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Do causes of stress differ in their association with problem drinking by sex in Korean adolescents?

Authors
 Jae-Woo Choi  ;  Eun-Cheol Park  ;  Jae-Hyun Kim  ;  So-Hee Park 
Citation
 ADDICTIVE BEHAVIORS, Vol.64 : 62-69, 2017 
Journal Title
 ADDICTIVE BEHAVIORS 
ISSN
 0306-4603 
Issue Date
2017
MeSH
Adolescent ; Adolescent Behavior/psychology* ; Alcoholism/epidemiology* ; Alcoholism/psychology ; Cross-Sectional Studies ; Female ; Humans ; Male ; Republic of Korea/epidemiology ; Risk-Taking ; Sex Factors ; Stress, Psychological/epidemiology* ; Stress, Psychological/psychology* ; Underage Drinking/psychology* ; Underage Drinking/statistics & numerical data*
Keywords
Adolescent ; Problem drinking ; Sex ; Stress
Abstract
BACKGROUND: Previous studies have focused mainly on whether stress causes present drinking or excessive drinking. However, few studies have been conducted on the relationship between stress and problem drinking in adolescents. The objective of this study was to examine the stress level and the cause of stress related to problem drinking behavior according to sex among Korean youth. METHOD: Data for this study were pooled from cross-sectional data collected annually from 2007 through 2012 from the Korea Youth Risk Behavior Web-based Survey. A representative sample of 442,113 students from 800 randomly selected middle and high schools in Korea were included. Multiple logistic regression models were used in the analysis. RESULTS: Both male and female students with extremely high stress were more likely to engage in problem drinking than were students with no stress (odds ratios [OR], 1.73 in males and 1.41 in females). The major causes of stress in male students that were associated with problem drinking were conflict with a teacher, trouble with parents, and peer relationships (ORs, 2.47, 1.72, and 1.71, respectively), whereas there are no statistically significant association between causes of stress and problem drinking among female students. Considering stress level, Male students with extremely high stress level were associated with problem drinking regardless of causes of stress, while Female students who felt extremely high levels of stress were more likely to engage in problem drinking due to stress from a conflict with parents, peer relationships, appearance, and financial difficulty (ORs, 1.53, 1.53, 1.46, and 1.47, respectively). CONCLUSION: Adolescents who engage in problem drinking may be affected by different causes of stress according to sex. Thus, appropriate approaches that reflect sex differences will be helpful to alleviate problem drinking in adolescents and educational authorities need to arrange more effective education program for drinking given positive associations between drinking education and problem drinking.
Full Text
http://www.sciencedirect.com/science/article/pii/S0306460316302842
DOI
10.1016/j.addbeh.2016.08.013
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Park, So Hee(박소희) ORCID logo https://orcid.org/0000-0001-8513-5163
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154087
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