청소년의 음주여부 및 문제음주에 영향을 미치는 요인: 2013 청소년 건강행태온라인조사를 활용하여

장동균 ( Dong Gune Chang ),김희선 ( Hee Sun Kim ),차승현 ( Seung Hyun Cha ),최현진 ( Hyeon Jin Choi ),이은환 ( Eun Whan Lee ) 경희대학교 경영연구원 2015 의료경영학연구 Vol.9 No.2

This study aims to explore the factors associated with drin king and problem drinking among Korean adolescents. The 2013 Youth Risk Behavior Web-based Survey (KYRBS) data was used. And logistic regression model was employed to investigate the risk factors of drinking and problem drinking. Our results show that sex, age, scholastic performance, pocket money, mental health and deviation factors are related to drinking and problem drinking. However, in the sex and educational background of their parents, the results were different from each other. In the case of drinking risk, boys are more likely to have a risk of drinking, whereas girls have more risk of problem drinking. Moreover, the educational background of their parents was risk factor in the risk of drinking whereas not in the problem drinking. These results deserve great attention, and the authorities need to keep it in perspective. It demonstrated that different health policies are essential for different outcomes, ie. the risk of drinking and problem drinking.

고위험 음주와 절주 시도에 영향을 미치는 도시환경요인

손창우,이선주 알코올과 건강행동학회 2023 알코올과 건강행동연구 Vol.24 No.1

Objectives: This study was conducted to analyze the relationship between urban environment, high-risk drinking, and moderate drinking attempts within the living radius by one district in Seoul, South Korea. We aimed to provide fundamental data for preventing high-risk drinking among city residents and establishing an environment promoting moderate drinking. Methods: Physical environmental factors that affect high-risk drinking and sobriety were analyzed using data from the Community Health Survey and administrative data from 2012 to 2016 with one district located in the southeastern part of Seoul as the subject of the study. After adjusting for personal characteristics such as gender, age, income, and stress, a spatial logistic regression analysis was performed on the physical environment affecting drinking within a 1km radius of living. Results: The probability of not having high-risk drinking increased as the distance between chicken restaurants, pubs, and convenience stores within 1km of the living radius increased. For men, the probability of high-risk drinking was lower as the distance from the chicken restaurants, pubs, or convenience stores increased, and no relationship was found with density. For women, the density of chicken restaurants and convenience stores was related to high-risk drinking. In the case of moderate drinking attempts by high-risk drinkers, the probability of moderate drinking attempts increased as the distance from the chicken restaurants increased, and the probability of moderate drinking attempts decreased as the density of convenience stores increased and the distance from the public health center increased. Conclusions: To promote public health, continuous efforts are required to prevent high-risk drinking and establish a urban environment that encourages moderate drinking. This involves collaborating with community resources, improving citizen awareness, and creating a health-friendly environment.

A Study of High-Risk Drinking Patterns Among Generations Based on the 2009 Korea National Health and Nutrition Examination Survey

홍영선,천성수,윤미은,Lydia Sarponmaa Asante,주재신 질병관리본부 2014 Osong Public Health and Research Persptectives Vol.5 No.1

Objectives: The aim of this study was to identify how the drinking patterns of a generation on the paternal side affect those of the next generations by estimating the number of high-risk drinkers by generation according to the Alcohol Use Disorder Identification Test. Methods: Data were selected from the 2009 Korea National Health and Nutrition Examination Survey conducted by the Korea Centers for Disease Control and Prevention and were analyzed using SPSS 18.0. Results: Later generations started drinking earlier (62.4%, 71.8% and 91.1%, respectively). Themajority of the second generation consumedmore than 2e4 drinks a month (83.7%), but only a small proportion experienced difficulty in everyday life (9.6%), felt repentance (9.6%), or experienced memory loss (17.9%) after drinking. Unmarried third-generation adults with high-risk-drinking fathers reported more frequent alcohol consumption [odds ratio (OR) 1.441), greater amounts on one occasion (>7 cups for men, OR 1.661; > 5 cups for women, OR 2.078), temperance failure (OR 2.377), and repentance after drinking (OR 1.577). Unmarried thirdgeneration adults with high-risk-drinking grandfathers consumed greater amounts of alcohol on one occasion (OR 3.642), and unmarried third-generation women more frequently consumed large amounts of alcohol (>5 cups, OR 4.091). Unmarried thirdgeneration adultswith high-risk-drinking fathersweremore likely to exhibit high-risk drinking patterns (OR 1.608). Second-generation individuals froma high-risk-drinking first generation were more likely to engage in high-risk drinking (OR 3.705). Conclusion: High-risk drinking by a generation significantly affects the high-risk drinking patterns of subsequent generations.

