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.
Previous studies have shown that five representative behaviors affect the health of adults in everyday life : smoking, drinking, exercise, nutrition, and stress. This study focuses on these five behaviors in an attempt not only to develop a program that promotes health, but also to suggest ways that such a program may be implemented to reflect diverse lifestyles. Our aim is to show how individual subjectivity influences behavior when making lifestyle choices that affect health. By analyzing individual characteristics, we tried to group people according to their common attitude and behaviors to promote health. We hope that this study may provide the fundamental data which may be used to assist professionals in promoting healthy behaviors among adults. In order to examine how subjectivity(e.g, personal opinions or attitudes) influences behavior, we prepared Q-statements which were composed of Q-samples for the study of human subjectivity. We polled forty-two adults and then analyzed the results using a PC qunal program. As a result, the respondents were classed according to six different types. Type One includes people who think managing stress is the most effective way to live a healthy life. They regard smoking and drinking as harmful behaviors. Type Two subjects, on the other hand, regard smoking and drinking as a matter of taste with few harmful effects. Although they recognize the importance of managing stress, they have a positive attitude towards smoking and regard nutrition as a minor factor in promoting their healthy lifestyle. Those classed as Type Three emphasize the necessity of exercise. They perceive drinking, smoking, and stress as harmful. People in this category seek to increase physical strength and to regulate all five health behaviors by keeping them in a normal range. Type Four consists of people who are indifferent to their health. While they seem to recognize the importance of regular exercise, they pay little attention to nutrition or to the harmful effects of smoking, drinking, and stress. They believe that exercise alone is sufficient to maintain their health. Type Five subjects believe drinking is not a harmful behavior at all. Rather. it has a positive effect on their mental health. They are characterized by this positive attitude towards drinking as well as by indifference toward nutrition (although they readily admit that good nutrition is important). Finally. those classed as Type Six have a positive attitude toward moderate drinking as a means to relieve stress. However. they also recognize the harmful effects of excessive drinking. They regard good nutrition as an important lifestyle choice but are indifferent toward exercise. This type is engaged in passive health management. This study devised six types or categories that reflect different attitudes toward promoting health in everyday life. It further went on to analyze the characteristics of each type. This study shows that programs designed to promote health must be modified to reflect the diversity of individual attitudes and patterns of behaviors.
Journal of Korean Academy of Fundamentals of Nursing
/
v.23
no.4
/
pp.440-447
/
2016
Purpose: The purpose of this study was to identify factors affecting problem drinking in male nursing students. Methods: This study was conducted using a cross-sectional survey. A total 126male nursing students completed a self-report questionnaire to assess alcohol consumption, motives for drinking, and self-efficacy in drinking refusal self-efficacy. The participants were divided into 2 groups, moderate and problem drinkers. Multivariate analysis was used to identify factors affecting problem drinking in these nursing students. Results: Problem drinkers was found to be related to young age (adjusted OR=0.83, 95% CI [0.71, 0.96], coping motives (adjusted OR=1.19, 95%CI [1.00, 1.42], and drinking refusal self-efficacy (OR=0.96, 95% CI [0.93, 0.99]). Conclusion: The findings highlight the important role that coping motives and drinking refusal self-efficacy play in the problems in the drinking behavior of male nursing students.
The purpose of this study is to investigate the drinking patterns and behaviors of Yangsan College students. Data were collected by a self-administered survey from the subjects, of which male students were 336 and female 165. The results of this study were as follows: 1. With regard to attitude toward drinking, 93.1% of the male subjects and 84.3% female subjects reported to have favor for drinking while only 9.3% of the subjects against drinking. 2. Those who reported to have at least a drink everyday were 13.3% of the subjects. For drinking frequency subjects who reported once in two or three day were most popular(21.9%). The frequency of drinking alcohol was associated positively with amount of discretionary money the students have. 3. For amount of drinking, 42.5% of subjects responded that they were able to drink soju at least one bottle per occasion. Data showed a high positive correlation between drinking frequency and financial costs they spent to drink. 4. The reasons subjects gave to drink included social gatherings after school or student activities (40.1%), change of mood(16.5%), and personal cerebration(16.5%). 5. The most popular place for the subject to go for a drink was neighborhood pubs(43.5%), followed by bar or pubs at downtown(28.3%) and nearby campus(12.2%).
