• Human Ecology Research
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• v.58 no.1
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• pp.75-86
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• 2020

This study examined the mediating effect of intimate partner violence (IPV) between alcohol use and relational satisfaction by the Actor Partner Interdependence Model (APIM). For this study, data were drawn from the 13^th-wave Korea Welfare Panel data and a total of 2,263 married couples were included in the analysis. SPSS 25.0 and AMOS 24 were used to analyze data and the Actor Partner Interdependence Mediation Model (APIMeM) examined the mediating effect. The results of this study are summarized as follows. First, the actor effect and the partner effect on the relationship of alcohol use and partner violence were all verified to be positive effects. Second, the actor effect and the partner effect on the relationship of partner violence and relational satisfaction were all verified to be negative effects. Third, comparison of the actor effect and partner effect between the husband and wife showed that the partner effect in which alcohol use to partner violence was greater in the husband than in the wife. In addition, both the actor and partner effect of violent reducing their relational satisfaction were greater in wives than in husbands. The findings of this study suggest that IPV has a mediating role between couples' alcohol use and the relational satisfaction and husband's violent behavior has more negative effect on the quality of the relationship than the wife's violent behavior.

• Journal of Preventive Medicine and Public Health
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• v.55 no.6
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• pp.520-528
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• 2022

Objectives: Thiamine is thought to modify sleeping patterns, while alcohol use diminishes internal thiamine levels. We investigated the association between thiamine intake and sleep duration and explored possible heterogeneity in the effect according to alcohol use. Methods: In total, 15 384 participants aged 19-64 were obtained from the Korea National Health and Nutrition Examination Survey 2012-2016. Nutrient intake, including thiamine, was measured using a food frequency questionnaire. Sleep duration was measured by a self-reported questionnaire. The highest thiamine intake quartile was set as the reference group. Participants were divided into 3 groups, with 7-8 hours of daily sleep as a reference group and those who slept more or less than that as "oversleeping" and "insufficient sleeping," respectively. Multivariate logistic regression was used, adjusting for socioeconomic, medical, and nutritional factors. Additionally, participants were stratified according to high-risk alcohol use defined by the World Health Organization standards on alcohol use. Results: Low thiamine intake was associated with oversleeping (Q3: odds ratio [OR], 1.06; 95% confidence interval [CI], 0.86 to 1.32; Q2: OR, 1.24; 95% CI, 0.99 to 1.55; Q1: OR, 1.49; 95% CI, 1.16 to 1.91) and showed a significant trend for higher ORs at lower intake levels (p-trend<0.001). The effect was stronger in the high-risk alcohol use group (Q1: OR, 1.78; 95% CI, 1.28 to 2.49). Conclusions: Low thiamine intake was associated with oversleeping, and alcohol use intensified that association. These results were found in a context where overt clinical symptoms due to thiamine deficiency are considered rare. More awareness of the potential relationship of thiamine intake with oversleeping and its related risks should be considered.

• Journal of Korean Academy of Nursing
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• v.40 no.1
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• pp.14-23
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• 2010

Purpose: This study was done to compare health risk behavior prevalence for youth living in metropolitan, medium sized and small cities or rural area, in order to enhance understanding regional differences. Methods: For this study, data from the 2006 Youth Health Risk Behavior Online Survey collected by the Korean Center for Disease Control were analyzed using SPSS. Results: In the metropolitan areas, prevalence for disease and perceived obesity were higher than in other areas. Lack of intense or moderate physical activity, obesity, fast food intake, and insufficient sleep showed higher prevalence than in rural areas. Prevalence of lifetime smoking, lifetime alcohol consumption, present alcohol use, fruit intake less than once a day, and not wearing a seat belt were higher in rural areas than in urban areas. Gender, smoking, and alcohol use were correlated. Spearman correlation between living with parent and skipping breakfast were significant. Smoking, alcohol use, and sexual behavior were correlated. Conclusion: As significant differences in prevalence of youth health risk behaviors exist between regional areas, health education and health promotion programs considering these differences have to be developed and implemented for adolescents. Programs for prevention of smoking and alcohol use, programs for improvement of fruit intake and safety are suggested for adolescents in rural areas, whereas programs to enhance physical activity and obesity management are suggested for adolescents in metropolitan areas.

