우리나라 성인의 건강행태, 건강수준, 삶의 질이 정신건강을 매개로 문제음주와의 구조모형 분석

Abstract

Objectives: The objectives of this study were to examine the relation between problem drinking of Korean adults and related factors such as health risk behaviors, health status,quality of life and mental health and to confirm mediated effects of mental health that have become serious social problems recently. Methods: This study constructed and examined a structural model with the problem drinking, health risk behaviors, health status, quality of life and mental health targeting 263problem drinkers without missing values in the health behaviors, health status, quality of life and mental health among the problem drinkers (8 and more scores in AUDIT) in raw data of the Korea National Health and Nutrition Examination Survey, 2009. Results: First, in the male subjects, there was a significant direct path from the subjective health status to the mental health (standardized coefficient: B=.20, C.R.=2.248,p<.025), and there was also a direct path of mental health on the problem drinking (standardized coefficient: B=-.23, C.R.=-2.857, p<.004). Second, in the female subjects,there was a significant direct path of quality of life on the problem drinking (standardized coefficient: B=-.24, C.R.=-2.324, p<.020), and the direct effect of quality of life on mental health also showed a significant path (standardized coefficient: B=.37, C.R.=3.823, p<.001). Third, as a result of examining the mediated effects of mental health on the problem drinking, in the female subjects, the mediated effect was not found. However, in the male subjects, the path that the subjective mental status had a significant impact on the problem drinking through the mental health as complete mediation was found (p=.028). Conclusion: This study examined the relation between the problem drinking and related factors that have been fragmentarily reported previously more deeply and systematically through the use of the structural equation model. In addition, it confirmed the mediated effects of mental health in the relation between the problem drinking and subjective health status.