DOI QR코드

DOI QR Code

A convergence study on sex differences in association between age at drinking onset and BMI

음주시작연령과 BMI의 연관성에 대한 융복합 연구: 성별 차이를 중심으로

  • Heo, Min-Hee (Department of Health Administration, Yonsei University) ;
  • Jang, Ha-Eun (Department of Healthcare Management, Eulji University) ;
  • Jeong, Yun-Ji (Division of Health Administration, Yonsei University) ;
  • Noh, Jin-Won (Division of Health Administration, Yonsei University)
  • 허민희 (연세대학교 일반대학원 보건행정학과) ;
  • 장하은 (을지대학교 의료경영학과) ;
  • 정윤지 (연세대학교 보건행정학부) ;
  • 노진원 (연세대학교 보건행정학부)
  • Received : 2022.01.11
  • Accepted : 2022.02.20
  • Published : 2022.02.28

Abstract

This study aims to explore the relationship between onset drinking age and the current Body Mass Index (BMI) level stratified by sex. This study used the data of Korea Community Health Survey (KCHS) 2019, of which 206,987 participants included in study populations for multivariable binomial logistic regression model. The study results show the evidence that the early age of onset alcohol consumption had significantly associated with abnormal BMI status in adult male. These results could be explained by high alcohol consumption and sex difference in social atmosphere which encourages men to drink more. Our findings suggest the need to prevent problem drinking for reducing the long-term side effects of health.

본 연구는 성별에 따른 음주시작연령과 BMI 간의 상관관계를 파악하여 청소년기 음주행태와 성인기의 건강과의 관계에 대해 고찰하고자 한다. 본 연구는 2019년 지역사회건강조사를 활용하여 206,987명의 연구대상자를 대상으로 이분형 로지스틱 회귀분석을 실시하였다. 연구결과, 음주시작연령이 성인기 이전인 경우 성인 남성의 BMI가 비정상일 오즈값이 통계적으로 유의미하게 높았다. 이러한 연구결과는 남성의 높은 알코올 소비량과 음주에 대한 성별에 따른 차별적인 음주문화 때문인 것으로 설명할 수 있다. 본 연구는 성인기 이전의 조기음주가 야기할 수 있는 한시적인 어려움이 아닌 장기적인 건강 부작용 측면을 다룸으로써 자발적인 문제성 음주를 예방의 필요성을 강조하였다.

