Journal of Korean Academy of Nursing

Research Papers

Determinants of Problem Drinking by Regional Variation among Adult Males in Single-Person Households: Geographically Weighted Regression Model Analysis: Ahn, Junggeun , Choi, Heeseung , Kim, Jiu; J Korean Acad Nurs 2023;53(1):101-114. Published online February 28, 2023; DOI: https://doi.org/10.4040/jkan.22131

Abstract PDF: Purpose
This study aimed to identify regional differences in problem drinking among adult males in single-person households and predict the determinants.
Methods
This study used data from the 2019 Community Health Survey. Geographically weighted regression analysis was performed on 8,625 adult males in single-person households who had been consuming alcohol for the past year. The Si-Gun-Gu was selected as the spatial unit.
Results
The top 10 regions for problem drinking among adult males in single-person households were located in the Jeju-do and Jeollanam-do areas near the southern coast, whereas the bottom 10 regions were located in the Incheon and northern Gyeonggi-do areas. Smoking, economic activity, and educational level were common factors affecting problem drinking among this population. Among the determinants of regional disparities in problem drinking among adult males in single-person households, personal factors included age, smoking, depression level, economic activity, educational level, and leisure activity, while regional factors included population and karaoke venue ratio.
Conclusion
Problem drinking among adult males in single-person households varies by region, and the variables affecting each particular area differ. Therefore, it is necessary to develop interventions tailored to individuals and regions that reflect the characteristics of each region by prioritizing smoking, economic activity, and educational level as the common factors.

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Effectiveness of Drinking Reduction Program Focused on Self-Determination Enhancement for College Students with Problematic Drinking: Ma, Jin-Kyoung , Yoo, Moon-Sook; J Korean Acad Nurs 2021;51(3):265-279. Published online June 30, 2021; DOI: https://doi.org/10.4040/jkan.20247

Purpose
This study examined the impact of a drinking reduction program on drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors in college students with problematic drinking habits.
Methods
This study incorporated a non-equivalent control group prepost-test design. Study participants included 58 college students who scored 12 or more in the AUDIT-K test (Alcohol Use Disorders Identification Test-Korean version) (experimental group: 30; control group: 28). The intervention consisted of eight sessions and was conducted once a week. It was designed to promote autonomy, competence, and relatedness-the three elements of basic psychological needs in self-determination theory. The participants were assessed before the intervention, immediately after, and four weeks post intervention. Data were collected from October 12 to December 31, 2017. The analysis employed the chi-square test, Fisher’s exact test, independent t-test, and repeated measures ANOVA using SPSS/WIN 22.0.
Results
The mean age of participants was 21.8 years. There were 30 men (51.7%) and 28 women (48.3%). The differences in drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors were statistically significant for the group by time interaction (F = 42.56, p < .001; F = 54.96, p < .001; F = 39.90, p < .001, respectively). Conclusion: The findings indicate that the intervention effectively decreases drinking motivation, increases drinking refusal self-efficacy, and decreases problematic drinking behaviors. It can be an efficient strategy for college students with problematic drinking habits to enhance their self-determination ability.

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Effects of an intervention based on self-determination theory on self-health management capabilities of middle-aged women in rural areas through the concept of leisure cafeteria
Yang Jun Park, Heui Sug Jo, Hyang Hee Hwang, Yukyung Park
Korean Journal of Health Education and Promotion.2022; 39(1): 59. CrossRef
Development and Effects of a Self-Determination Improvement Program for Preventing Non-Suicidal Self-Injury in Adolescents: A Pilot Study
Jae Woon Lee, In Sook Kim, Ji Won Kim
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 506. CrossRef

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Original Articles

Incidence of Colon Cancer Related to Cigarette Smoking and Alcohol Consumption in Adults with Metabolic Syndrome: Prospective Cohort Study: Ahra Jo, Heeyoung Oh; J Korean Acad Nurs 2019;49(6):713-723. Published online December 30, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.6.713

Abstract PDF

Purpose

The purpose of this study was to identify the impact of cigarette smoking and alcohol consumption on the incidence of colon cancer in adults with metabolic syndrome.