• Journal of Korean Academy of Nursing
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• v.44 no.5
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• pp.495-503
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• 2014

Purpose: The purpose of this study was to identify factors affecting the social competence of school-aged children according alcohol consumption by their parents. Methods: The participants were 558 5th grade elementary school students. Data were collected using structured questionnaires from September 17 to October 2 2013, and analyzed using descriptive statistics, ${\chi}^2$-test, t-test, ANOVA, Pearson correlation coefficients, and Stepwise multiple regression analysis with the SPSS PC+ 21.0 program. Results: Participants were classified into three groups according to alcohol use; Non-use parent group (52.7%), social use parent group (31.0%), and problem use parent group (16.3%). Participants whose parents were problem users had significantly lower scores on emotional awareness and expression (F=14.45, p<.001), social support (F=5.82, p=.003), and social competence (F=16.33, p<.001) compared to students in the other two groups. In school-aged children with parents who were alcohol abusers, the variables that predicted social competence was friend support (66.0%). Conclusion: These results emphasize the importance of focusing on the crucial role of peer support in the development of social competence in school-aged children of parents who abuse alcohol. Further, for these children, interventions aimed at improving social support and children's emotional awareness and expression may be most beneficial.

• Korean Journal of Social Welfare
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• v.63 no.1
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• pp.187-215
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• 2011

This study examined the longitudinal relationship between depressive symptoms and alcohol use based on the tension reduction hypothesis and the intoxication hypothesis considering for path of depressive symptoms on alcohol use and vice versa simultaneously. And this study examined the effect of psychosocial behavior factors (i.e. smoking level, self-esteem, satisfaction with family relationships, and satisfaction with social relationships) on depressive symptoms and alcohol use. Using the data on the Korea Welfare Panel Study for the 1st, 2nd, and 3rd years, this study were estimated using the Latent Growth Curve Model which is helpful for examining differences between the two. The results are as follows: the initial level of alcohol use had a positive impact on the rate of change in depressive symptoms, thereby supporting the intoxication hypothesis. Second, self-esteem and satisfaction with family relationships act as variables with the biggest effect on the initial level and the rate of change in depressive symptoms, whereas other psychosocial behavior factors such as smoking level and satisfaction with social relationship exert the largest influence over the initial level and the rate of change in alcohol use. This study has implications in that it clarified the confused relationship mechanism between alcohol use and depressive symptoms the two. Based on the finding of the study, political and practical implications were discussed.

• Korean Journal of Social Welfare
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• v.38
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• pp.153-179
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• 1999

Despite the enforcement of minimum legal drinking age of 18 years of age since 1997, alcohol experimentation among Korean youth is believed to be greater than ever before. The use of alcohol jeopardizes physical, mental, and social development during a person's formative years, thereby endangering successful transitions from adolescent to adulthood. Even infrequent use of alcohol may result in intoxication and acute consequences, especially among youth, who may have low tolerance due to their smaller body size and may lack experience with the effects of alcohol. Using self-report questionnaire data collected from 1,697 highschool students nation-wide, the drinking behavior among Korean high school students and the relation between adolescents' alcohol expectancy and adolescent alcohol use patterns were examined. Results indicated that gender and the type of school(academic or vocational) were significant effects on the drinking behavior(drinking frequency, experience of drunkenness, the amount of alcohol consumed, experience of binge drinking and that of problems due to drinking). Male students than female students, and students of vocational schools rather than those of academic high schools reported more alcohol experimentation. Also, positive alcohol expectancy proved to have a significant relation with alcohol use among high-school students. That is, students who reported to think alcohol would have a positive effect on socializing, aggressiveness, relaxation of tensions, and enforcing sexual ability tended to drink more, to experience more binge drinking and more drinking problems. Variables of gender and the type of school also were found to have significant effects on alcohol expectancy. Males and students of vocational school held ideas of positive outcomes on drinking than others. Implications for further study on developing prevention programs are presented.

