• Journal of Trauma and Injury
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• 제22권2호
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• pp.233-241
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• 2009

Purpose: Alcohol is a major risk factor for injuries, but little is known about the relationship between chronic drinking pattern and injuries. The purpose of this study was to evaluate the incidence of alcohol-related injuries and the differences in the characteristics of the injuries between Alcohol Use Disorder Identification Test (AUDIT) categories. Methods: Among a representative sample of the third Korea National Health and Nutrition Examination Survey. 7,697 adults answered questions about injuries, drinking patterns, and socioeconomic status. Incidences of alcohol-related injuries and of non-alcohol-related injuries were calculated, and the relative ratio of injuries between AUDIT categories was analyzed. Results: The incidences of all injuries and alcohol-related injuries were 69.2 and 6.8 per 1000 person-year. After adjustment, the incidences of non-alcohol-related injuries showed no differences between AUDIT categories. But the adjusted relative ratios (RRs) of alcohol-related injuries were 3.73 (95% CI: 1.54~8.99) and 7.70 (95% CI: 3.61~16.44) for risk drinkers and for alcohol-dependent drinkers respectively. No specific body part could be identified as being frequently injured in cases of risk drinkers and alcohol-dependent drinkers. In contrast, the adjusted RRs of fractures, bruises, and open wounds were 1.76 (95% CI: 1.03~3.02), 1.73 (95% CI: 1.15~2.61), and 1.85 (95% CI: 1.17~2.93) for alcohol-dependent drinkers. Assaults occurred 4.66 times more frequently in alcohol-dependent drinkers. Conclusion: Alcohol-related injuries occur more frequently as the person becomes more dependent on alcohol. Fractures, Bruises, open wounds, and assaults occur more frequently in alcohol-dependent drinker. This study suggests that efforts should be carried out in the ED to screen and treat alcohol-use disorders associated with patients injured after drinking.

• 성인간호학회지
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• 제28권6호
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• pp.609-618
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• 2016

Purpose: The purpose of this study was to investigate the combined influence of smoking and alcohol drinking on suicidal ideation and attempts among Korean adults. Methods: This cross sectional study used secondary data from the Korean National Health and Nutrition Examination Survey (KNHANES) from 2008 to 2011. A total of 13,064 adults were included in the study. Logistic regression was used to analyze the combined influence of smoking and alcohol drinking on suicidal ideation and attempts. Results: Persons who smoke and use alcohol were more likely to report suicidal ideation and attempts than those who did not smoke and reported normal drinking. The group who reported both smoking and harmful drinking/alcohol had significantly higher incidence of suicidal ideation and attempts than the comparison group of non-smoking/normal drinking (Suicidal ideation: Adjusted Odds Ratio [AOR]: 2.13, 95% Confidence Interval [CI]: 1.60~2.83; suicidal attempts: AOR: 3.81, 95% CI: 1.60~9.05). Conclusion: Based on the results of this study, smoking and alcohol drinking were individually important health behaviors for prevention of suicidal ideation and attempts. Especially, suicidal prevention programs might be needed for adults who smoke and drink at the same time to decrease suicidal ideation and attempt.

• Nutrition Research and Practice
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• 제12권2호
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• pp.166-172
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• 2018

