일 산촌 지역의 음주 행태 변화- 6년 추적 조사 -

Changes of Alcohol Use Behavior in an Isolated Mountainous Region * - 6-Year Follow up Study -

Objectives：This study was designed to find out the changes of alcohol use behavior and it’s attributing factors through two surveys conducted in 1998 and 2004 in a rural community. Methods：We selected 116 problem drinkers and 116 matched non-problem drinkers among 480 men of the first survey. We surveyed basic epidemiologic data and alcohol use behavior with several questionnaires. Results：The results were as follows : 1) Drinking amount and frequency decreased with increasing age. 2) More than half among previous problem drinkers did not show any significant change in their alcohol use behavior. 3) Most of previous non-problem drinkers maintained their past alcohol use behavior. 4) Continuous problem drinkers had larger amount of past alcohol drinking than no more problem drinkers. They had lower scores on awareness of negative consequence, higher scores on drinking for coping strategy of Alcohol Effects Questionnaire (AEQ) and higher scores on drinking urge to relieve hangover of the Severity of Alcohol Dependence Questionnaire (SADQ) than no more problem drinkers. 5) Continuous problem drinkers showed more smoking and earlier drinking than continuous non-problem drinkers. 6) Continuous problem drinkers became poorer than no more problem drinkers. Conclusions： Continuous problem drinking pattern was associated with larger amount of past alcohol drinking, higher drinking frequency, higher drinking urge to relieve hangover, higher use of drinking for coping strategy and less awareness of negative consequence.