• 보건교육건강증진학회지
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• 제28권5호
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• pp.131-143
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• 2011

Objectives: This study is to develop a web-based prevention program of alcohol-related problem among university students and to examine its efficacy in changing drinking behaviors and reducing harms associated with alcohol use. Methods: An hour-length program was developed containing news paper articles, pictures, stories and questionnaires in a multimedia format such as flash, animation, and text. Survey data were analyzed to examine program efficacy from a convenient sample of 1,080 freshmen enrolled in a participating university. Results: Participation in the program has resulted in statistically significant changes in drinking behavior between pretest and follow-up, including reduction of frequency of drinking, heavy drinking, and intoxication, typical amount of drinking per occasion, and subjective norm of heavy drinking. Repeated ANOVA revealed significant increases in knowledge on alcohol related facts, including recommended drinking unit by WHO with substantial level of effect size and in making negative alcohol expectancy with very low effect size. Further studies are guaranteed with randomized controlled trial for the program effectiveness. Conclusions: A web-based prevention program of alcohol-related problems in this study was efficacious in changing drinking behavior, knowledge on alcohol-related fact, alcohol expectancy and subjective drinking norm.

• 한국학교보건학회지
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• 제29권1호
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• pp.42-52
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• 2016

Purpose: The purpose of this study was to examine effects of school-based alcohol prevention programs on drinking statuses of adolescents. Methods: The findings of this study was based on the data obtained from the '2015 11th Korea Youth Risk Behavior Web-based Survey. The number of study subjects were 68,043. Results: It was figured that 35.6% of the study subjects had experienced school-based alcohol prevention programs within the last 12 months. As the students got older, the chances to participate in the programs decreased (p<.01). For both middle and high school students, current drinking rates for the educated was lower than those of the uneducated students(6.6% vs 8.0%; 22.2% vs 25.9%) and it was statistically significant. A similar pattern was found for high-risk drinking rates. Those educated showed lower rates than the uneducated with statistical significance of p<.001. In addition, the educated had lower problem drinking rate than the uneducated for both middle (p<.05) and high school students (p<.001). The results of logistic regression analysis showed that school-based alcohol prevention programs had statistically significant effect on current drinking status of adolescents (p<.05). However, it had significant effect only on high-risk drinking status of high school students (p<.05) and had no effect on problem drinking. Conclusion: This study addressed effectiveness of school-based adolescent alcohol prevention programs and that it is important to develop means to implement school health education.

• 한국사회복지학
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• 제44권
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• pp.91-116
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• 2001

The purposes of this study were to compare middle school students' alcohol expectancies with high school students' alcohol expectancies and to identify factors (family history of alcohol problems, television advertisements, age, gender, drinking experience, alcohol prevention education) related to their alcohol expectancies. A total of 1,164 middle school students in seven metropolitan areas in Korea participated in this study. The major finding of this study was that the respondents scored higher on negative alcohol expectancies than high school adolescents. As found in previous studies, factors related to adolescents' alcohol expectancies were also significantly related to respondents' alcohol expectancies in this study. Respondents who had family histories of alcohol problems, had drinking experiences, and were older expect drinking in a more positive manner. This study also found that alcohol advertising affected respondents' alcohol expectancies. However, this study found that current substance abuse prevention programs did not affect respondents' alcohol expectancies at all. This finding may suggest that some changes on current prevention programs should be needed in order to be more effective. Finally the result on the relationship gender and alcohol expectancies in this study was different from previous studies. Female respondents expected drinking more positively than male counterparts. This study suggests that further studies on this issue are necessary.

• Journal of Preventive Medicine and Public Health
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• 제51권6호
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• pp.320-325
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• 2018

