analysis. Results: Of the 29,954,319 individuals in the weighted cross-sectional study population, 15,106,040 (50.4%) were men and 14,848,098 (49.6%) were women. A total of 8.1% of men and 7% of women had hearing impairment. The degrees of drinking with appropriate, risky, and hazardous drinking habits were 58.2, 32.1, and 9.7% among men; and 76.4, 12.5, and 11.1% among women, respectively. Among men, the odds ratio of hearing loss increased by 2.506 times when comparing hazardous and appropriate drinking (confidence interval, 1.083 to 5.800, p=0.002). Moderate alcohol consumption (≤2 drinks per day) was not protective for hearing in either group. Conclusions: As hazardous drinking tends to coexist with hearing impairment in men, appropriate prevention and intervention strategies should be emphasized. A longitudinal study to investigate harmful drinking and the mechanism of hearing loss should be performed.

• 대한청각학회지
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• 제23권2호
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• pp.63-68
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• 2019

Background and Objectives: To investigate the relationship between hearing impairment and alcohol drinking patterns in South Korean adults. Subjects and Methods: Data collection was performed by Korean National Health and Nutrition Survey from January 1 to December 31, 2012. Data analyses were performed from February 20 to March 3, 2018. Data from 3,860 adults 20 years of age or older without a history of malignancy or chronic otitis media in the Korean National Health and Nutrition Survey 2012 database who participated in the health questionnaires, and who had available results from otologic examinations that included pure tone audiogram, were included. Pure-tone average hearing thresholds were calculated at 500, 1,000, 2,000, and 4,000 Hz. Hearing loss was defined as a pure-tone average >40 dB in one or both ears. The Alcohol Use Disorder Identification Test was used to evaluate drinking statuses of subjects. Data were analyzed using the complex-sample χ²-test of independence and a complex-sample logistic regression analysis. Results: Of the 29,954,319 individuals in the weighted cross-sectional study population, 15,106,040 (50.4%) were men and 14,848,098 (49.6%) were women. A total of 8.1% of men and 7% of women had hearing impairment. The degrees of drinking with appropriate, risky, and hazardous drinking habits were 58.2, 32.1, and 9.7% among men; and 76.4, 12.5, and 11.1% among women, respectively. Among men, the odds ratio of hearing loss increased by 2.506 times when comparing hazardous and appropriate drinking (confidence interval, 1.083 to 5.800, p=0.002). Moderate alcohol consumption (≤2 drinks per day) was not protective for hearing in either group. Conclusions: As hazardous drinking tends to coexist with hearing impairment in men, appropriate prevention and intervention strategies should be emphasized. A longitudinal study to investigate harmful drinking and the mechanism of hearing loss should be performed.