Keywords

References

  1. OECD. (2015). Tackling Harmful Alcohol Use: Economics and Public Health Policy. OECD Publishing, DOI : 10.1787/9789264181069-en
  2. M. Y. Im & S. Y. Lee. (2015). Risk Factors for Heavy Episodic Drinking among Korean Adults: Differences by Gender and Age. Journal of Korean Academic Society of Home Health Care Nursing, 22(2), 265-279. UCI : G704-SER000009889.2015.22.2.009
  3. OECD. OECD.stat. https://stats.oecd.org
  4. G. S. Jeon & H. Y. Lee. (2010). Associated factors of binge drinking and problem drinking among Korean men and women. Korean Journal of Health Education and Promotion, 27(1), 91-103.
  5. World Health Organization. (2010). Global strategy to reduce the harmful use of alcohol. http://www.who.int/substance_abuse/activities/gsrhua/en/
  6. D. A. Dawson, B. F. Grant & W. J. Ruan. (2005). The association between stress and drinking: modifying effects of gender and vulnerability. Alcohol and alcoholism, 40(5), 453-460. DOI : 10.1093/alcalc/agh176
  7. E. J. Marshall. (2014). Adolescent alcohol use: risks and consequences. Alcohol and alcoholism, 49(2), 160-164. DOI : 10.1093/alcalc/agt180
  8. C. H. Wiefferink, L. Peters, F. Hoekstra, G. Ten Dam, G. J. Buijs & T. G. Paulussen. (2006). Clustering of health-related behaviors and their determinants: possible consequences for school health interventions. Prevention Science, 7(2), 127. DOI : 10.1007/s11121-005-0021-2
  9. 「Youth Protection Act」. Article 28(1).
  10. Ministry of Health and Welfare, Korea Health Promotion Institute. (2017). Harm reduction guide: Guide of environment for preventing youth drinking. https://www.khealth.or.kr/kps/publish/view?menuId=MENU00891&page_no=B2017004&pageNum=1&siteId=&srch_text=&srch_cate=32&srch_type=ALL&str_clft_cd_list=&str_clft_cd_type_list=&board_idx=10053
  11. K. Lee, J. Y. Kim, S. Choi, S. R. Lee & Y. K. Han. (2012). A study of adolescent smoking and drinking and Policy Measures. Seoul: National Youth Policy Institute. https://www.nkis.re.kr:4445/subject_view1.do?otpId=NYPI00021494&otpSeq=0&popup=P
  12. C. H. Lee. (2019). Regulations(Sanctions) on Drinking and Smoking for Youth Protection -It's the Present and Future-. Korean Juvenile Protection Review, 32, 207-243. DOI : 10.35930/KJPR.32.2.7
  13. M. S. Heo. (2018). Problems and improvements in regulation of youth smoking related problems. National Assembly Research Service, 33. https://www.nars.go.kr/report/view.do?cmsCode=CM0155&brdSeq=24252
  14. G. Bray, K. Kim, J. Wilding & W. O. Federation. (2017). Obesity: a chronic relapsing progressive disease process. A position statement of the World Obesity Federation. Obesity reviews, 18, 715-723. DOI : 10.1111/obr.12551
  15. M. Kivimaki et al. (2017). Overweight, obesity, and risk of cardiometabolic multimorbidity: pooled analysis of individual-level data for 120 813 adults from 16 cohort studies from the USA and Europe. The Lancet Public Health, 2, e277-e285. DOI : 10.1016/S2468-2667(17)30074-9
  16. F. Aberg & M. Farkkila. (2020). Drinking and obesity: alcoholic liver disease/nonalcoholic fatty liver disease interactions. In Proceedings of the Seminars in liver disease, 154-162. DOI : 10.1055/s-0040-1701443
  17. H. Hagstrom, P. Tynelius & F. Rasmussen. (2018). High BMI in late adolescence predicts future severe liver disease and hepatocellular carcinoma: a national, population-based cohort study in 1.2 million men. Gut, 67, 1536-1542. DOI : 10.1136/gutjnl-2016-313622
  18. A. Rosiek, N. F. Maciejewska, K. Leksowski, A. Rosiek-Kryszewska & L. Leksowski. (2015). Effect of television on obesity and excess of weight and consequences of health. International journal of environmental research and public health, 12, 9408-9426. DOI : 10.3390/ijerph120809408
  19. OECD. Obesity and the Economics of Prevention: Fit not Fat-Korea Key Facts. https://www.oecd.org/els/health-systems/obesityandtheeconomicsofpreventionfitnotfat-koreakeyfacts.htm
