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The effects of drinking motives, refusal self-efficacy, and outcome expectancy on high risk drinking

남자대학생의 음주 동기, 음주거절효능감, 음주결과기대가 고위험음주에 미치는 영향

  • Lee, Eun Kyung (College of Nursing, The Research Institute of Nursing Science, Catholic University of Daegu) ;
  • Park, Jin-Hwa (College of Nursing, The Research Institute of Nursing Science, Catholic University of Daegu)
  • 이은경 (대구가톨릭대학교 간호대학 & 간호과학연구소) ;
  • 박진화 (대구가톨릭대학교 간호대학 & 간호과학연구소)
  • Received : 2016.04.20
  • Accepted : 2016.07.22
  • Published : 2016.07.31

Abstract

The purpose of this study was to examine if high risk drinkers are different from normal drinkers in terms of drinking motives, drinking refusal self-efficacy, and alcohol outcome expectancy. A total of 139 university male students in D area completed a self-reporting questionnaires to assess general characteristics, drinking motives, drinking refusal self-efficacy, alcohol outcome expectancy, and amount of drinking. The subjects were divided into high risk drinking and normal drinking based on a CDC guideline. The results of study show that high risk drinking group has higher odds for current smoking (adjusted OR=2.95, 95% CI [1.08, 8.05]), psychology major (adjusted OR=3.79, 95% CI [1.05, 13.71]), and enhancement motives (adjusted OR=2.64, 95% CI [1.15, 6.09]), whereas lower odds for junior grade (adjusted OR=0.21, 95% CI [0.05, 0.96]) and drinking refusal self-efficacy in social pressure (adjusted OR=0.42, 95% CI [0.24, 0.73]). The results suggest that drinking educational nursing intervention and smoking cessation program for university students are necessary to prevent high risk drinking effects.

본 연구는 남자 대학생을 대상으로 음주 동기, 음주거절효능감, 음주결과기대 및 고위험음주의 관계를 파악하고 고위험음주에 미치는 영향 요인을 분석하기 위하여 시도되었다. 본 연구의 대상자는 D광역시 소재 4년제 대학에 재학 중인 남자대학생으로 본 연구의 목적을 이해하고 연구 참여를 동의한 139명이었다. 구조화된 설문지로 일반적 특성, 음주 동기, 음주거절효능감, 음주결과기대, 음주량을 통한 고위험음주를 측정하였다. 연구결과 학년, 학과, 흡연 상태, 음주 동기 하위 영역 중 고양 동기, 음주거절효능감 하위 영역 중 사회적 압력 상황에서 음주거절효능감이 고위험음주에 영향을 주는 것으로 확인되었다. 대학생을 위한 고위험음주 예방을 위한 중재 전략을 수립할 때 학과별 특성을 고려한 맞춤형 교육이 필요하며 흡연 관리가 포함되어야 할 것이다. 고위험음주에 유의한 영향을 미치는 흡연에 대한 금연교육과 함께 음주로 인해 발생할 수 있는 부정적 측면에 대한 교육과 건전한 방법으로 정서를 조절하는 전략이 요구된다.

Keywords

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