한국 암환자에서 고위험 음주에 영향을 미치는 사회경제적 요인: 제7기 국민건강영양조사 자료(2016–2017)

Abstract

Background: This study aimed to analyze the association between socioeconomic factors and high-risk drinking in cancer survivors. Methods: The study included 11,388 adults who participated in the 2016 and 2017 Korea National Health and Nutrition Examination Survey. We divided the study population by cancer status and analyzed the effects of socioeconomic factors on high-risk drinking using a chi-square test and multiple logistic regression. We used SPSS 23 for the analysis. Results: Binge drinkers occupied 27.2% of cancer patients, and 5.3% were found to be heavy drinkers. In cancer patients, low household income (<50%) was associated with binge drinking (heavy episodic drinking) (odds ratio [OR], 2.242; 95% confidence interval [CI], 1.220–4.120) and heavy drinking (OR, 3.497; 95% CI, 1.212–10.080). Meanwhile, job was associated with binge drinking (OR, 1.660; 95% CI, 1.479–1.864) and heavy drinking (OR, 1.535; 95% CI, 1.251–1.884) in the non-cancer population. Residence in an urban area and a low educational level were associated with binge drinking (OR, 1.243; 95% CI, 1.061–1.455) and heavy drinking (OR, 1.380; 95% CI, 1.059–1.798), respectively. Conclusion: In this study, we found that low income was significantly associated with high-risk drinking in cancer patients, whereas other factors including employment, low educational level, and residence in an urban area were associated with high-risk drinking in the general population. These findings suggest that more attention needs to be paid to educating cancer survivors with low income to prevent high-risk drinking and its effects.