  20. G. Traversy & J. P. Chaput. (2015). Alcohol consumption and obesity: an update. Current obesity reports, 4, 122-130. DOI : 10.1007/s13679-014-0129-4
  21. L. Wang, I. M. Lee, J. E. Manson, J. E. Buring & H. D. Sesso. (2010). Alcohol consumption, weight gain, and risk of becoming overweight in middle-aged and older women. Archives of internal medicine, 170, 453-461. DOI : 10.1001/archinternmed.2009.527
  22. U. Booranasuksakul, A. Singhato, N. Rueangsri & P. Prasertsri. (2019). Association between alcohol consumption and body mass index in university students. Asian/Pacific Island Nursing Journal, 4, 57. DOI : 10.31372/20190401.1035
  23. R. Hanewinkel et al. (2012). Alcohol consumption in movies and adolescent binge drinking in 6 European countries. Pediatrics, 129, 709-720. DOI : 10.1542/peds.2011-2809
  24. J. McCambridge, J. McAlaney & R. Rowe. (2011). Adult consequences of late adolescent alcohol consumption: a systematic review of cohort studies. PloS Medicine, 8, e1000413. DOI : 10.1371/journal.pmed.1000413
  25. C. Carbia, F. Cadaveira, F. Caamano-Isorna, S. Rodriguez-Holguin & M. Corral. (2017). Binge drinking during adolescence and young adulthood is associated with deficits in verbal episodic memory. PLoS One, 12, e0171393. DOI : 10.1371/journal.pone.0171393
  26. Y. S. Choi. (2017). Drinking conditions of adolescents; Korea Youth Risk Behavior Web-based Survey. Journal of the Korea Academia-Industrial cooperation Society, 18, 186-192. DOI : 10.5762/KAIS.2017.18.9.186
  27. B. D. Bana, J. J. Kim, J. M. Tamanal & S. H. Kim. (2021). Sexual Experience, Suicidal Behaviors and Depression Association, and Its Tendency to Lead to Smoking and Alcohol Consumption among Korean Adolescents. Asian Journal of Humanities and Social Studies, 9. DOI : 10.24203/ajhss.v9i4.6744
  28. S. Han, E. So & E. J. Choi. (2018). The Effects of the Age of Early Drinking on Heavy Drinking and Drunk Driving by Gender in Korea Adults: The Seventh Korea National Health and Nutrition Examination Survey(VII-1, 2016). The Journal of Humanities and Social science 21, 9, 1067-1082. DOI : 10.22143/HSS21.9.4.75
  29. J. J. Lee et al. (2014). Factors affecting drinking behavior according to age and gender. J Korean Soc Biol Ther Psychiatry, 20(1), 54-62. UCI : G704-001697.2014.20.1.006
  30. Community Health Service. https://chs.kdca.go.kr/chs/index.do
  31. Korean society for the study of obesity. Common sense of obesity. http://general.kosso.or.kr/html/?pmode=obesityDiagnosis
  32. H. R. Ahn. (2015). Factors associated with intention to quit smoking in community-dwelling male adult smokers. Journal of Korean Academy of Community Health Nursing, 26, 364-371. DOI : 10.12799/jkachn.2015.26.4.364
  33. J. D. Kim, M. Y. Jung, K. B. Kim & J. W. Noh. (2016). Effect of social and economic levels of adult women on anxiety and depression symptoms. The Journal of the Korea Contents Association, 16(8), 29-38. DOI : 10.5392/JKCA.2016.16.08.029
  34. T. Pitkanen, A. L. Lyyra & L. Pulkkinen. (2005). Age of onset of drinking and the use of alcohol in adulthood: a follow-up study from age 8-42 for females and males. Addiction, 100, 652-661. DOI : 10.1111/j.1360-0443.2005.01053
  35. N. Afitska, M. Plant, I. Weir, P. Miller & M. Plant. (2008). The relationship between teenage 'binge'drinking, age of first alcohol consumption and intoxication. Journal of Substance Use, 13, 205-218. DOI : 10.1080/14659890701740663
  36. C. Sayon-Orea, M. A. Martinez-Gonzalez & M. Bes-Rastrollo. (2011). Alcohol consumption and body weight: a systematic review. Nutrition reviews, 69, 419-431. DOI : 10.1111/j.1753-4887.2011.00403.x
  37. M. M. Bergmann et al. (2011). The association of lifetime alcohol use with measures of abdominal and general adiposity in a large-scale European cohort. European journal of clinical nutrition, 65, 1079-1087. DOI : 10.1038/ejcn.2011.70