Methods

This study employed a longitudinal study design and utilized secondary data drawn from the Korean Genome and Epidemiology Study (KoGES). The data of a sample of 2,327 adults with metabolic syndrome tracked every two years from 2001 to 2014 were used in this study. Statistical data analyses of the frequency, number of cases per 100,000 person-years, log-rank test, Kaplan-Meier curve, and Cox's proportional hazards regression were performed using IBM SPSS statistics version 24.

Results

During the observation period, the number of colon cancer cases was 46, and the total person-years were 252,444. The incidence of colon cancer was higher in current, over 10 pack-year smokers when compared to non-smokers (hazard ratio=3.38, 95% confidence interval=1.09~8.42).

Conclusion

Excessive and long-term smoking should be avoided to prevent colon cancer, especially in adults with metabolic syndrome, since it might exacerbate the risk factors of colon cancer. Particularly, health professionals need to provide individualized smoking cessation interventions to those at high risk of colon cancer.

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Genetic correlation, and causal relationships between 3 solid cancer types and human traits
Claudia Cava, Ehsan Nazemalhosseini Mojarad, Isabella Castiglioni
Network Modeling Analysis in Health Informatics and Bioinformatics.2024;[Epub] CrossRef
Ribosomal Protein L9 Maintains Stemness of Colorectal Cancer via an ID-1 Dependent Mechanism
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Journal of Cancer Prevention.2024; 29(2): 25. CrossRef
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Xingyuan Li, Zewen Chang, Jiaqi Wang, Ke Ding, Shengqi Pan, Hanqing Hu, Qingchao Tang
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So-Young Park, Daekwan Seo, Eun-Hye Jeon, Jee Park, Byeong-Churl Jang, Jee Kim, Seung-Soon Im, Jae-Ho Lee, Shin Kim, Chi Cho, Yun-Han Lee
International Journal of Oncology.2023;[Epub] CrossRef
Time to Diagnosis and Treatment of Diabetes Mellitus among Korean Adults with Hyperglycemia: Using a Community-Based Cohort Study
Ihn-Sook Jeong, Chan-Mi Kang
International Journal of Environmental Research and Public Health.2022; 19(19): 12090. CrossRef
Effects of Nutritious Meal Combined with Online Publicity and Education on Postoperative Nutrition and Psychological State in Patients with Low Rectal Cancer After Colostomy
Lijuan Qu, Mei Zhou, Yi Yu, Kaili Li, Deepika Koundal
Computational and Mathematical Methods in Medicine.2022; 2022: 1. CrossRef
Burden of Cancer Due to Cigarette Smoking and Alcohol Consumption in Korea
Yoon-Sun Jung, Seok-Jun Yoon
International Journal of Environmental Research and Public Health.2022; 19(6): 3493. CrossRef
Effect and Prognosis Factors of Combining Laparoscopic Radical Resection of Colon Adenocarcinoma with Docetaxel Therapy in Treating Middle and Advanced Colon Adenocarcinoma
Qi Gao, Caifeng Zhang, Zhichao Dong, Yan Guo, Li Zhang, Sudipta Roy
Computational Intelligence and Neuroscience.2022; 2022: 1. CrossRef
Cuproptosis-Related genes in the prognosis of colorectal cancer and their correlation with the tumor microenvironment
Weiqiang Wu, Jingqing Dong, Yang Lv, Dongmin Chang
Frontiers in Genetics.2022;[Epub] CrossRef
Motivational Factors for Smoking Behaviors in Individuals with Metabolic Syndrome
Moonkyoung Park, Baram Kang, Ahyun Ryu, YueLin Li, Rhayun Song
Patient Preference and Adherence.2021; Volume 15: 2847. CrossRef

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Patterns of Drinking Behaviors and Predictors of Class Membership among Adolescents in the Republic of Korea: A Latent Class Analysis: Haein Lee, Sunhee Park; J Korean Acad Nurs 2019;49(6):701-712. Published online January 17, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.6.701

Abstract PDF

Abstract Purpose:

Despite the high drinking rates and the complexity of drinking behaviors in adolescents, insufficient attention has been paid to their drinking patterns. Therefore, we aimed to identify patterns of adolescent drinking behaviors and factors predicting the distinct subgroups of adolescent drinking behaviors.

