• Title/Summary/Keyword: Alcohol Use Disorders

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A Study on the Status of Seeking Intervention among the Workers with Health Problems Identified by the Workers' Periodic Health Examination (특수건강진단에서 발견된 고혈압 및 간질환 유소견자의 건강관리 실태에 관한 조사)

  • Cheong, Hae-Kwan;Kim, Joung-Soon;Moon, Ok-Ryun;Lim, Hyun-Sul
    • Journal of Preventive Medicine and Public Health
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    • v.25 no.4 s.40
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    • pp.343-356
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    • 1992
  • Authors studied the workers' knowledge about the health problems detected through the previous workers' periodic health examination, content of follow-up management ana actions taken for their health problem detected on previous health examination. From June to September 1992, workers' periodic health examination was peformed on workers employed in 10 companies located in 2 middle-sized Korean cities. A questionnaire survey was done far 150 workers who reported to have $D_2$ result of either hypertension or liver disorder at the previous workers' periodic health examination done in 1991. The results are as follows; 1. Of 160 workers who had $D_2$ result of either hypertension or liver disorder in previous examination one year before, only 85 workers(51.3%, 43 workers with hypertension, 38 workers with live disorder) responded that they have such disorders. The other 65 workers responded to questionnaire were all those with C results. Respondents' knowledge about their diagnoses was relatively precise (95.2% in hypertension group, 94.6% in liver disorder group) but knowledge about classification of diseases was poor. 2. The main efforts to solve the health problem nab self management (20 spells, 55.3%), visiting clinic or hospital(6 spells, 12.8%), use of herb medicine (2 spells, 4.3%) and use of drug store(2 spells, 4.3%) in hypertension group. In liver disorder group, 30 spells (71.4%) relied on self management,6 spells (14.3%) on hospital or clinic and 9 spells (21.4%) had no effort to improve the health problem. Content of self management was low salt diet, quit smoking, regular exercise and quit alcohol drinking in order. Avoidance of salt in diet was high in hypertension group and quitting alcohol drinking was high in liver disorder group. In those with self management, 80.7% of hypertension group and 83.3% of liver disorder group continued previous effort. Those, however, who utilized clinic or hospital, only 16.7% and 50.0% were still visiting hospital or clinic. 3. Fifty seven percent of hypertension group and 64.3% of liver disorder group was presently smoking,8.5% and 11.9% reduced smoking and 21.3% and 14.3% stopped smoking. Forty nine percent of hypertension group and 28.6% of liver disorder group was presently drinking. Reduced alcohol intake was reported in 29.8% and 40.5%, 12.8ole and 23.8% stopped alcohol drinking. Sixty six percent of hypertension group and 73.8% of liver disorder group did no regular exercise, but 12.8% and 11.9% of each group increased their physical exercise far last one year. Forty three percent of hypertension group and 38.l% of liver disorder group was overweight (defined by bodymass index greater or equal than 25). Reduced body Weight was reported in 17.2% and 16.7% of each group. Reduced dietary salt intake was high in hypertension group (51.5%). The study results suggest that follow-up management after workers' periodic health examination is not satisfactory. In order to improve this situation, adequate information on the result of the workers' periodic health examination should be distributed to each worker group with health education and counselling.

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Eating Traits and General Psychopathology of Korean Males Who Show High Score on the Korean Version of Eating Attitudes Test-26 (한국판(韓國版) 식사태도(食事態度) 검사(檢査)-26에서 고득점(高得點)을 보인 한국(韓國) 일반(一般) 남성군(男性群)의 식사특성(食事特性)과 일반정신병리(一般精神病理))

