J Korean Med Sci.  2018 Jan;33(4):e23. 10.3346/jkms.2018.33.e23.

Recent Trend and Associated Factors of Harmful Alcohol Use Based on Age and Gender in Korea

Affiliations
  • 1Department of Obstetrics and Gynecology, School of Medicine, CHA University, Seongnam, Korea.
  • 2Graduate School of Public Health, Seoul National University, Seoul, Korea. syoo@snu.ac.kr
  • 3Institute of Health and Environment, Seoul National University, Seoul, Korea.
  • 4Department of Health Convergence, Ewha Womans University, Seoul, Korea.
  • 5Graduate School of Public Health, Inje University, Busan, Korea.

Abstract

BACKGROUND
Previous studies suggest that the impact of social factors on harmful alcohol use between men and women may be different. We aimed to explore the gender-based difference in temporal trend and social risk factors associated with harmful alcohol use.
METHODS
The Korea National Health and Nutrition Examination Survey (2007-2014) was used to explore the recent trend of harmful alcohol use in the general population. Among all current alcohol drinkers aged 20-64 years, the frequencies of harmful alcohol use in each age group, year of birth, marriage, income, education, and occupation were analyzed based on gender.
RESULTS
A total of 34,478 people (14,544 men and 19,834 women) who reported drinking alcohol in the last month at the time of interview were included in the analysis. The proportion of harmful alcohol use in men decreased (P for trend = 0.002) during the study period, whereas significant change was not observed in women (P for trend = 0.173). The prevalence of harmful alcohol use was highest in men aged 35-49 years and women aged 20-34 years. For both men and women, lower level of education and service occupation were the common risk factors of harmful alcohol use. Additionally, low income was a risk factor of harmful alcohol use in women but not in men. Marriage increased the risk of harmful alcohol use in women but decreased in men.
CONCLUSION
Public health interventions in reducing harmful alcohol use should consider the different high-risk groups between men and women.

Keyword

Harmful Alcohol Use; Gender; Birth Cohort; Korea

MeSH Terms

Drinking
Education
Female
Humans
Korea*
Male
Marriage
Nutrition Surveys
Occupations
Parturition
Prevalence
Public Health
Risk Factors
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