Objectives: This pilot study tested the effectiveness of a brief alcohol-related intervention delivered by the social media app WeChat to teach about ethanol-induced facial flushing and increase the willingness of students who see another student flushing to suggest that he or she should reduce or stop drinking. In the context of Chinese drinking culture, it is sometimes socially difficult to refuse a drink, even when experiencing physical discomfort, such as flushing. Methods: Classrooms of students in a medical university in China were randomly assigned to the intervention or control group. Students in the intervention group were invited to view 3 alcohol education lessons on WeChat during a 2-week period. A pretest and posttest before and after the 2-week period assessed changes in students' willingness to intervene if they saw someone flush while drinking. Data were collected about students' alcohol use and their ratings of the lessons. Results: Mixed-design analysis of variance yielded a significant time-by-treatment interaction effect on the variable of willingness to suggest that a flushing person stop or slow down their drinking, and the change was significant between the intervention and control groups. One-way analysis of covariance yielded a significant treatment effect at the posttest, after controlling for the pretest score. Students rated the lessons above the midpoint of the scale for being informative, interesting, and useful. Conclusions: The pilot study showed that a brief alcohol-related intervention delivered by WeChat could produce a measurable positive change in the willingness of university students to suggest that a student who flushes should stop drinking. This pilot study also suggested improvements for future lessons and evaluation design.

• 한국학교ㆍ지역보건교육학회지
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• 제3권
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• pp.15-33
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• 2002

Researchers' common findings is that there are positive or negative effect of alcohol expectancy on drinking behavior. Therefore we would effectively prevent troublesome drinking of the youth and university students by inquiring and controlling critical factors affecting alcohol expectancy. The purposes of this thesis are, first, to empirically test factors affecting the alcohol expectancy level of elementary schoolchild(potential drinker).; second, to suggest the necessity for development of pre-alcohol prevention programs. On the basis of previous research, eighteen factors included in four categories(general characters, environmental characters, alcohol knowledge, drinking experience) affecting alcohol expectancy level were found out. 623 subjects used in this study were drawn from 8 elementary schools in Daegu, Korea. The empirical results suggested that the alcohol expectancy level of elementary schoolchildren was negative in general. And it was proved that 9 factors were significantly correlated with alcohol expectancy level. To put it concretely(see Fig.), (1) It was proved that schoolchildren with bad environment(live in oneself, displeased drinking feeling) rather than good environment(live with parents, nice drinking feeling) for drinking had more negative alcohol expectancy. (2) Korean traditional culture that partakes of sacrificial food and drink have an influence on the first drinking of most elementary schoolchildren. And it was proved that schoolchildren with this drinking experience rather than any other motives had less negative alcohol expectancy. (3) It was proved that schoolchildren adapting themselves rather than being difficult in school life had more negative alcohol expectancy. And the more knowledge about alcohol or drinking schoolchildren had, the more they had negative alcohol expectancy (4) It was proved that schoolchildren having drinking experience or drinking at present rather than having no drinking experience or not-drinking at present had less negative alcohol expectancy. (5) It was proved that schoolchildren having strong drinking intention rather than having weak or no drinking intention in the future had more positive alcohol expectancy. Based on previous results, guideline for development of pre-alcohol prevention programs can be represented: discriminated programs development on educatee, drinking education programs development increasing the power of self-control about alcohol and drinking, social education or continuing education programs development on drinking, open preschool education to substantially prevent drinking or alcoholism etc. The findings, however, should be interpreted with caution, because this study has several limitations in measurement and sampling as follows. First, selection bias because of limited selection of sampling. It is because the subjects are drawn from only 8 elementary schools in Daegu. Second, less refined measurement ; Therefore, it is necessary to develop more detailed measures on alcohol knowledge, alcohol expectancy level especially. Further researches should be suggested and encouraged with more refined methodologies.

• 보건행정학회지
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• 제29권1호
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• pp.58-67
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• 2019

Background: In this study, we aimed to investigate the drinking behaviors and drinking-related problems of college students in South Korea to produce national alcohol statistics. Methods: We carefully examined the questionnaires and previous research developed in the previous research project and selected questions that reflect the special environment and culture of college students. In order to stratify a nationally representative sample of college students, the distribution of students around the country were found through the educational statistics database of the Korea Educational Development Institute. Based on this information, we conducted a survey in collaboration with Gallup (Korea) to survey and analyze the drinking behaviors of 5,024 Korean students. Results: A nationwide cross-sectional survey was conducted in 2017, for Korean college students. A total of 5,024 students were recruited and analyzed. The monthly drinking rate was 78.0% for male students and 72.9% for female students. The high-risk drinking rate was 23.3% for male students and 17.2% for female students. The most popular category for number of drinks per drinking session was 'more than 10 glasses' per drinking session for both male (44.1%) and female (32.8%). On the alcohol use disorders identification test, the greatest proportion of male students were in the high-risk drinking category (score 8 to 15) 43.8%, followed by the 'low-risk drinking' (score 0 to 7) in 43.6%, 'alcohol abuse' (score 16 to 19) 7.2%, and 'alcohol dependence' (greater than 20) 5.4% categories, respectively. For female students, the greatest proportion of female students were in the 'low-risk drinking' in 49.6%, followed by 'high-risk drinking' 37.1%, 'alcohol abuse' 8.4%, and 'alcohol dependence' 4.9% categories, respectively. Conclusion: The results of the study showed that the drinking behavior of Korean college students was excessive. Overall, it was found that the college population has a greater high-risk drinking behaviors than general adult population. Furthermore, these problem drinking behaviors were prominent among female college students. Results from the present study suggest that it is necessary to monitor the drinking behavior of college students with constant interest and to prepare policies and strategies suitable for these circumstances.

