Alcohol and tobacco use among South Korean adolescents: An ecological review of the literature

This article represents a comprehensive review of the literature on the predictors, consequences and prevalence of alcohol and tobacco use among South Korean youth. A systematic review of the literature in Korean and English social science journals was undertaken. Findings suggest that processes at multiple levels may lead to problems with alcohol and tobacco among these youth. In particular, the literature suggests that risk factors at the socio-demographic (age, gender, and depression), micro- (family, peer, and teachers), meso- (relations between home and school), exo- (parent-related life events and media), macro- (parenting practices and academic stress), and chrono-systems levels (Asia-Pacific financial crisis in 1997) are associated with increased alcohol and tobacco use. Higher quality of relationships with parents, peers, and teacher can contribute to reductions in alcohol and tobacco use and may offer insights for developing prevention and treatment programs that are appropriate for this population.

Research Highlights
► Risk factors at each system level are associated with alcohol and tobacco use.
► Positive relationships with parents, peers, and teachers are protective factors.
► Ecological theory can offer insights for developing effective intervention.