BACKGROUND/OBJECTIVES: Obesity and alcohol drinking are associated with metabolic syndrome. However, few studies show the relationship between alcohol drinking and metabolic syndrome according to varying degrees of obesity. This study aimed to determine the association between alcohol drinking and metabolic syndrome in obese and non-obese Korean male adults. SUBJECTS/METHODS: This cross-sectional study included 5,867 males aged ${\geq}20$ years who were examined at the Soonchunhyang University health promotion center during June 2008-December 2010. The subjects were divided into non-obese (body mass index [BMI] < $25kg/m^2$) and obese (BMI ${\geq}25kg/m^2$) groups and further divided according to weekly alcohol consumption into nondrinking (0 drinks/week), moderate drinking (${\leq}14$ drinks/week), and heavy drinking (> 14 drinks/week) groups. The subjects were also categorized into binge drinking and non-binge drinking groups. To obtain odds ratios (ORs) for metabolic syndrome, binary logistic regression analysis was performed. RESULTS: The overall metabolic syndrome prevalence was 27.3% (12.8%, non-obese group; 50.4%, obese group). After adjusting for age, physical activity, and smoking, in the non-obese group, the OR for heavy drinking with binge drinking (reference: nondrinking) was 1.56 (95% confidence interval [CI] = 1.12-2.18), with a significant increase in metabolic syndrome prevalence. In the obese group, the OR for heavy drinking with binge drinking was 1.42 (95% CI = 1.07-1.88), showing a significant increase in metabolic syndrome prevalence (P < 0.05). CONCLUSIONS: In both non-obese and obese Korean males, heavy drinking with binge drinking was associated with increased risk of metabolic syndrome. Thus, both non-obese and obese males should restrict their alcohol intake and not indulge in binge drinking.

• 한국심리학회지 : 문화 및 사회문제
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• 제16권1호
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• pp.63-79
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• 2010

본 연구는 음주행동에 미치는 사회인지적 요인의 영향을 분석하기 위해 대학생 폭음 집단에서 음주와 음주 결과기대, 금주 자기효능감, 지각된 음주규준, 음주동기의 관계에 대해 알아보고자 하였다. 설문은 e-mail로 이루어졌으며, Wechsler(1992)의 폭음(binge drinking) 정의에 해당하는 남학생 148, 여학생 152명, 총 300명의 폭음집단을 대상으로 분석을 실시하였다. 폭음집단에서 음주정도와 음주동기, 지각된 음주규준 간의 유의미한 상관이 있었으나 비폭음집단에서는 지각된 음주규준이 음주정도와 관련이 없었다. 또한 폭음집단에서 남녀 모두 친한 친구의 음주정도를 과대추정하였으며, 지각된 동료음주 규준과의 차이가 개인의 음주정도와 유의하게 관련이 있음을 확인하였다. 하지만 보통의 대학생의 음주정도 추정과의 관련성에 있어서는 남녀에 따라 차이가 있었다. 아울러 회귀분석을 통해 알코올기대, 금주 효능감의 영향력을 통제한 후 지각된 음주규준이 음주정도에 미치는 영향력이 유의미함을 확인하였다. 또한 음주정도에 미치는 지각된 음주규준의 영향을 음주동기가 매개하는지를 검증한 결과, 지각된 음주동기는 음주규준과 음주정도를 부분 매개하는 것으로 나타났다. 이와 같은 연구결과를 토대로 본 연구의 임상적 의의와 제한점이 논의되었다.

• 대한한방내과학회지
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• 제18권2호
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• pp.131-150
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• 1997

As to the effects of drinking on the cerebrovascular system, the result of studies by Eastern-Western medicine indicate the following conclusions: 1. Oriental medical studies show drinking causes 'Dam-em', 'Dam-tak', and 'Seub-yul' and is, thus related to hypertension and hyperlipidemia. 2. Oriental medical studies also show that hypertension and hyperlipidemia, which includes apoplexy, a dizziness, headaches and 'Gan-yang', are caused by 'Dam-em', 'Dam-tak' and 'Heul-uh'. In most cases of obesity. which is piled 'Seub-dam' in the spleen and stomach, is caused by alcohol consumption. 3. Large amounts of alcohol consumption is a dangerous factor in many kinds of cerebrovascular attacks but under the middle grade of drinking it is not harmful. And it is a predominant theory that a small quantity of alcohol consumption is good for preventing cerebrovascular attacks. 4. Taking a brain computed tomography after alcohol has been introduced into the system reveals strange symptoms like ventricle dilatation, cerebral atrophy, and pathologic histological degeneration. 5. Alcohol is related to hypertension, hyperlipidemia, obesity which are dangerous factors in cerebrovascular attacks. This is especially true with hypertension and obesity. 6. Western medicine says, because of the close relations between hypertension, hyperlipidemia, and the grade of obesity, drinking increases the chances of cerebrovascular attacks. Our findings show that reducing alcohol intake, an environmental factor, will help prevent cerebrovascular attacks.

