• Title/Summary/Keyword: Alcohol Use Disorders

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Gender Differences in the Relationship between Alcohol Use Behaviors and Metabolic Syndrome - Korean National Health and Nutrition Examination Survey (KNHANES) V 2010 - (성별에 따른 알코올사용행태와 대사증후군과의 관계 - 제5기 2010년 국민건강영양조사 자료를 이용하여 -)

  • Ryu, Ji Young;Kim, Dae-Hwan
    • Korean Journal of Health Education and Promotion
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    • v.30 no.1
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    • pp.83-93
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    • 2013
  • Objectives: The objective of this study was to assess the gender differences in the relationship between alcohol use behaviors and the risk of metabolic syndrome among Korean adult population. Methods: Data from the Korean National Health and Nutrition Examination Survey (5th, 2010) was analyzed. Using the Alcohol Use Disorders Identification Test, subjects were classified into 4 groups including non-drinking, low-risk drinking, medium-level alcohol problem, and high-level alcohol problem group. Metabolic syndrome and its components were compared among the alcohol behavior groups by gender. Results: The odds ratio vs. non-drinking group for metabolic syndrome was significantly higher in male medium and high-level alcohol problem group. In female, high-level alcohol problem group showed significantly higher odds ratio for metabolic syndrome. Blood pressure and HDL-cholesterol were likely to be higher with the excessive drinking behaviors in both men and woman. Triglyceride level in men was significantly higher in the medium and high-level alcohol problem group than non-drinking group. Although fasting glucose level did not show differences among drinking groups, the odd ratios vs. non-drinking group for the hyperglycemia (${\geq}$ 100mg/dl) were significantly higher in female drinking groups. Conclusions: Problematic alcohol drinking is likely to increase the risk of metabolic syndrome in Korean adults.

Development and Effect of a Logotherapeutic Program for Problem Drinking in Female College Students (여대생 음주자를 위한 생의 의미찾기 프로그램 개발 및 효과)

  • Lee, Soohee;Kim, Sungjae
    • Perspectives in Nursing Science
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    • v.16 no.1
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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.

A Epidemiological Study on the Prevalence of Alcohol Use Disorders among the Korean Adult Population (국내외 알코올사용장애 선혈도구의 비교를 통한 한국성인의 알코올사용장애에 관한 역학조사)

  • Kim, Yong-Seok
    • Korean Journal of Social Welfare
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    • v.37
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    • pp.67-88
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    • 1999
  • The purpose of this study was to identify the proportion of the population with the alcohol use disorder among the Korean adults. To the author's knowledge, this study was the first social work article to survey the prevalence of the alcohol use disorder using the randomly selected sample. The survey instrument included the Alcohol Use Disorder Identification Test, the Brief Michigan Alcoholism Screening Test. and the Korean Alcoholism Screening Test to identify the rates of problem drinkers and alcoholics. The instrument also included items to ask the respondents' drinking frequencies, drinking amounts, and heavy drinking. The findings of the study indicated that Koreans had severe alcohol problems. 322 percent of the respondents were identified as those who have experienced drinking-related problems in the past year. This study found 4.2 percent of the respondents as alcoholics and estimated that 1.34 million of the Korean adult population were alcoholics. This study concludes that social workers should use screening tools to early identify clients with alcohol problems and develop effective programs to assist those clients and their families. Finally this study provide suggestions for future studies.

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Individual-level Associations Between Indicators of Social Capital and Alcohol Use Disorders Identification Test Scores in Communities With High Mortality in Korea

