This study analyzed the socio-psychological process of adolescent drinking behaviors. A total 1,732 high school students in Pusan city were studied by the questionnaire from May to July, 1985. A structural model based on review of the literature was examined in order to test the following three hypotheses: (1) sociocultural and environmental impact on the adolescent belief system for drinking, on drinking situations, and on experiences of deviation, (2) relationships among adolescent belief system, drinking situations, and experiences of deviation, and (3) impact of antecedent variables on adolescent drinking levels. All hypotheses were supported by the data. The important outcomes were discussed as follows: 1. Because interpersonal factors were influential for the adolescent belief system concerning drinking, public drinking education through mass communication or drinking education in the curriculum were recommended. In addition to sex variables, friends' drinking and sibling's drinking were shown to have a positive impacts on drinking situations. Also, adolescent self-reported parents' views on drinking had significant effects. Because adolescent deviant experiences were generally affected by environmental factors, it is recommended that positive extra-curricular activities at both home and school should be investigated. 2. There were significant relationships among adolescent belief systems, drinking situations, and deviant experiences. However, adolescent drinking behaviors in supervised situations had weak correlations with their belif systems and deviant behaviors. 3. Adolescent drinking levels were remarkably influenced by drinking behaviors in unsupervised situations. Because it is difficult to control actual adolescent drinking behaviors in unsupervised situations, it is important to fortify their belief system with continuous education programs.
Objectives: This study examined the trend of alcohol-related research, with a specific focus on adolescent problem drinking, to provide evidence for prevention and intervention for adolescent alcohol problems and alcohol policy in Korea. Methods: A total of 17 studies examining adolescent problem drinking were included for meta-analysis. Using CMA (Comprehensive Meta-Analysis) 2.0, the effect sizes of correlation coefficients of variables related to adolescent problem drinking were analyzed. Results: 176 variables were extracted under 4 higher categories and 20 sub-categories. Variables were extracted using the four higher categories, namely individual, family, environmental, and demographics, as the theoretical framework. Results showed that most studies on adolescent problem drinking focused mostly on individual factors followed by family factors. Variables including drinking motivation, drinking expectancy, and peer relations showed relatively higher effect size. Conclusions: Study findings suggest the importance of balance between individual and environmental factors in examining problem drinking among adolescents. In order to provide evidence for alcohol policy, more attention should be given to macro environment that are known to influence adolescent drinking.
The purpose of this study was to identify relationships among peer pressure, parental supervision, alcohol expectancy and adolescent drinking behaviors between year 2001 and 2006. Three hundred high school students were given questionnaires each year on their drinking behavior. Findings of this study were; first, a adolescent drinking and the amount drinking has increased during the years. adolescent drinker ratio as adolescent drinkers were 91.3% in 2006 compared to 75.9% in 2001. The average drinking amounts were 40.82 units in 2006 and 24.9 units in 2001. Second, differences were found in adolescent drinking behaviors such as the amount of alcohol consumption, drinking frequency, & problem drinker ratio by gender, and grade. Male students over female students. Third, peer pressure, parental supervision, alcohol expectancy showed significant impacts on adolescent drinking behaviors through 2001 and 2006. Students who lack parental supervision with much higher drinking-related peer pressure along with a higher level of positive alcohol expectancy were observed to be heavy drinkers and problem drinkers. Especially, students who showed belief in alcohol's tension-relieving function and sociability function tended to over-drink, drink more frequently and as a result, experienced more drinking problems. Intervention strategies were discussed.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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제32권4호
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pp.161-169
/
2021
Objectives: Adolescent suicide is a serious social problem. Adolescent alcohol use is one of the most important risk factors for adolescent suicide. This study aimed to identify the relationship between drinking habits and suicide among Korean adolescents. Methods: Data from the 14th and 15th Korean Youth Risk Behavior Web-based Survey, conducted in 2018 and 2019, were used for analysis. Multiple logistic regression analysis was used to identify the relationship between drinking habits-including the age of drinking initiation, frequency of drinking, average drinking amount, frequency of drunkenness-and suicidal ideation, plans, and attempts. Results: Even after adjusting for age, sex, school grade, academic achievement, socioeconomic status, depression, stress, and drinking habits, the frequencies of drinking and drunkenness increased the risk of suicide attempts. Suicide attempts were associated with the frequency of drinking in girls and middle school students, and with the frequency of drunkenness in boys and high school students. Conclusion: This study identified associations between drinking habits (the age of drinking initiation, frequency of drinking, average amount of drinking, frequency of drunkenness) and suicidal behavior in adolescents. Our findings suggest that to prevent adolescent suicide, it might be necessary to investigate drinking habits, including the frequencies of drinking and drunkenness. Moreover, considering the differences in sex and school grade, it is important to include the individual group characteristics when evaluating drinking habits.
