Earticle

연구의 목적은 일부 도시지역 주민의 음주실태와 음주문제 관련 요인을 파악하기 위한 것이다. 자료수집 기간은 2008년 10월부터 2009년 9월까지였고, 조사 대상은 음주의 경험이 있는 20세 이상 성인 359명 이었으며 연구도구는 alcohol use disorder identification test(AUDIT), 음주관련 요인이었다. 자료분석은 SPSS 18.0 프로그램을 사용하여 서술적 통계, t-test, ANOVA, hierarchical multiple regression으로 분석하였다. 분석결과는 대상자의 35.7%가 문제음주자로 나타났다. 남성, 고등학교 졸업 이전에 처음 술을 마신 경우, 영구임대 및 무허가 등에서 주거하는 경우, 음주운전의 경험이 있는 경우 음주문제에 영향력을 미치는 것으로 나타났다. 이상의 결과를 통하여 음주문제 예방을 위한 조기교육과 고위험군에 대한 정기적인 관리가 중요하며 이상의 결과를 반영한 교육 프로그램 개발 및 시행이 필요하다고 사료된다.

The purpose of this study was to identify the factors related in an urban resident's drinking state and drinking problem. Methods: The data was collected from Oct. 2008 to Sep. 2009. Data were collected by questionaire from 359 urban resident over 20 years old and drinking experience residing. The instruments for this study were the alcohol use disorder identification test(AUDIT), the related factors of alcohol drinking. The data were analyzed using descriptive statistics, t-test, ANOVA, hierarchical multiple regression with the SPSS 18.0 program. Results: The problem drinking were 35.7% on AUDIT. (a) Male had significant effect on drinking problem; (b) If you drank alcohol for the first time prior to high school graduation had significant effect on drinking problem; (c) Permanent rental or unlicensed residential had significant effect on drinking problem; (d) Experience in drunk driving had significant effect on drinking problem. Conclusion: It is nessary to education at early childhood for the prevention of drinking problems and regular management for high risk.

Objectives: This study aims to determine the regional spatial pattern of the number of restaurants and bars per population unit—one of the physical availability variables of alcohol—and to determine its relationship with violence, which is associated with harmful alcohol consumption. Methods: This study used secondary data from 250 cities and counties in South Korea gathered by several national institutions. The dependent variable is the number of violent crimes per 100,000 people, and the independent variables are the number of restaurants and bars per 100,000 people and monthly alcohol drinking rates in 250 cities and counties in Korea. Spatial cluster analysis and Bayesian conditional autoregressive modeling were employed using ArcGIS pro 2.6.0 and R programming. Results: Spatial autocorrelation was shown in the dependent variable and three independent variables. Regarding the number of violent crimes per 100,000 people, spatial hotspots occurred in Gangneung and Sokcho cities, Gangwon-do, Pyeongtaek, and Woongjin-si, the metropolitan area in Gyeonggi-do. Monthly alcohol drinking rate hot spots in cities and counties appeared in huge clusters: Busan and Ulsan cities. The local spatial autocorrelation of general restaurants was high in the coastal area of Gangwon-do. Restaurant hot spots occurred in cities and counties in coastal areas of Gangwon-do. Bar hot spots appeared in the coastal areas of Gangwon-do, some areas of Gyeongsangnam-do, and Busan city. Using Bayesian conditional autoregressive modeling, the factors affecting the rate of violent crime per 100,000 people were monthly alcohol drinking rate (p<.05) and the number of restaurants per 100,000 population (p<.01). Conclusion: It is necessary to establish a cooperative system in areas where alcohol consumption rates and violent crimes are clustered.

