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Hong, Park, and Park: Predictors of Hospitalization for Alcohol Use Disorder in Korean Men
Original Article

Journal of Korean Academy of Nursing 2014; 44(5): 552-562.

Published online: 31 October 2014

DOI: https://doi.org/10.4040/jkan.2014.44.5.552

Predictors of Hospitalization for Alcohol Use Disorder in Korean Men

Hae-Sook Hong, Jeong-Eun Park, Wan-Ju Park

College of Nursing, Kyungpook National University, Daegu, Korea.

Address reprint requests to: Park, Wan-Ju. College of Nursing, Kyungpook National University, 680 Gukchaebosang-ro, Jung-gu, Daegu 700-422, Korea. Tel: +82-53-420-4977, Fax: +82-53-421-2758, wanjupark@knu.ac.kr

Received 22 April 2014       Revised 2 May 2014       Accepted 2 September 2014

© 2014 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

This study was done to identify the patterns and significant predictors influencing hospitalization of Korean men for alcohol use disorder.

Methods

A descriptive study design was utilized. Data were collected using self-report questionnaires from 143 inpatients who met the DSM-5 alcohol use disorder criteria and were receiving treatment and 157 social drinkers living in the community. The questionnaires included Alcohol Use Disorders Identification Test (AUDIT), Alcohol Problems, Alcohol Expectancy Questionnaire (AEQ), Life Position, and The Korean version of the Children of Alcoholics Screening Test (CAST-K). Data were analyzed using descriptive statistics, t-test, χ2-test, F-test, Pearson correlation coefficients, and logistic regression with forward stepwise.

Results

AUDIT had significant correlations with alcohol problems, alcohol expectancy, and parents' alcoholism. In logistic regression, factors significantly affecting hospitalization were divorced (OR=4.18, 95% CI: 1.28-13.71), graduation from elementary school (OR=28.50, 95% CI: 8.07-100.69), middle school (OR=6.66, 95% CI: 2.21-20.09), high school (OR=6.31, 95% CI: 2.59-15.36), drinking alone (OR=9.07, 95% CI: 1.78-46.17), family history of alcoholism (OR=2.41, 95% CI: 1.11-5.25), interpersonal relationship problems (OR=1.28, 95% CI:1.17-1.41), and sexual enhancement of alcohol expectancy (OR=0.83, 95% CI: 0.72-0.94), which accounted for 53% of the variance.

Conclusion

Results suggest that interpersonal relationship programs and customized cognitive programs for social drinkers in the community are needed to decreased alcohol related hospitalization in Korean men.

Keywords: Hospitalization, Alcohol use disorder, Adult

Figures and Tables

Table 1
Demographic and Clinical Characteristics of Participants (N=300)
jkan-44-552-i001
Table 2
Comparisons of Study Variables between Inpatients and Social Drinkers (N=300)
jkan-44-552-i002

*Mean values were estimated using least squared method, adjusted for living, religion, marital status, educational level, and occupation. first time of drinking, drinking partner, family history;

†Life position subtotal scores were calculated after reversed coding; ‡Life position total scores were calculated after reversed coding for negative items; §The Korean version of the Children of Alcoholics Screening Test; AUDIT=The Alcohol Use Disorders Identification Test.

Table 3
Correlations among Study Variables (N=300)
jkan-44-552-i003

AUDIT=The Alcohol Use Disorders Identification Test.

Table 4
Predictors of Hospitalization by Multiple Logistic Regression Analysis (N=300)
jkan-44-552-i004

Notes

This study was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education and Technology (No. NRF-2013R1A1A4A01004549).

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