• Journal of the Korean Society of School Health
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• v.28 no.2
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• pp.99-110
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• 2015

Purpose: This study aims to investigate the association between suicidal thoughts and the co-occurrence of alcohol, tobacco, and drug use among adolescents. Methods: This study used the data of the Korea Youth Risk Behavior Web-based Survey from 2008 through 2014. The subjects of this study were 517,866 students, in total (Male 266,500, Female 251,366). Frequency analysis was conducted on the data about the subjects' general characteristics and their experience of smoking, drinking, and drug use. The relationship between suicidal thoughts and the co-occurrence of alcohol, tobacco, and drug use was analyzed through ${\chi}^2-test$ and logistic regression. The analyses were done using SAS 9.4. Results: According to the study, adolescents who used alcohol, cigarettes, and drugs at the same time engaged in suicidal ideation 3.69 times more than their peers who didn't use such substances (95% CI: 3.40~4.00, p<.001). Also, adolescents who used only tobacco, only alcohol, and only drugs engaged in suicidal ideation 1.49 times (95% CI: 1.43~1.56, p<.001), 1.28 times (95% CI: 1.26~1.31, p<.001) and 2.34 times (95% CI: 2.04~2.69, p<.001) more than the students who didn't use any substances, respectively. Conclusion: Adolescents' suicidal ideation and the co-occurrence of alcohol, tobacco, and drug use had a statistically significant relationship.

• Journal of Korean Academy of Nursing
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• v.37 no.1
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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.

• Science of Emotion and Sensibility
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• v.10 no.4
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• pp.603-611
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• 2007

Initially, this study was to develop reliable and effective alcohol-associated visual cues. Alcoholic picture cues were chosen from the Normative Appetitive Picture System (NAPS). Additional images consisted of Korean beer and mild liquor was pre-tested to select the pictures that would induce craving most intensely. The images that recorded the highest scores on a scale were chosen through the pre-test. And then, the reliability and validity were examined for the selected alcohol cues from NAPS and pre-test via another psychometric test. Secondly, the study was to investigate differences in craving between subjects with alcohol use disorders (AUDs) and non-alcoholic control subjects when exposed to the alcohol visual cues. Alcohol abusers with AUD (n=9) and demographically similar non-abusers (n=9) participated in this study. After given 5cc of alcohol, subjects were exposed to different types of stimuli (i.e., alcohol, nonalcoholic beverage, and visual control pictures and one rest (cross-hair)). Craving levels were rated through self-report on a Likert scale immediately after the presentation of visual cues. Results showed statistically significant differences between the AUD group and the control group in the Obsessive Compulsive Drinking Scale (OCDS) scores, pre-sip and post-sip alcohol craving. Also, the AUD group showed significantly a higher level of craving during alcohol cues compared to the control group. In conclusion, alcohol craving induced by alcohol cues among subjects with AUD was found to be different from that of non-abusers.

• Sleep Medicine and Psychophysiology
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• v.24 no.1
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• pp.5-11
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• 2017

The use of alcohol is associated with the development and worsening of sleep disorder. Alcohol is generally known to have a sedative effect, but it has an arousal or sedative effect depending on the timing and drinking dose and directly affects REM sleep physiology. Alcohol acts on the central nervous system (CNS) to interfere with the sleep-wake cycle and to affect sleep-related hormone secretion. In addition, the ingestion of alcohol pre-sleep is associated with deterioration and development of sleep related breathing disorders (SBD). The increase in resistance of the upper respiratory tract and the decrease in sensitivity of the CNS respiratory center and the respiratory muscles are major mechanisms of alcohol-induced SBD, and result in snoring or apnea in healthy men or aggravating apnea in patients with OSA. Sleep-related restless leg syndrome and circadian rhythm disorders are common in alcohol use disorder patients. This review provides an assessment of scientific studies that investigated on the impact of alcohol ingestion on nocturnal sleep physiology and sleep disorders.