Browse > Article
http://dx.doi.org/10.5392/JKCA.2016.16.07.552

Material Hardship and Alcohol Use among Low-income Households in South Korea  

Lee, Jaekyoung (창신대학교 사회복지학과)
Lee, RaeHyuck (순천향대학교 향설나눔대학)
Publication Information
Abstract
This study aimed to examine the association between material hardship and alcohol use among low-income households in Korea, with particular attention to whether the association was mediated by family conflict and self-esteem. Using a nationally representative sample of 960 low-income households, this study conducted a path analysis to test a structural model liking material hardship to alcohol use through family conflict and self-esteem. The significance of indirect paths was tested by a Sobel test. This study found that experiencing material hardship was directly associated with low levels of coping skills for family conflict and low levels of self-esteem, but not with alcohol use. However, material hardship was indirectly associated with alcohol use through low levels of coping skills for family conflict as well as low levels of self-esteem. The findings of this study suggest that experiencing material hardship among low-income households would be a socio-structural stressor for alcohol use, particularly in that it increases secondary role and intra-psychic strains. Implications to address material hardship and alcohol use among low-income households were discussed.
Keywords
Material Hardship; Alcohol Use; Family Conflict; Self-esteem; Low-income Households;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 서연숙, 중고령자의 사회경제적 지위에 따른 건강행위와 건강수준 연구, 가톨릭대학교 사회복지학과, 박사학위논문, 2011.
2 R. A. Miech, A. Caspi, T. E. Moffitt, B. E. Wright, and P. A. Silva, "Low socioeconomic status and mental disorders: A longitudinal study of selection and causation during young adulthood," American Journal of Sociology, Vol.104, No.4, pp.1096-1131, 1999.   DOI
3 C. Muntaner, W. W. Eaton, R. Miech, and P. O''Campo, "Socioeconomic position and major mental disorders," Epidemiologic Reviews, Vol.26, No.1, pp.53-62, 2004.   DOI
4 C. Lund, A. Breen, A. J. Flisher, R. Kakuma, J. Corrigall, J. A. Joska, L. Swartz, and V. Patel, "Poverty and common mental disorders in low and middle income countries: A systematic review," Social Science and Medicine, Vol.71, No.3, pp.517-528, 2010.   DOI
5 이상록, "빈곤층의 물질적 궁핍 실태와 영향요인분석," 한국사회복지학, 제42권, 제3호, pp.233-265, 2011.
6 C. M. Johnson, J. R. Sharkey, and W. R. Dean, "Indicators of material hardship and depressive symptoms among homebound older adults living in North Carolina," Journal of Nutrition in Gerontology and Geriatrics, Vol.30, No.2, pp.154-168, 2011.   DOI
7 J. S. Kim, S. Joyce, and R. H. Lee, "Material hardship and depression among low-income households in South Korea: Differences by household type," International Journal of Social Welfare, DOI: 10.1111/ijsw.12181, 2015.
8 L. I. Pearlin, M. A. Lieberman, E. G. Menaghan, and J. T. Mullan, "The stress process," Journal of Health and Social Behavior, Vol.22, No.4, pp.337-356, 1981.   DOI
9 R. Bales, "Cultural differences in rates of alcoholism," Quarterly Journal of Studies on Alcohol, Vol.6, pp.482-498, 1946.
10 J. M. Twenge and W. K. Campbell, "Self-esteem and socioeconomic status: A meta-analytic review," Personality and Social Psychology Review, Vol.6, No.1, pp.59-71, 2002.   DOI
11 허만세, "중년 여성의 음주문제와 자아존중감 사이의 인과관계 분석," 보건사회연구, 제3권, pp.201-227, 2012.
12 R. D. Conger and K. J. Conger, "Resilience in Midwestern families: Selected findings from the first decade of a prospective, longitudinal study," Journal of Marriage and Family, Vol.64, No.2, pp.361-373, 2002.