Objectives: The purpose of this study is to provide the theoretical background for alcohol intervention for College/University students by analyzing the relevance between drinking motivation, COVID-19 risk perception, coping method and drinking problem under any pandemic situations like COVID-19 pandemic situation. Methods: An output from the Capstone Design Class of the college in Daegu area has been utilized as a secondary source for this study. The data was collected via a Social media survey in a random sampling method from 20th November 2020 to 6th December 2020 during the second semester of the school. 217 people have answered the survey and all the data of 217 respondents have been used in the statistic. Results: The results were as follows. First, the drinking motivation has a direct effect on the COVID-19 risk perception, while it shows both direct and indirect effects on the coping method and the drinking problem. Second, the COVID-19 risk perception has a direct effect on the coping method and drinking problem. Finally, the coping method has not a direct and indirect effect on the drinking problem. Conclusions: COVID-19 risk perception showed mediation effect between drinking motivation and coping method as well as between drinking motivation and drinking problems.

Objectives: This study examined the dual mediating effects of positive alcohol expectancy and the social value of drinking between alcohol advertising exposures and drinking problems. Methods: The survey was conducted on 1,057 adult men and women aged 20 to 65 years, recruited by an online survey Participants for this study were 961 men and women. Results: It is found that Women had higher exposure experience alcohol advertising than men and men had higher positive alcohol expectancy, social value of drinking and drinking problems. In addition, alcohol advertising exposures have positive effects on drinking problems. Also, Positive alcohol expectancy and social value of drinking partially mediate the effects of alcohol advertising exposure, and drinking problems. Conclusions: In order to prevent drinking problems, the social environment that causes drinking problems should be tightened by regulations about alcohol advertising exposures. Based on these results, this study discusses what needs intervention, not only personal perception but also the social environment and regulations about alcohol advertising.

알코올 중독, 음주운전에서부터 ‘혼술’ 논란까지, 음주 문제에 대한 우리 사회의 관심이 뜨겁다. 조선조의 학자 다산(茶山) 정약용의 사상이 오늘날 우리 사회에서의 음주 문제에 어떠한 시사점을 줄 수 있을 것이라 생각한다. 다산은 술과 음주에 대하여 부정적인 시선을 보이기도 했다. 향락의 대상으로 본 기술도 있었고, 반드시 절제가 필요한 대상으로 보기도 하였다. 또한 술을 그저 객기이거나 일탈적 행위로 간주한 관점도 파악되었으며, 스스로를 망치는 어리석은 행동이라는 사고도 엿보였다. 술과 음주에 대하여 다소 긍정적인 시각도 엿보였는데, 적절한 음주를 학습의 한 방편으로 보거나, 유용한 사교의 수단으로 취급했던 시각을 확인할 수 있었다. 또한 공경이나 위로를 나누는 매개물로 적절히 활용하면 긍정적일 것이라고 보았음을 알 수 있었다. 음주와 관련된 대응은 처벌위주이기보다는 사전 예방과 치료적 접근이 주효할 것이라는 점, 음주 문제로 인한 처벌이나 낙인이 최소화될 수 있는 방법을 모색해볼 필요가 있다는 점, 음주 문제에는 통합적 사고를 바탕으로 공동체적 차원에서 대응해야 한다는 점, 각 국가기관 및 지역사회가 협력하여 대응해야 한다는 점, 개인의 욕망을 다스리는 역량을 길러야 한다는 점 등이 다산 사상이 주는 오늘날의 음주 문제와 그 해결을 둘러싼 이슈에 대한 시사점이라고 할 수 있다. 이 연구는 많은 한계를 노정하고 있지만, 술이나 음주와 관련하여 다상의 사상을 접목하여 다산 사상의 가치를 재발견하고자 한 거의 최초의 연구적 시도였다는 점에 이 연구의 의미를 두며, 추후 관련된 연구가 이어지길 기대한다.

Alcohol and drinking related issues have been a highlight of our contemporaries. Tasan, scholar in the Joseon Dynasty, left a lot of academic achievements, and it would be considered that Tasan’s view could provide implications related present alcohol issues. Tasan expressed not only negative views but also positive views about the alcohol and drinking. On the negative side, excessive drinking and the associated mistakes could be considered deviation or crime. On the positive views, Alcohol functioned as means of building friendship. On the Tasan’s view, the following implications can be proposed with regard to present alcohol or drinking issues. In doing counter alcohol strategy, treatment is more important than punishment. And for solving the alcohol related problem, collaboration of local, state and federal agencies is very important. This study has a lot of limitations, but it has academic contributions and meaningfulness considering to construct the base of future studies, despite lack of related research. It's expected related future studies will be followed.

