Associated Factors of Binge Drinking and Problem Drinking among Korean Men and Women

우리나라 남녀 성인의 폭음 및 문제음주 영향 요인

  • Jeon, Gyeong-Suk (Department of Nursing, Division of Health Services, Dongseo University) ;
  • Lee, Hyo-Young (Department of Health Administration, Division of Health Services, Dongseo University)
  • 전경숙 (동서대학교 보건의료계열 간호학과) ;
  • 이효영 (동서대학교 보건의료계열 보건행정학과)
  • Received : 2010.02.23
  • Accepted : 2010.03.13
  • Published : 2010.03.31

Abstract

Objectives: This study firstly examined the pattern and prevalence of drinking. Secondly, we examined the sociodemographic and health factors associated with binge drinking and problem drinking among Korean men and women. Methods: Secondary analysis of the 2005 Korea National Health and Nutrition Examination Survey was conducted for 6,613 respondents aged 19 to 64. Results: Prevalence for binge drinking was 59.7% of men and 15.2% of women. Overall, 45.0% of men and 7.1% of women reported problem drinking. For both men and women, being divorced/separated/widowed was associated with binge drinking (OR=1.51 for men, OR=1.91 for women) and problem drinking (OR=1.43 for men, OR=2.12 for women), and smoking was associated with binge drinking (OR=3.20 for men, OR=3.96 for women) and problem drinking (OR=2.39 for men, OR=4.93 for women). Among women, unmarried and less educated increased the risk of binge drinking and problem drinking but being single and education level were not associated with binge drinking and problem drinking in men. Conclusion: There might be sex difference in the relationships between sociodemographic, and health factors and binge drinking, and problem drinking. Our finding suggest that the need to develop appropriate binge drinking prevention and intervention strategies for sex specified groups at greater risk.

