The Impact of Social Supports on the Excessive Alcohol Use of the Middle-Aged Adults in South Korea: Do All Types of Social Supports Have Positive Effects on Excessive Alcohol Users?
Abstract
:1. Introduction
2. Background
2.1. Excessive Alcohol Use
2.2. Social Supports and Excessive Alcohol Use
3. Materials and Methods
3.1. Data and Procedure
3.2. Measures
3.3. Data Analysis
4. Results
5. Discussion
5.1. Limitations
5.2. Practical Implications
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- World Health Organization (WHO). Global Status Report on Alcohol and Health 2018; WHO: Geneva, Switzerland, 2018. [Google Scholar]
- National Center for Mental Health. National Mental Health Survey 2021; National Center for Mental Health: Seoul, Korea, 2021.
- Korea Health Promotion Institute. Available online: https://www.khealth.or.kr/board/view?pageNum=2&rowCnt=10&no1=84&linkId=1003101&menuId=MENU01180&schType=0&schText=&searchType=&boardStyle=&categoryId=&continent=&country=&contents1= (accessed on 3 July 2022).
- Choi, H.K.; Lee, H. The relations of problem drinking, depressive mood, and suicidal ideation among Korean workers. Korean Public Health Res. 2016, 97, 29–40. [Google Scholar] [CrossRef]
- Eensoo, D.; Paaver, M.; Harro, M.; Harro, J. Predicting drunk driving: Contribution of alcohol use and related problems, traffic behaviour, personality and platelet monoamine oxidase (MAO) activity. Alcohol Alcohol. 2005, 2, 140–146. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Yoon, N.H. Alcohol access and drinking experiences of middle school students in urban areas. Alcohol Health Behav. Res. 2019, 2, 31–39. [Google Scholar]
- Ministry of Health and Welfare (MoHW); Korea Disease Control and Prevention Agency (KCDA). National Health Statistics 2019; MoHW: Sejong, Korea, 2019.
- Kwon, J.D. Human Behavior and Social Environment; Hakjisa: Seoul, Korea, 2014. [Google Scholar]
- Korea Food & Drug News. Available online: http://www.kfdn.co.kr/54073 (accessed on 3 July 2022).
- Kim, H.G.; Choi, J.Y. Factors influencing post-traumatic stress disorder in critical care nurses based on Lazarus & Folkman’s stress, appraisal-coping model. Korean J. Adult Nurs. 2020, 1, 88–97. [Google Scholar]
- Yun, J.Y.; Kang, S.K. Actor and partner effects of couples’ marital Satisfaction on depression and alcohol use. KACM. 2018, 27, 37–60. [Google Scholar] [CrossRef]
- Jo, E. The effects of perceived social support on happiness of the children and young people: Focused on children and young people from low-income families. Forum Youth Cult. 2014, 37, 103–127. [Google Scholar] [CrossRef]
- Booth, B.M.; Blow, F.C.; Cook, C.A.L.; Bunn, J.Y.; Fortney, J.C. Age and ethnicity among hospitalized alcoholics: A nationwide study. Alcohol. Clin. Exp. Res. 1992, 6, 1029–1034. [Google Scholar] [CrossRef] [Green Version]
- Edwards, M.E.; Steinglass, P. Family therapy treatment outcomes for alcoholism. J. Marital Fam. Ther. 1995, 4, 475–509. [Google Scholar] [CrossRef]
- Steptoe, A.; Wardle, J.; Pollard, T.M.; Canaan, L.; Davies, G.J. Stress, social support and health-related behavior: A study of smoking, alcohol consumption and physical exercise. J. Psychosom. Res. 1996, 2, 171–180. [Google Scholar] [CrossRef]
- Groh, D.R.; Jason, L.A.; Davis, M.I.; Olson, B.D.; Ferrari, J.R. Friends, family, and alcohol abuse: An examination of general and alcohol-specific social support. Am. J. Addict. 2007, 1, 49–55. [Google Scholar] [CrossRef]
- Chai, S.; Shin, J.J.; Joe, K.H.; Kim, H.Y. Factors correlated with abstinence in alcoholics: A six month follow-up study. Korean J. Clin. Psychol. 2010, 4, 1145–1153. [Google Scholar]
- Lee, Y.C.; Park, J. A study on factors affecting recovery of alcoholics: Focus on hospitalized patients. Alcohol Health Behav. Res. 2017, 1, 15–29. [Google Scholar]
- Kim, S.H.; Baik, H.; Kim, Y.H. Factors influencing the recovery of alcoholics in A.A. Crisisonomy 2020, 10, 99–117. [Google Scholar] [CrossRef]
- Lechner, W.V.; Laurene, K.R.; Patel, S.; Anderson, M.; Grega, C.; Kenne, D.R. Changes in alcohol use as a function of psychological distress and social support following COVID-19 related University closings. Addict. Behav. 2020, 110, 106527. [Google Scholar] [CrossRef]
- McCrady, B.S.; Flanagan, J.C. The role of the family in alcohol use disorder recovery for adults. Alcohol Res. 2021, 1, 1–19. [Google Scholar] [CrossRef]
- Saha, T.D.; Chou, S.P.; Grant, B.F. Toward an alcohol use disorder continuum using item response theory: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychol. Med. 2006, 7, 931–941. [Google Scholar] [CrossRef]
- National Institutes of Health (NIH). Understanding Alcohol Use Disorder; NIH: Maryland, DC, USA, 2020.
