Abstract
BackgroundMany young people in Korea today experience deprivation in various areas of life. The social determinants of health approach maintains that social factors play an important role in an individual’s physical and mental health. This study aimed to investigate the problem drinking trajectory of young Korean people and identify the effects of multidimensional deprivation on problem drinking.MethodsThe study used data from 2012 to 2018 found in the Korea Welfare Panel Study. Latent class growth analysis was performed to determine the number of trajectories of problem drinking. After identifying latent classes, a multinomial logistic regression analysis was utilized to examine multidimensional deprivation as a predictor of class membership.ResultsLatent class analysis yielded three groups: (1) a low-level maintenance group (low level of alcohol use maintained at the low level), (2) a moderate-level increasing group (moderate level of problem drinking with a moderate increase in problem drinking), and (3) a risky drinking increasing group (high level of problem drinking with a rapid increase in problem drinking). Results from multinomial logistic regression showed that deprivation in housing and social deprivation increased the probability of belonging to the risky drinking increasing group compared to other reference groups.ConclusionThe study speaks to the need to establish appropriate intervention strategies according to the level and changes in the pattern of alcohol use. The implications of housing and social deprivation concerning problem drinking among young Korean people are also discussed.
Highlights
Many young people in Korea today experience deprivation in various areas of life
The findings indicate that compared to young people in the low-level maintenance group, housing deprivation increases the probability of engaging in risky drinking by 1.077 times (RRR = 1.077, p < .01), and those who experience social deprivation are 1.712 times more likely (RRR = 1.712 P < .01) to engage in risky drinking that will increase over time
Examining the effects of multidimensional deprivation on the latent classes of developmental trajectories of problem drinking among young Korean people, the study results indicate that deprivation in housing and social deprivation increased the probability of belonging to the risky drinking increasing group compared to each reference group
Summary
Many young people in Korea today experience deprivation in various areas of life. The social determinants of health approach maintains that social factors play an important role in an individual’s physical and mental health. A similar pattern has been observed in Korea, as reports have shown that the monthly binge-drinking rate among young people has increased to 46.6%, higher than that for other age groups. The rate of high-risk drinking among young people has increased sharply to reach 15.6%, similar to that of the middle-aged group (15.7%), considered to be the group with the highest all-time prevalence of chronic problem drinking in Korean society [7]. While targeting the entire adult population may still be necessary, to adequately understand problem drinking in the young population, we need to investigate the social circumstances they face. Adolescence is a period of professional and academic preparation for the future in which a young adult becomes independent from one’s family of origin and begins forming one’s own family [10]. Young adults experience multiple events and face various crises while adapting to a new way of life, new social expectations, and new roles
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