• Korean Journal of Health Education and Promotion
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• 제3권1호
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• pp.55-70
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• 2001

Background: Alcohol and tobacco use are two major behavioral risk factors implicated in increased morbidity and mortality. Since both substances are widely used in Korea, a concerted effort is currently underway to reduce the use of tobacco and alcohol in Korea. Objectives: Efforts directed toward preparing health promotion planners and health educators from local health departments to organize and implement community-wide interventions to reduce the proportion of people smoking and reduce the average level of alcohol consumption in the community. Methods: Comprehensive multi-media health promotion materials were developed based on health behavior theories and strategies. The materials were developed to introduce a user-oriented developmental approach by making messages more persuasive and organizing content in a user-friendly manner. Health educators from all local health departments in the country were trained in the use of the materials, to enable them to develop community interventions to reduce smoking and drinking. Implications for Practitioners: The process followed in developing the health intervention materials is described in detail to assist practitioners who need to develop effective programs to reduce the use of tobacco and alcohol. Sections of the report explain health intervention theories, specific program activities to include in an intervention, development, organization, evaluation, choosing a target audience, choosing goals of an intervention, and methods of making program content vivid and persuasive.

• 가정간호학회지
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• 제29권2호
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• pp.194-203
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• 2022

Purpose: This study investigated the factors influencing the risk of relapse in community-dwelling adults with alcohol use disorder. Methods: This study included 122 community-dwelling individuals with alcohol use disorder who were receiving outpatient treatment at a mental health treatment hospital or were enrolled in a treatment program at the Community Addition Management Center in Gyeonggi Province. Data were collected using self-administered questionnaires from July to August 2020. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS 25.0. Results: Abstinence self-efficacy (𝛽=-.56, p<.001), social support (𝛽=-.35, p=.009), female sex (𝛽=11.29, p=.015), and a family history of alcoholism (𝛽=9.41, p=.026) were significant predictors of relapse risk, accounting for 56% of the variance (F=12.68, p<.001). Conclusion: The findings of this study suggest that abstinence self-efficacy and social support are pivotal in reducing risk of relapse in individuals with alcohol use disorder. Therefore, relevant and effective interventions focusing on enhancing abstinence self-efficacy and social support are required.

• 사회복지연구
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• 제36호
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• pp.253-280
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• 2008

기존연구들에서 우울과 음주와의 상관관계는 높은 것으로 나타났으나, 두 변수 중에서 어떤 변수가 선행요인인가에 대해서는 알려진 바가 없다. 이러한 기존연구의 한계를 극복하기 위해서 본 연구는 비재귀구조방정식모델(non-recursive structural equation modeling)을 이용하여 음주와 우울 사이의 관계를 고찰하고 심리사회행동적 변수들이 음주와 우울에 영향을 주는 경로를 살펴보았다. 본 연구의 분석 자료는 2006년 한국복지패널(Korea Welfare Panel Study)조사에 참가한 14,469명을 대상으로 하였다. 음주가 우울에 선행한다는 독성가설과 우울이 음주에 선행한다는 긴장감소가설을 검증한 결과, 음주가 우울에 선행한다는 독성가설이 지지되었다. 또한 심리사회행동적 변수들의 음주에 대한 영향력의 상당부분이 음주를 통하여 영향을 미치는 것으로 나타났다. 이러한 결과를 바탕으로 실천적 함의에 대한 논의와 차후의 연구방향에 대해서 논의하였다.

• 수면정신생리
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• 제13권1호
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• pp.5-10
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• 2006

Alcohol has extensive effects on sleep and daytime sleepiness. Alcohol has a sleep inducing effect and the effect of increased non-REM sleep and suppressed REM sleep during the first half portion of night sleep, but alcohol induces the effect of decreased non-REM sleep and increased light sleep and frequent awakenings and REM rebound during the second half portion of night sleep. Alcohol provokes chronobiological change such as the changes of amplitude or the phase shifts of hormones or core body temperature. The sleep disruption resulting from alcohol drinking may lead to daytime fatigue and sleepiness. The elderly are at particular in the increased risk of alcohol-related sleep disorders because they achieve higher levels of alcohol in the blood and brain than do younger adults after consuming an equivalent dose. Bedtime alcohol consumption among older adults may lead to unsteadiness if walking is attempted during the night, with increased risk of falls and injuries. Continued alcohol use for sleep induction often induces aggravation of insomnia, alcoholism or sleep related breathing disorders such as obstructive sleep apnea. Alcohol should not be used as substitution of sleep pill because of the dependence and tolerance for sleep inducing effect, and the sleep disruption produced by alcohol withdrawal.

• Journal of Preventive Medicine and Public Health
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• 제46권4호
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• pp.183-191
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• 2013

Objectives: In Korea, the proportion of deaths due to alcohol is estimated at 8.9%, far exceeding the global estimate of 3.8%. Therefore, this study was performed to examine the factors associated with low-risk, moderate-risk, and high-risk drinking patterns in Korean adults and to identify target populations for prevention and control of alcohol-related diseases and deaths. Methods: We analyzed data from 230 715 Korean adults aged 19 years and older who participated in the 2009 Korean Community Health Survey. Multinomial logistic regression analysis was used to examine associations between socio-demographic and health-related factors and patterns of alcohol use. Results: A substantially larger proportion of men than women engaged in high risk (21.2% vs. 3.4%) and moderate-risk alcohol use (15.5% vs. 8.2%). In both sexes, moderate- and high-risk uses were associated with younger age, higher income, being currently employed, smoking, being overweight/obese, and good self-rated health. Conclusions: Given the large proportion of the population that is engaging in moderate- and high-risk drinking and given the social norms that support this behavior, public health policies and campaigns to reduce alcohol consumption targeting the entire population are indicated.

