J Korean Acad Nurs.  2014 Oct;44(5):552-562. 10.4040/jkan.2014.44.5.552.

Predictors of Hospitalization for Alcohol Use Disorder in Korean Men

• Hong HS
• Park JE
• Park WJ

• KMID: 2129545
• DOI: http://doi.org/10.4040/jkan.2014.44.5.552

Abstract

PURPOSE
This study was done to identify the patterns and significant predictors influencing hospitalization of Korean men for alcohol use disorder.
METHODS
A descriptive study design was utilized. Data were collected using self-report questionnaires from 143 inpatients who met the DSM-5 alcohol use disorder criteria and were receiving treatment and 157 social drinkers living in the community. The questionnaires included Alcohol Use Disorders Identification Test (AUDIT), Alcohol Problems, Alcohol Expectancy Questionnaire (AEQ), Life Position, and The Korean version of the Children of Alcoholics Screening Test (CAST-K). Data were analyzed using descriptive statistics, t-test, chi2-test, F-test, Pearson correlation coefficients, and logistic regression with forward stepwise.
RESULTS
AUDIT had significant correlations with alcohol problems, alcohol expectancy, and parents' alcoholism. In logistic regression, factors significantly affecting hospitalization were divorced (OR=4.18, 95% CI: 1.28-13.71), graduation from elementary school (OR=28.50, 95% CI: 8.07-100.69), middle school (OR=6.66, 95% CI: 2.21-20.09), high school (OR=6.31, 95% CI: 2.59-15.36), drinking alone (OR=9.07, 95% CI: 1.78-46.17), family history of alcoholism (OR=2.41, 95% CI: 1.11-5.25), interpersonal relationship problems (OR=1.28, 95% CI:1.17-1.41), and sexual enhancement of alcohol expectancy (OR=0.83, 95% CI: 0.72-0.94), which accounted for 53% of the variance.
CONCLUSION
Results suggest that interpersonal relationship programs and customized cognitive programs for social drinkers in the community are needed to decreased alcohol related hospitalization in Korean men.

Keyword

Hospitalization; Alcohol use disorder; Adult

MeSH Terms

Adult
Aged
Alcohol-Related Disorders/diagnosis/*pathology
Asian Continental Ancestry Group
Divorce
Family Relations
*Hospitalization
Humans
Interpersonal Relations
Logistic Models
Male
Middle Aged
Odds Ratio
Predictive Value of Tests
Questionnaires
Republic of Korea

Reference

1. Seoul National University College of Medicine. The 2011 epidemiological survey of mental disorders among Korean adults. Seoul: Ministry of Health & Welfare;2011.

2. Chung W, Lee SM, Kim JY. Socioeconomic costs of alcohol drinking. Seoul: Jipmoon;2009.

3. Lee H, Lee B, Lim JH, Choi M. The structural relations between problem drinking of Korean adults and related factors. J Korean Alcohol Sci. 2012; 13(1):109–121.

4. Kim JS, Lee JK, Chung S. Meta-analysis of factors related to problem drinking. J Korean Alcohol Sci. 2013; 14(2):1–18.

5. Ministry of Health & Welfare, Korea Centers for Disease Control and Prevention. Korea health statistics 2012: Korea national health and nutrition examination survey (KNHANESV-3). Seoul: Ministry of Health & Welfare;2013.

6. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977; 84(2):191–215.

7. Kim S. A study drinking motives, self efficacy, drinking problem in male adults. J Korean Acad Psychiatr Ment Health Nurs. 2006; 15(3):270–280.

8. Suh KH, Cho EH. Sensation seeking and alcohol expectancies factors associated with problem drinking and motivation for alcohol use. J Korean Alcohol Sci. 2011; 12(1):1–14.

9. Lee MR. The relationship between alcohol use and drinking problems among college students. J Korea Acad-Ind Coop Soc. 2012; 13(10):4619–4628. http://dx.doi.org/10.5762/KAIS.2012.13.10.4619.

10. Seo HS. A study on relation between life position and functional ego state of alcoholics. Trans Anal Psychol Ther. 2007; 4(1):93–115.

11. Choi BJ. A study on the causes effecting on problem drinking: A survey of corrective education attendees on drinking problem [master's thesis]. Gyeongju: Uiduk University;2012.

12. Shin HW. The effects of personality on drinking problems. Korean J Clin Psychol. 1999; 18(1):105–122.

13. Hair JF Jr, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 7th ed. Upper Saddle River, NJ: Prentice Hall;2010.

14. Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. AUDIT: The alcohol use disorders identification test: Guidelines for use in primary care. 2nd ed. Geneva, CH: World Health Organization;2001.

15. Korean Academy of Addiction Psychiatry, National Alcohol Project Supporting Committee. Addiction treatment guidelines series: I . Alcohol use disorder. Seoul: Author;2011.

16. Brown SA, Christiansen BA, Goldman MS. The alcohol expectancy questionnaire: An instrument for the assessment of adolescent and adult alcohol expectancies. J Stud Alcohol. 1987; 48(5):483–491.

17. Allen JP, Wilson VB, editors. Assessing alcohol problems: A guide for clinicians and researchers. Bethesda: MD: U.S. Department of Health and Human Services;2003.

18. Berne E. What do you say after you say hello?: The psychology of human destiny. New York, NY: Grove Press;1972.

19. Jones JW. The children of alcoholics screening test: A validity study. Bull Soc Psychol Addict Behav. 1983; 2(3):155–163.

20. Kim MR, Chang HC, Kim KB. Development of the Korean version of the children of alcoholics screening test (CAST-K): A reliability and validity study. J Korean Neuropsychiatr Assoc. 1995; 34(4):1182–1193.

21. Yoo IS, Choi EM, Kwon HJ, Lee SG. Drinking pattern and nonfatal injuries of adults in Korea. J Korea Acad-Ind Coop Soc. 2012; 13(4):1690–1698. http://dx.doi.org/10.5762/KAIS.2012.13.4.1690.

22. Kim JH. A study on factors affecting problematic drinking of employees [master's thesis]. Jinju: Gyeongsang National University;2005.

23. Whitfield CL. The Healing the child within: Discovery and recovery for adult children of dysfunctional families. Deerfield Beach, FL: Health Communications;2006.

24. Lee JY. The effect of ego states and life positions on empathy in nursing students. Korean J Stress Res. 2012; 20(2):113–122.

25. Kim JH. The college adjustment of adult children of alcoholics: Focused on moderating effect of protective factors. J Soc Work Pract. 2008; 7:131–157.

26. Kim HS. The relationship between perceived parenting behavior and codependency in ACOAs of university students. Korean Rev Crisis Emerg Manage. 2013; 9(4):83–102.

27. Ryu JS, Kang KH, Lee JH. Factors of problem drinking among Korean adults. J Korean Alcohol Sci. 2011; 12(1):29–42.

28. Abbaszadeh A, Eskandari M, Borhani F. Changing the care process: A new concept in Iranian rural health care. Asian Nurs Res. 2013; 7(1):38–43. http://dx.doi.org/10.1016/j.anr.2013.01.004.