  • Han, Ki-Seok;Lee, Young-Ho;Rhee, Min-Kyu;Park, Se-Hyun;Sohn, Chang-Ho;Chung, Young-Cho;Hong, Sung-Kook;Lee, Byung-Kwan;Chang, Phi-Lip;Yoon, A-Rhee
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.87-102
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    • 1999
  • Objectives : The purposes of this study were to estimate the prevalence rate of eating disorders in Korean males and to clarify their characteristics in sociodemograhic data, the eating traits, and general psychopathology through the comparison with those of female high scored group on the Korean version of Eating Attitudes Test-26(KEAT-26). Methods : Using a multi-stage questionnaire sampling method including area sampling, proportionated stratified sampling, and quota sampling, we surveyed a total of 4,400 Korean adults over 18 in a nationwide area(9 kus, 10 middle or small cities, and 17 kuns), obtaining usable responses on 3,896. Of the 3,062 subjects(1249 males and 1813 females) who were available for analysis, we ascertained 52 males and 208 females who had high score($\geq$ cutoff point 21) on the KEAT-26. Results : 1) The proportion of this high score group was 1.7% in male and 6.8% in female with a sex ratio(male versus female) of 1 : 4. 2) The mean age was higher in the male group than in the female group, although it was not statistically significant(p=0.0514). Mean Body Mass Index(BMI) of the male group was significantly higher than that of female group, and the number of male subjects with below 20 of BMI was also significantly lower than in the female group. 3) There were no significant difference in past history of physical illness between two groups. However, frequency of smoking and alcohol use, and mean amount of alcohol consumption per month were significantly higher in the male group than in the female group. There were no significant differences between the two groups on various socio-demographic correlates such as economic status, total duration of education, number of family, marital status, religious status, and area of residence, but the exception of being occupational status. 4) The 'Eating Habits Scale' score and score of 'preference for vegetables and fish, and dislike for sweet-tasting food' of the male group were significantly lower than those of the female group. Although there was no significant difference between the two groups in total scores of the KEAT-26, the mean score on 'pursuit of thinness' subscale was higher in the female group than in the male group, while scores of 'food preoccupation' and 'self-control' subscales were higher in the male group than in the female group. 5) Scores on 'psychoticism' was significantly higher in the male group than in the female group, although there were no significant differences between the two groups on 'locus of control for weight', 'depression' and 'hypochondriasis'. Conclusion : These results support a possibility of a high prevalence of eating disorders in Korean males. These results suggest that eating related characteristics of high scorer on the EAT are different by sex in spite of the same high score on the EAT, and also suggest that male patients with eating disorders have more serious personality pathology than female patients with eating disorders.

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The Relevance of Driving under the Influence and Bicycle Riding under the Influence and the Factors Affecting Driving under the Influence in Korea Adults: The Korea National Health and Nutrition Examination Survey (한국 성인의 자전거 음주운전과 차량 음주운전과의 관련성 및 차량 음주운전의 영향요인: 국민건강영양조사 원시자료를 이용하여)

  • Chae, Sun-Ok;Lee, Sang-Min
    • The Journal of the Korea Contents Association
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    • v.18 no.9
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    • pp.411-423
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    • 2018
  • This study was conducted to identify the correlation between driving under the influence (DUI) and bicycle riding under the influence and the impact factors of DUI among Korean adults. The participants were 3,385 Korean adults. Data were collected Seventh Korea National Health and Nutrition Examination Survey. The pervasiveness of DUI was 7.8% of the adult population in Korea. The relevance of DUI and bicycle riding under the influence was a statistically significant difference. The factors affecting of DUI were bicycle riding under the influence, aerobic physical activity, one-time drinking, frequency of binge drinking, experience aboard a driving under the influence vehicle. To prevent DUI among Korean Adults, we would need to encourage aerobic physical activity in daily and workplace, recognize that bicycle drunk riding can lead to drunk vehicle driving, and that management of alcohol use disorders and be planning to the vehicle driving before drinking.

Association between Symptoms of Posttraumatic Stress Disorder and Blood Pressure in the Elderly (노인에서 외상 후 스트레스 장애의 증상과 혈압의 연관성)

  • Bang, Yu Jin;Kang, Suk Hoon;Kim, Tae Yong;Choi, Jin Hee;Chung, Hae Gyung;So, Hyung Seok;Go, Chang Min
    • Anxiety and mood
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    • v.9 no.2
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    • pp.121-127
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    • 2013
  • Objective : Several studies have reported the association between posttraumatic stress disorder (PTSD) and hypertension (HTN). The aim of this study was to evaluate the impact of PTSD symptoms on blood pressure. Methods : Korean veterans of the Vietnam War with (n=62) or without PTSD (n=87) participated in this study. The clinician administered PTSD scale (CAPS) and alcohol use disorder identification test (AUDIT) were applied. Blood pressure, pulse rate, risk factors of HTN and demographic data of the subjects were collected. Effects of potential explanatory variables on HTN were analyzed with logistic regression. Results : Diastolic blood pressure was significantly higher in PTSD group (p=0.015). However, PTSD subjects showed significantly lower pulse rate than non-PTSD subjects (p=0.004). Logistic regression analysis showed that avoidance symptom might be a predictor for hypertension (OR=1.065, p=0.030). Conclusion : These results suggest that PTSD, especially avoidance symptom, might be a risk factor on HTN in the elderly with PTSD. Further studies are needed to evaluate the change of blood pressure according to the clinical improvement of PTSD.