Purpose: This study aimed to identify the characteristics and factors related to problem drinking in male workers. Methods: This study was conducted using a cross-sectional survey and 232 male workers, who completed self-reported questionnaires addressing alcohol consumption, drinking motives, job stress, supervisor/coworker support, and family support. Multivariate analysis was used to uncover factors associated with problem drinking. Results: As compared with normal alcohol users, problem drinkers were more likely to smoke and had greater family support and coping motivations, and fewer confirmatory motives. Problem drinking was found to be related to perceived health status (adjusted odds ratio [OR] = 0.78, 95% confidence interval [CI] [0.64, 0.95]), current smoking (adjusted OR = 2.79, 95% CI [1.26, 6.18]), family support (adjusted OR = 2.04, 95% CI [1.23, 3.39]), confirmatory motivation (adjusted OR = 0.60, 95% CI [0.37, 0.96]), and coping (adjusted OR= 1.79, 95% CI [1.04, 3.07]). Conclusions: Our findings suggest that any interventions targeting problem drinking among male workers must address smoking cessation, control of stress, and the improvement of drinking subculture in the workplace.

The aim of this study was to identify factors influencing problem drinking among the Echo Generation in South Korea and provide basic data for early intervention and mediation of problem drinking among the Echo Generation. This descriptive study performed a secondary analysis of raw data from the 2018 Korean National Health and Nutrition Examination Survey and used responses for problem drinking items from 999 Echo Generation participants born between 1979 and 1992. This study comprehensively investigated sociodemographic and health-related factors influencing problem drinking among the Echo Generation. SPSS WIN program (version 26.0) was used for data analysis. Gender (β=-.32, p<.001), education level (β=.10, p=.002), white-collar workers out of job (β=-.09, p=.041), and depression (β=.11, p<.001) were identified as factors that influenced problem drinking among the Echo Generation. Results of this study suggest that in order to prevent problem drinking among the Echo Generation, there should be user-customized prevention education and intervention programs.

본 연구는 기혼여성의 부모의 문제음주, 양성평등의식이 부부의사소통에 미치는 영향을 탐색하고 자, 2019년 10월에 강원 남부 지역 기혼여성을 대상으로 자료를 수집하고, SPSS 18 프로그램을 활용 하여 259명을 분석하였다. 연구결과에 따르면, 연구대상자의 42.5%가 부모의 문제음주에 영향을 받는 문제음주자 성인아이(ACOA)였고, 나이에 따라 양성평등의식과 부부의사소통에 차이가 났으 며, 결혼기간이 짧을 경우 양성평등의식 수준이 높았다. 또한 부모의 문제음주 영향은 경제활동 여부 와 유의미한 차이를 보였고, 경제활동을 하는 경우가 부부의 의사소통이 잘되는 것으로 나타났다. 부부의 의사소통은 결혼의 형태가 연애이고 직업이 있으며, 문제음주자 가정이 아닌 경우 그리고 양성평등의식이 높은 경우 높게 나타났다. 이러한 결과를 토대로 기혼여성의 부부의사소통을 향상 하기 위해서 부모의 문제음주, 양성평등의식을 사정단계부터 파악하고, 양성평등의식 고취를 위한 사회정책 및 법적 제도와 사회복지사의 전문성 강화 등을 제안하였다.

The purpose of this study is to investigate the effect of married women's parental problem drinking and gender equality consciousness on marital communication. In October 2019, data was collected on married women in the Southern part of Gangwon Province, and was analyzed by the SPSS 18.0 program. As a result of this study, 42.5% of subjects were ACOAs who were affected by their parental problem drinking. The younger they were, the more gender equality awareness and the better marital communication they had. The shorter their marriage period, the better their marital communication. As for the influence of parental problem drinking on marital communication, the more influence they had on parental problem drinking, the less likely they were to communication. And as for the influence of gender equality awareness on marital communication, the higher the gender equality awareness, the more likely they were to communicate. Based on these results, the interventions to improve marital communication of married women were proprsed.

