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KMID : 1003720170260040218
Korean Journal of Occupational Health Nursing
2017 Volume.26 No. 4 p.218 ~ p.226
Effect of Post-traumatic Stress and Ways of Stress Coping on Problem Drinking in Firefighters
Jeon Kug-Jin

Kang Kyung-Ah
Abstract
Purpose: The study aimed to determine the impact of post-traumatic stress and ways of stress coping on problem drinking in firefighters.

Methods: Data were collected from May 11 to June 11, 2015, in fire brigades across South Korea. Participants were 183 male firefighters who used self-report questionnaires containing questions from the Impact of Event Scale-Revised (IES-R), Ways of Coping Checklist (WCC), and Alcohol Use Disorders Identification Test (AUDIT). Data were analyzed using x2 test, t-test, and logistic regression with the SPSS/WIN 21.0 program.

Results: The prevalence of PTSD among firefighters was 36.7% and that of problem drinking was 39.3%. Firefighters with single (OR=0.23, 95% CI=0.038~1.321) and married status (OR=0.46, 95% CI=0.069~3.040) were less likely to have problem drinking than those who were divorced or bereavement. Those with invasion symptoms (OR=1.17, 95% CI=1.031~1.327) and hyperarousal symptoms (OR=0.85, 95% CI=0.722~0.989) were more likely to have problem drinking than those with avoidance symptoms.

Conclusion: Post-traumatic stress symptom was a major risk factor that increased problem drinking, and married status reduced problem drinking. There is a need to develop post-traumatic stress symptom management program and early education content for symptom management.
KEYWORD
Firefighter, Post-traumatic stress, Ways of stress coping, Problem drinking
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