일 도시지역 위험음주의 유병률과 관련요인에 관한 연구

Twelve-Month Prevalence and Correlates of Hazardous Drinking : Results from a Community Sample in Seoul, Korea

Objective : The aim of this study was to estimate the prevalence of hazardous drinking in a representative community sample of Seoul, Korea and to assess the sociodemographic and psycho-logical factors associated with hazardous drinking. Methods : Sociodemographic data, scores for AUDIT-K and other psycho-logical screening instruments were collected from a sample of 798 individuals from one of the municipal areas of Seoul. Recruitment was done based on a stratified-multistage-cluster sampling. Results : The 12-month prevalence of hazardous drinking was 36.6% (60.5% of males and 18.5% of females). Considering the sample as a whole, multiple logistic regression analysis showed that the risk factors of hazardous drinking were male (adjusted OR=7.96, 95% CI 5.36-11.83), young age (18-29 years old, adjusted OR=3.84, 95% CI 1.81-8.17) and high stress level (adjusted OR=1.72, 95% CI 1.19-2.49). Among males, the widowed/separated/divorced (adjusted OR=5.76, 95% CI 1.17-28.27) and high stress level (adjusted OR=1.68, 95% CI 1.03-2.75) were significant risk factors for hazardous drinking. In the case of females, young age (adjusted OR=6.22, 95% CI 2.04-18.94), high stress level (adjusted OR=2.01, 95% CI 1.12-3.61) and low resilience (adjusted OR=2.15, 95% CI 1.19-3.89) were risk factors for hazardous drinking. Conclusion : The prevalence of hazardous drinking in Seoul in this study was demonstrated to be one of the highest in the world. Our results also suggested that hazardous drinking was further associated with sociodemographic factors than with psychological factors. Preventive measures and intervention pro-grams should be tailored to males, young females and people with stressful life events to reduce the hazardous drinking in the community.