Korean Journal of Family Medicine (가정의학회지)

The Korean Academy of Family Medicine (대한가정의학회)
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How Do the Drinking Motives and Expectancies Relate to Drinking Problems among University Students?

대학생의 음주 정도에 따른 음주 동기와 음주결과 기대

  • Jung, Jin-Gyu (Department of Family Medicine, Research Institute for Medical Sciences, Chungnam National University College of Medicine) ;
  • Kim, Jong-Sung (Department of Family Medicine, Research Institute for Medical Sciences, Chungnam National University College of Medicine) ;
  • Kim, Jong-Im (Chungnam National University College of Nursing) ;
  • Kim, Kyung-Hee (Department of Nursing, Chungang University College of Medicine)
  • 정진규 (충남대학교 의과대학 의학연구소 가정의학교실) ;
  • 김종성 (충남대학교 의과대학 의학연구소 가정의학교실) ;
  • 김종임 (충남대학교 간호대학) ;
  • 김경희 (중앙대학교 간호대학)
  • Received : 2009.06.30
  • Accepted : 2010.04.21
  • Published : 2010.05.20
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Abstract

Background: This study evaluated how the alcohol drinking motives and alcohol drinking expectancies, as the internal factors, would relate to university students' alcohol drinking problems. Methods: The general characteristics, the alcohol drinking problems, the motives to drink, and drinking expectancy were surveyed with 197 university students (106 males, 91 females) who visited the Health Center of Chungnam National University. Results: The alcohol drinking amount per drink (P < 0.001), weekly alcohol drinking frequency (P < 0.001), alcohol drinking problem score (P < 0.001), the score of drinking expectancy (P < 0.001) and motives to drink for each domain (P < 0.05) for male students were significantly higher or larger than those of the female students. The distribution of the number of binge, heavy and at risk drinkers didn't show significant difference between sexes. The drinking problem score, the score of drinking expectancy and motives to drink for each domain showed significant (P < 0.001) positive correlation and male students displayed a higher positive correlation than that of female. Stepwise multiple regression analysis was conducted to evaluate the influence on drinking problem score. The male students' drinking problem score was associated with the score of coping motive, lower grade, the score of enhancement motive and drinking expectancy ($R^2$, 0.325; P < 0.05) whereas those of female students were related to the score of social and coping motive ($R^2$, 0.477; P < 0.001). Conclusion: The common factor that related to drinking problem for both male and female students was the coping motive to resolve negative feeling. In addition, the enhancement motive and drinking expectancy in male students and the social motive in female students were the associated factors.

연구배경: 본 연구는 음주를 하고자 하는 내적 요인인 음주 동기와 음주에 대한 결과 기대가 대학생의 음주 문제에 어떠한 관련성이 있는지를 알아보고자 하였다. 방법: 2007년 4월부터 7월까지 일개대학교의 보건진료소에 내원한 대학생 197명(남학생 106명, 여학생 91명)을 대상으로 인구사회학적 특성, 음주 문제 정도, 음주 동기, 음주 결과 기대에 대해 설문 조사하였다. 결과: 남학생의 일회 음주 양(P<0.001), 주당 음주 횟수(P<0.001), 음주 문제 점수(P<0.001), 음주 결과 기대 점수(P<0.001), 영역별 음주 동기 점수(P<0.05)가 여학생 보다 유의하게 많거나 높았다. National Institute Alcohol Abuse and Alcoholism 기준에 따른 과음, 폭음, 위험 음주자의 수는 성별에 따라 유의한 차이가 없었다. 전체 대상자들의 음주 문제 점 수와 영역 별 음주 동기 점수 및 음주 결과 기대 점수는 유의한(P<0.001) 양의 상관관계를 보였고 남학생보다 여학생에서 높은 상관 계수를 보였다. 음주 문제 점수에 대한 관련성을 평가하고자 남녀 각각 다단계다중회귀분석을 실시한 결과, 남학생의 음주 문제 점수는 대응 동기, 저학년, 고양 동기, 음주 결과 기대 점수 순으로 관련성이 있었고($R^2$=0.325, P<0.05), 여학생에서는 사교 동기와 대응 동기 점수가 관련성이 있었다($R^2$=0.477, P<0.001). 결론: 음주 문제 점수와 관련된 남녀 대학생의 공통 요인으로는 부정적 정서를 해소하기 위한 대응 동기가 있었다. 또한 남학생에서는 기분 고양을 위한 고양 동기와 음주에 대한 기대 심리가 영향을 준 반면 여학생에서는 긍정적 사회적 보장을 위한 사교 동기가 영향을 주었다.

Keywords

Acknowledgement

Supported by : Chungnam National University Hospital

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