Purpose: The purpose of this study is to identify the problem drinking status of college students, and to verify the effect of the experience of school violence victimization on the suicidal behavior of college students and the moderating effect of problem drinking in the process Method: In order to achieve the purpose of the study, 338 college students were surveyed online and data of 330 researchers were analyzed. Results: The main results of this study are as follows. First, when examining the problem drinking status of college students, 72.0%(236) of normal drinking group and 28.0% (92) of problem drinking group showed. Second, the experience of school violence victimization had a positively significant effect on suicide behavior. Third, problem drinking, a moderator variable, was found to have a significant positive effect on suicidal behavior. Fourth, it was found that experience of school violence affected the problem drinking in the process of positively affecting suicidal behavior. Based on these results, we suggest practical and policy implications for enhancing suicide problems of college students and improving mental health.

Purpose: The purpose of this study was to understand the level of problem drinking, insight of problem drinking, and stress coping on male manufacturing workers in a community area. Methods: Data were collected from 181 manufacturing workers at two industries located in G city from September to October 2021. The collected data were analyzed with frequency, descriptive statistics, one-way ANOVA, and Scheffe test using the SPSS 22.0 program. Results: According to the level of problem drinking, “social drinkers” were 53.1%, “problem drinkers” 30.3%, and “alcoholics” 16.6%. Of the subjects, 49.7% in the “poor insight group,” 33.7% in the “fair insight group,” and 16.6% in the “good insight group.” There was a significant difference in the insight of problem drinking (F=13.56, p<.001) and stress coping (F=5.33, p=.006) according to the level of problem drinking. Conclusion: These result suggest that it is necessary to develop various strategies for drinking problems in male manufacturing workers to create a safe work environment.

본 연구는 사회복지학과 재학생들이 앞으로 사회복지현장에서 문제음주를 전문적으로 개입할 수 있는 역량을 마련할 수 있도록 재학생의 문제음주, 부모의 문제음주 영향 그리고 공동의존을 중심으로 기초자료를 제공하고자 했다. 이를 위해 2012년 11월22일부터 2012년 12월 12일까지 강원영동지역 4년제 대학교 사회복지학 재학생 303명을 대상으로 설문하여 자료를 분석하였다. 본 연구의 주요 결과는 연구 참여자의 음주율은 91.1%였고 문제음주(AUDIT의 국제기준 8점 이상)일 경우 평균 8.33점이었으며, 성별이 유의한 차이가 있었다. 연구 참여자의 부모 문제음주에 영향(6점 이상)을 받은 참여자는 전체의 1/3 정도였고, 가정 월평균 소득이 유의한 차이가 있었다. 연구 참여자의 공동의존은 평균 59.77점(가벼운 공동의존)이었으며, 가정의 월평균소득에서 유의한 차이가 있었다. 또한 공동의존은 부모의 문제음주 영향에 영향을 받고 있었다. 이 결과를 토대로 사회복지학과 재학생의 문제음주 대처 역량을 마련하기 위한 제언을 하였다,

This study was aimed to investigate the status and the relation of problem drinking, the influence of parents' problem drinking and codependency among students in Dept. of Social Welfare for students to become competent social workers on problem drinking, which is a serious social problem in our society. The subjects of this study consisted of 303 persons who were the university students of Dept. of Social Welfare in the east of Gangwon-do. The data were collected through self-reported questionnaires from Nov. 22th to Dec. 12th, 2012. Results indicated that 91.1% of students were drinkers, the average of problem drinking based on international standard of AUDIT was 8.33, and problem drinking showed significantly in sex. 30% of students were influenced by parents' problem drinking, both the influence of parents' problem drinking and codependency showed significantly in family income. The average codependency of students was mild level and the influence of parents' problem drinking contributed significantly to the codependency. Implications of findings of this study were discussed.