Objectives: Socioeconomic factors are one of the significant factors explaining drinking problems in our society. From the poverty and inequality perspective, not only absolute poverty but perceived level of poverty or inequality has a direct effect on one's health and health behaviors. The purpose of the study is to explore the growth trajectories of problem drinking in Korea in relation to poverty and perceived income. Methods: Data from 13,414 adults were analyzed using 4 years of data (2010 to 2014) from the Korea Welfare Panel. Main variables included poverty status, perceived income inequality, and problem drinking. A latent growth modeling was employed for the analysis. Results: The non-poverty group had higher initial level of problem drinking; however, the poverty group showed higher rate of increase in problem drinking rate. The perceived income inequality had no significant influence on the initial level, but over time, those with higher level of perceived income inequality showed higher rate of increase in problem drinking. Conclusions: Findings showed that poverty and inequality affect changes in problem drinking. Efforts to prevent and decrease problems related to alcohol should not only focus on changing individuals' behavior but also on decreasing the inequality gap.
The purpose of this study was to identify the significant predictors of drinking problem among college students attending health and welfare department. A total of 538 college students attending health and welfare department were selected through convenient sampling. Data were collected using self-reporting questionnaires, which were constructed to include depression, anxiety, abstinence self-efficacy, and drinking behavior. SPSS 18.0 was used for data analysis and descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson Correlation coefficients, and multiple regression were done. Drinking problem was positively correlated to the depression and anger while negatively correlated to the abstinence self-efficacy. The significant predictors of drinking behavior were sex, grade, anxiety, and abstinence self-efficacy. The result of this study suggest that drinking problem prevention program should consider improving self management skills by effective management of negative emotions along with enhancing self-efficacy as a cognitive strategy.
Purpose: The purpose of this study was to examine the relationship between health behavior and residence types of university students. Methods: Using a quota sampling method by gender and residence type, 364 male and female students (126 students who live in their own house (SH), 123 students who live in board themselves (SB), and 115 students who live in a dormitory (SD)) were selected from one university in Ulsan. Five categories on smoking, drinking, exercise, eating, and sleeping were used to describe health behavior of the participants. Results: Difference of smoking, drinking, eating, and sleeping habits was existed in classifications of residence types of participants. Regarding the current smoking rate, frequency of drinking, and amount of drinking, the result of SB was higher than that of SH or SD. The score of eating habit of SB was lower than that of SH or SD. SD exercised much less than SB or SH. Conclusion: To prevent aggravation of SB health habits, an education program for comprehensive health promotion is needed for university students to improve their smoking, drinking, exercise, and eating habits.
This study aimed to compare the drinking behavior and health promoting lifestyle between Korean (n=304) and Japanese (n=244) female nursing students. The average score of health promoting lifestyle was statistically significant different after controlling covariables between the two countries. Spiritual growth of Korean was higher, while nutritional habits, interpersonal relationship and stress management of Japanese were higher. The frequency and amount of drinking, and the number of heavy drinkers of Korean were more than that of Japanese. The probability to be heavy drinkers in Korea was higher in interpersonal relationship and lower in spiritual growth, however the probability to be heavy drinkers in Japan was higher in health responsibility. Health educators need to provide nursing college students health education to improve healthy lifestyle including drinking behaviors.
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.
Alcohol has as much effect on our lives as the different taste for foods that people have all of the world. Recently, the interest about drinking habits has increased with the rise in health problems for college students with poor health related behavior. The purpose of this study was to evaluate alcohol consumption, smoking and eating behavior of college students in the Kyungsan area. This survey was administered through questionnaires, and the subjects were 177 male and 189 female college students. The self-administered questionnaire was composed of questions concerning social-demographic factors, general characteristics, cigarette smoking, alcohol consumption and eating behavior. The data were analyzed by $\chi$$^2$-test and t-test. According to the survey results, almost of all of the survey subjects drank alcohol. The mean alcohol consumption level per day for male students (33.9${\pm}$29.7g) were significantly higher than for the female students (18.5${\pm}$16.5g), and more than 39.6% of the subjects drank alcohol 1-3 days a week. Alcohol consumption changed the students eating habits. Most students had dietary problems such as fast eating, skipping meal and spending too much money on fast food. The survey about eating behavior of the students showed the male students had more problems when compared with female students. Alcohol consumption levels and alcohol dependence showed a significant positive correlation with smoking cigarettes (r=0.386, p<0.001). The correlation coefficient between alcohol consumption and eating behavior was negatively correlated with skipping meals (r=-0.121, p<0.001). However, there were significant and positive correlations with overeating when students were depressed (r=0.130, p<0.05), with eating meals when watching TV or videos (r=0.085) and with spending money on fast food(r=0.235, p<0.235). The results indicate that health related behaviors of college students in the present study were fairly good. More attention should be given to college students and their habits of skipping meal, alcohol drinking and smoking, and the fairly good students can act as a model for correct dietary behavior so as to improve overall student health.
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