Effect of Post-traumatic Stress and Ways of Stress Coping on Problem Drinking in Firefighters (남자소방공무원의 외상 후 스트레스와 대처방식이 문제음주에 미치는 영향)

  • Jeon, Kyoung-Sun;Kang, Kyung-Ah
    • Korean Journal of Occupational Health Nursing
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    • v.26 no.4
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    • pp.218-226
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    • 2017
  • Purpose: The study aimed to determine the impact of post-traumatic stress and ways of stress coping on problem drinking in firefighters. Methods: Data were collected from May 11 to June 11, 2015, in fire brigades across South Korea. Participants were 183 male firefighters who used self-report questionnaires containing questions from the Impact of Event Scale-Revised (IES-R), Ways of Coping Checklist (WCC), and Alcohol Use Disorders Identification Test (AUDIT). Data were analyzed using $x^2$ test, t-test, and logistic regression with the SPSS/WIN 21.0 program. Results: The prevalence of PTSD among firefighters was 36.7% and that of problem drinking was 39.3%. Firefighters with single (OR=0.23, 95% CI=0.038~1.321) and married status (OR=0.46, 95% CI=0.069~3.040) were less likely to have problem drinking than those who were divorced or bereavement. Those with invasion symptoms (OR=1.17, 95% CI=1.031~1.327) and hyperarousal symptoms (OR=0.85, 95% CI=0.722~0.989) were more likely to have problem drinking than those with avoidance symptoms. Conclusion: Post-traumatic stress symptom was a major risk factor that increased problem drinking, and married status reduced problem drinking. There is a need to develop post-traumatic stress symptom management program and early education content for symptom management.

Fractional Anisotropy of Diffuse Tensor Imaging of Normal Subjects in the Regions of the Brain White Matter According to Age and Body Mass Index (BMI) (연령과 체질량지수(BMI)에 따른 뇌 백질 부위의 정상인 확산텐서영상 비등방도에 대한 연구)

  • Jeong, Jae Beom;Kwak, Jong Hyeok;Kim, Dong Hyeon
    • Journal of the Korean Society of Radiology
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    • v.12 no.2
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    • pp.253-260
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    • 2018
  • Diffusion tensor images were obtained to investigate the damage of brain white matter in non-smokers and an adequate drinking group (less than 10 points) selected by scores of the Korean versions of alcohol use disorders identification test questionnaire. Factional anisotropy (FA) values, according to the variables of age and body mass index (BMI), were not statistically significant in all regions of the brain white matter after measurement of factional anisotropy (FA) values by the tract-based spatial statics (TBSS) method. In other words, age and body mass index (BMI) do not significantly affect the microstructural changes of the brain white matter.

Factors related to Problem Drinking of Male Workers according to Occupational Classes (남성 근로자의 직종별 문제음주 관련 요인)

  • Lee, Eun Kyung
    • Journal of Digital Convergence
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    • v.13 no.1
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    • pp.375-382
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    • 2015
  • The purpose of this study was to investigate the factors related to problem drinking in male workers according to occupational classes. Data were derived from the 2012 Korean National Survey on male workers. A total of 391 office workers, 707 manufacturing workers, and 309 service workers participated in this study. Data were analyzed using Rao-Scott $X^2$-test, simple and multiple logistic regressions. Problem drinking was defined as ${\geq}8$ points in the Alcohol Use Disorders Identification Test. The problem drinking rates were 45.1% in office workers, 39.1% in manufacturing, and 42.3% in service. In office workers, the factor related to problem drinking was only smoking. In manufacturing workers, the factors related to problem drinking were spouse, smoking and prevalence of Diabetes. In service workers, the factors related to problem drinking were age and smoking. Therefore, different intervention should be developed for each occupational class in order to manage the problem drinking in male workers.

