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KMID : 1143420190120502319
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Public Health Weekly Report
2019 Volume.12 No. 50 p.2319 ~ p.2328
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Trends in High-Risk Drinking (HRD) among Female Adults in Korea: Age-Period-Cohort (APC) Analy
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JeKarl Jung
Kang Hee-Won
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Abstract
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In Korea, high-risk drinking (HRD) among women is on the rise. Furthermore, the trend toward HRD among women presents a critical challenge to achieving Korea’s goal of the 4th Health Plan (HP2020). This paper undertook an in-depth analysis of the trend in HRD among women to understand this timely and relevant topic better. This paper investigated the trend by breaking it down into age, period, and cohort. Twelve cross-sectional waves of Korean Health and Nutritional Examination Surveys from 2005 to 2017 were employed. The age-period-cohort effects were analyzed with the log-linear method of the constrained generalized linear model (CGLM) using an R package (apc.fit. function). While descriptions of the HRD trend showed a linear increase, a discernible trend was found among women ages 19-29 and 30-39. In the APC analysis, the rate of HRD peaked among women ages 45-49 and then subsequently declined. Furthermore, there was no significant change in period effect. In addition, the models showed a cohort effect with younger cohorts reporting higher rates of HRD. This finding was distinct among women, as this study found no rate change among male cohorts. This paper recommended that policy measures be taken to pro-actively respond to the increasing trend of HRD among women in the future.
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KEYWORD
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Women, High-risk drinking, Age-period-cohort model, Trends
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