대학생의 위험 음주 행동과 건강증진요인, 안전의식수준 간의 관련성

김영복 알코올과 건강행동학회 2020 알코올과 건강행동연구 Vol.21 No.2

Objectives: This study analyzed the association with risk drinking behaviors, health promotion factors, and safety awareness levels among college students. Methods: The data was collected from 2,713 college students by the health and safety survey. It examined the association between health-related factors and risk drinking behavior, such as high-risk drinking, monthly binge drinking, and alcohol use disorder, by multiple logistic regression. Results: The factors affecting high-risk drinking, monthly binge drinking, and alcohol use disorder among college students were age, breakfast eating, current smoking, and life safety awareness. Risk drinking behavior was the higher rate in the group between 19~20 years old or the 1st to 2nd grade. Risk drinking behaviors were related to breakfast eating, current smoking, physical activity, and life safety consciousness level. The high rate of monthly binge-drinking rate among female students is a very remarkable result. Conclusion: Health promotion of college students is an essential task as it affects their adaptation to university life and academic achievement. It should establish campus-based university health and safety policies to prevent the risk of drinking.

성인음주자의 특성에 따른 고위험음주행위 분석 연구

최은진,김창우 알코올과 건강행동학회 2007 알코올과 건강행동연구 Vol.8 No.-

The purpose of this study was to analyse factors associated with high risk drinking among Korean adult drinkers. The high risk drinking terminology was used to describe the drinking behavior that consumes 7 or more drinks of alcohol for a male, and 5 or more drinks of alcohol for a female. The standard drink was based on the popular Korean alcoholic beverage called "Soju". A telephone survey was conducted in October, 2005. A sample of 1,000 persons (500 males and 500 females) who have had at least one drink during the previous one year was collected. Males were more likely than females to have drinks weekly. About 40.8% of female drinkers were monthly drinkers. The average amount of alcohol consumption in a day was 8.1drinks for males and 3.4 drinks for females. The average drinks doubled for both a male and a female when he/she felt he/she got drunk. About 50.2% of females were monthly high risk drinkers. For male drinkers, 42.4% of them were engaged in high risk drinking weekly. For the Korean drinkers, major reason to consume alcohol was to maintain social relations(77.5%). On th other hand, the amount of alcohol consumption increases when they drink alcohol on a business occasion(9.7 average drinks for a male). High risk drinking was closely related to business matters. This kind of situation prevent drinkers from moderate drinking or refusal of drinking. Amount of alcohol consumption was significantly and positively related to body mass index (BMI). A regression analysis showed that frequency, amount of drinking, and CAGE were significantly related to high risk drinking. With the variables of BMI and regular physical activity included, the adjusted R square was .603 in the model of the regression analysis.

적정음주에 대한 의학적 접근

이정태 대한보건협회 2000 대한보건연구 Vol.26 No.4

It is definitely necessary to define and establish "moderate drinking" in our society, in which people has the typical habits and culture of over-drinking in its societal level, and there are lots of problem drinkers, even alcohol abusers and addicts. However, moderate drinking is difficult to define, because it has different meanings to different people and different situation. At first, I tried to compare the various concepts similar to "moderate drinking", which include social drinking, healthy drinking, moral drinking, appropriate drinking, low risk or risk-free drinking, safe drinking, and controlled drinking. Then I reviewed standards of moderate drinking that were suggested by several authors or researchers. Next, through the review of the various results of previous studies on moderate drinking, I provided the benefits and harms of moderate drinking. The benefits include psychiatric or emotional ones, effects of decreasing cardiovascular diseases, protective effects against ischemic strokes, tendencies on preventing the osteoporosis in postmenopausal women, literature, and the effects of comparative longevity. The risks of moderate drinkings are consisted with increasing motor vehicle crashes, risks of interactions with medications, even OTC drugs, some evidences of increased risk for certain cancers, and the harmful effects on fetus. Also I stressed the risk that the recovering alcoholics could easily change into abusive drinkers due to even the amount of alcohol in moderate drinking. Finally, author suggested the standard of alcohol amount of moderate drinking, which seemed to be appropriate to our society.