Impact of Indirect Trauma via Media on Post-Traumatic Stress Symptoms : Online Survey Study (미디어 노출에 의한 간접외상이 외상 후 스트레스 증상에 미치는 영향 : 온라인 설문 조사 연구)

  • Park, Sang Eui;Jung, Youji;Lee, Jung Hyun
    • Anxiety and mood
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    • v.14 no.2
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    • pp.71-79
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    • 2018
  • Objective : Several earlier studies have reported similar symptoms in patients with posttraumatic stress disorder (PTSD) who have been repeatedly exposed to relevant media after disasters and trauma. This study aimed to examine the effects of indirect trauma experience through media rather than direct traumatic events on an individual's social life. Methods : Five hundred and fifty-four individuals participated in our online, self-reported questionnaire survey. All subjects were asked to complete a demographic questionnaire, Posttraumatic Diagnostic Scale, Beck Depression Inventory, the Impact of Event Scale-Revised, State-Trait Anxiety Inventory, Korean version of Alcohol Use Disorder Identification Test, Patient Health Questionnaire-15, Suicidal Behaviors Questionnaire-Revised. Participants were assessed in regards to their experience of violent media exposure within the past three months. Results : Data from our study indicates that the group exposed to violent media had significantly higher perceived stress, physical symptoms, insomnia, and suicide ideation in comparison to the control group. Among the major symptoms of PTSD, the proportion of intrusion symptoms was relatively high in the media exposed group. Conclusion : This suggests that indirect trauma caused by media exposure could cause post-traumatic stress symptoms. The PTSD caused by indirect trauma may have slight differences from the PTSD caused by direct trauma. Therefore, it is necessary to understand, prevent, and control the adverse effects of media.

Relationship between Chronic Rhinosinusitis and Blood Pressure (비부비동염과 혈압의 상관관계)

  • Seo, Youn Tae;Kim, Deok Su;Kil, Bu Kwan;Shin, SeungHeon;Ye, Mi Kyung
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.182-189
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    • 2018
  • Background and Objectives : There were few literatures about the relationship between upper airway disorders and cardiovascular risk factors such as hypertension, although an association between impaired lower respiratory function and cardiovascular alterations was often reported. Our purpose was to assess the relationships between chronic sinusitis and hypertension. Materials and Methods : Three hundred subjects with bilateral chronic sinusitis who underwent functional endoscopic sinus surgery between 2015and 2017 were evaluated. Six hundred forty subjects without any nasal diseases were enrolled as a control group. Blood pressure and body mass index (BMI) were measured using a standardized method, and subjects were asked about current use of any antihypertensive medication, history of diabetes, smoking and alcohol drinking habits.Sinusitis group was assessed by nasal endoscopic examination, paranasal sinus CT scan and allergy test. Results : Average systolic and diastolic blood pressures were statistically significantly higher in subjects with sinusitis than control group. Chronic rhinosinusitis was associated with a 1.415-fold (95% confidence interval 1.053-1.930) increased hazard of hypertension after multivariate adjustment. Conclusions : These results suggest that sinusitis is associated with high blood pressure. Therefore patients with sinusitis may need special attention for blood pressure control. Further studies need to be performed to elucidate the pathogenesis behind such associations.

Analysis of the Relationship between the Drinking Status and Job Stress of Firefighters (소방공무원의 음주 실태와 직무스트레스 관계 분석)

  • Shim, Gyu-Sik;Bang, Sung-Hwan;Ahn, Hee-Jeong
    • Fire Science and Engineering
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    • v.33 no.2
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    • pp.132-138
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    • 2019
  • This study examined the drinking status to determine the relationship between the AUDIT-K (Alcohol Use Disorders Identification Test-Korean) and job stress of firefighters. The study subject was 267 firefighters in areas C, K, and P, who were surveyed to investigate their drinking status and job stress. According to the study, the AUDIT-K was 152 people (56.9%) in the normal drinking group and 115 people (43.1%) in the problem drinking group. The most frequent answer of the frequency of drinking was 83 people (31.1%) in the 2-4 times of a month; the amount of drinking was 10 cups or more by 101 people (37.8%) in one sitting; the frequency of heavy drinking was every day in 77 people (28.8%). High group of job stress showed a significantly higher odds ratio with the problem drinking group (OR = 5.458, 95% CI = 1.108-26.886). Among them, the interpersonal relation conflict was found to be a major factor affecting AUDIT-K (OR = .332, 95% CI = .134 - .820). Therefore, their AUDIT-K scores can be lowered by reducing the job stress and interpersonal relation conflicts.