• The Journal of Korean Academic Society of Nursing Education
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• v.20 no.3
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• pp.392-401
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• 2014

Purpose: The purpose of this study was to examine the mediating effects of alcohol outcome expectancy and depression on the relation between parents' problematic drinking and their collegiate children's problematic drinking. Methods: This study was conducted using a descriptive survey design. Subjects were 342 university students from three universities in Gwangju city and Jeollanamdo. Data were collected from November to December 2013 using self-report questionnaires. Data were analyzed using SPSS 19.0. Results: Of the participants, 31.0% were in the adult children of alcoholics (ACOA) group. The ACOA group scored significantly higher on problem drinking, alcohol outcome expectancy, and depression measures than did the non-ACOA group. There were significant positive correlations between parent problematic drinking and university students' alcohol outcome expectancy, depression and, problematic drinking. It was also found that alcohol outcome expectancy partially mediated the relationship between parent problematic drinking and their children's problematic drinking. This was not found for depression. Conclusions: Based on the present findings, nursing interventions should be developed to decrease alcohol outcome expectancy, with additional consideration regarding depression, in order to prevent problematic drinking among ACOA.

• The Korean Journal of Food And Nutrition
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• v.30 no.5
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• pp.867-879
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• 2017

This study investigated the factors affecting problematic drinking amongst the male university students of the Changwon area (n=367). The participants were divided into 3 groups, and undertook the self-report questionnaire survey. Based on the AUDIT (Alcohol Use Disorders Identification Test) guidelines, problematic drinking were rated as 'no problem' (28.8%), 'at-risk drinking' (41.7%), and 'alcohol abuse' (29.5%). Our study revealed that students living alone, indulged in more club activities, and drank more than 3 cans of carbonated drinks a day; this was significantly high on the AUDIT score (p<0.05). Participation in education was significantly higher (p<0.05), but intention to reduce the monthly alcohol consumption was significantly lower (p<0.001) in the alcohol abuse group. Recognition level of drinking cultures, drinking habits, AUDIT, and nicotine dependence were significantly higher in the alcohol abuse group (p<0.001). Recognition level of drinking cultures and nicotine dependence by the FTND (Fagerstrom Test for Nicotine Dependence) positively correlated with problematic drinking, whereas dietary guidelines and self-esteem showed a negative correlation with problematic drinking (p<0.05). Based on the results of multiple linear regression analysis, the factors affecting problematic drinking were recognition level of drinking cultures (${\beta}=0.47$, p<0.001) and nicotine dependence (${\beta}=0.23$, p<0.001). We conclude that implementation of health education for university students, would aid in rectifying the incorrect perception of drinking. Furthermore, both drinking and smoking should be considered simultaneously.

• Research in Community and Public Health Nursing
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• v.15 no.3
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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.

• Journal of East-West Nursing Research
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• v.20 no.2
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• pp.121-128
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• 2014

Purpose: The purpose of this study was to examine the influence of alcohol outcome expectancy, depression and suicidal ideation on problematic drinking among college students. Methods: This study was conducted using a descriptive survey design. Participants were 205 college students from two universities in Jeollanamdo. Data were collected from March 10 to March 25 in 2014 using self-report questionnaires. Data were analyzed by t-test, ANOVA, Pearson correlation coefficient and multiple regression using SPSS 19.0. Results: Of the participants, 57.6% were in problem drinking group. There were significant positive correlations between alcohol outcome expectancy, depression and problematic drinking of college students. However, suicidal ideation was not correlated with problematic drinking. It was also found that alcohol outcome expectancy, low academic performance and depression influence on problem drinking of college students. These variables did not influence on suicidal ideation. Conclusion: Based on the findings, problem drinking prevention programs should be developed to decrease alcohol outcome expectancy and regulate negative emotions such as depression, in order to prevent problematic drinking among college students.

• Korean Journal of Health Education and Promotion
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• v.34 no.1
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• pp.67-76
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• 2017

Objectives: The purpose of this study was to investigate factors that influence problematic drinking among adolescents in South Korea. The first aim of this study was to examined the problematic drinking status according to ocio-demographics characteristics, mental-health, and health behavior factors. The second aim was to identify factors affecting problematic drinking. Methods: Using statistics from the $11^{th}$(2015) Korea Youth Risk Behavior Web-based Survey, any variations among the subjects were presented by percentages and analyzed by $x^2$-tests, and then logistic regression analysis was conducted. Results: In the final model, gender, economic status, weekly allowance, father's education level, experience of sadness, smoking, and consumption of high-caffeine drinks were all significantly associated with problematic drinking. Conclusions: Awareness of teenagers regarding the potential health effects of problematic drinking, in particular in regards to mixing smoking and high-caffeine drinks with consumption of alcoholic beverages, should be increased through health education. Teenagers need to be taught the physical and mental dangers of drinking. A program that can teach proper drinking habits and prevent excessive drinking is needed. It should be a national matter just like the smoking policy.

• Anxiety and mood
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• v.13 no.1
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• pp.39-45
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• 2017

Objective : Korean employees tend to release their stress by alcohol drinking. This study aimed to investigate the association between job stress and problematic drinking in Korean employees. Methods : The study participants were 72,119 employees who attended health screenings and responded to the Alcohol Use Disorder Identification Test-Korea (AUDIT-K), Korean Occupational Stress Scale-Short Form (KOSS-SF), Center for Epidemiologic Study-Depression (CES-D), Beck Anxiety Inventory (BAI) and questionnaire on suicidal ideation and sociodemographic characteristics. We investigated the sociodemographic and clinical characteristics of the problematic drinking group ($AUIDT-K{\geq}12$) and used binary logistic regression to determine the impact of job stress on problematic drinking. Results : Age, gender, marital status, education year, sleep duration, obesity, smoking, suicidal ideation, and depression and anxiety showed significant differences between the problematic drinking group and normal group. Among the various kinds of job stresses, job insecurity and lack of reward were associated with problematic drinking. Conclusion : The result of this study suggested that certain kinds of job stress might be associated with problematic drinking in Korean employees.