Methods:

We analyzed nationally representative secondary data obtained in 2017. Our final sample included 24,417 Korean adolescents who had consumed at least one glass of alcohol in their lifetime. To investigate patterns of drinking behaviors, we conducted a latent class analysis using nine alcohol-related characteristics, including alcohol consumption levels, solitary drinking, timing of drinking initiation, and negative consequences of drinking. Furthermore, we investigated differences in demographics, mental health status, and characteristics of substance use across the latent classes identified in our study. To do so, we used the PROC LCA with COVARIATES statement in the SAS software.

Results:

We identified three latent classes of drinking behaviors: current non-drinkers (CND), binge drinkers (BD), and problem drinkers (PD). Compared to the CND class, both BD and PD classes were strongly associated with higher academic year, lower academic performance, higher levels of stress, suicidal ideation, lifetime conventional or electronic cigarette use, and lifetime use of other drugs.

Conclusion:

Health professionals should develop and implement intervention strategies targeting individual subgroups of drinking behaviors to obtain better outcomes. In particular, health professionals should consider different characteristics across subgroups of adolescent drinking behaviors when developing the interventions, such as poor mental health status and other substance use among binge and problem drinkers.

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Examining suicidality and substance use among Korean adolescents: a latent class analysis study
Serim Lee, Jinyung Kim
Asia Pacific Journal of Social Work and Development.2025; : 1. CrossRef
Associations between binge drinking experience, depressive mood, and suicidality in adolescents: Based on the 2021 Korea Youth Risk Behavior Web-based Survey
Mi-Sun Lee, Hooyeon Lee
Journal of Affective Disorders.2023; 323: 386. CrossRef

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Comparison of Awareness about Alcohol Use during Pregnancy among Female College Students by Drinking Levels: Using the Theory of Planned Behavior: Saem Yi Kang, Hae Won Kim; J Korean Acad Nurs 2019;49(6):690-700. Published online January 17, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.6.690

Abstract PDF

Abstract Purpose:

The purpose of this study was to examine the awareness of alcohol use during pregnancy and factors influencing the intention to abstain from alcohol during pregnancy by drinking levels.

Methods:

Utilizing a comparative descriptive design, a total of 359 female college students were recruited. Measurements were Theory of Planned Behavior (TPB) variables related awareness of alcohol use during pregnancy, Korean Version of the Alcohol Use Disorders Identification Test, knowledge about alcohol use during pregnancy, and socio-demographic factors. Main variables were compared by drinking levels. The factors influencing the intention to abstain from alcohol during pregnancy were identified using hierarchical regression analysis.

Results:

Non-problematic alcohol behavior group (n=185) had higher the intention to abstain from alcohol during pregnancy than problematic alcohol behavior group (n=174) (t=3.13, p=.002). The significant TPB variables influencing the intention to abstain from alcohol during pregnancy were that attitudes (β =-.44, p<.001), subjective norms (β =.14, p=.026), and perceived behavior control (β =.19, p=.002) in non-problematic alcohol behavior group, whereas the corresponding variables in the problematic alcohol behavior group were attitudes (β =-.51, p<.001) and subjective norms (β =.21, p=.006).

Conclusion:

It is necessary to increase the intention to abstain from alcohol during pregnancy for the female college students having problematic alcohol behavior. The following strategies are recommended for them; decreasing acceptable attitudes toward alcohol use during pregnancy and reinforcing the influence of social pressure toward to abstain from alcohol during pregnancy.

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Preconception Care: Intention to Action- An Intervention Based on the Planned Behavior Theory for Maternal and Neonatal Health: A Randomized Clinical Trial
Maryam Valayi Aziz, Katayon Vakilian, Mahboobeh Khorsandi, Mehdi Ranjbaran
Current Women s Health Reviews.2023;[Epub] CrossRef
INDIVIDUAL AND ECOLOGICAL FACTORS AS PREDICTORS OF HARMFUL DRINKING AMONG FEMALE COLLEGE STUDENTS: AN ECOLOGICAL APPROACH
Jinyoung ParK, Chang Gi Park, Sunah Kim
ASEAN Journal of Psychiatry.2023;[Epub] CrossRef
Gender differences in willingness for childbirth, fertility knowledge, and value of motherhood or fatherhood and their associations among college students in South Korea, 2021
Hae Won Kim, Seo Yun Kim
Archives of Public Health.2023;[Epub] CrossRef
Factors influencing nursing students’ care intentions toward emerging infectious diseases patients: A descriptive-predictive study
Seungmi Park, Insun Jang, Soo-Young Yu
The Journal of Korean Academic Society of Nursing Education.2022; 28(4): 421. CrossRef