Objective: To prevent adolescent drinking and smoking, this study proposed a strategy based on the ecological perspective. Methods: The study applied multilevel moderated logistic regression analysis on nationally representative individual-level (2,046 9th grade adolescents) and neighborhood-level (92 geographic areas) data. Results: There was a positive association between risky neighborhood environments (e.g., rate of smoking, drinking, and presence of saloon/bars accommodation) and rates of adolescent drinking and smoking. Furthermore, the interplay between risky neighborhood environments and school adjustment pointed to a possible protective effect of a high level of school adjustment in predicting smoking and drinking among adolescents. Conclusion: Findings highlighted the importance of considering multiple neighborhood social contexts surrounding adolescents to understand their risky behavior. Furthermore, positive intervention strategies that focus on adolescents' positive development within the school domain may act to protect adolescents from harmful neighborhood environments.
Purpose: Despite the high drinking rates and the complexity of drinking behaviors in adolescents, insufficient attention has been paid to their drinking patterns. Therefore, we aimed to identify patterns of adolescent drinking behaviors and factors predicting the distinct subgroups of adolescent drinking behaviors. Methods: We analyzed nationally representative secondary data obtained in 2017. Our final sample included 24,417 Korean adolescents who had consumed at least one glass of alcohol in their lifetime. To investigate patterns of drinking behaviors, we conducted a latent class analysis using nine alcohol-related characteristics, including alcohol consumption levels, solitary drinking, timing of drinking initiation, and negative consequences of drinking. Furthermore, we investigated differences in demographics, mental health status, and characteristics of substance use across the latent classes identified in our study. To do so, we used the PROC LCA with COVARIATES statement in the SAS software. Results: We identified three latent classes of drinking behaviors: current non-drinkers (CND), binge drinkers (BD), and problem drinkers (PD). Compared to the CND class, both BD and PD classes were strongly associated with higher academic year, lower academic performance, higher levels of stress, suicidal ideation, lifetime conventional or electronic cigarette use, and lifetime use of other drugs. Conclusion: Health professionals should develop and implement intervention strategies targeting individual subgroups of drinking behaviors to obtain better outcomes. In particular, health professionals should consider different characteristics across subgroups of adolescent drinking behaviors when developing the interventions, such as poor mental health status and other substance use among binge and problem drinkers.
Purpose: This study investigated the association between adolescent health behaviors (drinking, smoking, and drug use) and sexual intercourse, as well as the moderating effects of economic status, cohabitation with parents, and school type, among adolescents in Korea. Methods: Secondary data from the 16th Adolescent Health Behavior Survey (2020) were used. A total of 395 schools and 54,948 middle and high school students participated in the study. Complex sample frequency analysis, the Rao-Scott test, and complex sample logistic regression analyses were performed. Results: Sexual intercourse rates for men and women were 5.8% and 3.3%, respectively. Approximately 7.3% of high school students and 1.8% of middle school students reported having had sexual relations. Drinking (odds ratio [OR] = 3.15, 95% confidence interval [CI] = 2.82~3.52), smoking (OR = 6.75, 95% CI = 5.90~7.71), and drug use (OR = 3.03, 95% CI = 2.23~4.11) significantly increased the risk of sexual intercourse. Economic status and school type had moderating effects on the association between drinking and sexual intercourse. Conclusion: Adolescent drinking, smoking, and drug use are associated with a higher risk of sexual experience. Thus, to reduce this risk, controlling alcohol consumption, smoking, and drug use is necessary. In addition, programs for healthy lifestyles and sexual intercourse should be differentiated according to the school type and the economic conditions of the adolescents' households.