  • Kim, Jang-Rak;Jeong, Baekgeun;Park, Ki-Soo;Kang, Yune-Sik
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.4
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    • pp.245-255
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    • 2020
  • Objectives: This study examined associations among social capital indicators (social participation and generalized trust) at the individual level and alcohol use, which was quantified using Alcohol Use Disorders Identification Test (AUDIT) scores. Methods: In total, there were 8800 participants in community health interviews, including 220 adults sampled systematically from a resident registration database of each of 40 sub-municipal administrative units of local (city or county) governments. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were calculated using polychotomous logistic regression. Results: The aORs for abstainers versus people with AUDIT scores of 0-7, based on 3 questions on generalized trust, in comparison to those with no positive responses, were 1.15 (95% CI, 0.99 to 1.34) for 1 positive response, 1.16 (95% CI, 0.98 to 1.37) for 2 positive responses; and 1.39 (95% CI, 1.20 to 1.61) for 3 positive responses. The aORs for abstainers versus people with AUDIT scores of 0-7, in comparison to participation in no organizations, were 0.61 (95% CI, 0.54 to 0.69) for participation only in informal organizations; 2.16 (95% CI, 1.57 to 2.99) for participation only in religious organizations; 2.41 (95% CI, 1.10 to 5.29) for participation only in volunteer organizations; and 0.65 (95% CI, 0.57 to 0.74) for participation in formal organizations. Participants in formal social organizations, regardless of their participation in informal organizations, were more likely to have AUDIT scores of 8-15 (aOR, 1.29; 95% CI, 1.04 to 1.60) or ≥16 (aOR, 1.65; 95% CI, 1.22 to 2.23) than to have scores of 0-7. Conclusions: Our findings may have implications for health policy to reduce alcohol problems.

Analysis of Differences in the Value of the AUDIT-K According to the Sociological Variables the Population of Neuropsychiatry Hospital Visitor (정신건강의학과 내원객의 인구사회학적 변인에 따른 알코올 선별 간이 검사법(AUDIT-K) 척도 값의 차이분석)

  • Kwak, Jong Hyeok;Kim, Seong Jin;Sung, Soon Ki;Im, Hyeon Wha;Lee, Yu Hee;Lee, Sang Bong;Park, Chan Hyeok;Cho, Hee Jung;Moon, Deog Hwan
    • Journal of the Korean Society of Radiology
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    • v.12 no.1
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    • pp.53-64
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    • 2018
  • Using the AUDIT-K (Korean versions of alcohol use disorders identification test), it was able to select a large number of potential danger drinkers who routinely live. There were no statistically significant differences in age, religion, marital status, occupation, family history of alcohol drinking, age at onset of alcohol use, smoking, and BMI (body mass index). However, only education and drinking periods were statistically significant. These results are consistent with the previous study, which suggests that alcohol consumption is higher among men who are educated. The level of education also suggests that there is a need to look at the differences depending on what you learned and how. Alcohol consumption by education also shows different results. Also, drinking at a young age will lead to a longer drinking period, which is consistent with previous studies on the age at onset of drinking. In this study, drinking period was the most important factor of alcohol use disorder and it is considered that measures and education of national government system which can delay drinking age as much as possible is needed as a method to shorten drinking period.

Drinking Pattern and Nonfatal Injuries of Adults in Korea (우리나라 성인의 음주행태와 비치명적 손상의 연관성)

  • Lee, Won Kyung;Kim, Yoon
    • Journal of Trauma and Injury
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    • v.22 no.2
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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.

Estimating the Burden of Psychiatric Disorder in Korea (우리나라 국민의 정신질환으로 인한 질병부담 추정)

  • Park, Jae-Hyun;Yoon, Seok-Jun;Lee, Hee-Young;Cho, Hee-Sook;Lee, Jin-Yong;Eun, Sang-Jun;Park, Jong-Hyock;Kim, Yoon;Kim, Yong-Ik;Shin, Young-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.1
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    • pp.39-45
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    • 2006
  • Objectives: This study estimated the burden of disease especially caused by psychiatric disorders in Korea by using DALY, a composite indicator that was recently developed by the Global Burden of Disease study group. Methods: First, 11 of the major psychiatric disorders in Korea were selected based on the ICD-10. Second, the burden of disease due to premature death was estimated by using YLLs (years of life lost due to premature death). Third, for the calculation of the YLD (years lived with disability), the following parameters were estimated in the formula: the incidence rate, the prevalence rate and the disability weight of each psychiatric disorder. Last, we estimated the DALY of the psychiatric disorders by adding the YLLs and YLDs. Results: The burden of psychiatric disorder per 100,000 people was attributed mainly to unipolar major depression (1,278 person-years), schizophrenia (638 person-years) and alcohol use disorder (287 person-years). For males, schizophrenia (596 person-years) and alcohol use disorder (491 person-years) caused the highest burden. For females, unipolar major depression (1,749 person-years) and schizophrenia (680 person-years) cause the highest burden. As analyzed by gender and age group, alcohol use disorder causes a higher burden than schizophrenia in men aged 40 years and older. For females, unipolar major depression causes the highest burden in all age groups. Conclusions: We found that each of the psychiatric disorders that cause the highest burden is different according to gender and age group. This study's results can provide a rational basis to plan a national health policy regarding the burden of disease caused by psychiatric disorders.

