음주 관련 요인이 대학생의 음주문제행동 및 문제성 성행동에 미치는 영향
Effects of Alcohol-Related Factors on Drinking Behaviors and Problematic Sexual Behaviors in College Students
0
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
연구배경: 대학생을 위한 효율적인 음주 및 성행동 관리 프로그램 개발을 위한 기초자료를 제공하기 위해 음주 관련 요인, 음주문제행동, 문제성 성행동의 관련성을 파악하여 구조방정식모델을 활용하여 제 변수 간의 구조적 경로를 살펴보고자 하였다. 방법: 서울과 경기도 소재 대학교 2곳에서 196명의 남녀 대학생을 편의추출하여 인구사회학적 특성, 음주량 및 음주습관, 임신경험, 유산경험, 성병경험, 사회심리적 스트레스, 음주거절효능감, 음주결과기대, 음주문제행동, 그리고 문제성 성행동을 측정하였다. 자료는 SPSS 13.0과 LISREL 8.53 프로그램을 이용하여 분석하였다. 결과: 스트레스, 음주결과기대, 음주거절효능감, 음주문제행동, 문제성 성행동 간의 상관관계는 총 5개의 경로를 통해 구조적으로 설명되었다(chi-sqaure=10.14, GFI=0.98, AGFI=0.94, CFI=0.96, RMSEA=0.07). 문제성 성행동에 대해 스트레스(γ=0.05, t=2.17), 음주결과기대(γ=0.10, t=3.30), 음주거절효능감(β=-0.10, t=-3.15)이 음주문제행동을 매개하여 통계적으로 유의한 간접효과를 보였고. 문제성 성행동에 대한 설명력은 10%이었다. 음주문제행동이 문제성 성행동에 미치는 직접효과는 통계적으로 유의하였다(β=0.29, t=4.21). 결론: 음주문제행동과 문제성 성행동에 대한 중재를 위해서는 대상자 특성을 고려하고 근거에 기반을 둔 통합적인 건강 증진 프로그램으로써 스트레스 관리, 음주거절효능감 증진, 음주결과기대 감소. 음주행동 조절 등을 포괄하는 전략적 접근이 중요하며, 본 연구는 이를 위한 기초자료로 활용될 수 있을 것으로 기대된다.
Abstract
Background: The purpose of this study was to explore the relationships between psychosocial stress, alcohol expectancy, drinking refusal self-efficacy, and drinking behaviors with problematic sexual behaviors in college students. Methods: Participants were college students (129 males, 67 females) with a mean age of 22.6 years old. Data analysis was done with SPSS 13.0 for descriptive statistics and LISREL 8.53 program for path analysis. Results: The path model showed a good fit to the empirical data (χ 2 =10.14, P=0.71, GFI=0.98, AGFI=0.94, CFI=0.96, RMSEA=0.07). Our analysis showed that psychosocial stress, drinking refusal self-efficacy, and alcohol expectancy had a significant direct effect on drinking behaviors and that drinking behaviors had a significant direct effect on problematic sexual behaviors. Conclusions: These findings suggest that alcohol prevention or education programs should emphasize stress management and refusal skills training to prevent college students from drinking behaviors and problematic sexual behaviors at the highest risk for various stressors and heavy drinking.