• Journal of Korean Academy of Nursing
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• v.49 no.6
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• pp.690-700
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• 2019

Purpose: The purpose of this study was to examine the awareness of alcohol use during pregnancy and factors influencing the intention to abstain from alcohol during pregnancy by drinking levels. Methods: Utilizing a comparative descriptive design, a total of 359 female college students were recruited. Measurements were Theory of Planned Behavior (TPB) variables related awareness of alcohol use during pregnancy, Korean Version of the Alcohol Use Disorders Identification Test, knowledge about alcohol use during pregnancy, and socio-demographic factors. Main variables were compared by drinking levels. The factors influencing the intention to abstain from alcohol during pregnancy were identified using hierarchical regression analysis. Results: Non-problematic alcohol behavior group (n=185) had higher the intention to abstain from alcohol during pregnancy than problematic alcohol behavior group (n=174) (t=3.13, p=.002). The significant TPB variables influencing the intention to abstain from alcohol during pregnancy were that attitudes (β =-.44, p<.001), subjective norms (β =.14, p=.026), and perceived behavior control (β =.19, p=.002) in non-problematic alcohol behavior group, whereas the corresponding variables in the problematic alcohol behavior group were attitudes (β =-.51, p<.001) and subjective norms (β =.21, p=.006). Conclusion: It is necessary to increase the intention to abstain from alcohol during pregnancy for the female college students having problematic alcohol behavior. The following strategies are recommended for them; decreasing acceptable attitudes toward alcohol use during pregnancy and reinforcing the influence of social pressure toward to abstain from alcohol during pregnancy.

• Korean Journal of Biological Psychiatry
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• v.18 no.2
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• pp.101-108
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• 2011

Objectives The aim of this study is to explore the association among DRD4 polymorphism, temperament and alcohol drinking behavior of Koreans in their early adulthood. Method Participants were 172 healthy Korean adults (mean age $28.1{\pm}0.8$). Their temperament was assessed with the Temperament and Character Inventory (TCI) and their alcohol drinking behavior were evaluated with a self-reported questionnaire including the CAGE and the Korean version of Alcohol Use Disorder Identification Test (AUDIT-K). DRD4 exon III 48 base pair variable number of tandem repeats (VNTR) was genotyped by PCR. Results No significant association was found between DRD4 polymorphism and TCI temperament dimension (novelty seeking, harm avoidance, reward dependence, and persistence) as well as alcohol drinking behavior scales. However, novelty seeking was significantly associated with alcohol drinking behavior. The higher level of novelty seeking was associated with the higher severity index of drinking (B = -0.225, p < 0.001) and problematic alcohol use on the CAGE and AUDIT-K [Odds Ratio (OR) = 1.111, 95% Confidence Interval (CI) 1.021-1.209, p = 0.015, OR = 1.087, 95% CI 1.009-1.170, p = 0.028]. Conclusion In our study, while there is no significant association of DRD4 polymorphism with temperament and alcohol drinking behavior, novelty seeking affects problematic alcohol use. Results suggest that novelty seeking may play an important role in problematic alcohol use in young Korean adults.

• Journal of Korean Academy of Nursing
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• v.51 no.3
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• pp.265-279
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• 2021

Purpose: This study examined the impact of a drinking reduction program on drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors in college students with problematic drinking habits. Methods: This study incorporated a non-equivalent control group prepost-test design. Study participants included 58 college students who scored 12 or more in the AUDIT-K test (Alcohol Use Disorders Identification Test-Korean version) (experimental group: 30; control group: 28). The intervention consisted of eight sessions and was conducted once a week. It was designed to promote autonomy, competence, and relatedness-the three elements of basic psychological needs in self-determination theory. The participants were assessed before the intervention, immediately after, and four weeks post intervention. Data were collected from October 12 to December 31, 2017. The analysis employed the chi-square test, Fisher's exact test, independent t-test, and repeated measures ANOVA using SPSS/WIN 22.0. Results: The mean age of participants was 21.8 years. There were 30 men (51.7%) and 28 women (48.3%). The differences in drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors were statistically significant for the group by time interaction (F = 42.56, p < .001; F = 54.96, p < .001; F = 39.90, p < .001, respectively). Conclusion: The findings indicate that the intervention effectively decreases drinking motivation, increases drinking refusal self-efficacy, and decreases problematic drinking behaviors. It can be an efficient strategy for college students with problematic drinking habits to enhance their self-determination ability.

• The Korean Journal of Health Service Management
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• v.9 no.3
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• pp.187-199
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• 2015

Objectives : This study was conducted to examine social factors associated with problematic drinking among middle- and older-aged men in South Korea. Methods : The data were collected from the baseline survey of the Korean Longitudinal Study of Aging, and the sample consisted of 3,631 men between 45 and 64 years of age and 1,173 men aged 65 or older. This study employed variables identifying various socioeconomic features, social ties, and health-related factors. Logistic regressions were used for the data analysis. Results : Middle-aged men having frequent social relationship with close persons were significantly more likely to be problematic drinkers than those having less frequent social relationships with close persons. Lower education, unemployment, smoking, and depression were associated with problematic drinking only among middle-aged men. Conclusions : We suggest that health professionals develop specific intervention strategies that could lead to more moderate alcohol habits and better health in middle aged Korean men who are actively engaged in social networks. In addition, health professionals need to focus more on the unemployed, lower educated, depressed, and smoking groups for early detection of problematic drinking among middle-aged Korean men.