Korean J Fam Pract 2019; 9(2): 239-244  https://doi.org/10.21215/kjfp.2019.9.2.239
The Association between the Stress Relief Method and High-Risk Alcohol Drinking: The 2005 Korea National Health and Nutrition Examination Survey
Woo-seok Choi1, Min-Ok Jung1, Yu-Jin Kwon2,*
1Department of Family Medicine, Yonsei University College of Medicine, Seoul; 2Department of Family Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea
Yu-Jin Kwon, Tel: +82-31-331-8816, Fax: +82-31-3462-8209, E-mail: digda3@yuhs.ac, ORCID: http://orcid.org/0000-0002-9021-3856
Received: August 29, 2017; Revised: September 19, 2017; Accepted: September 19, 2017; Published online: April 20, 2019.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: The importance of stress relief methods is becoming an important issue in developed societies. However, no studies have examined the effects of stress relief methods on the risk of engaging in high-risk alcohol consumption. Therefore, we aimed to investigate the association between stress relief methods and high-risk alcohol consumption.
Methods: This study included a total of 5,313 subjects who participated in the 2005 Korean National Health and Nutritional Examination Survey. To evaluate high-risk alcohol consumption, we used the alcohol use disorders identification test (AUDIT-K). Regarding the stress relief method, participants were divided into three groups as follows: 1) those who were non-smokers and relieved stress using methods other than smoking (Group A), 2) those who were smokers but relieved stress using methods other than smoking (Group B), and 3) those who relieved stress by smoking (Group C). Multiple logistic regression analysis was conducted to examine the association between the stress relief method and high-risk alcohol consumption.
Results: The mean scores of AUDIT-K were 5.7 for Group A, 10.0 for Group B, and 11.4 for Group C (P-value<0.001). Compared to Group A, the odds ratio and 95% confidence intervals for high-risk alcohol consumption were 3.91 (1.96–7.80) for Group B and 6.26 (2.99–13.10) for Group C after adjusting for age, sex, body mass index, household income, education levels, residential area, marital status, stress levels, hypertension, diabetes, and dyslipidemia.
Conclusion: We found that the participants who relieved stress by smoking had a significantly higher risk of engaging in high-risk alcohol consumption.
Keywords: Stress; Alcohol; Smoking
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