Objectives : This study characterized the extent to which youth depressive symptoms, parental alcohol problems, and parental drinking account for differences in alcohol-related problems among a large sample of adolescent females. Methods : The stratified sample consists of 2077 adolescent females from twelve female-only high schools located in a large metropolitan city in the Republic of Korea. Students completed a questionnaire about alcohol use and alcohol problems, their parents' alcohol problems, and a number of risk and protective factors. Data were analyzed using tobit regression analyses to better characterize the associations among variables. Results : Almost two-thirds of students who consume alcohol had experienced at least one to two alcohol-related problems in their lives and 54.6% reported at least one current symptom of depression, with nearly one-third reporting two depressive symptoms. Two-thirds of the students indicated that at least one parent had an alcohol-related problem, and that approximately 29% had experienced several problems. Results of tobit regression analyses indicate that youth alcohol-related problems are positively associated with depressive symptoms (p<0.01) and parent drinking problems (p<0.05). Parental drinking is no longer significant when the variable parental attention is added to the model. Decomposition of the tobit parameters shows that for every unit of increase in depressive symptoms and in parent drinking problems, the probability of a youth experiencing alcohol problems increases by 6% and 1%, respectively. For every unit of increase in parental attention, the probability of youth experiencing drinking problems decreases by 5%. Conclusions : This study presents evidence that alcohol-related problems and depressive symptoms are highly prevalent among adolescent females. Although a comprehensive public health approach is needed to address drinking and mental health problems, different interventions are needed to target factors associated with initiation of alcohol problems and those associated with increased alcohol problems among those who already began experiencing such problems.
The purpose of this study was to investigate the associations between adolescent risk behaviors and correlates of risk behaviors. Questionnaires were completed by 955 high school freshmen in the Daegu${\cdot}$Kyungpook area and included measures of risk behaviors, coping, self-esteem, social competence, attitudes toward risk behaviors, parental attachment, autonomy, parental monitoring, and peers' risk behaviors. The major findings were as follows. (1) Parental attachment, autonomy, and appropriate parental monitoring were positively correlated with adolescent coping, self-esteem, social competence, and peers' desirable behaviors, but were negatively associated with peers' risk behaviors and attitudes toward risk behaviors. (2) Of all the variables, peers' risk behaviors and favorable attitudes toward smoking had the greatest influence on adolescent drinking and smoking, following by favorable attitudes toward drinking, social competence, and gender (3) Similar to adolescent drinking and smoking, of all the variables, peers' risk behaviors had the greatest influence on adolescent delinquency, following by favorable attitudes toward smoking and gender.
Purpose: The prevalence of binge drinking has increased among Korean adolescents in recent years. The purpose of this study was to determine the influencing factors of adolescent binge drinking. Methods: This was a secondary analysis of data from the 14th Korea Youth Risk Behavior Survey. For the present analysis, 5,203 binge drinkers (girls who drank 3 or more glasses of soju and boys who drank 5 or more in average on one occasion in the last 30 days) and 4,464 non-binge drinkers were selected. Results: Compared with the adolescents who had no experience buying alcoholic beverages, the adolescents who responded that it was easy or uneasy to buy alcoholic drinks were more likely to be a binge drinker. Also, compared with never smokers, ex-smokers and current smokers were more likely to be a binge drinker. Binge drinking was positively associated with skipping breakfast, subjective health, and feelings of sadness or hopeless. Conclusion: The findings of this study may be useful in developing binge drinking prevention programs for adolescents.
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