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The Effects of Loneliness on Alcohol Drinking, Smoking, and Health Perception in College Students: Ok Soo Kim; Journal of Korean Academy of Nursing 1999;29(1):107-116. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.1.107

Abstract PDF

The purpose of this study was to determine the effects of loneliness on drinking, smoking, and health perception(symptom pattern & subjective health) in college students. The convenience sample consisted of 417 college students attending four universities. The Revised UCLA Loneliness Scale(RULS) and the Symptom Pattern Scale were used to collect the data. In this study, 84.7% of the subjects used alcohol, with a mean of 5.52 drinks per week, and 32.9% of the subjects smoked for a mean of 5.08 cigarette packs per week during the previous month. The mean score loneliness measured by the RULS was 40.82, indicating that the subjects were moderately lonely. The majority of the subjects had a low level of symptom pattern and evaluated their health as either very good or good. The level of alcohol drinking and the smoking increased and symptom pattern decreased with age. Female students were lonelier than male students in this study. Also, the female students had a lower level of symptom pattern and evaluated their health worse than the male students. Male students consumed more alcohol and smoked more cigarette than female students. Living arrangement was significantly related to the level of loneliness. The subjects who lived with their parents and siblings were less lonely than those who lived with their friends, or relatives or who lived in a dormitory. Age and religion were not related to the level of loneliness. The level of loneliness influenced drinking, symptom pattern, and subjective health. The study found that subjects who were more lonely consumed alcohol less, had a higher level of symptom pattern, and perceived their health worse than those who were less lonely. Smoking was not influenced by loneliness in this study.

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Increased experiences of loneliness during theCOVID‐19 pandemic, emotional distress and changes in perceived physical and mental health: A structural equation model
JoAnn Jabbari, Stephen Roll, Amy McQueen, Nancy Ridenour
Nursing Open.2024;[Epub] CrossRef
Loneliness and Increased Hazardous Alcohol Use: Data from a Nationwide Internet Survey with 1-Year Follow-Up
Mami Wakabayashi, Yoshifumi Sugiyama, Midori Takada, Aya Kinjo, Hiroyasu Iso, Takahiro Tabuchi
International Journal of Environmental Research and Public Health.2022; 19(19): 12086. CrossRef
Deterioration of mental health despite successful control of the COVID-19 pandemic in South Korea.
Hyeon-Seung Lee, Derek Dean, Tatiana Baxter, Taylor Griffith, Sohee Park
Psychiatry Research.2021; 295: 113570. CrossRef
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A. Abdellaoui, M. G. Nivard, J.‐J. Hottenga, I. Fedko, K. J. H. Verweij, B. M. L. Baselmans, E. A. Ehli, G. E. Davies, M. Bartels, D. I. Boomsma, J. T. Cacioppo
Genes, Brain and Behavior.2018;[Epub] CrossRef
Relationship between loneliness and mental health in students
Thomas Richardson, Peter Elliott, Ron Roberts
Journal of Public Mental Health.2017; 16(2): 48. CrossRef
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The Reliability and Validity of a Drinking Refusal Self-Efficacy Questionnaire-Revised (DRSEQ-R) in Korean College Students
Young-Ran Tak, Ji-Yeon An, Hae-Young Woo
Journal of Korean Academy of Nursing.2008; 38(2): 344. CrossRef
Sex Differences in Social Support, Loneliness, and Depression among Korean College Students
Oksoo Kim
Psychological Reports.2001; 88(2): 521. CrossRef

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Development and Effects of a Drinking Prevention Program for Preschool Children: Younkyoung Kim, Chong Mi Lee, Jong Park; J Korean Acad Nurs 2016;46(2):183-193. Published online April 29, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.2.183

Abstract PDF

Purpose

The purpose of this study was to identify the effects of the program to promote drinking knowledge, attitudes, and coping behavior in preschool children.

Methods

A quasi-experimental with non-equivalent control group pretest-posttest design was conducted. The participants were 123 five year old children from G city. They were assigned to the experimental group (n=77) or the control group (n=46). A pretest and posttest were conducted to measure main variables. For the experimental group, the drinking prevention program was given for 6 weeks. Data were analyzed using χ²-test, t-test, and ANCOVA.