Study on the Life Satisfaction of Patients Receiving Treatment for Alcohol Use Disorders (치료를 받는 알코올사용장애 환자의 삶의 만족에 관한 연구)

  • Kim, MiYoung;Kim, Yun Ah;Choi, Sook Hee
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.2
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    • pp.13-21
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    • 2019
  • The purpose of this study was to identify the factors affecting life satisfaction in patients with alcohol use disorder. Participants were recruited at outpatient treatment facilities in two cites. Data were collected from October 1 to December 30, 2016, using self-report questionnaires. Abstinence self-efficacy, family support, and life satisfaction were investigated. 152 patients with alcohol use disorder participated in this study. Mean score for life satisfaction was 3.24. Life satisfaction had a positive correlation with abstinence self-efficacy and family support. Factors affecting life satisfaction in these men were abstinence self-efficacy. Findings indicate that abstinence self-efficacy and perceived mental health satisfaction are important variables influencing life satisfaction in patients with alcohol use disorder. Development and provision of intervention programs to increase abstinence self-efficacy and perceived mental health satisfaction will help to increase life satisfaction in patients with alcohol use disorder.

Factors Affecting Blood Pressure and Stress according to the Alcohol Use Disorders Identification Test Scores among Undergraduate Students (대학생의 알코올 사용장애 정도에 따른 혈압 및 스트레스의 영향요인)

  • Cho, Mi-Kyoung;Kim, Mi Young
    • Journal of Korean Biological Nursing Science
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    • v.19 no.4
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    • pp.215-226
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    • 2017
  • Purpose: The purpose of this study was to investigate the effects of general, health, and alcohol-related characteristics on blood pressure and stress according to the Alcohol Use Disorders Identification Test (AUDIT). Methods: This was a descriptive study. From participants in the 2013 Korea National Health and Nutrition Examination Survey, 319 participants who responded to the survey when they were attending college or university were selected. Data were analyzed using the SPSS Win 23.0 program for composite sample data reflecting the composite design elements of stratification, colonization, and weighting. Results: Mean age of onset of alcohol drinking was $17.91{\pm}0.16$ years, the average AUDIT score was $7.56{\pm}0.41$, and 25 (9.1%) participants fell into the high-risk drinking group. In the high-risk AUDIT group, systolic blood pressure was influenced by age, gender, institution, health status, body mass index, and suicidal ideation, and the explanatory power of the model ($R^2$) was 75.0%. For diastolic blood pressure, institution and health status were the influential factors, and $R^2$ was 66.2%. Predictors of stress were health status, depression, and the age of onset of drinking, and $R^2$ was 57.2%. Conclusion: It was confirmed that the explanatory power of the variables in models of systolic and diastolic blood pressure and stress is greater in those with higher scores on AUDIT.

Gender Differences in the Effect of Alcohol Use on Intent and Lethality of Suicidal Attempts (알코올 사용이 자살시도의 심각성과 치명도에 미치는 영향-성별 차이를 중심으로)

  • Lee, Jinhee;Min, Seongho;Ahn, Joung-Sook;Park, Ki-Chang;Kim, Min-Hyuk;Kim, Heungkyu
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.236-243
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    • 2016
  • Objectives : The aim of this study was to clarify the role of alcohol use disorders and acute alcohol consumption in suicide attempts by gender. Methods : Data of 1,152 suicide attempters(487 males and 742 females) who had visited an emergency center was gathered. Suicide attempts were categorized into three groups according to alcohol use: an alcohol use disorder group(AUD), an acute alcohol use group(AAU), and a no-alcohol use group(NAU). The intent and lethality of suicide attempts were evaluated by Suicidal Intents Scale and Risk-Rescue Rating Scale. Results : For Suicidal Intents Scale score, the male AUD group revealed a significantly lower mean score than the male AAU one. However, there were no statistically significant differences for female subjects across subgroups. With regard to the Risk-Rescue Rating Scale score, there were no significant differences for males, while the AUD group showed both the lowest highest rescue scores and lowest risk-rescue scores within female groups. Conclusions : AUD in females was more likely regarding impulsive suicide attempts with high rescue chances. Consuming alcohol might have different effect on suicide attempts by gender and our study shows that alcohol use is an important risk factor according to gender, particularly with regard to female suicide attempts.