• 대한간호학회지
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• 제37권1호
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• pp.35-43
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• 2007

Purpose: This study was to explore the prevalence of alcohol experiences and to identify the expectancy on the effects of alcohol and alcohol knowledge in early adolescents. Method: The cross-sectional survey of 1854 students from seven middle schools in one district of Seoul was conducted by convenience sampling. Alcohol experience and early onset of alcohol use were measured by the Youth Risk Behavior Survey. Alcohol expectancy was measured by an Alcohol Effects Questionnaire. Result: Over sixty five percent of adolescents reported that they had previous drinking experiences. The participants with no alcohol drinking experience had a lower level of alcohol knowledge than those with experience(t=2.73, p=.007). In expectancy on effects of alcohol, girls had a more positive alcohol expectation than boys(t=-2.54, p=.011). Alcohol knowledge negatively correlated with alcohol expectancy(r=-.40 p=.000). In regression of alcohol expectancy, gender and alcohol knowledge were significant predictors explaining 17%. Conclusion: The results support that alcohol expectancy is an important link with early drinking experiences and alcohol knowledge, focusing on the importance of gender differences. Therefore, an alcohol prevention program in early adolescence is needed and should be focused on multidimensionality of the alcohol expectancy with developmental and psychosocial factors for early adolescents.

• 지역사회간호학회지
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• 제23권1호
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• pp.63-70
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• 2012

Purpose: The purpose of this study was to identify factors influencing 6th graders' alcohol drinking. Methods: Data were collected by questionnaires from 524 6th-graders in G City. The data were analyzed using SAS 9.1.3 programme. Results: Of the children, 63.7% had no education about drinking, implying that drinking prevention education is not done properly in elementary schools. In addition, 70.6% of the children experienced drinking. Among those who had drinking experience, 24.9% experienced the first drinking before entrance into elementary school and this was the highest percentage. Logistic regression analysis showed that the predictors are religion, family type, mother's drinking frequency, and alcohol attitude. Conclusion: The results of this study suggest that complementing home environment and parenting education would be effective for reducing children's drinking. Also, it is recommended that drinking prevention programs for children should be developed in consideration of various factors affecting children's drinking including the factors identified in the present study, and the effectiveness of those programs should be assessed.

• 한국사회복지학
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• 제42권
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• pp.372-396
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• 2000

This study focuses on high school students and aims not only to examine the relationships among problem drinking measures and drinking motives to cope but also to determine the factors to predict the negative consequences related to alcohol. 1,436 self-reported questionnaires were collected from seven big cities' high school students who had ever experienced drinking. The survey data identified the following results; first, there were statistically significant differences in drinking motives to cope and 4 measures of problem drinking depending on gender and the school type. It should be noted that more girls and more students in vocational schools had experienced drunkenness rather than boys and students in academic schools unlike alcohol consumption, binge drinking, and negative consequences related to alcohol. Second, the use of alcohol to cope may place individuals at greater risk for alcohol problems. Four dimensions of problem drinking are moderately correlated to drinking motives to cope. Third, the result from logistic regressions indicated that factors related to drinking (binge drinking, drunkenness, and drinking reasons to cope) rather than demographic factors would be contributed more to one more as well as two more negative consequences. Especially, drunkeness seems to be the best factor to predict negative consequences related to alcohol. Implications for developing prevention programs are suggested.

• 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.