Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지
DOI QR코드

DOI QR Code

Drinking Patterns Among Korean Adults: Results of the 2009 Korean Community Health Survey

  • Ryu, So Yeon (Department of Preventive Medicine, Chosun University Medical School) ;
  • Crespi, Catherine M. (Fielding School of Public Health and Jonsson Comprehensive Cancer Center, University of California Los Angeles) ;
  • Maxwell, Annette E. (Fielding School of Public Health and Jonsson Comprehensive Cancer Center, University of California Los Angeles)
  • Received : 2012.02.25
  • Accepted : 2012.05.31
  • Published : 2013.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

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.

Keywords

References

  1. World Health Organization. Public health problems caused by harmful use of alcohol, 2005 [cited 2013 July 23]. Available from; http://www.who.int/substance_abuse/activities/public_health_alcohol/en/index.html.
  2. Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet 2009;373(9682):2223-2233. https://doi.org/10.1016/S0140-6736(09)60746-7
  3. Korean Statistical Information Service. 2009 Results of Korean causes of death; 2010 [cited 2012 Aug 10]. Available from: http://kosis.kr/ups/ups_01List01.jsp?grp_no=&pubcode=YD&type=F (Korean).
  4. Brewer RD, Swahn MH. Binge drinking and violence. JAMA 2005;294(5):616-618. https://doi.org/10.1001/jama.294.5.616
  5. Rehm J, Room R, Graham K, Monteiro M, Gmel G, Sempos CT. The relationship of average volume of alcohol consumption and patterns of drinking to burden of disease: an overview. Addiction 2003;98(9):1209-1228. https://doi.org/10.1046/j.1360-0443.2003.00467.x
  6. Blazer DG, Wu LT. The epidemiology of at-risk and binge drinking among middle-aged and elderly community adults: National Survey on Drug Use and Health. Am J Psychiatry 2009;166(10):1162-1169. https://doi.org/10.1176/appi.ajp.2009.09010016
  7. Balsa AI, Homer JF, Fleming MF, French MT. Alcohol consumption and health among elders. Gerontologist 2008;48(5):622-636. https://doi.org/10.1093/geront/48.5.622
  8. Chen CM, Yi H, Falk DE, Stinson FS, Dawson DA. Alcohol use and alcohol use disorders in the United States: main findings from the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions. Bethesda: National Institute of Health; 2006, p. 22-23.
  9. Green CA, Polen MR. The health and health behaviors of people who do not drink alcohol. Am J Prev Med 2001;21(4):298-305. https://doi.org/10.1016/S0749-3797(01)00365-8
  10. Ruidavets JB, Ducimetière P, Evans A, Montaye M, Haas B, Bingham A, et al. Patterns of alcohol consumption and ischaemic heart disease in culturally divergent countries: the Prospective Epidemiological Study of Myocardial Infarction (PRIME). BMJ 2010;341:c6077. https://doi.org/10.1136/bmj.c6077
  11. Ministry of Health and Welfare; Korea Centers for Disease Control and Prevention. Korea health statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Seoul: Ministry of Health and Welfare; 2010, p. 22-23.
  12. Hahm BJ, Cho MJ. Prevalence of alcohol use disorder in a South Korean community: changes in the pattern of prevalence over the past 15 years. Soc Psychiatry Psychiatr Epidemiol 2005;40(2):114-119. https://doi.org/10.1007/s00127-005-0854-9
  13. Chun S, Reid EA, Yun M. The association of alcohol drinking pattern and self-inflicted intentional injury in Korea: a crosssectional WHO collaborative emergency room study. BMJ Open 2013;3(4):e002469. https://doi.org/10.1136/bmjopen-2012-002469
  14. Jung SK, Kim MK, Shin J, Choi BY. A cross-sectional analysis of the relationship between daily alcohol consumption and serum adiponectin levels among adults aged 40 years or more in a rural area of Korea. Eur J Clin Nutr 2013. doi: 10.1038/ejcn.2013.74.
  15. Jang H, Jang WM, Park JH, Oh J, Oh MK, Hwang SH, et al. Alcohol consumption and the risk of type 2 diabetes mellitus: effect modification by hypercholesterolemia: the Third Korea National Health and Nutrition Examination Survey (2005). Asia Pac J Clin Nutr 2012;21(4):588-593.
  16. Kim MK, Ko MJ, Han JT. Alcohol consumption and mortality from all-cause and cancers among 1.34 million Koreans: the results from the Korea national health insurance corporation's health examinee cohort in 2000. Cancer Causes Control 2010;21(12):2295-2302. https://doi.org/10.1007/s10552-010-9656-9
  17. Kwon C, Nam CH, Shin JK, Kim GH, Lee MK, Ha EP. Drinking aspect of community residents and its related factors. J Korean Alcohol Sci 2002;3(1):36-52 (Korean).
  18. Kim HR. Prevalence of alcohol consumption by socio-demographic factors in the Seoul metropolitan area. J Korean Alcohol Sci 2002;3(1):87-101 (Korean).
  19. Park JT, Kim BG, Jhun HJ. Alcohol consumption and the CAGE questionnaire in Korean adults: results from the Second Korea National Health and Nutrition Examination Survey. J Korean Med Sci 2008;23(2):199-206. https://doi.org/10.3346/jkms.2008.23.2.199