- American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorder, 5th ed.; American Psychiatric Publishing: Washington, DC, USA, 2013. [Google Scholar]
- National Institutes of Health (NIH). Alcohol Use Disorder: A Comparison Between DSM–IV and DSM–5; NIH: Maryland, DC, USA, 2021.
- Lee, B.O.; Lee, C.H.; Lee, P.G.; Choi, M.J.; Namkoong, K. Development of Korean version of Alcohol Use Disorders Identification Test (AUDIT-K): Its reliability and validity. JKAAP 2000, 2, 83–92. [Google Scholar]
- Bush, B.; Shaw, S.; Cleary, P.; Delbanco, T.L.; Aronson, M.D. Screening for alcohol abuse using the cage questionnaire. Am. J. Med. 1987, 2, 231–235. [Google Scholar] [CrossRef]
- Hirata, E.S.; Almeida, O.P.; Funari, R.R.; Klein, E.L. Validity of the Michigan Alcoholism Screening Test (MAST) for the detection of alcohol-related problems among male geriatric outpatients. Am. J. Geriatr. Psychiatry 2001, 1, 30–34. [Google Scholar]
- Kano, M.Y.; Santos, M.A.; Pillon, S.C. Use of alcohol in the elderly: Transcultural validation of the Michigan Alcoholism Screening Test—Geriatric version (MAST-G). Rev. Esc. Enferm. USP 2014, 4, 648–655. [Google Scholar] [CrossRef] [Green Version]
- Babor, T.F.; Grant, M. From clinical research to secondary prevention: International collaboration in the development of the Alcohol Disorders Identification Test (AUDIT). Alcohol. Health Res. World 1989, 4, 371–374. [Google Scholar]
- Reinert, D.F.; Allen, J.P. The alcohol use disorders identification test (AUDIT): A review of recent research. Alcohol Clin. Exp. Res. 2008, 2, 272–279. [Google Scholar] [CrossRef]
- Johnson, J.A.; Lee, A.; Vinson, D.; Seale, J.P. Use of AUDIT-based measures to identify unhealthy alcohol use and alcohol dependence in primary care: A validation study. Alcohol. Clin. Exp. Res. 2012, s1, E253–E259. [Google Scholar] [CrossRef]
- Lundin, A.; Hallgren, M.; Balliu, N.; Forsell, Y. The Use of alcohol use disorders identification test (AUDIT) in detecting alcohol use disorder and risk drinking in the general population: Validation of AUDIT using schedules for clinical assessment in neuropsychiatry. Alcohol Clin. Exp. Res. 2015, 1, 158–165. [Google Scholar] [CrossRef]
- Higgins-Biddle, J.C.; Babor, T.F. A review of the Alcohol Use Disorders Identification Test (AUDIT), AUDIT-C, and USAUDIT for screening in the United States: Past issues and future directions. Am. J. Drug Alcohol Abuse 2018, 6, 578–586. [Google Scholar] [CrossRef] [PubMed]
- Liskola, J.; Haravuori, H.; Lindberg, N.; Niemelӓ, S.; Karlsson, L.; Kiviruusu, O.; Marttunen, M. AUDIT and AUDIT-C as screening instruments for alcohol problem use in adolescents. Drug Alcohol Depend. 2018, 1, 266–273. [Google Scholar] [CrossRef] [Green Version]
- Woo, S.M.; Jang, O.J.; Choi, H.; Lee, Y. Diagnostic availability and optimal cut off score of the Korea version of Alcohol Use Disorder Identification Test (AUDIT-K), Alcohol Consumption Questions (AUDIT-C) and Question 3 Alone (AUDIT3) for screening of hazardous drinking. Korean Acad. Addict. Psychiatry 2017, 2, 62–67. [Google Scholar] [CrossRef]
- Kwak, J.H.; Kim, G.R.; Sung, S.K.; Im, H.W.; Lee, Y.; Lee, S.B.; Park, C.; Cho, H.; Moon, D.H. Analysis of differences in the value of the AUDIT-K according to the sociological variables the population of neuropsychiatry hospital visitor. Journal of the Korean Society of Radiology. 2018, 63, 53–64. [Google Scholar] [CrossRef]