13 J. Dakin and R. Wampler, "Money doesn't buy happiness, but is helps: Marital satisfaction, psychological distress, and demographic differences between low- and middle-income clinic couples," American Journal of Family Therapy, Vol.36, No.4, pp.300-311, 2008.   DOI
14 송예리아, 김진영, "가족 요인에 따른 중년 남성의 음주 및 흡연," 보건교육건강증진학회지, 제30권, 제1호, pp.13-25, 2013.   DOI
15 R. J. Turner, "Understanding health disparities: The relevance of the stress process model," Society and Mental Health, Vol.3, No.3, pp.170-186, 2013.   DOI
16 A. Zilanawala and N. V. Pilkauskas, "Material hardship and child socioemotional behavior: Differences by types of hardship, timing, and duration," Children and Youth Services Review, Vol.34, pp.814-825, 2012.   DOI
17 K. Bush, D. R. Kivlahan, M. B. McDonell, S. D. Fihn, and K. A. Bradley, "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, Vol.158, pp.1789-1795, 1998.   DOI
18 A. J. Gordon, S. A. Maisto, M. McNeil, K. L. Kraemer, R. L. Conigliaro, M. E. Kelley, and J. Conigliaro, "Three questions can detect hazardous drinkers," Journal of Family Practice, Vol.5, pp.313-320, 2001.
19 도은영, 홍연란, "기초생활수급자의 문제음주정도에 영향을 미치는 요인," 한국콘텐츠학회논문지, 제14권, 제9호, pp.371-380, 2014.   DOI
20 전경숙, 이효영, "우리나라 남녀 성인의 폭음 및 문제음주 영향 요인," 보건교육건강증진학회지, 제27권, pp.91-103, 2010.
21 권현수, "노인 문제음주가 우울, 자아존중감을 매개로 삶의 만족도에 미치는 영향: 빈곤노인 및 비빈곤노인 집단에 대한 잠재평균분석의 적용," 한국노년학, 제29권, 제4호, pp.1521-1538, 2009.
22 M. H. Kernis and A. W. Paradise, "Distinguishing between secure and fragile forms of high self-esteem," pp.339-360, in Handbook of self-determination research, edited by Deci, E. L., and Ryan, R. M. Rochester, NY: University Of Rochester Press, 2002.
23 M. H. Kernis, D. P. Cornell, C. R. Sun, J. Berry, and T. Harlow, "There's more to self-esteem than whether it is high or low: The importance of stability of self-esteem," Journal of Personality and Social Psychology, Vol.65, No.6, pp.1190-1204, 1993.   DOI
24 E. L. Deci and R. M. Ryan, "Human agency: The basis for true self-esteem," pp.31-50, in Efficacy, agency, and self-esteem, edited by Kernis, M, New York: Plenum, 1995.
25 A. Georgia, Fragile high self-esteem and alcohol use, Doctoral dissertation, University of Georgia, USA, 2001.
26 V. Zeigler-Hill, W. B. Stubbs, and M. B. Madson, "Fragile self-esteem and alcohol-related negative consequences among college student drinkers," Journal of Social and Clinical Psychology, Vol.32, No.5, pp.546-567, 2013.   DOI
27 윤명숙, 김성혜, 채완순, "기초생활보장수급자들과 일반인의 문제음주와 정신건강 비교연구," 한국알코올과학회지, 제9권, 제2호, pp.13-26, 2008.
28 M. A. Winkleby, E. J. Darius, F. Erica, and P. F. Stephen, "Socioeconomic status and health: How education, income, and occupation contribute to risk factors for cardiovascular disease," American Journal of Public Health, Vol.82, pp.816-820, 1992.   DOI
29 W. C. Cockerham, 의료사회학(Medical Sociology), 박호진, 김경수, 안용항, 이윤수, 서울: 아카넷, 2004.
30 이용표, "알코올중독 기초생활보장 수급자와 일반수급자의 정신건강 특성 주관적 삶의 질 및 서비스 욕구에 관한 비교연구: 자활사업의 재활프로그램 대상자를 중심으로," 한국알코올과학회지, 제2권, 제2호, pp.5-12, 2001.