  20. Hwang TY, Lee JJ, Lee KS, Kang PS, Kim SK. Drinking and its relationship with smoking among university students. J Agric Med Community Health 2007;32(2):97-105 (Korean). https://doi.org/10.5393/JAMCH.2007.32.2.097
  21. Baek DH, Hwang BD, Moon HJ, Yoon HJ, Lee SK. A study on health statue of the elderly in rural community according to drinking pattern. J Agric Med Community Health 2006;31(3):263-273 (Korean). https://doi.org/10.1007/s10900-006-9015-7
  22. Kim YT, Choi BY, Lee KO, Kim H, Chun JH, Kim SY, et al. Overview of Korean community health survey. J Korean Med Assoc 2012;55(1):74-83 (Korean). https://doi.org/10.5124/jkma.2012.55.1.74
  23. Naimi TS, Brewer RD, Mokdad A, Denny C, Serdula MK, Marks JS. Binge drinking among US adults. JAMA 2003;289(1):70-75.
  24. Li Y, Jiang Y, Zhang M, Yin P, Wu F, Zhao W. Drinking behaviour among men and women in China: the 2007 China Chronic Disease and Risk Factor Surveillance. Addiction 2011;106(11):1946-1956. https://doi.org/10.1111/j.1360-0443.2011.03514.x
  25. Paul LA, Grubaugh AL, Frueh BC, Ellis C, Egede LE. Associations between binge and heavy drinking and health behaviors in a nationally representative sample. Addict Behav 2011;36(12):1240-1245. https://doi.org/10.1016/j.addbeh.2011.07.034
  26. Bryant AN, Kim G. Racial/ethnic differences in prevalence and correlates of binge drinking among older adults. Aging Ment Health 2012;16(2):208-217. https://doi.org/10.1080/13607863.2011.615735
  27. Kanny D, Liu Y, Brewer RD; Centers for Disease Control and Prevention (CDC). Binge drinking: United States, 2009. MMWR Surveill Summ 2011;60 Suppl:101-104.
  28. Wolle CC, Sanches M, Zilberman ML, Caetano R, Zaleski M, Laranjeira RR, et al. Differences in drinking patterns between men and women in Brazil. Rev Bras Psiquiatr 2011;33(4):367-373. https://doi.org/10.1590/S1516-44462011000400010
  29. Weatherspoon AJ, Park JY, Johnson RC. A family study of homeland Korean alcohol use. Addict Behav 2001;26(1):101-113. https://doi.org/10.1016/S0306-4603(00)00093-9
  30. Helzer JE, Canino GJ, Yeh EK, Bland RC, Lee CK, Hwu HG, et al. Alcoholism: North America and Asia. A comparison of population surveys with the Diagnostic Interview Schedule. Arch Gen Psychiatry 1990;47(4):313-319. https://doi.org/10.1001/archpsyc.1990.01810160013002
  31. Serdula MK, Brewer RD, Gillespie C, Denny CH, Mokdad A. Trends in alcohol use and binge drinking, 1985-1999: results of a multi-state survey. Am J Prev Med 2004;26(4):294-298. https://doi.org/10.1016/j.amepre.2003.12.017
  32. Satre DD, Gordon NP, Weisner C. Alcohol consumption, medical conditions, and health behavior in older adults. Am J Health Behav 2007;31(3):238-248. https://doi.org/10.5993/AJHB.31.3.2
  33. Wilsnack RW, Vogeltanz ND, Wilsnack SC, Harris TR, Ahlström S, Bondy S, et al. Gender differences in alcohol consumption and adverse drinking consequences: cross-cultural patterns. Addiction 2000;95(2):251-265. https://doi.org/10.1046/j.1360-0443.2000.95225112.x
  34. Slater MD, Basil MD, Maibach EW. A cluster analysis of alcoholrelated attitudes and behaviors in the general population. J Stud Alcohol 1999;60(5):667-674. https://doi.org/10.15288/jsa.1999.60.667
  35. Cooper ML, Frone MR, Russell M, Mudar P. Drinking to regulate positive and negative emotions: a motivational model of alcohol use. J Pers Soc Psychol 1995;69(5):990-1005. https://doi.org/10.1037/0022-3514.69.5.990
  36. McCreary DR, Sadava SW. Stress, alcohol use and alcohol-related problems: the influence of negative and positive affect in two cohorts of young adults. J Stud Alcohol 2000;61(3):466-474. https://doi.org/10.15288/jsa.2000.61.466
  37. Sebena R, El Ansari W, Stock C, Orosova O, Mikolajczyk RT. Are perceived stress, depressive symptoms and religiosity associated with alcohol consumption? A survey of freshmen university students across five European countries. Subst Abuse Treat Prev Policy 2012;7(1):21. https://doi.org/10.1186/1747-597X-7-21
  38. Jones-Webb R, Jacobs DR Jr, Flack JM, Liu K. Relationships between depressive symptoms, anxiety, alcohol consumption, and blood pressure: results from the CARDIA Study. Coronary Artery Risk Development in Young Adults Study. Alcohol Clin Exp Res 1996;20(3):420-427. https://doi.org/10.1111/j.1530-0277.1996.tb01069.x
  39. Patrick DL, Cheadle A, Thompson DC, Diehr P, Koepsell T, Kinne S. The validity of self-reported smoking: a review and metaanalysis. Am J Public Health 1994;84(7):1086-1093. https://doi.org/10.2105/AJPH.84.7.1086
  40. Stockwell T, Donath S, Cooper-Stanbury M, Chikritzhs T, Catalano P, Mateo C. Under-reporting of alcohol consumption in household surveys: a comparison of quantity-frequency, graduated-frequency and recent recall. Addiction 2004;99(8):1024-1033. https://doi.org/10.1111/j.1360-0443.2004.00815.x