• 한국간호교육학회지
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• 제17권1호
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• pp.110-119
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• 2011

Purpose: This study was conducted to identify the consumption of alcohol as well as to compare drinking refusal self-efficacy and mental health between an average drinking group and a problem drinking group of Korean nursing students. Methods: A questionnaire using the Alcohol Use Disorders Identification Test (AUDIT) measuring drinking refusal self-efficacy and mental health was given to 938 students of two universities in Gyeongsangnam-do. Results: Among the respondents 381 (40.6%) were problem drinkers. The score of alcohol consumption in the AUDIT were 3.38 for the average group and 12.50 for the problem drinking group. There were significant differences between the average group and problem drinking group in age, living place, smoking, parent's drinking, age of the first drink and reasons for first drink. Participants of the average group had significantly higher drinking refusal self-efficacy than the problem drinking group. Regarding mental health, there were differences between the two groups in attempted suicide. The risk factors significantly associated with problem drinking were living place, smoking and reasons for the initial drink. Conclusion: These results provide guidance for developing strategies, such as an educational program, to promote safe alcohol consumption in nursing students.

• 지역사회간호학회지
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• 제15권3호
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• pp.471-482
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• 2004

Purpose: This study intended to identify personality factors and related problematic behaviors of adolescents who drink alcohol in order to provide basic data for developing nursing programs. Methods: The data were collected from October to December 2002 from 1.080 high school students in Seoul. The Revised Cloninger's Tri-dimensional Personality Questionnaire (TPQ) was used to measure their personalities. The alcohol expectancy was measured using the tool revised by Cho (1999) and stress levels were measure using a stress tool revised Cho (1998). The data were analyzed with SPSS Windows using Chi square test. independent t-test. and logistic regression analysis. Results: 1. The percentage of fathers who drank was 79.8%. mothers. 54.3%. and friends. 54.3%. The alcohol expectancy averaged 6.36 while the stress levels were 132.79. 2. It was found that there are significant differences (p<.001) in problematic drinking behaviors according to the following variables: second year high school students among all grade variables, more monthly pocket money for the amount of money variables, the group of students who smoked in the case of the variable related to smoking, spending more time using the Internet for the Internet use variable, and having friends who drink 65.6% for the friend variable. The alcohol expectancy scale of those students who showed problematic drinking behaviors was higher than that of those who did not. There are four family-related stress subscales, and there was a significant difference among them (p<.05). Among the personal characteristics, the group who displayed problematic drinking behaviors seeks new experiences and reward dependence more than the group who did not exhibit those behaviors, and there were significant differences between the two groups (p<.001). 3. When the socio-demographic and drinking-related factors were controlled, the tendency of seeking new experiences increased the risk of problematic behaviors 1.07 times (p<.05). Compared to the non smoking group, the smoking group was found to have a 5.06 time (p<.001) greater risk of displaying problematic drinking behaviors. In comparison with the non drinking group, the drinking group was also found to have a 5.31 time (p<.001) greater risk of exhibiting problematic drinking behaviors. The group with high alcohol expectancy scores was significantly different from the group with the no alcohol expectancy, showing a 1.26 time (p<.00l) greater risk of problematic drinking behaviors. Conclusions: Based on these results, the problematic drinking behaviors were connected with alcohol expectancies, friends and personality types. Therefore, we should develop an alcoholic prevention program for adolescence considering the above results.

