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©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
Health behaviors of Korean adults with hepatitis B: Findings of the 2016 Korean National Health and Nutrition Examination Survey
Yu-Hyeon Yi, Yun-Jin Kim, Sang-Yeoup Lee, Byung-Mann Cho, Young-Hye Cho, Jeong-Gyu Lee
Yu-Hyeon Yi, Yun-Jin Kim, Young-Hye Cho, Jeong-Gyu Lee, Department of Family Medicine, Pusan National University School of Medicine, Yangsan-si 50612, South Korea
Yu-Hyeon Yi, Yun-Jin Kim, Byung-Mann Cho, Jeong-Gyu Lee, Medical Research Institute, Pusan National University Hospital, Busan 49241, South Korea
Yu-Hyeon Yi, Jeong-Gyu Lee, Busan Tobacco Control Center, Pusan National University Hospital, Busan 49241, South Korea
Sang-Yeoup Lee, Department of Medical Education, Pusan National University School of Medicine, Yangsan-si 50612, South Korea
Sang-Yeoup Lee, Young-Hye Cho, Family Medicine Clinic, Pusan National University Yangsan Hospital, Yangsan-si 50612, South Korea
Byung-Mann Cho, Department of Preventive Medicine and Occupational Medicine, Pusan National University School of Medicine, Yangsan-si 50612, South Korea
Author contributions: Yi YH, Kim YJ, Lee SY, Cho BM, Cho YH, Lee JG contributed to study conception and design; Yi YH and Lee JG contributed to data analysis and interpretation, and drafting of manuscript; Lee SY and Cho BM contributed data management; Yi YH, Kim YJ, Lee SY, Cho BM, Cho YH, Lee JG contributed to reviewing and final approval of article; Lee JG contributed to revising manuscript and finalizing submission.
Supported by two-year research Grant of Pusan National University.
Institutional review board statement: Our study design was approved by the Institutional Review Board of Pusan National University Hospital (approval ID: H-1805-017-067)
Conflict-of-interest statement: All authors have no conflict of interest to disclose.
STROBE statement: The authors have read the STROBE Statement checklist of items, and the manuscript was prepared and revised according to the STROBE Statement checklist of items.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Jeong-Gyu Lee, MD, PhD, Associate Professor, Department of Family Medicine, Pusan National University School of Medicine, Yangsan-si 50612, South Korea. jeklee@pnu.edu
Telephone: +82-51-2407834 Fax: +82-51-2407843
Received: May 28, 2018
Peer-review started: May 28, 2018
First decision: June 15, 2018
Revised: June 20, 2018
Accepted: June 28, 2018
Article in press: June 28, 2018
Published online: July 28, 2018
AIM
To assess the frequencies of five health-related behaviors (smoking, alcohol consumption, body weight, sleep duration, and physical activity) in Korean adults with chronic hepatitis B.
METHODS
Data were obtained from the 2016 Korean National Health and Nutrition Examination Survey. In total, 5887 subjects (2568 males, 3319 females) over 19 years old were enrolled in this study. Interviews were performed to obtain information on demographic characteristics and medical conditions. A selfadministered questionnaire and medical examination were used to assess the smoking history, alcohol use, physical activity, sleep duration, and body weight of the subjects. Chronic hepatitis B was diagnosed based on detection of hepatitis B surface antigen (HBsAg). The subjects were categorized into HBsAg positive and negative groups, and a complex sampling analysis was conducted to compare the health behaviors between these groups.
RESULTS
Among males, the current smoking rate in the HBsAg positive group was higher than that in the negative group (45.5% vs 38.5%). In the positive group, the rates of monthly and high-risk alcohol use were 70.4% and 17.6% in males and 45.9% and 3.8% in females, respectively. The rate of alcohol use was similar between the two groups [P = 0.455 (males) and P = 0.476 (females)]. In the HBsAg positive group, 32.3% and 49.9% of males and 26.5% and 49.6% of females were overweight and physically inactive, respectively. High-risk alcohol consumption and physical inactivity were significantly associated with self-perceived health status.
CONCLUSION
Our data demonstrate that a large proportion of Korean adults with chronic hepatitis B have poor health behaviors. Further studies are needed to confirm our results.
Core tip: A large proportion of Korean adults with chronic hepatitis B have poor health behaviors, particularly in terms of smoking and alcohol consumption. High-risk alcohol consumption and physical inactivity are significantly associated with selfperceived health status. Because it is a risk factor for hepatocellular carcinoma, individuals with chronic hepatitis B should maintain a healthy lifestyle. They should be encouraged to improve their health behaviors and participate in appropriate education programs.
