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알코올성 장애의 횡문화적 연구 : 한국인, 연변조선족, 연변한족을 중심으로
윤현의,권정화,최순 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.6
연구 목적 : 한국인, 연변조선족, 연변한족 알코올중독자의 음주양상, 음주허용도와, 음주행동에 대한 불쾌감 인식역치를 비교하여 음주에 대한 사회문화적 요인의 영향을 밝혀 보고자 한다. 연구 방법: 질문지와 개인면담을 통하여 60명의 한국인, 100명의 연변조선족, 98명의 연변한족 알코올남용 및 알코올의존 입원환자를 조사하였다. 연구 결과 : 1) 한국인 알코올중독자군은 나이가 가장 많았고, 저학력의 노동직으로 불안정한 결혼상태인 반면, 연변한족이 가장 어렸고, 연변조선족과 연변한족은 고학력으로 사무직에 안정된 결혼상태였다. 2) 한국인 알코올중독자군은 단기폭음을 하였고, 반면 연변조선족은 가장 장기간동안 소량씩 음주하는 양상을 보였으며, 연변한족은 중간양상을 보였다. 한국인은 과음 후 금주하기까지 기간이 오래 걸리나, 연변조선족과 연변한족은 과음을 시작하면서 곧바로 금주노력을 시작하였다. 3) 남성에 대한 음주허용도는 세 군간에 차이가 없었다. 4) 여성에 대한 음주허용도는 한국인 알코올중독자군이 연변한족에 비하여 허용적이었으나, 한국인과 연변한족간에는 차이가 없었다. 5) 음주허용도를 연령별로 보면 한국인 연변조선족, 연변한족 알코올중독자군 모두 장년층, 노년층, 청년층, 미성년층의 순서로 유의하게 허용적이었다. 6) 음주허용도를 성별로 보면 한국인, 연변조선족, 연변한족 알코올중독자군 모두 여자보다는 남자에 대해 유의하게 허용적이었다. 7) 음주자에 대한 불쾌감 인식 역치는 한국인, 연변조선족, 연변한족의 순서로 유의하게 높았다. 결 론 :한국인 알코올중독자군은 음주량, 음주허용도, 불쾌감 인식역치 모두에서 가장 높은 수준을 보인 반면, 연변한족 알코올중독자군은 가장 낮은 수준을 보였다. 연변한족 알코올중독자군은 음주에 대한 사회적 규준면에서는 한국인과 유사하나, 음주양상은 연변한족의 양상을 반영한다. 그러므로, 한국인과 연변한족 알코올중독자간의 평균 음주량, 음주허용도, 및 음주행동에 대한 불쾌감 인식역치에서의 차이는 음주에 대한 사회 문화적 영향을 시사한다고 하겠다. Objectives : In order to examine the sociocu1tural effects of drinking, the authors compared drinking patterns, acceptance levels toward drinking, and the threshold of permission towards drinking behavior in Korean, Yanbian Korean-Chinese, and Yanbian Chinese alcoholics. Methods : 60 Korean, 100 Korean-Chinese, 98 Chinese male alcoholic inpatients were examined by questionnaire and interview. Results: 1) Korean alcoholics were found to be older, less educated, in blue collar occupations, and least stable in their marital state. In comparison, Korean-Chinese and Chinese alcoholics were highly educated, in white collar occupations, and most stable in their marital state with Chinese alcoholics being the youngest. 2) The average amount of daily alcohol consumption and shortest duration was greatest among Korean, then Chinese, fo11owed by Korean-Chinese alcoholics. It took a longer time for Korean alcoholics to try to quit drinking after the initiation of heavy drinking than it did for Korean-Chinese or Chinese alcoholics. 3) In acceptance levels toward male drinking, there were no differences among the groups. 4) In acceptance levels toward female drinking, Koreans were more permissive than Chinese. However there was no difference between Koreans and Korean-Chinese toward female drinking. 5) In acceptance levels toward drinking by age, all the groups were most permissive toward 40 year old male and female, fo11owed by 60 year old male and female, young male and female, and least permissive toward boy and girl. 6) In acceptance levels toward drinking by gender, all the groups were more permissive toward males drinking than females drinking. 7) Korean alcoholics had the highest threshold of displeasure for drinking behavior fo11owed by Korean-Chinese and then Chinese alcoholics. Conclusion : Korean alcoholics had higher levels in all categories, namely in alcohol consumption, acceptance levels toward drinking, and threshold of displeasure for drinking behavior than other groups. The Chinese alcoholics contrarily had lower levels in all categories than ethers. It is the results of the Korean-Chinese alcoholics that draw the conclusion that despite having similarities to that of the Korean alcoholics in terms of sociological norms toward drinking, their drinking pattern reflects that of the Chinese alcoholics. Thus the differences in average amount of alcohol consumption, acceptance levels toward drinking, and threshold of displeasure for drinking behavior between Korean and Chinese alcoholics suggest that there are sociocultural effects of drinking.
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알코올중독자와 일반인의 음주관과 음주 동기에 관한 비교
윤승욱(Seung Wook Yoon),권정화(Jungwha Kwon),문인원(Moon In Won) 한국중독정신의학회 1999 중독정신의학 Vol.3 No.2
This study was carried out to compare the views and motivations of the drinking between alcoholics and nonalcoholics. The questionnaires of 35 items were applied to 67 alcoholics who were admitted to mental hospital and 74 nonalcoholics. The scores for the views and motivations of the drinking and factor analyses of them were compared. The results were as follows. 1) Alcoholics were lower educated, more in blue-collar occupations, more divorced and had a higher family tendency than nonalcoholics (p<0.05). 2) The mean score of the factor ‘goal-directed drinking’ was lower in alcoholics than in nonalcoholics (p<0.05). Both of alcoholics and nonalcoholics viewed our drinking culture first as entertaining, second as group cohesive and third as goal-directed drinking in the order (p<0.01). 3) Alcoholics preferred to drink to eliminate negative feelings (personal factors) than nonalcoholics (p<0.01).
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