고립적 일 산촌 지역사회의 알코올중독과 남용에 대한 실태조사

An Epidemiologic Study on Alcoholism and Alcohol Abuse in an Isolated Mountainous Rural Community

Besides basic epidemiologic data and alcohol behavior, we studied health behaviors such as exercise, smoking, etc. in an isolated mountainous rural community；Guyrae-myeon, Wonjusi, Kangwon-do, Korea. We surveyed 640 (84.4%) of all households and completed the study procedures on 1,058 (58.1%) of all residents. This will be a preparatory step for the future development of community-based program for alcoholism treatment and education. We measured various alcohol use behavior with Alcohol Effect Questionnaire (AEQ), Drinking Restraint Questionnaire (DRS) and Severity of Alcohol Dependence Questionnaire (SADQ) in residents of the community, living there over 18-years. The results were as following；1) The subjects were composed with 578 women (54.6%) and 480 men (43.4%), mean age was 55.0±16.87 years (men；53.0± 16.78yrs, women；56.6±16.78yrs). 2) The subject, drinking alcohol more than once a month was 63.8%, and drinking almost everyday was 22.1%. 3) Mean amount of alcohol consumed was 59.6±81.83 gm in pure form a day in men, 11.1±22.97 gm in women. The percentage of all subjects, which had consumed more than 45 gm alcohol of pure form that accounts one half bottle of regular size Soju, was 15.1% and that of men was 30.3%. 4) With AEQ, ‘alcohol induced social and physical pleasure’ was the most highly responded subscale (66.1%). Items of ‘feel good’ (75.6%) and ‘more interesting’ (68.8%) were most highly responded among this subscale. 5) The subject who showed concern that ideally they should drink much less than present amount was 28.1%, and who accepted the idea that it would be very likely that they soon will have problems from drinking with DRS was 21.1%. 6) With SADQ, average severity of alcohol dependence was 27.4±7.48 in men and 22.8±5.49 in women. Score above 30 was found in 20.2% of men and 2.9% of women. 7) The subject who suffered from insomnia was 27.8%. The insomniac who had drunken alcohol for sleep induction was 27.5%, who had used hypnotics for sleep induction was 7.8%. 8) More men had smoked than women (68.3% Vs 17.5%).