Objectives: This study was conducted to investigate the effects of moderate drinking intention and drinking environment on problem drinking among college students in Jeollabuk Do. For this purpose, this study was conducted to examine whether environmental factors, sexuality, moderate drinking intention of college students have influenced on problem drinking. Methods: The participants of this study were 445 college students. Data were collected using a self-administered survey. Collected data were analyzed by frequency, t-test, one way ANOVA, logistic regression. Results: First, 87.9% of participants were current drinker and male students showed more alcohol beverages, binge drinking, blackout experiences than female students. Especially 40.7% of female students reported first alcohol use after admission to the college and half of female drinker reported binge drinking pattern. Second, 31.3% of participants had moderate drinking and showed low motivation for sobriety. 68.9%of participants perceived poor drinking environment and experienced strong peer pressure in campus. Third, lack of moderate drinking intention, alcohol family history, more heavy drinking friends were associated with problem drinking. Conclusion: Based on these findings, the research discussion reinforced the importance of developing comprehensive alcohol intervention program of college students and specified intervention program.

Objectives: The purpose of this study was aimed at find a way to intervene in the drinking-related problems of undergraduates by investigating relations with their conflict management styles, risk problem drinking and drinking problem. Methods: The study was conducted with 386 students in 6 colleges of one area in the K province, and data were collected using the self-administered questionnaire. The statistical analysis of the research was done with SPSS 20. Data were analyzed using frequency analysis, descriptive statistics method, t-test, variance analysis and Pearson's correlation coefficient. Results: 98.7% of the subjects were shown to experience drinking and 72.9% among them had drinking experiences before entering colleges. The score of dominating styles was significantly high in risk problem drinkers. Dominating styles would have significant correlations with risk problem drinking and drinking problems statistically. Conclusion: Based on the results of the research, suggestions and further studies were discussed for prevention and early intervention of their risk problem drinking and drinking problems.

수용 전념 치료(ACT)프로그램이 문제 음주 대학생의 문제 음주 행동, 알코올 기대 및 지각된 스트레스에 미치는 효과를 알아보았다. 전북지역 소재 대학교 473명의 대학생에게 알코올 사용 장애 척도 - 한국판(AUDIT-K), 문제음주 선별 검사(PDST), 알코올 기대 척도(AES), 지각된 스트레스 척도(PSS)를 실시하였다. 이를 토대로 문제 음주 대학생 14명을 참가자로 선정하여 치료 집단에 7명, 통제집단에 7명씩 무선 할당하였다. 수용 전념 치료(ACT) 프로그램은 주 2회씩 총 8회기에 걸쳐 진행되었다. 프로그램 종료 후 사후 조사가 실시되었고 4주 후 추적 조사가 이루어졌다. 그 결과, 수용 전념 치료(ACT) 프로그램에 참여한 집단이 통제집단보다 알코올 사용, 문제음주 행동 및 긍정적 기대가 유의하게 감소되었고, 추적 조사까지 그 효과가 유지되었다. 지각된 스트레스는 참여한 집단이 통제 집단 보다 유의한 수준은 아니었지만 감소를 보였고, 추적 조사에서는 유의한 차이를 보였다. 마지막으로, 본 연구의 의의는 4주간의 짧은 기간이었으나 치료 효과를 볼 수 있었으며, 문제 음주 대학생들을 선발하여 이들을 대상으로 ACT 실시하였으며, 사회 인지적 측면에도 초점을 두었으며, 치료 집단과 통제 집단의 알코올 사용 시기에서 차이 볼 수 있었고. 본 프로그램에서 탈락자가 없었다는 점이다. 또한 본 연구에서의 제한 점은 일반화의 어려움, 연구자와 집단 프로그램 진행자가 동일하다는 점, 비교집단이 없다는 점, 음주 시작 시기가 한정 되어있다는 점이다, 추후 연구에서는 이러한 제한점을 보완하여 연구하는 것이 좋을 것으로 생각되어진다.