- Maeng, S.J.; Kang, J.H. The effect of family support on the alcohol dependency of the middle-aged: Focusing on the moderating effect of passive stress coping. J. Futur. Soc. Work Res. 2022, 1, 75–102. [Google Scholar] [CrossRef]
- Lee, B.J. Social support and alcoholics. Korean J. Clin. Soc. Work 2005, 1, 161–174. [Google Scholar]
- Nolen-Hoeksema, S. Gender differences in risk factors and consequences for alcohol use and problems. Clin. Psychol. Rev. 2004, 24, 981–1010. [Google Scholar] [CrossRef] [PubMed]
- Dinescu, D.; Turkheimer, E.; Beam, C.R.; Horn, E.E.; Duncan, G.; Emery, R.E. Is marriage a buzzkill? A twin study of marital status and alcohol consumption. J. Fam. Psychol. 2016, 30, 698–707. [Google Scholar] [PubMed]
- Droomers, M.; Schrijvers, C.T.; Stronks, K.; van de Mheen, D.; Mackenbach, J.P. Educational differences in excessive alcohol consumption: The role of psychosocial and material stressors. Prev. Med. 1999, 29, 1–10. [Google Scholar] [CrossRef] [PubMed]
- Keyes, K.M.; Hasin, D.S. Socio-economic status and problem alcohol use: The positive relationship between income and the DSM-IV alcohol abuse diagnosis. Addiction 2008, 103, 1120–1130. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Lazarus, R.S.; Folkman, S. Stress, Appraisal, and Coping; Springer Publishing Company: New York, NY, USA, 1984. [Google Scholar]
- Park, C.L.; Armeli, S.; Tennen, H. The daily stress and coping process and alcohol use among college students. J. Stud. Alcohol 2004, 65, 126–135. [Google Scholar] [CrossRef]
- Cohen, S.; Wills, T.A. Stress, social support, and the buffering hypothesis. Psychol. Bull. 1985, 2, 310–357. [Google Scholar] [CrossRef]
- Ali, A.; Deuri, S.P.; Deuri, S.K.; Jahan, M.; Singh, A.R.; Verma, A.N. Perceived social support and life satisfaction in persons with somatization disorder. Ind. Psychiatry J. 2010, 2, 115–118. [Google Scholar] [CrossRef]
- Yoon, M.S.; Kim, N.H. Mediating effects of social support on the relationship between motivation to change and quality of ife among alcoholics. Health Soc. Welf. Rev. 2015, 1, 110–135. [Google Scholar] [CrossRef]
- Bi, S.; Stevens, G.W.; Maes, M.; Boer, M.; Delaruelle, K.; Eriksson, C.; Brooks, F.M.; Tesler, R.; van der Schuur, W.A.; Finkenauer, C. Perceived social support from different sources and adolescent life satisfaction across 42 countries/regions: The moderating role of national-level generalized trust. J. Youth Adolesc. 2021, 50, 1384–1409. [Google Scholar] [CrossRef]
- Burns, R.J.; Rothman, A.J.; Fu, S.S.; Lindgren, B.; Joseph, A.M. The relation between social support and smoking cessation: Revisiting an established measure to improve prediction. Ann. Behav. Med. 2014, 3, 369–375. [Google Scholar] [CrossRef] [Green Version]
- Brooks, A.T.; Lòpez, M.M.; Ranucci, A.; Krumlauf, M.; Wallen, G.R. A qualitative exploration of social support during treatment for severe alcohol use disorder and recovery. Addict. Behav. Rep. 2017, 6, 76–82. [Google Scholar] [CrossRef] [PubMed]
- Ko, M.R.; Kim, K. Effects of motivation for change on alcohol use disorder patients’ depression, abstinence self-efficacy, and social support. Health Nurs. 2021, 1, 47–55. [Google Scholar] [CrossRef]
- Bray, J.H.; Adams, G.J.; Getz, J.G.; Baer, P.E. Developmental, family, and ethnic in influences on adolescent alcohol usage: A growth curve approach. J. Fam. Psychol. 2001, 2, 301–314. [Google Scholar] [CrossRef]
- Suman, L.N.; Nagalakshmi, S.V. Family interaction patterns in alcoholic families. Nimhans J. 1995, 1, 47–52. [Google Scholar]