참고문헌 (34)
- "The report of the 3rd Korea National Health and Nutrition Examination Survey KoHealth examination" (2007)[URL]
- Chun SS, "Analysis of college student binge drinking and alcohol- related problems", J Korean Alcohol Sci, 3(2), pp.221~233 (2002)
- 이원재, "대학생의 문제 음주와 관련요임", 보건과 사회과학, 15(15), pp.223~250 (2004), 한국보건사회학회
- Lindgren KP, "College students' perceptions about alcohol and consensual sexual behavior: alcohol leads to sex", J Drug Educ, 39(1), pp.1~21 (2009)
- Grucza RA, "Binge drinking among youths and young adults in the United States: 1979-2006", J Am Acad Child Adolesc Psychiatry, 48(7), pp.692~702 (2009)
- Pabst A, "Alcohol-expectancy dimensions and alcohol consumption at different ages in the general population", J Stud Alcohol Drugs, 71(1), pp.46~53 (2010)
- Epstein JA, "Risk taking and refusal assertiveness in a longitudinal model of alcohol use among inner- city adolescents", Prev Sci, 2(3), pp.193~200 (2001)
- Kuther TL, "Attitudinal and normative predictors of alcohol use by older adolescents and young adults", J Drug Educ, 33(1), pp.71~90 (2003)
- Forrest JD, "Epidemiology of unintended pregnancy and contraceptive use", Am J Obstet Gynecol, 170(5 Pt 2), pp.1485~1489 (1994)
- Yoo TH, "A clinical study on artificial abortion in Seoul northern area", Inje Med J, 20(1), pp.135~147 (1999)
- Sohn AR, "Comparing sexual attitude, sexual lnitiation and sexual behavior by gender in Korean college students", Health Soc Sci, 18, pp.73~100 (2005)
- Patrick ME, "Profiles of motivations for alcohol use and sexual behavior among first-year university students", J Adolesc, 33(5), pp.755~765 (2010)
- Fox HC, "Interactive effects of cumulative stress and impulsivity on alcohol consumption", Alcohol Clin Exp Res, 34(8), pp.1376~1385 (2010)
- Saunders JB, "The role of alcohol expectancy and drinking refusal self-efficacy beliefs in university student drinking", Alcohol Alcohol, 41(1), pp.70~75 (2006)
- Palmer RS, "J Interpers Violence", J Interpers, 25(9), pp.1563~1578 (2010)
- Bentler PM, "Practical issues in structural modeling", Sociol Methods Res, 16(1), pp.78~117 (1987)
- Jöreskog KG, "LISREL 7: A guide to the program and applications. 2nd ed", pp.98~101 (1989), SPSS Inc
- Jang SJ, "Development and evaluation of the psychosocial well-being instrument-development of PWI for general population", J Yonsei Soc Dev Institution, 14, pp.71~114 (1994)
- Oei TP, "Drinking refusal self-efficacy questionnaire-revised (DRSEQ-R): a new factor structure with confirmatory factor analysis", Drug Alcohol Depend, 78(3), pp.297~307 (2005)
- 탁영란, "한국대학생을대상으로한음주거절효능감도구(Drinking Refusal Self-Efficacy Questionnaire-Revised:DRSEQ-R)의신뢰도및타당도검증", Journal of Korean Academy of Nursing, 38(2), pp.344~352 (2008), 한국간호과학회
- Brown SA, "The Alcohol Expectancy Questionnaire: an instrument for the assessment of adolescent and adult alcohol expectancies", J Stud Alcohol, 48(5), pp.483~491 (1987)
- , Yonsei University, 2000
- Jones BT, "A review of expectancy theory and alcohol consumption", Addiction, 96(1), pp.57~72 (2001)
- Mayer J, "The Adolescent Alcohol Involvement Scale. An instrument for measuring adolescents' use and misuse of alcohol", J Stud Alcohol, 40(3), pp.291~300 (1979)
- Yang EJ, "The effect of self-concept and negative life experience on drinking behaviors among college" (1993), Yonsei University
- Kann L, "Youth risk behavior surveillance--United States", 47(3), pp.1~89 (1997)
- Im HJ, (2009), Chonbuk University
- Fromme K, "havioral risks during the transition from high school to college", Dev Psychol, 44(5), pp.1497~1504 (2008)
- "The report of the 3rd Korea National Health and Nutrition Examination Survey KoHealth examination" (2001)[URL]
- Ullman SE, "Alcohol and adult sexual assault in a national sample of women", J Subst Abuse, 11(4), pp.405~420 (2000)
- Scribner RA, "An ecological analysis of alcohol-outlet density and campus-reported violence at 32 U.S. colleges", J Stud Alcohol Drugs, 71(2), pp.184~191 (2010)
- DeJong W, "A typology for campus-based alcohol prevention: moving toward environmental management strategies", J Stud Alcohol Suppl, 14, pp.140~147 (2002)
- Oei TP, "Alcohol expectancy and drinking refusal self-efficacy: a test of specificity theory", Addict Behav, 25(4), pp.499~507 (2000)
- Oei TP, "Alcohol expectancies, drinking refusal self-efficacy and drinking behaviour in Asian and Australian students", Drug Alcohol Depend, 87(2), pp.281~287 (2007)