Predictors of Hospitalization for Alcohol Use Disorder in Korean Men

ABSTRACT

PURPOSE: This study was done to identify the patterns and significant predictors influencing hospitalization of Korean men for alcohol use disorder. METHODS: A descriptive study design was utilized. Data were collected using self-report questionnaires from 143 inpatients who met the DSM-5 alcohol use disorder criteria and were receiving treatment and 157 social drinkers living in the community. The questionnaires included Alcohol Use Disorders Identification Test (AUDIT), Alcohol Problems, Alcohol Expectancy Questionnaire (AEQ), Life Position, and The Korean version of the Children of Alcoholics Screening Test (CAST-K). Data were analyzed using descriptive statistics, t-test, chi2-test, F-test, Pearson correlation coefficients, and logistic regression with forward stepwise. RESULTS: AUDIT had significant correlations with alcohol problems, alcohol expectancy, and parents' alcoholism. In logistic regression, factors significantly affecting hospitalization were divorced (OR=4.18, 95% CI 1.28-13.71), graduation from elementary school (OR=28.50, 95% CI 8.07-100.69), middle school (OR=6.66, 95% CI 2.21-20.09), high school (OR=6.31, 95% CI 2.59-15.36), drinking alone (OR=9.07, 95% CI 1.78-46.17), family history of alcoholism (OR=2.41, 95% CI 1.11-5.25), interpersonal relationship problems (OR=1.28, 95% CI1.17-1.41), and sexual enhancement of alcohol expectancy (OR=0.83, 95% CI 0.72-0.94), which accounted for 53% of the variance. CONCLUSION: Results suggest that interpersonal relationship programs and customized cognitive programs for social drinkers in the community are needed to decreased alcohol related hospitalization in Korean men.