Earticle

Objectives: This study analyzed the association with risk drinking behaviors, health promotion factors, and safety awareness levels among college students. Methods: The data was collected from 2,713 college students by the health and safety survey. It examined the association between health-related factors and risk drinking behavior, such as high-risk drinking, monthly binge drinking, and alcohol use disorder, by multiple logistic regression. Results: The factors affecting high-risk drinking, monthly binge drinking, and alcohol use disorder among college students were age, breakfast eating, current smoking, and life safety awareness. Risk drinking behavior was the higher rate in the group between 19~20 years old or the 1st to 2nd grade. Risk drinking behaviors were related to breakfast eating, current smoking, physical activity, and life safety consciousness level. The high rate of monthly binge-drinking rate among female students is a very remarkable result. Conclusion: Health promotion of college students is an essential task as it affects their adaptation to university life and academic achievement. It should establish campus-based university health and safety policies to prevent the risk of drinking.

Objectives: The current usage and definition of the concept of harm reduction derive from the drug field, rather than from the long history of formal and informal regulation of alcohol-related harms. Harm reduction programs can be applied in the alcohol prevention field. Therefore, the objective of this study was to outline harm reduction activities that have been recorded globally. Methods: In terms of the literature in Europe, America and Australia, reports of governmental agencies and research papers were reviewed. In the case of foreign countries, research papers on the laws, systems, and current situation of public drinking and other alcohol control policies were examined. Focus group interviews were conducted with four alcohol policy experts. Results: Minimizing heavy drinking occasions, or using special glassware that breaks into fine particles instead of sharp pieces were one of harm reduction approaches to decrease the negative consequences of alcohol use. The results showed that alcohol harm reduction policies have demonstrated that such approaches to alcohol-related problems are at least as effective as abstinence-oriented approaches in reducing alcohol consumption and alcohol-related consequences. The limitations of harm reduction and recommendations for future research are discussed. Conclusion: Policies of alcohol harm reduction may receive increased attention as public support declines for restrictions on alcohol availability, and new evidence emerges on the potential benefits of moderate alcohol consumption.

Objective: The specific aims of this study were to identify their needs of physical activity program and explore promotion factor and barrier to attend the program. Methods: The participants were 10 male problem drinkers with AUDIT (Alcohol Use Disorders Identification Test) score of 20 or higher. They are also those who attended at least eight times a week in a program that ran from April to November 2016. Individual interviews were conducted for 30 minutes to less than an hour, and the collected data was analyzed in accordance with the qualitative content analysis. Results: The findings were revealed in 5 categories: ‘Change of physical and health behavior’, ‘Change of cognitive and psychosocial status’, ‘promotion factors of participating in the program’, ‘barriers of participating in the program’, ‘needs for physical activity program’. We found out that the physical activity program had positively affected the problem drinkers' physical activity. It was found that some of the physical functions of a problem drinkers living in jjok-bang has improved, and it is positively affecting their health by physical activities. Conclusion: Problem drinkers living in Jjok-bang mostly have urgent and serious health problems, so directly teaching them about the necessity of abstinence is ineffective. Therefore, it is important to make the client get interested in their own health problem and then plan the program based on the client's condition and preparation stage. Since social interpersonal relationships within the jjok-bang also affected the drinking of individuals, it is necessary to expand the teams who participate in the programs. In addition, continuous management of problem drinking is required through the formation of a therapeutic trust relationship between the therapist and the client.

Objective: In this study, we tried to identify the effects of stress on drinking problems and to check the mediated effects of stress response behavior on nursing college students. Methods: The number of people studied was 163, and the collected data was analyzed using the SPSS/WIN 21.0 statistical program. Hierarchical regression analysis was performed to analyze the mediated effects between stress and problem drinking. Results: Problem drinking showed a positive correlation with stress (r=.258, p≤.001) and also showed a positive correlation with coping (r=.226, p≤.005). In addition, as a result of verifying the mediating effect of avoidance coping, it was found that there was a partial mediation between stress and problem drinking (Z=3.08). Conclusion: In order to improve the mental health of nursing students with high stress levels, it is necessary to first check the level of stress and coping with it. It is necessary to provide a program that reduces avoidance coping and manages stress more efficiently.

Purposes: This study was to explore the association of socioeconomic vulnerability and problem drinking. Methods: A secondary analysis was conducted using data from Korea National Health and Nutrition Examination Survey((KNHANES) in 2013 and 2015. The workers who aged 30-64 years were included in this analysis and the pooled sampling weights were applied for the statistical analysis. Socioeconomic vulnerability index consisted of education, house ownership, residential area, household income, personal income, single household and occupation. Problem drinking was categorized by Alcohol Use Disorder Identification Test scores. Results: The prevalence of problem drinking was higher in the highest socioeconomic vulnerable group than the group with the lowest vulnerability (Odds Ratio 1.81, 95% CI 1.42~2.57) after adjusting gender. The findings showed that problem drinking was associated with education level, house ownership, residential area, and occupation. Conclusion: Socioeconomic vulnerability index was associated with the lieklihood of being problem drinker. The intervention programs considering socioeconomic vulnerability to prevent harms from problem drinking need to be developed and applied for the vulnerable people.

Purpose: This study was conducted to understand the characteristics of the drinking environment in Geumsan-gun and the intervention plans and ideas of local residents through Focus Group Interview. Method: Geumsan-gun performed FGI for about 2 hours in 12 subjects in both groups. The main content was to investigate the drinking environment and actual condition of the region, the network and the drinking culture of the region, the perception and attitude of alcohol consumption, and the future direction and ideas of the alcohol consumption business. Result: Geumsan-gun showed a very tolerant attitude toward drinking, and a group drinking culture through private gatherings and social activities, and a network through regional specialties such as ginseng and sesame leaves developed, resulting in drinking in green houses. In order to drink alcohol, it is necessary to reinforce drinking control, improve the drinking culture such as meetings, and connect with health promotion programs. Conclusion: This suggests that in order to carry out the alcohol-saving project in a region, it is necessary to understand the drinking culture of the region and to have a health program and regional policy that fit the characteristics of the region.