우리나라 시군구의 고위험 음주율 시공간분포 특성 분석

김예은 ( Kim Yea-eun ),박종호 ( Park Jong-ho ) 한국보건사회연구원 2021 保健社會硏究 Vol.41 No.3

본 연구는 고위험 음주율의 시공간분포 특성 분석을 통해 고위험 음주율이 높은 지역을 찾아내고, 국가 및 지역사회 중심의 효율적이고, 효과적인 고위험 음주율 관리 방안을 제시하기 위해 수행되었다. 본 연구를 위해 2008~2020년까지 13년간의 질병관리청 시군구별 고위험 음주율 자료를 이용하였으며, ArcGIS pro 2.6.0의 공간자기상관성분석(spatial autocorrelation analysis), 발생 핫스팟 분석(emerging hotspot analysis), 포레스트 기반 시계열 예측 분석(Forest-based time series forecast analysis)을 이용하여 243개 시군구를 대상으로 고위험 음주율의 시공간분포 특성을 분석하였다. 공간자기상관성분석 결과 2008년부터 2020년까지 고위험 음주율의 시군구 단위 고위험 음주율은 매년 공간적·지역적으로 군집하고 있었으며, 발생 핫스팟 분석 결과 국가 차원의 고위험 음주율 관리가 가장 우선적으로 시행되어야 할 강화형 핫스팟, 영구형 핫스팟 지역은 강원도 횡성군, 영월군, 강릉시, 동해시, 삼척시, 평창군, 정선군으로 나타났다. 고위험 음주율 관리는 고위험 음주율이 높은 일개 시군구 차원의 관리가 아니라 고위험 음주율이 높게 군집하고 있는 지역들을 대상으로 국가 및 시도 차원의 적극적인 관리가 필요하며, 고위험 음주율이 높게 군집하고 있는 시군구 간 고위험 음주율을 관리를 위한 거시적 전략 마련 및 업무 협력 등이 필요하다. An effective and efficient intervention to prevent high-risk drinking is required at the national and regional levels as high-risk drinking has become more prevalent and problematic in men and women of of all ages. This study examined the spatial and temporal patterns of high-risk drinking and suggested a community-based public health intervention strategy. We utilized the high-risk drinking rates from 2008 to 2020 for 243 regions in Korea using data from Korea Centers for Disease Control and Prevention. To analyze the spatio-temporal patterns of high-risk drinking rates, spatial autocorrelation analysis of ArcGIS pro 2.6.0, emerging hotspot analysis, and Forest-based time series forecast analysis were performed. The spatial autocorrelation analysis revealed the regional clusters of high-risk drinking rates for every year from 2008 to 2020. The specific regions where interventions may be required as their priority were identified by emerging hotspot analysis; intensifying hotspots and persistent hotspots included Hoengseong-gun, Yeongwol-gun, Gangneung-si, Donghae-si, Samcheok-si, Pyeongchang-gun, Jeongseon-gun in Gangwon-do. The results highlight the importance of considering regional clusters for the management of high-risk drinking. For better interventions on high-risk drinking, public health strategy and cooperation at both the national and local levels should be enhanced by concentrating limited manpower and resources.

