Department of Family Medicine, Pusan National University School of Medicine, Yangsan-si 50612, South Korea.
Department of Medical Education, Pusan National University School of Medicine, Yangsan-si 50612, South Korea.
World J Gastroenterol. 2018 Jul 28;24(28):3163-3170. doi: 10.3748/wjg.v24.i28.3163.
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.
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.
Among males, the current smoking rate in the HBsAg positive group was higher than that in the negative group (45.5% 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 [ = 0.455 (males) and = 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.
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.
评估慢性乙型肝炎韩国成年人的五种与健康相关的行为（吸烟、饮酒、体重、睡眠时长和身体活动）的频率。
数据来自 2016 年韩国国家健康和营养调查。共纳入本研究 5887 名年龄在 19 岁及以上的受试者（男性 2568 名，女性 3319 名）。通过访谈获取受试者的人口统计学特征和医疗状况信息。通过自填式问卷和体格检查评估受试者的吸烟史、饮酒情况、身体活动、睡眠时长和体重。慢性乙型肝炎的诊断基于乙型肝炎表面抗原（HBsAg）的检测。将受试者分为 HBsAg 阳性和阴性组，采用复杂抽样分析比较两组间的健康行为。
男性中，HBsAg 阳性组的当前吸烟率高于阴性组（45.5% vs. 38.5%）。在阳性组中，男性的月饮酒率和高风险饮酒率分别为 70.4%和 17.6%，女性分别为 45.9%和 3.8%。两组间的饮酒率相似[男性： = 0.455；女性： = 0.476]。在 HBsAg 阳性组中，男性分别有 32.3%和 49.9%为超重和身体活动不足，女性分别有 26.5%和 49.6%为超重和身体活动不足。高风险饮酒和身体活动不足与自我感知的健康状况显著相关。
我们的数据表明，很大一部分慢性乙型肝炎韩国成年人存在不良健康行为。需要进一步的研究来证实我们的结果。