31 K. N. Mossakowski, "Is the duration of poverty and unemployment a risk factor for heavy drinking?," Social Science and Medicine, Vol.67, pp.947-955, 2008.   DOI
32 윤명숙, 빈곤과 알코올문제와 관련한 알코올상담센터의 역할, 국가 알코올사업의 활성화를 위한 정책 간담회 '빈곤과 알코올' 자료집, 국회의원 강명숙, 한국알코올상담센터, 2011.
33 S. Khan, R. P. Murray, and G. E. Barnes, "A structural equation model of the effect of poverty and unemployment on alcohol abuse," Addictive Behaviors, Vol.27, pp.405-423, 2002.   DOI
34 이해국, 빈곤과 알코올: 생물정신사회 통합적 관점과 개입체계 구축을 중심으로, 국가 알코올사업의 활성화를 위한 정책 간담회 '빈곤과 알코올' 자료집, 국회의원 강명숙, 한국알코올상담센터, 2011.
35 N. Mulia, L. Schmidt, J. Bond, L. Jacobs, and R. Korcha, "Stress, social support and problem drinking among women in poverty," Addiction, Vol.103, pp.1283-1293, 2008.   DOI
36 A. S. Linsky, J. P. Colby, and M. A. Straus, "Social stress, normative constraints and alcohol problems in American States," Social Science and Medicine, Vol.24, No.10, pp.875-883, 1987.   DOI
37 R. D. Conger, G. H. Elder Jr, F. O. Lorenz, K. J. Conger, R. L. Simons, L. B. Whitbeck, S. Huck, and J. N. Melby, "Linking economic hardship to marital quality and instability," Journal of Marriage and Family, Vol.52, No.3, pp.643-656, 1990.   DOI
38 T. Babor, R. Caetano, S. Casswell, G. Edwards, N. Giesbrecht, K. Graham, J. Grube, P. Cruenewald, L. Hill, H. Holder, R. Homel, E. Ostrberg, J. Rehm, R. Room, and I. Rossow, Alcohol: No Ordinary Commodity, NY: Oxford University Press, 2010.
39 L. White and S. J. Rogers, "Economic circumstances and family outcomes: A review of the 1990s," Journal of Marriage and Family, Vol.62, No.4, pp.1035-1051, 2000.   DOI
40 김재엽, "스트레스 및 알콜이 아내구타에 미치는 영향에 관한 연구-도시빈곤가구를 중심으로," 대한가정학회지, 제36권, 제10호, pp.103-118, 1998.
41 김기태, 알코올중독자의 회복훈련, 경기: 학지사, 2004.
42 최희수, 우리나라 기초생활보장 자활프로그램에서의 정신보건사회사업 개입 전략, 한국정신보건사회사업학회 2001년 추계학술대회, 2001.
43 김혜련, 사회계층 및 건강행위와 만성질환 유병과의 연관성 분석, 한양대학교 공중보건학과, 박사학위논문, 2002.
44 신명식, "한국 성인의 문제음주행태 관련요인 분석," 한국알코올과학회지, 제3권, 제1호, pp.111-130, 2002.
45 허만세, 손지아, "중년기 여성의 문제음주 변화와 자아존중감 변화의 종단적 관계에 대한 빈곤의 효과 검증," 정신보건과 사회사업, 제37권, 제4호, pp.89-116, 2011.
46 C. M. Heflin, "Dynamics of material hardship in the women's employment study," Social Service Review, Vol.80, No.3, pp.377-397, 2006.   DOI
47 J. Iceland and K. J. Bauman, "Income poverty and material hardship: How strong is the association?," The Journal of Socio-Economics, Vol.36, No.3, pp.376-396, 2007.   DOI
48 N. E. Adler and M. J. Ostrove, "Socioeconomic status and health: What we know and what we don't," Annals of the New York Academy of Sciences, Vol.896, pp.3-15, 1999.   DOI
49 김진희, 남녀 근로자의 사회경제적 지위에 따른 건강행위와 건강수준 분석, 연세대학교 간호학과, 박사학위논문, 2005.