• Human Ecology Research
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• 제58권1호
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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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• 제55권6호
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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.

• 대한간호학회지
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• 제40권1호
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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.

• 대한간호학회지
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• 제44권5호
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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.

• 한국사회복지학
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• 제63권1호
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• pp.187-215
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• 2011

본 연구는 긴장감소가설과 독성가설을 토대로 우울수준이 음주행위에 미치는 영향과 음주행위가 우울수준에 미치는 영향의 경로를 동시에 고려하여 우울수준과 음주행위의 종단적상호관계를 파악하고, 심리사회행동적 요인들(흡연량,자아존중감,가족관계만족,사회적친분관계만족)이 우울수준과 음주행위에 미치는 영향은 어떠한지를 살펴보았다. 본 연구는 한국복지패널 1,2,3차년도 자료를 활용하여, 변수들간의 종단적인 변화 관계를 추정하는데 적합한 잠재성장모형을 이용하여 분석하였다. 분석결과 음주행위 초기값이 우울수준 변화율에 미치는 영향과 우울수준 초기값이 음주행위 변화율에 미치는 영향 모두 정적으로 유의한 것으로 나타났으나, 음주행위 초기값이 우울수준 변화율에 미치는 경로의 영향력이 더 크게 나타났다. 심리사회행동적 요인들 중에서 자아존중감과 가족관계만족수준은 우울수준의 초기값과 변화율에 가장 큰 영향을 미치는 변수로 나타난 반면, 흡연량과 사회적친분관계만족은 음주행위 초기값과 변화율에 가장 큰 영향을 미치는 변수로 나타났다. 본 연구는 음주행위와 우울수준 간의 복합적 관계 기제를 밝히었다는데 그 의의가 있으며, 분석결과를 통해 연구의 정책 및 실천적 함의를 제시하였다.

• 한국사회복지학
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• 제38권
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• pp.153-179
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• 1999

청소년기의 음주는 정상적인 발달과업과 안전 및 학습에 부정적인 영향을 미칠 뿐만 아니라 나아가 기타 약물에 대한 접근성을 높임으로써 비행과 범죄로 연결될 가능성을 내포하고 있어 건전한 인격체로의 발달을 위해서는 이들의 음주실태를 파악하고 음주결정에 영향을 미치는 요인들에 대한 분석이 필요하다. 이 연구는 첫째, 전국에 거주하는 고등학교 학생 1,697명을 대상으로 하여 우리나라 고등학생의 음주행위와 음주문제를 대표할 수 있는 자료를 제공하고, 둘째, 청소년의 음주와 이들이 음주효과에 대해 가지고 있는 기대와의 관계를 분석하였다. 각 변인들은 성별과 학교계열을 배경변인으로 하여 교차분석이 수행되었다. 연구결과 RAPI로 측정한 우리나라 고등학생들의 알코올로 인한 문제는 그리 심각하지는 않았으나 남학생의 87.6%, 여학생의 83,3%가 음주경험이 있는 것으로 나타났고 술을 자주 마시지는 많지만 마실 경우 폭음하는 경향이 있었다. 음주빈도, 취한 빈도, 음주량, 음주로 인한 문제 등에서 남학생 비율이 여학생보다, 그리고 실업고 학생비율이 인문고 학생보다 의미있게 높게 나타났다. 또한 알코올의 효과에 대한 기대는 음주빈도, 음주량, 폭음 및 음주문제와 같은 모든 변인과 정적 상관관계를 보여주고 있어 음주효과에 대해 긍정적인 기대를 가지고 있는 학생들은 술을 자주 그리고 많이 마시며 음주로 인한 문제도 더 많이 경험하고 있는 것으로 나타났다. 남학생이 여학생보다 긍정적인 효과를 더 많이 기대하고 있었고 실업고 학생의 음주의 사교적 기능과 공격성에 대한 긍정적인 기대치가 인문고 학생보다 더 높았다. 조사결과는 청소년 음주예방을 위한 개입방법으로 음주효과에 대한 긍정적인 기대를 수정하는 프로그램의 필요성을 암시하고 있어 청소년들의 음주문제를 효과적으로 예방하기 위해서는 음주효과에 대한 기대에 관한 더욱 정교한 연구가 필요하다.

• 한국학교보건학회지
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• 제28권2호
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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.

• 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.

• 감성과학
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• 제10권4호
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• pp.603-611
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• 2007

남용 약물에 대한 갈망은 중독적인 행동을 지속하는 데 있어 중요하다. 갈망은 강화적이거나 보상적인 약물을 복용하고자 하는 강한 욕구와 관련된 다차원적인 현상으로 여겨진다. 본 연구에서는 알코올 사용 장애자와 정상인이 알코올 관련 자극(소량의 술을 마시기, 알코올 관련 시각 자극)에 노출되었을 때 갈망에 대한 심리적인 반응의 차이를 밝히고자 하였다. 알코올 관련 시각 자극을 개발하기 위하여 Normative Appetitive Picture System(NAPS)과 1차 집단 심리 실험을 통하여 알코올 자극을 선정하고 자극의 적합성과 효과성을 검증하여 자극을 최종 개발하였다. 본 실험을 위해 알코올 사용 장애를 가진 9명의 남녀 대학생(남:8명)과 9명의 비의존 남녀 대학생(남:8명)을 선정하였다. 실험참여자는 5cc 정도의 알코올을 복용하고, 알코올 자극, 음료 자극, 통제 자극(흐릿하게 변형된 알코올 자극)과 고정점 자극(십자가 기호)에 무선적으로 노출되었으며, 각 종류의 자극이 제시되고 나면 마우스를 이용하여 심리적 갈망 수준을 보고하였다. 심리반응 결과, 강박음주갈망척도, 음주 전, 음주 후 알코올 갈망에서 두 집단 간 유의한 차이가 나타났다. 알코올 사용 장애 집단은 알코올 자극을 포함한 모든 자극에서 정상인 집단보다 높은 알코올 갈망 수준을 나타내었다. 결론적으로 알코올 사용 장애자는 알코올 자극에 의해 유발된 심리적 갈망이 정상인과 다른 것으로 나타났다.

• 수면정신생리
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• 제24권1호
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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.