- Moos, R.H.; Moos, B.S. The process of recovery from alcoholism: III. Comparing functioning in families of alcoholics and matched control families. J. Stud. Alcohol 1984, 2, 111–118. [Google Scholar] [CrossRef] [PubMed]
- Um, M.Y.; Nho, C.R.; Kim, Y.S. Social Work Skills and Techniques, 4th ed.; Hakjisa: Seoul, Korea, 2020. [Google Scholar]
- Saatcioglu, O.; Erim, R.; Cakmak, D. Role of family in alcohol and substance abuse. Psychiatry Clin. Neurosci. 2006, 2, 125–132. [Google Scholar] [CrossRef]
- Lee, J.S.; Yoon, M.S.; Lee, B.H.; Ji, H. Moderating Effect of Family Support on the Relapse of Alcoholics. Alcohol Health Behav. Res. 2011, 2, 93–107. [Google Scholar]
- Gordon, A.J.; Zrull, M. Social networks and recovery: One year after inpatient treatment. J. Subst. Abuse Treat. Home Page 1991, 3, 143–152. [Google Scholar] [CrossRef]
- Bathish, R.; Best, D.; Savic, M.; Beckwith, M.; Mackenzie, J.; Lubman, D.I. “Is it me or should my friends take the credit?” The role of social networks and social identity in recovery from addiction. J. Appl. Soc. Psychol. 2017, 1, 35–46. [Google Scholar] [CrossRef]
- Mohr, L.A.; Webb, D.J.; Harris, K.E. Do consumers expect companies to be socially responsible? The impact of corporate social responsibility on buying behavior. J. Consum. Aff. 2001, 1, 45–72. [Google Scholar]
- Lee, J.H.; Kim, M.L. The study on middle-aged men’s leisure life style and family function. KSLRP 2008, 2, 139–150. [Google Scholar]
- Oh, J.H. Leisure and drinking culture of Korean. Korean J. Soc. Issues 2002, 4, 67–94. [Google Scholar]
- Akers, R.L.; La Greca, A.J.; Cochran, J.; Sellers, C. Social learning theory and alcohol behavior among the elderly. Soc. Q. 1989, 4, 625–638. [Google Scholar] [CrossRef]
- Lee, M.K. Psychosocial factors for drinking behavior. Korean J. Clin. Psychol. 1993, 1, 165–179. [Google Scholar]
- Maisto, S.A.; Carey, K.B.; Bradizza, C.M. Social learning theory. In Psychological Theories of Drinking and Alcoholism; Leonard, K.E., Blane, H.T., Eds.; The Guilford Press: New York, NY, USA, 1999; pp. 106–163. [Google Scholar]
- Ward, B.W.; Gryczynski, J. Social learning theory and the effects of living arrangement on heavy alcohol use: Results from a national study of college students. J. Stud. Alcohol Drugs 2009, 3, 364–372. [Google Scholar] [CrossRef] [PubMed]
- Jeon, G.S.; Cho, S.; Park, S.Y.; Park, S.Y. Psychosocial factors associated with problematic drinking among middle-and older-aged Korean men. The Korean Society of Health Service Management. 2015, 25, 187–199. [Google Scholar] [CrossRef]
- Jeong, J.S. A study on the factors influencing problem drinking according to life cycle: With a focus on comparison among the three generations of the young, middle-aged, and elderly. J. Crit. Soc. Policy 2020, 67, 251–297. [Google Scholar]
- Lim, J. The effects of friends who drink on adolescent drinking onset: Focusing on social learning theory and friends’ network effect. Health Soc. Sci. 2016, 41, 90–130. [Google Scholar] [CrossRef]
- Kang, S.K.; Cha, Y.J. Analysis of the moderating effect of social support on the relationship between depression and internet addiction in middle-aged women. J. Korean Converg. Soc. 2022, 4, 499–511. [Google Scholar] [CrossRef]
- Park, J.W. A Study to Development A Scale of Social Support. Ph.D. Thesis, Yonsei University, Seoul, Korea, 1985. [Google Scholar]