The purpose of this study is to explore the effects of Acceptance and Commitment Therapy(ACT) on problem drinking behavior, alcohol expectancy, and perceived stress of the college students with problem drinking. Four hundred seventy three college students with problem drinking who lived in Chonbuk province completed the Korean Version of Alcohol Use Disorders Identification Test(AUDIT-K), Problem Drinking Screening Test(PDST), Alcohol Expectancy Scale(AES), and Perceived Stress Scale(PSS). Fourteen patients who selected by those scales were randomly assigned to 7 in the ACT group and 7 in the control group. ACT program was administered for 8 sessions. All participants completed Korean Version of Alcohol Use Disorders Identification Test(AUDIT-K), Problem Drinking Screening Test(PDST), Alcohol Expectancy Scale(AES), and Perceived Stress Scale(PSS) at pre-test, post-test, and at 8 weeks follow-up periods. The results of this study were as follows: Problem Drinking Behavior, Alcohol Expectancy, and Perceived Stress of therapy group was decreased more than those of the control group. Finally, the implications and the limitations of this study, and the suggestions for future study were also discussed.

본 연구는 마음챙김에 기반한 인지치료(MBCT) 프로그램이 문제음주 대학생의 우울, 충동성 및 문제음주 행동에 미치는 효과를 알아보았다. 사전 조사에서 전북 지역 소재 대학에 재학 중인 학생 523명을 대상으로 알코올 사용 장애 척도-한국판, 문제음주 선별 검사, 한국판 역학연구센터 우울척도 및 Barratt 충동성 척도를 실시하였다. 그 중 문제음주 수준(알코올 사용 장애 척도-한국판 12점 이상, 문제음주 선별 검사 3점 이상)을 충족시키고, 우울감을 경험하는 30명이 본 연구에 참가하여 MBCT 프로그램 집단(15명)과 대기-통제집단(15명)으로 무선할당 되었다. MBCT 프로그램은 2개월 간 10회기 실시되었고, 각 회기는 80~100분의 시간이 소요되었다. MBCT 프로그램의 추적기간까지 총 10명(MBCT 프로그램 집단 6명, 대기-통제집단 4명)이 중도탈락 되었다. 우울, 충동성 및 문제음주 행동 정도는 사전, 사후, 1개월 추적 및 2개월 추적 기간 동안 검사를 통하여 총 20명의 참가자(MBCT 프로그램 집단 9명, 대기-통제집단 11명)에 대한 평가가 이루어졌다. 본 연구의 결과 MBCT 프로그램 집단이 대기-통제집단보다 우울, 충동성 수준이 유의하게 더 감소하였고, 문제음주 행동 수준은 유의하게 더 개선되었으며, 그 수준은 추적검사까지 유지되었다. 마지막으로 본 연구의 의의와 제한점 및 추후 연구를 위한 시사점이 논의되었다.

The purpose of the this study was to explore the effects of the Mindfulness-Based Cognitive Therapy(MBCT) Program on depression, impulsivity, and problem drinking behavior of the college students with Problem Drinking. The Korean Version of Alcohol Use Disorders Identification Test(AUDIT-K), Problem Drinking Screening Test(PDST), Center for Epidemiologic Studies Depression Scale(CES-D), and Barratt Impulsiveness Scale(BIS) were used for screening in pre-test. 30 people who satisfies the problem drinking level(AUDIT-K over 12 point, PDST over 3 point) and experiences depression participated in this study. They got a relatively high score in CES-D and BIS. Then, 30 people were randomly assigned to a 10 weeks MBCT program group(n=15) or control group(n=15). The MBCT program for 9 people was administered for 10 sessions. Depression, impulsivity, and problem drinking were assessed at pre-test, post-test, 1-month follow-up, and 2-month follow-up periods. The results of this study were that scores of depression, impulsivity, and problem drinking in the MBCT program group were significantly decreased more than those in the control group. Finally, the implications and limitations of this study as well as suggestions for further research were discussed.