한국 여성의 고위험 음주 영향요인 분석 -위계적 회귀분석을 이용하여-

이정욱(Jeong Wook Lee) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.5

본 연구는 여성의 고위험 음주에 관한 영향요인을 분석하고자 시도되었다. 본 연구는 제7기 국민건강영양조사자료를 활용하였으며, 연구대상자는 만 19세 이상 여성 3,619명이었다. 자료 분석을 위해 대상자를 국민건강영양조사의 고위험 음주율 지표에 따라 일반음주여성과 고위험음주여성으로 구분하여 인구사회학적 특성, 신체건강관련 특성, 정신건강관련특성의 차이 및 고위험음주 영향요인을 파악하였다. 자료 분석은 IBM SPSS 25.0 프로그램을 이용하여 복합표본설계를 적용하였다. 연구결과, 우리나라 여성의 고위험 음주율은 8.8%로 나타났고, 고위험 음주의 영향요인은 20대부터 40대까지의 낮은 연령, 흡연을 하는 경우, 우울감을 경험한 경우로 나타났다. 특히 흡연과 우울감 여부는 고위험 음주에 대한 위험도를 각 4.5배[(95% confidence interval(CI)=2.804-7.372, p<0.001)], 7.0배[(95% confidence interval(CI)=2.918-16.855, p<0.001)] 높이는 것으로 나타나 중요한 위험요인인 것으로 분석되었다. 또한, 고위험 음주여성의 음주시작연령이 15세에서 19세에서 높은 비율로 나타나 청소년기와 초기 성년기 여성 대상의 음주 교육 프로그램의 개발 및 시행이 시급함을 시사하고 있다. 상기와 같은 본 연구의 결과는 여성 고위험 음주율을 낮추기 위한 보건정책 및 건강증진 프로그램에 활용 될 수 있을 것으로 기대된다. This study was undertaken to identify factors that influence high-risk drinking among women. Seventh National Health and Nutrition Survey data were used, and 3,453 women aged 19 or older were studied. Subjects were divided into general and high-risk drinking groups according to high-risk drinking rate indicators, and these groups were compared to identify demographic and sociological characteristics, differences in health-related characteristics, and factors associated with high-risk drinking. The data analysis was performed using IBM SPSS 25.0. The analysis showed 8.8% of the cohort were high-risk drinkers, and that rates of high-risk drinking were higher among women in their 20s to 30s, smokers, and those with experience of depression. In particular, smoking, and depression were associated with a 4.5 [(95% confidence interval (CI)=2.804-7.372, p<0.001)] and 7.0-fold [(95% CI=2.918-16.855, p<0.001)] increases in rates of high-risk drinking. In addition, the risk of high-risk drinking was high among 15- to 19-year-olds, which indicates an urgent need to develop and implement drinking education programs for women in adolescence and early adulthood. We expect the results of this study to be used to create health policies and health promotion programs aimed at reducing the high-risk drinking rate among women.

한국 성인의 문제 음주 유병률 및 위험요인

박혜진(Hyejin Park) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.1

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 문제음주에 대한 개선 및 적절한 음주 소비를 위한 다양한 음주관리 보건정책 및 건강증진 프로그램에 활용될 수 있을 것이다. The purpose of this study is to evaluate the prevalence and related risk factors of problem drinking in the Korean adult population. Participants (n=7,867) aged 19 years or older were selected from the Korea National Health and Nutrition Examination Survey [KNHANES] of 2007-2008. Sociodemographic characteristics and AUDIT score were obtained from the KNHANES dataset. AUDIT scores were categorized into three groups, including low risk, intermediate risk, and high-risk alcohol drinking according to WHO guidelines. In this study, the prevalence of high-risk and intermediate-risk alcohol drinking were 12.2% and 21.0%, respectively. Adjusted mean AUDIT score was higher in men, younger individuals, as well as those with lower education levels and those that smoked. Results revealed that demographic variables, including sex, age, education level, and smoking, were important factors affected high-risk drinking. In particular, since smoking was the most significant risk factor, the adjusted odds ratio for high-risk drinking among participants that smoked was 4.78 [(95% confidence interval (CI)=3.75-6.10, p<.0001)]. This study suggests that men, younger age, low educational level, and smoking are the risk factors for a high-risk alcohol drinking.

효율적인 적정음주기준의 개발

이해국(Hae-Kook Lee),이정태(Chung-Tai Lee),권용실(Yong-Sil Kweon) 한국중독정신의학회 2006 중독정신의학 Vol.10 No.2

Alcohol consumption has been associated with favorable as well as adverse health effects. Alcohol is an addictive substance, therefore some individuals who drink alcoholic beverages develope alcoholism and others experience various alcohol problems. We have a permissive cultural background to alcohol drinking, so the prevalence of alcoholism and alcohol problems are generally high. Therefore, it is needed to develope effective guideline for moderate drinking to prevent drinking related harm. Many countries have moderate drinking guidelines to prevent heavy drinking and drinking related harm. Generally, guidelines recommend 35-50 gram of alcohol as a tolerable level of daily consumption. But, developing and application of guidelines are very carefully considered because even small amount of alcohol can cause various risk by individual’s vulnerabilities and different sociocultural background. And, it is not recommended that the abstinences start drinking to obtain health effect of moderate drinking. We reviewed some drinking guidelines of other countries, and suggested several principles of conducting moderate drinking guidelines. First, considering our permissive legal and cultural environment, we need a more strict guidelines. Second, to developing effective drinking guidelines, the efforts to increase public awareness of drinking related harm need to be conducted. Third, the intensive researches which is related to pharmcokinetics and toxic effects of alcohol in Korean should be followed.