Keywords

References

  1. 김광기. 음주폐해 예방과 감소를 위한 국제적 동향과 시사점. 보건과 사회과학 2008;24:103-119.
  2. 김종성 외 5명. 한국에서 Alcohol use disorders identification test(AUDIT)를 통한 알코올리즘의 선별기준. 가정의학회지 1999;20(9):1152-1159.
  3. 남경아. 대학생의 문제음주정도와 사회심리적 관련요인. 정신간호학회지 2009;18(4):501-511.
  4. 노영주. 이혼여성의 모성경험에 관한 질적 연구. 한국가족관계학회지. 2001;6(2):43-63.
  5. 대한보건협회. 음주관련 통계 시스템: 알코올 생산과 소비. http://stat.kpha.or.kr/stat/ t1/stat.php?sid=1_7 (Accessed on February 5, 2010).
  6. 보건복지가족부. 국민건강영양조사 제3기 총괄보고서. 보건복지가족부/한국보건사회연구원. 2006.
  7. 보건복지가족부. 정신질환실태 역학조사 2006. 보건복지가족부/ 서울대학교 의과대학. 2007.
  8. 성정환 외 8명. 일차진료에서 문제음주자 선별을 위한 Alcohol Use disorders Identification Test Alcohol Consumption Questions(AUDIT-C)의 타당도 조사. 가정의학회지 2009;3 0:695-702. https://doi.org/10.4082/kjfm.2009.30.9.695
  9. 손정연, 한경혜. 결혼의 질, 이혼 장애 요인, 일상생활 스트레스와 이혼 후 적응: 성별차이 중심으로. 한국가정관리학회 지 2006;24(1):83-102.
  10. 정슬기. 여자 대학생의 문제음주 영향요인 분석: 남자 대학생과의 비교. 정신보건과 사회사업 2007;27(12):176-198.
  11. 주정. 한국의 음주실태와 알코올 관련 정책 방향. 복지행정논총 2009;19(1):73-115.
  12. 질병관리본부. 2008년 지역사회건강조사 보도자료. 2009.3.26.
  13. 질병관리본부. 국민건강영양조사 제3기 조사결과 심층분석연구: 건강면접 및 보건의식 부문. 질병관리본부/한국보건사회 연구원. 2007.
  14. 통계청. 2007년 사망 및 사망원인통계결과. 통계청. 2008.
  15. 통계청. 경제활동인구조사. http://kosis.kr/ (Accessed on February 5, 2010).
  16. Alati R and 5 others. Gender differences in the relationships between alcohol, tobacco and mental health in patients attending an emergency department. Alcohol & alcoholism 2004; 39(5):463-469. https://doi.org/10.1093/alcalc/agh080
  17. Allamani A, Voller F, Kubicka L, Bloomfield K. Drinking cultures and the position of women in nine European countries. Substance Abuse 2000;21:231-247.
  18. Blazer DG, Wu LT. The epidemiology of at-risk and binge drinking among middle-aged and elderly community adults: National survey on drug use and health. American Journal of Psychiatry 2009;166(10):1162-1169. https://doi.org/10.1176/appi.ajp.2009.09010016
  19. Brewer RD, Swan MH. Binge drinking and violence. JAMA 2005;294:616-618. https://doi.org/10.1001/jama.294.5.616
  20. Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT Alcohol Consumption questions (AUDIT-C): an effectiveness brief screening test for problem drinking. Ambulatory care quality improvement project(ACQUIP). Alcohol use disorders identification test. Archive of International Medicine 1998;158:1789-1795. https://doi.org/10.1001/archinte.158.16.1789
  21. Centers for Disease Control. Sociodemographic differences in binge drinking among adults: 14 States, 2004. Morbidity and Mortality Weekly Report 2009;58(12):301-304.
  22. Chun S et al. A comparison of alcohol secondhand effects among Korean and U.S. College Students. Korean Journal of Health Education and Promotion 2009;26(5):115-127.
  23. Cooper ML, Russell M, Skinner JB, Frone MR, Mudar P. Stress and alcohol use: Moderating effects of gender, coping and alcohol expectancies. Journal of Abnormal Psychology 1992;101(1): 139-152.
  24. Dawson DA, Grant BF, Ruan WJ. The association between stress and drinking: Modifying effects of gender and vulnerability. Alcohol & Alcoholism 2005;40(5):453-460. https://doi.org/10.1093/alcalc/agh176
  25. French MT, Maclean JC. Underage alcohol use, delinquency, and criminal activity. Health Economics 2006;15:1261-1281. https://doi.org/10.1002/hec.1126
  26. Gmel G, Rehm J. Harmful alcohol use. Alcohol Research & Health: The Journal of the National Institute on Alcohol Abuse & Alcoholism 2003;27:52-62.
  27. Gordon AJ et. al. Three questions can detect hazardous drinkers. Journal of Family Practice 2001;5:313-320.
  28. Hawks RD, Bahr SH. Religion and drug use. Journal of Drug Education 1992;22:1-8. https://doi.org/10.2190/GQ2X-T16M-A2WR-EABL
  29. Jeon GS, Jang SN, Rhee SJ, Kawachi I, Cho SI. Gender differences in correlates of mental health among elderly Koreans. Journal of Gerontology: Social Science 2007;62B(5):S323-S329.
  30. Kim JH. et. al. Prevalence and the factors associated with binge drinking, alcohol abuse, and Alcohol dependence: A population study of Chinese adults in Hong Kong. Alcohol & Alcoholism 2008;43(3):360-370. https://doi.org/10.1093/alcalc/agm181
  31. Krause N. Stress, alcohol use, and depressive symptom in late life. The Gerontologist 1995;35(3):296-307. https://doi.org/10.1093/geront/35.3.296
  32. Lemke S, Schutte K, Brennan P. Gender Differences in Social Influences and Stressors Linked to Increased Drinking. Journal of Studies on Alcohol and Drugs 2008;69:695-702.
  33. Leonard KE, Kearns J, Mudar P. Peer networks among heavy, regular and infrequent drinkers prior to marriage. Journal of Studies on Alcohol and Drugs 2000;61:669-673.
  34. Linda JC. Educating women about the hidden dangers of alcohol. Journal of Psychological Nursing 2004;42(6):24-31.
  35. Marmot MG, North F, Feeney A, Head J. Alcohol consumption and sickness absence: from the Whitehall II study. Addiction 1993;88(3):369-382. https://doi.org/10.1111/j.1360-0443.1993.tb00824.x
  36. Naimi TS et. al. Binge drinking among US adults. JAMA 2003;289(1):622-636.
  37. Neumark YD, Rahav G, Jaffe DH. Socio-economic status and binge drinking in Israel. Drug and Alcohol Dependence 2003;69(1):15-21. https://doi.org/10.1016/S0376-8716(02)00248-X
  38. Parker DA, Parker ES, Wolz MW, Harford TC. Sex roles and alcohol consumption: A research note. Journal of Health and Social Behaviour 1980;21:43-48. https://doi.org/10.2307/2136693
  39. Skaff MM, Finney JW, Moos RH. Gender differences in Problem drinking and depression: Different "Vulnerabilities?". American Journal of Community Psychology 1999;27(1):25-54. https://doi.org/10.1023/A:1022813727823
  40. van Oers JAM, Bongers IMB, van de Goor LAM, Gerretsen HF. Alcohol consumption, alcohol-related problems, problem drinking, and socioeconomic status. Alcohol & Alcoholism 1999;34:78-88. https://doi.org/10.1093/alcalc/34.1.78
  41. Wechsler H, Issac N. "Binge" drinkers at Massachusetts colleges: Prevalence, drinking style, time trends, and associated problems. JAMA 1992;267:2929-2931. https://doi.org/10.1001/jama.267.21.2929
  42. World Health Organization. Global status report on alcohol 2004. WHO. Department of Mental Health and Substance Abuse. Geneva, 2004.