Results

After the intervention, preschool children in the experimental group reported significant differences in drinking knowledge (F=9.25, p=.003), drinking attitudes (F=19.57, p<.001), and coping behavior (F=16.38, p<.001) compared to preschool children in the control group.

Conclusion

The results of this study indicate that a drinking prevention program for preschool children is effective in increasing drinking knowledge, attitudes, and coping behavior. This drinking prevention program is recommended as an effective intervention for preschool age children to postpone an early introduction to drinking.

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Development of a Web-Based Alcohol Prevention Program Linking School-Child-Family for Intermediate Elementary Students
Younkyoung Kim, Chong Mi Lee, Seo Young Kang, Hyunju Yang
Journal of Health Communication.2023; 28(2): 102. CrossRef
Effects of a web‐based alcohol drinking prevention program linking school‐to‐home in elementary students
Younkyoung Kim, Chong Mi Lee, Seo Young Kang
Public Health Nursing.2022; 39(2): 472. CrossRef

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The Reliability and Validity of a Drinking Refusal Self-Efficacy Questionnaire-Revised (DRSEQ-R) in Korean College Students: Young-Ran Tak, Ji-Yeon An, Hae-Young Woo; Journal of Korean Academy of Nursing 2008;38(2):344-352. Published online April 30, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.2.344

Abstract PDF

Purpose

This study was to test the reliability and validity of a Drinking Refusal Self-Efficacy Questionnaire-Revised (DRSEQ-R) in Korean college students.

Methods

The DRSEQ-R was designed to assess an individual's belief in their ability to refuse drinking alcohol by Oei et al. (2005) and consisted of three factors (social pressure, opportunity, and emotional relief). A methodological study design with an exploratory factor analysis for validity and correlation coefficients for reliability was used. DRSEQ-R was translated into Korean and a translation equivalency was obtained. DRSEQ-R was tested with a sample of 201 college students in Korea. The subjects consisted of 106 males and 95 females. Principal component factor analysis was used for construct validity and Cronbach's alpha was used to evaluate for internal consistency of the instrument.

Results

The factor analysis showed three factors explaining 66.3% of total variance and the corresponding factors were emotional relief (48.01%), drinking contextual opportunity (11.18%), and social pressure (7.14%). The internal consistency was acceptable (Cronbach's alpha=.937). All three factors of DRSEQ-R negatively correlated with alcohol dependency and a heavy drinker showed a lower DRSEQ-R than a moderate drinker.

Conclusion

Based on the findings, DRSEQ-R is a reliable and valid instrument to measure for drinking refusal self-efficacy in Korean college students.

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Az Italozásra vonatkozó Visszautasítási Énhatékonyság Kérdőív Módosított változatának (DRSEQ-R) pszichometriai vizsgálata magyar mintán
Natasa Nagy, Csilla Magyar, Zsolt Horváth
Mentálhigiéné és Pszichoszomatika.2023; 24(2): 132. CrossRef
Refusal self-efficacy and alcohol-related behaviours in community samples: a systematic review and meta-analysis
Maryluz Gómez Plata, Fiorenzo Laghi, Marta Zammuto, Concetta Pastorelli
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Sun‐Jin Jo, Hae Kook Lee, Kyonghwa Kang, Keun Ho Joe, Soo‐Bi Lee
Alcoholism: Clinical and Experimental Research.2019; 43(10): 2196. CrossRef
Effectiveness of a drinking-reduction program on drinking behavior, stages of change, drinking refusal self-efficacy, and resilience in Koreans with moderate alcohol use disorder
In suk Lee, Mihyoung Lee, Hee kyung Kim, Eun Jin Lee
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Kray A. Scully, Richard S. Mohn, Michael B. Madson
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Eun Kyung Lee, Jin-Hwa Park
Journal of the Korean Data and Information Science Society.2016; 27(4): 1047. CrossRef
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Yeongmi Ha, Mi-Ra Jung
Korean Journal of Occupational Health Nursing.2015; 24(1): 48. CrossRef
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Junghee Kim, Sunhee Park
Addictive Behaviors.2015; 51: 171. CrossRef

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