- Babor, T.F.; Higgins-Biddle, J.C.; Saunders, J.B.; Monteiro, M.G. AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Health Care, 2nd ed.; WHO: Geneva, Switzerland, 2001. [Google Scholar]
- Collins, S.E. Associations between socioeconomic factors and alcohol outcomes. Alcohol Res. 2016, 1, 83–94. [Google Scholar]
- Lee, S.H.; Han, C.K. The effects of assets on health behaviors of the elderly: Focusing on the mediating effects of spousal and child relationship satisfaction. Korean J. Fam. Soc. Work 2021, 1, 147–483. [Google Scholar] [CrossRef]
- Keyes, K.M. Age, period, and cohort effects in alcohol use in the United States in the 20th and 21st centuries: Implications for the coming decades. Alcohol Res. 2022, 1, 1–8. [Google Scholar]
- Jeong, Y.M. The Effect of the Solution-Focused Group Counseling Program on College Students’s Social Problem-Solving Ability and Stress-Coping Ability. Master’s Thesis, Korea National University of Education, Chung-Buk, Korea, 2004. [Google Scholar]
Variables | Frequency (%) | M (SD) |
---|---|---|
Sex | ||
Male | 333 (43.4) | |
Female | 434 (56.6) | |
Marital Status | ||
Married | 565 (73.7%) | |
Single | 202 (26.3%) | |
Age | ||
Level of Education | 48.53 (5.69) | |
Income | 2.84 (1.20) | |
Active Stress Coping | 36.00 (5.53) | |
Family Supports | 94.17 (18.31) | |
Friend Supports | 86.69 (15.82) | |
Excessive Alcohol Use | 10.20 (8.00) |
Excessive Alcohol Use | |||||||||
---|---|---|---|---|---|---|---|---|---|
Model 1 | Model 2 | Model 3 | |||||||
Variables | B | SE | t | B | SE | t | B | SE | t |
Intercept | 21.86 | 2.92 | 7.48 *** | 19.49 | 2.96 | 6.59 *** | 20.13 | 2.92 | 6.89 *** |
Covariates | |||||||||
Sex (ref. Female) | 5.17 | 0.55 | 9.47 *** | 5.24 | 0.55 | 9.55 *** | 5.29 | 0.54 | 9.78 *** |
Age | −0.09 | 0.05 | −1.92 | −0.08 | 0.05 | −1.73 | −0.09 | 0.05 | −1.80 |
Level of Education | −0.29 | 0.52 | −0.57 | −0.18 | 0.52 | −0.34 | −0.24 | 0.51 | −0.47 |
Income | −0.27 | 0.26 | −1.05 | −0.36 | 0.26 | −1.38 | −0.32 | 0.26 | −1.24 |
Marital Status (ref. Single) | 0.89 | 0.68 | 1.29 | 0.60 | 0.68 | 0.88 | 1.09 | 0.68 | 1.60 |
Active Stress Coping | −0.09 | 0.07 | −1.38 | −0.33 | 0.07 | −4.99 *** | −0.21 | 0.07 | −2.89 ** |
Main Terms | |||||||||
Family Supports | −0.06 | 0.02 | −3.22 ** | −0.10 | 0.02 | −4.64 *** | |||
Friend Supports | 0.05 | 0.02 | 2.38 * | 0.10 | 0.02 | 4.09 *** | |||
Adjusted R2 | 0.14 | 0.13 | 0.16 | ||||||
F | 18.75 *** | 17.97 *** | 18.84 *** |
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Maeng, S.-J.; Kim, K.-H.; Kang, J.-H. The Impact of Social Supports on the Excessive Alcohol Use of the Middle-Aged Adults in South Korea: Do All Types of Social Supports Have Positive Effects on Excessive Alcohol Users? Int. J. Environ. Res. Public Health 2022, 19, 12624. https://doi.org/10.3390/ijerph191912624
Maeng S-J, Kim K-H, Kang J-H. The Impact of Social Supports on the Excessive Alcohol Use of the Middle-Aged Adults in South Korea: Do All Types of Social Supports Have Positive Effects on Excessive Alcohol Users? International Journal of Environmental Research and Public Health. 2022; 19(19):12624. https://doi.org/10.3390/ijerph191912624
Chicago/Turabian StyleMaeng, Seong-Jun, Kwang-Hyun Kim, and Jun-Hyeok Kang. 2022. "The Impact of Social Supports on the Excessive Alcohol Use of the Middle-Aged Adults in South Korea: Do All Types of Social Supports Have Positive Effects on Excessive Alcohol Users?" International Journal of Environmental Research and Public Health 19, no. 19: 12624. https://doi.org/10.3390/ijerph191912624