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KMID : 0915820070080010001
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Journal of Korean Alcohol Science
2007 Volume.8 No. 1 p.1 ~ p.16
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Stage of Change Distribution and Determinants of Alcohol Drinking Behavior in College Students
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Kim Myung
Kim Hye-Kyeong
Lee Eun-Hee
Kwon Eun-Joo
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Abstract
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The purpose of this study was to examine the stages of change distribution and determinants of alcohol drinking behavior in college students, and provide data for planning prevention programs to reduce high risk drinking. A cross-sectional study was conducted and data were collected from 1,137 student from 6 universities in Seoul and other metropolitan areas.
Most of the students were at the pre-contemplation stage for moderate drinking. The Stage distribution for moderate drinking behavior was 42.1%, 8.0%, 10.4%, 15.6%, 14.9% for pre-contemplation, contemplation, preparation, action, maintenance stages, respectively. The remaining 8.9% of the students reported that they hadn’t had any episodes of heavy
drinking within the past 30 days. Consciousness raising was frequently utilized as a reason for drinking in contemplation, and preparation stages. Self-liberation was frequently used in the preparation stage. Behavioral processes were more frequently utilized than cognitive processes in preparation, action and maintenance stage. Cons of drinking alcohol began to be higher than pros for drinking alcohol, from the contemplation stage on, and continued to increase until the maintenance stage. Self-efficacy was higher in maintenance stage than pre-contemplation, contemplation and was the highest in students with no episodes of heavy drinking. The findings of this study provided guidance for health professionals in developing effective interventions to increase alcohol drinking behavior awareness in college students. In order to improve the efficacy of the prevention program, ecological approaches, including the change of social norms and policies will be needed.
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KEYWORD
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alcohol drinking, college students, stages of change, process of change, decisional balance, self-efficacy
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