Korean J Adult Nurs.  2014 Feb;26(1):78-88. 10.7475/kjan.2014.26.1.78.

Construction of the Structural Equation Model on Binge Drinking among Korean Undergraduate Students

• Seo JY

• KMID: 2351592
• DOI: http://doi.org/10.7475/kjan.2014.26.1.78

Abstract

PURPOSE
The purpose of this study was to construct a structural equation model (SEM) that would describe the binge drinking among Korean undergraduate students.
METHODS
Model construction was based on the theory of planned behavior and prototype/willingness model, using the variables; intention, attitude, descriptive norm, and prototype perception of binge drinking, alcohol use disorders identification test (AUDIT), and binge drinking behavior. The analysis of data was done with both SPSS 20.0 for descriptive statistics and AMOS 20.0 for SEM.
RESULTS
The binge drinking intention was found to have a significantly direct effect in influencing binge drinking behavior. In addition, attitude, descriptive norm, and prototype perception of binge drinking were found to have a significantly direct effect in influencing binge drinking intention. The final modified model yielded chi2=374.2 (p<.001), df=174, chi2/df=2.15, GFI=.87, AGFI=.82, NFI=.89, PNFI=.73 RMSEA=.07, and CFI=.94.
CONCLUSION
This study constructed a model that addressed the factors related to binge drinking and described the relationship of these factors in influencing binge drinking among Korean undergraduate students. Findings from this study can contribute to designing appropriate prevention strategies to reduce problem related binge drinking in undergraduate students.

MeSH Terms

Binge Drinking*
Humans
Intention

Figure

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  Figure 1 Hypothetical model with parameter estimates for binge drinking.

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  Figure 2 Path diagram of the modified model.

Reference

1. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991; 50:179–211.

2. Bae BR. Structural equation modeling with amos 19: Principles and practice. Seoul: Cheongram;2011.

3. Blanco C, Okuda M, Wright C, Hasin DS, Grant BF, Liu SM, et al. Mental health of college students and their non-college attending peers: Results from the national epidemiologic study on alcohol and related conditions. Arch Gen Psychiatry. 2008; 65:1429–1437. DOI: 10.1001/archpsyc.65.12.1429.

4. Bonomo YA, Bowes G, Coffey C, Carlin JB, Patton GC. Teenage drinking and the onset of alcohol dependence: A cohort study over seven years. Addiction. 2004; 99:1520–1528. DOI: 10.1186/1471-2458-9-380.

5. Cha DP. Understanding binge-drinking: A test of the theory of planned behavior. Korean J Journal Commun Stud. 2005; 49:346–390.

6. Cho SB. Structural equation model. Seoul: Youngji Munwhasa;1996.

7. Chun SS, Sohn AR, Song CH, Lee JY, Kim SK. Health and behavioral consequences of binge drinking in college-A national survey of students at 60 campuses. J Korean Alcohol Sci. 2003; 4(2):119–135.

8. Chung SK. Factors influencing problem drinking among female college students in Korea. Ment Health Soc Work. 2007; 27:176–198.

9. DeJong W. Finding common ground for effective campus-based prevention. Psychol Addict Behav. 2001; 15(4):292–296. DOI: 10.1037//0893-164X.15.4.292.

10. Gibbons FX, Gerrard M. Predicting young adult's health-risk behavior. J Pers Soc Psychol. 1995; 69:505–517.

11. Gibbons FX, Gerrard M, Lane DJ. A social-reaction model of adolescent health risk. In : Suls JM, Wallston KA, editors. The handbook of social-health psychology. Oxford: Blackwell;2003.

12. Gibbons FX, Gerrard M, Blanton H, Russell DW. Reasoned action and social reaction: Willingness and intention as independent predictors of health risk. J Pers Soc Psychol. 1998; 74:1164–1180.

13. Hair JF Jr, Black WC, Babin BJ, Anderson RE, Tatham RL. Multivariate Data Analysis. 6th ed. New Jersey: Prentice-Hall International;2006.

14. Jennison KM. The short-term effects and unintendedlong-term consequences of binge drinking in college: A 10-year follow-up study. Am J Drug Alcohol Abuse. 2004; 30:659–684. DOI: 10.1081/ADA-200032331.

15. Johnston KL, White KM. Binge-drinking: A test of the role of group norms in the Theory of Planned Behaviour. Psychol Health. 2003; 18:63–77. DOI: 10.1080/0887044021000037835.

16. Kwon US, Kim JS, Kim SS, Jung JG, Yoon SJ, Kim SG. Utility of the alcohol consumption questions in the alcohol use disorders identification test for screening at-risk drinking and alcohol use disorders among Korean college students. Korean J Fam Med. 2013; 34(4):272–280. DOI: 10.4082/kjfm.2013.34.4.272.

17. Lee BO, Lee CH, Lee PG, Choi MJ, Namkoong K. Development of Korean version of alcohol use disorders identification test (AUDIT-K): Its reliability and validity. J Korean Acad Addict Psychiatry. 2000; 4:83–92.

18. Lee HG, Lee BH, Park YR. Alcohol Statistics Report. Goyang: Alcohol Project Supporting Committee;2011.

19. Lee SY, Jung EC. Examining college student's problem drinking intention and problem drinking preventing factors: Focusing on theory of planned behavior, involvement and interpersonal communication. Korean J Journal Commun Stud. 2012; 56(2):379–477.

20. McMillan B, Conner M. Using the theory of planned behavior to understand alcohol and tobacco use in students. Psychol Health Med. 2003; 8:317–328. DOI: 10.1080/1354850031000135759.

21. Nam KA. An investigation into psychosocial variables associated with alcohol-related problems of college students. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18:501–511.

22. Norman P. The theory of planned behavior and binge drinking among undergraduate students: Assessing the impact of habit strength. Addict Behav. 2011; 36:502–507. DOI: 10.1016/j.addbeh.2011.01.025.

23. Norman P, Conner M. The theory of planned behaviour and binge drinking: Assessing the moderating role of past behaviour within the theory of planned behaviour. Br J Health Psychol. 2006; 11:55–70. DOI: 10.1348/135910705X43741.

24. Norman P, Armitage CJ, Quigley C. The theory of planned behavior and binge drinking: Assessing the impactof binge drinker prototypes. Addictive Behavior. 2007; 32:1753–1768. DOI: 10.1016/j.addbeh.2006.12.009.

25. Paschall MJ. College attendance and risk-related driving behavior in a national sample of young adults. J Stud Alcohol. 2003; 64:43–49.

26. Rivis A, Sheeran P. Descriptive norms as an additional predictor in the theory of planned behavior: A meta-analysis. Curr Psychol. 2003; 22:218–233. DOI: 10.1007/s12144-003-1018-2.

27. Rivis A, Sheeran P, Armitage CJ. Augmenting the theory of planned behavior with the prototype/willingness model: Predictive validity of actor versus abstainer prototypes for adolescents' health-protective and health-risk intentions. Br J Health Psychol. 2006; 11:483–501. DOI: 10.1348/135910705X70327.

28. Seo JY. Influencing factors in binge-drinking intention among undergraduate students. J Korean Data Anal Soc. 2012; 14:3163–3176.

29. Todd J, Mullan B. Using the theory of planned behaviour and prototype willingness model to target binge drinking in female undergraduate university students. Addict Behav. 2011; 36(10):980–986. DOI: 10.1016/j.addbeh.2011.05.010.

30. Woolfson LM, Maguire L. Binge drinking in a sample of Scottish undergraduate students. J Youth Studies. 2010; 13:647–659. DOI: 10.1080/13676261003801804.