남자 대학생의 음주 행태 변화에 영향을 미치는 유전적, 심리사회적 요인
The Genetic and Psychosocial Factors Affecting the Change of Drinking Behavior of Male College Students
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초록
초기 성인기에서 ALDH2의 D 대립 유전자는 신체적 고통과 관련되어 음주 정도와 문제 음주의 감소 효과가 있었으나 TPH의 C 대립 유전자는 충동성이나 우울감과 관계없는 다른 방식으로 문제 음주의 감소 효과를 보였다. 고양 동기나 사교 동기와 같은 음주 동기가 음주 정도와 문제 음주에 직접적인 영향을 미쳤으며 술에 대한 인지적 기대 중 긍정적 기대는 음주 동기를 경유하여 문제 음주에 영향을 미치고 있었다. 그러나 부정적 기대인 인지 기능 및 행동 기능이 손상될 것이라는 기대는 문제 음주의 직접적인 악화 요인이 되었다. 비록 초기 성인기 6년간에 걸쳐 음주율의 감소를 보이고 있었지만 신체적 고통에도 불구하고 음주를 지속하는 등 일부 집단에서 문제 음주의 가능성이 의심되었다. 대상군의 확대와 추적 기간의 연장을 통한 지속적인 추적 조사가 필요하다.
Abstract
Objectives : This study purposed to determine the general predictive factors of change in drinking behavior and to provide materials for preventing drinking problems during early adulthood through examining genetic and psychosocial factors affecting the change of drinking behavior in college students. Methods : The subjects were 101 male college students, a part of 534 students who had completed the previous study in 2000. In the present study as a 6-years follow up, we reassessed the drinking pattern and psychosocial variables and compared the results with previous data of the same subjects. To identify factors affecting the current drinking pattern, we used stepwise multiple regression and logistic regression analysis. Results : D allele (ALDH2) was found to reduce the degree of drinking and suppress problematic drinking, and C allele (TPH) had a suppression effect on problematic drinking. Drinking motive had a direct effect on the degree of drinking and problematic drinking. Negative cognitive expectancy had a direct effect on problematic drinking. Conclusion : Authors found some factors affecting the change of college students’ alcohol drinking behavior, and confirmed that there were hierarchies of significance among these factors. These may be applicable as variables for predicting drinking behavior in early adulthood.
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