Cited by

  1. Factors Influencing Life Satisfaction in Korean Baby-boomer Men with Drinking Problems vol.20, pp.3, 2013, https://doi.org/10.5953/jmjh.2013.20.3.207
  2. Genetic variants in 3′-UTRs of methylenetetrahydrofolate reductase ( MTHFR ) predict colorectal cancer susceptibility in Koreans vol.5, pp.None, 2013, https://doi.org/10.1038/srep11006
  3. Alcohol Consumption during Pregnancy: Analysis of Two Direct Metabolites of Ethanol in Meconium vol.17, pp.3, 2013, https://doi.org/10.3390/ijms17030417
  4. 데이터마이닝 기법을 활용한 한국인의 고위험 음주 예측모형 개발 연구 vol.28, pp.6, 2013, https://doi.org/10.7465/jkdi.2017.28.6.1337
  5. Recent Trend and Associated Factors of Harmful Alcohol Use Based on Age and Gender in Korea vol.33, pp.4, 2013, https://doi.org/10.3346/jkms.2018.33.e23
  6. Developing the High-Risk Drinking Scorecard Model in Korea vol.9, pp.5, 2013, https://doi.org/10.24171/j.phrp.2018.9.5.04
  7. Trends and Correlates of High-Risk Alcohol Consumption and Types of Alcoholic Beverages in Middle-Aged Korean Adults: Results From the HEXA-G Study vol.29, pp.4, 2013, https://doi.org/10.2188/jea.je20170296
  8. Serum ferritin level is associated with liver steatosis and fibrosis in Korean general population vol.13, pp.2, 2013, https://doi.org/10.1007/s12072-018-9892-8
  9. Heterogenous Effect of Risk Factors on Breast Cancer across the Breast Density Categories in a Korean Screening Population vol.12, pp.6, 2013, https://doi.org/10.3390/cancers12061391
  10. Gender Difference in Longitudinal Social and Personal Factors Related to Frequency of Alcohol Consumption of South Korean Adults: A Fixed-Effects Model vol.32, pp.5, 2013, https://doi.org/10.1177/1010539520925718
  11. Symptom clusters in childhood cancer survivors in Korea: A latent class analysis vol.29, pp.6, 2020, https://doi.org/10.1111/ecc.13322
  12. The Association between Alcohol Drinking Patterns and Health-Related Quality of Life in the Korean Adult Population: Effects of Misclassification Error on Estimation of Association vol.17, pp.21, 2013, https://doi.org/10.3390/ijerph17217758
  13. An Association Rule Mining Analysis of Lifestyle Behavioral Risk Factors in Cancer Survivors with High Cardiovascular Disease Risk vol.11, pp.5, 2021, https://doi.org/10.3390/jpm11050366