• 한국콘텐츠학회논문지
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• 제21권5호
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• pp.981-995
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• 2021

본 연구는 단주를 유지하고 있는 알코올 사용장애자의 단주기간에 따른 인구사회학적 특성과 알코올의존 회복, 삶의 질, 임파워먼트, 자아존중감의 차이를 확인하고 그 관계를 비교 연구하였다. 연구대상자는 전국 7개 지역을 중심으로 알코올 사용장애로 진단받은 후 단주 중인 알코올 사용장애자 207명이었다. 선행연구 결과를 바탕으로 207명을 단주 1년 미만, 1년-5년 미만, 5년 이상으로 구분하여 분석한 결과, 집단 간 차이에 영향을 주는 인구사회학적 특성은, 성별, 나이, 결혼 여부, 경제활동 여부였고, 1년 미만의 단주자들보다 1년 이상 단주를 유지하는 단주자들의 알코올의존 회복, 삶의 질, 임파워먼트, 자아존중감 모든 요인에서 높은 점수가 확인되었다. 그리고 단주기간을 불문하고 모든 단주자들에게서 알코올의존 회복, 삶의 질, 임파워먼트, 자아존중감이 서로 유의미한 양의 상관관계를 보였다. 따라서 본 연구 결과를 통해 장기적인 단주에 영향을 주는 요인들과 단주의 효과를 알 수 있었고 이런 요인들을 고려한 알코올의존 회복 프로그램이나 치료적 중재의 필요성을 제안하였다.

• 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.

• 지역사회간호학회지
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• 제6권2호
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• pp.286-298
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• 1995

The purposes of this study were to suggest the need for drug prevention program in primary school and to provide basic data for preventing the youth from their drug abuse. A total of 680 students of primary school in Pusan were selected to answer this questionnair. The data was collected from July 1 to July 15, 1994. The major findings of this study were as follows : 1) The attitude about drugs of primary school students was desirable. By groups, girl students showed more desirable attitude than boy students. 2) 5.9% of subjects had smoking experience, and for the motives of smoking 77.5% of them, the largest numbers, was with curiosity. 3) 39.8% of subjects had experienced alcohol use, and for the motives alcohol use 50.5% of them, the largest numbers, was with curiosity. 4) 1.8% of subjects had experienced inhalants (gas, butane gas), and for the motives of inhalants use 58.4% of them, the largest numbers, was also with curiosity. 5) The rates of smoking, alcohol use and inhalants use were higher in boy students than girl students. 6) The attitude points about drugs in case of smoking, alcohol use and inhalants use were lower than the points in case of not using them. 7) Knowledge level about .drugs of subjects was appeared poor. 8) For the need of drug education 65.9% of subjects responded 'necessary', and they responded most suitable educator as school nurse. 9) The students had received drug education from school in 38.2%, from their parents in 8% and from mass media in 63.5%.

• 한국식생활문화학회지
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• 제26권2호
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• pp.101-112
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• 2011

The objective of this study was to examine alcohol consumption rates and the perception of drinking cultures among college students in the Wonju area. An examination of factors such as frequency of drinking, average quantity consumed, and frequency of heavy drinking suggested that the drinking rates were relatively high. Over 70% of subjects drank at least once a week, 66.2% typically drank more than 5 servings at a time, and 19.2% of males and 13.0% of females were heavy drinkers. It was revealed from an AUDIT (Alcohol Use Disorder Identification Test) assessment that 71.3% of the subjects tested had various levels of alcohol-related problems. These problems were more severe in subjects that were male, selfboarding, or overweight. Alcohol related knowledge was not high because the subjects didn't know or incorrectly recognized some contents such as blood alcohol concentration, the energy content of alcohol, and the empty caloric characteristics of alcohol. Generally male, self-boarding, and overweight persons were not critical of the undesirable characteristics associated with drinking culture. Two opinions that were generally considered to be permissible were: 'Men should be able to drink' and 'Drinking is essential for a smooth human relationship'.

• 한국보건간호학회지
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• 제23권1호
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• pp.17-26
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• 2009

Purpose: In this study, the effects of an alcohol education program for elderly persons with drinking problems and the effects of knowledge of the behavior associated with alcohol use by elderly individuals with drinking problems were evaluated. Method: A single-group repeated study was conducted to evaluate 19 elderly individuals with drinking problems who used the G-city Elderly Welfare Center, with more than eight points in AUDIT results. The changes in drinking knowledge and alcohol behavior following an alcohol education program were evaluated. The effectiveness of the program was analyzed by a Wilcoxon signed rank test. and the relationship between drinking knowledge and changes in alcohol behavior was measured by Spearman's rank correlation coefficient. Results: The results indicated that drinking knowledge after conducting education increased significantly(Z=-3.826, p<.001), and that this increased knowledge resulted in significant changes in alcohol behavior(Z=-3.830, p<.001). There was a significantly positive relationship between drinking knowledge and changes in alcohol behavior(r=.464, p=0.013). Conclusion: Alcohol education programs effectively educate the elderly with drinking problems regarding alcohol, which influences their alcohol behavior.