• 여성건강간호학회지
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• 제6권1호
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• pp.109-116
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• 2000

In modern society, the amount of alcohol ingestion is increasing at a dangerous level, especially among women. One of reason for increased alcohol consumption is stress caused by social pressures. Alcohol is a kind of depressant of centric nervous system, so it can induce relaxation of body and decrease the stress. The evidence on the effects of alcohol on the fetus is somewhat hazy, whereas that of smoking is quite clear. The literature on the ingestion of alcohol strongly suggests that drinking during pregnancy is associated with teratogenic effect and low birth weight. Therefore, the adverse effect of alcohol ingestion during pregnancy must be informed to public. More remarkable warning sign about alcohol ingestion must be attached on the top of bottles. This can be an effective measure for public education. Also legal sanction or tax imposition for the production of liquor be required. First of all, drinking habit or drinking culture must be changed. In fact, the strongest motivation of drinking in adolescent is a peer pressure which is related to drinking habit or culture. Secondly, early detection and treatment must be required to prevent from fetal alcohol syndrome. Accordingly, drinking history of pregnant women must be assessed as early as possible and health professional should give a warning about the abstinence of alcohol to drinking women. Thirdly, to minimize the adverse effects for mother, withdrawal syndrome by alcohol ingestion must be treated. to correct the malformation by fetal alcohol syndrome(FAS) can be corrected. Sometimes surgical intervention may be required for this purpose.

• 한국학교보건학회지
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• 제10권2호
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• pp.259-269
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• 1997

In order to find associated factors with alcohol drinking among female students, a survey was conducted of 1,073 female students of a women's university in Seoul from the 22nd of May to the 18th of June, 1995. The major results were as follows: 1. Among 1,073 respondents, 13.8% of them were regular drinkers, 71.8% of them were social drinkers. the alcohol drinking rate of female students had significantly different depending on their field of study. The time of their first drind varied: 2. 14.8% in junior nigh school, 30.2% in high school, 4.7% after high school, and 49.4% in college. 3. The major motivation to start drinking was 'social meeting' (45.4%), 'curiosity' (12.6%), and 'releasing stress' (5.5%). 4. The favorite alcohol of drinkers was beer (62.2%), Soju (25.6%), whisky (1.4%), Makkori (0.2%). 5. The frequency of alcohol drinking was 36.5% once a week, 32.8% 2~3 times per month. 15.7% more than twice a week and 8.4% once a month. 6. Among the respondents, 73.4% of them wanted a health education program about drinking. 7. The drinking of the father, mother, brother, sister, boy friend, girl friend had a statistically significant relation with the drinking of the respondents. 8. Meal regularity, balanced diet, smoking, and knowledge of alcohol drinking had a statistically significant relation with the drinking of the respondents. 9. A multiple logistic regression analysis showed that related factors for alcohol drinking were the following: health status, balanced diet, father's drinking, sister's drinking, boy friend's drinking, and smoking.

• Perspectives in Nursing Science
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• 제16권1호
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• pp.25-34
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• 2019

Purpose: Alcohol use in South Korean women, particularly college students, is increasing. Women are more vulnerable than men to alcohol use, which puts them at greater risk of physical and psychosocial problems. Some studies have reported that on failing to find meaning in life, many South Korean college students experience depression, subsequently using alcohol as a coping mechanism. This study aimed to develop a logotherapeutic program and identify its effects on meaning in life, depression, and problem drinking among female college students. Methods: This study was a quasi-experimental trial. The participants were female college students who scored over 8 in the Alcohol Use Disorders Identification Test (AUDIT). Twenty-four students were assigned to the experimental group and twenty-three to the control group. Three scales were used in this study: the Purpose in Life test, Beck Depression Inventory, and AUDIT. The data were analyzed using the Mann-Whitney test in SPSS/WIN 12.0. Results: After the conclusion of the logotherapeutic program, the level of meaning in life and depression were more greatly improved in the experimental group than the control group. Conclusion: The logotherapeutic program is an effective method to help female college students find meaning in life and reduce depression in this population.