  38. A. Erol & V. M. Karpyak. (2015). Sex and gender-related differences in alcohol use and its consequences: Contemporary knowledge and future research considerations. Drug and alcohol dependence, 156, 1-13. DOI : 10.1016/j.drugalcdep.2015.08.023
  39. R. O. De Visser & E. J. McDonnell. (2012). 'That's OK. He's a guy': A mixed-methods study of gender double-standards for alcohol use. Psychology & health, 27, 618-639. DOI : 10.1080/08870446.2011.617444
  40. M. H. Eisenberg & C. C. Fitz. (2014). "Drunkorexia": Exploring the who and why of a disturbing trend in college students' eating and drinking behaviors. Journal of American college health, 62, 570-577. DOI : 10.1080/07448481.2014.94799
  41. A. E. Barry, S. Whiteman., A. K. Piazza-Gardner, A. C. Jensen. (2013). Gender differences in the associations among body mass index, weight loss, exercise, and drinking among college students. Journal of American college health, 61, 407-413. DOI : 10.1080/07448481.2013.823973
  42. M. H. Kwon, B. Han, S. J. Cho & J. H. Cho. (2021). Analysis of Body Fat Mass Index for Korean Adults. Korean Journal of Family Practice, 11(1), 81-85. DOI : 10.21215/kjfp.2021.11.1.81
  43. M. Ebrahimi-Mameghani, J. Scott, G. Der, M. Lean & C. Burns. (2008). Changes in weight and waist circumference over 9 years in a Scottish population. European journal of clinical nutrition 2008, 62, 1208-1214. DOI : 10.1038/sj.ejcn.1602839
  44. W. Droyvold et al. (2006). Change in height, weight and body mass index: Longitudinal data from the HUNT Study in Norway. International journal of obesity, 30, 935-939. DOI : 10.1038/sj.ijo.0803178
  45. J. Proietto. (2017). Obesity and weight management at menopause. Australian family physician, 46, 368-370. https://search.informit.org/doi/10.3316/informit.846997418243933
  46. D. Y. Kim & K. S. Lee. (2015). Gender Difference in the Relationship between Marital Status and Obesity: Propensity Score Matching Approach. The Korean Journal of Health Economics and Policy, 21, 27-47. UCI : G704-001714.2015.21.2.002
  47. L. A. Klos & J. Sobal. (2013). Weight and weddings. Engaged men's body weight ideals and wedding weight management behaviors. Appetite, 60, 133-139. DOI : 10.1016/j.appet.2012.09.031
  48. C. W. Chung, H. Kim & H. Kim. (2016). Body weight changes and lifestyle in women within 1 year after childbirth. Perspectives in Nursing Science, 13(2), 88-95. DOI : 10.16952/pns.2016.13.2.88
  49. E. Paek & J. Kim. (2013). The relationship between educational attainment and obesity among Korean adults: focusing on age variations. Korean journal of health education and promotion, 30(5), 91-100. DOI : 10.14367/kjhep.2013.30.5.091
  50. M. H. Jung, G. H. Seok & H. S. Park. (2012). The Relationship between Existence of Spouses and Obesity for Korean Adults. The Journal of The Korea Institute of Electronic Communication Sciences, 8, 679-685. DOI : 10.13067/JKIECS.2012.7.3.679
  51. H. Park, C. Park, S. Oh & H. Yoo. (2008). Prevalence of obesity and metabolic syndrome in Korean adults. Obesity Reviews, 9, 104-107. DOI : 10.1111/j.1467-789X.2007.00421.x
  52. Seeley. R. J & Sandoval. D. A. (2011). Weight loss through smoking. Nature, 475(7355), 176-177. DOI : 10.1038/475176a
  53. P. Poirier et al. (2006). Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss: an update of the 1997 American Heart Association Scientific Statement on Obesity and Heart Disease from the Obesity Committee of the Council on Nutrition, Physical Activity, and Metabolism. Circulation, 113, 898-918. DOI : 10.1161/CIRCULATIONAHA.106.171016
  54. H. K. Kwak, M. Y. Lee & M. J. Kim. (2011). Comparisons of body image perception, health related lifestyle and dietary behavior based on the self-rated health of university students in Seoul. Korean Journal of Community Nutrition, 16(6), 672-682. DOI : 10.5720/kjcn.2011.16.6.672
  55. H. Fonseca et al. (2010). Validity of BMI based on self-reported weight and height in adolescents. Acta Paediatrica, 99, 83-88. DOI : 10.1111/j.1651-2227.2009.01518.x