KSPM
Search
- Page Path
- HOME > Search
Original Article
- Associations Between Tobacco Use Behaviors and Metabolic Syndrome in Korean Adults: Analysis of the 2020–2022 KNHANES
- Jinsun Kim, Seungju Kim
- J Prev Med Public Health. 2026;59(2):174-183. Published online March 5, 2026
- DOI: https://doi.org/10.3961/jpmph.25.684
- 483 View
- 53 Download
-
Abstract
Summary
PDF - Objectives
This study examined the association between various tobacco product use behaviors and metabolic syndrome (MetS) among Korean adults.
Methods
Data from 15 359 adults aged ≥19 years who participated in the 2020–2022 Korea National Health and Nutrition Examination Survey were analyzed. Participants were classified as dual users, e-cigarettes (EC; nicotine-containing liquid-type)/ heated tobacco products (HTP) users, cigarette-only users, ex-smokers, or non-smokers. MetS was defined according to the NCEP ATP III criteria. Subgroup analyses were conducted by survey year and age group. Complex-sample cross-tabulation and logistic regression analyses were performed.
Results
All types of tobacco product use were associated with an increased likelihood of MetS compared with non-smokers. This association was particularly evident among dual users (odds ratio [OR], 1.48; 95% confidence interval [CI], 1.12 to 1.94) and cigarette-only users (OR, 1.19; 95% CI, 1.01 to 1.41). The highest risk was observed among adults aged 19–39 years and among dual users in 2020.
Conclusions
Dual use and cigarette smoking were associated with a higher likelihood of MetS, particularly among younger adults. Efforts are needed to reduce the misconception that EC/HTP products are less harmful alternatives and to strengthen education and prevention in order to prevent changes in tobacco use behavior from leading to new health risks. -
SummaryKorean summary
이 연구는 2020–2022년 국민건강영양조사 자료를 이용하여 국내 성인의 담배 사용 형태와 대사증후군 간의 연관성을 분석하였다. 총 15,359명을 대상으로 분석한 결과, 모든 담배 사용 형태는 비흡연자에 비해 대사증후군 위험 증가와 관련되었으며, 특히 이중사용자와 궐련 단독 사용자에서 유의한 연관성이 나타났다. 이러한 연관성은 19–39세 젊은 성인에서 더욱 두드러졌다. 본 연구는 전자담배 및 가열담배의 안전성에 대한 인식을 재고하고, 변화하는 담배 사용 행태에 대응한 예방 전략의 필요성을 시사한다.Key Message
Using data from 15,359 Korean adults in the 2020–2022 KNHANES, this study analyzed associations between tobacco use behaviors and metabolic syndrome (MetS). All tobacco use types increased MetS risk, with significant associations observed among dual users (OR 1.48) and cigarette-only users (OR 1.19). This risk was most pronounced in young adults aged 19–39. These findings suggest a need to address misconceptions about EC/HTP products and to improve education and prevention strategies in the context of evolving tobacco use patterns.
Special Article
- Cohort Profile: Korean Tuberculosis and Post-Tuberculosis Cohort Constructed by Linking the Korean National Tuberculosis Surveillance System and National Health Information Database
- Dawoon Jeong, Hee-Yeon Kang, Jinsun Kim, Hyewon Lee, Bit-Na Yoo, Hee-Sun Kim, Hongjo Choi
- J Prev Med Public Health. 2022;55(3):253-262. Published online April 22, 2022
- DOI: https://doi.org/10.3961/jpmph.21.635
- 9,551 View
- 197 Download
- 16 Web of Science
- 17 Crossref
-
Abstract
Summary
PDF
Supplementary Material - We aimed to review the current data composition of the Korean Tuberculosis and Post-Tuberculosis Cohort, which was constructed by linking the Korean Tuberculosis Surveillance System (KNTSS; established and operated by the Korean Disease Control and Prevention Agency since 2000) and the National Health Information Database (NHID; established by the National Health Insurance Service in 2012). The following data were linked: KNTSS data pertaining to patients diagnosed with tuberculosis between 2011 and 2018, NHID data of patients with a history of tuberculosis and related diseases between 2006 and 2018, and data (obtained from the Statistics Korea database) on causes of death. Data from 300 117 tuberculosis patients (177 206 men and 122 911 women) were linked. The rate of treatment success for new cases was highest in 2015 (86.7%), with a gradual decrease thereafter. The treatment success rate for previously treated cases showed an increasing trend until 2014 (79.0%) and decreased thereafter. In total, 53 906 deaths were confirmed among tuberculosis patients included in the cohort. The Korean Tuberculosis and Post-Tuberculosis Cohort can be used to analyze different measurement variables in an integrated manner depending on the data source. Therefore, these cohort data can be used in future epidemiological studies and research on policy-effect analysis, treatment outcome analysis, and health-related behaviors such as treatment discontinuation.
-
SummaryKorean summary
TB Post 코호트(Korean Tuberculosis and Post-Tuberculosis Cohort)는 한국의 결핵 모니터링 및 관리에 대한 인구집단 수준에서의 새로운 근거를 마련하고자 구축한 우리나라 결핵 환자 코호트입니다. 국가 결핵감시체계의 일환으로 구축된 질병관리청의 결핵신고자료와 국민건강보험공단의 국민건강정보DB 자료, 통계청 사망원인 자료의 연계로 구축되었으며, 각 자료원이 보유한 정보를 활용하여 통합적인 결핵 환자 연구가 가능할 것으로 기대하고 있습니다. 결핵의 정책 효과 연구뿐만 아니라, 치료 성공, 실패, 중단 등 치료결과에 대한 영향 요인 및 환자들의 건강 관련 행태에 대한 역학 연구 등 향후 다양한 연구에 활용될 수 있을 것으로 기대됩니다. -
Citations
Citations to this article as recorded by
- Incidence of respiratory infections after the COVID-19 pandemic (2023-2024) and its association of vaccination among entire populations in Korea
Jihun Song, Seogsong Jeong, Asaph Young Chun, Jaehun Jung, Sun Jae Park, Sang Min Park
International Journal of Infectious Diseases.2026; 162: 108194. CrossRef - Comparison of Patients Who Were Not Evaluated and Lost to Follow-Up with Multidrug/Rifampin-Resistant Tuberculosis in South Korea
Hongjo Choi, Jeongha Mok, Young Ae Kang, Dawoon Jeong, Hee-Yeon Kang, Hee Jin Kim, Hee-Sun Kim, Doosoo Jeon
Yonsei Medical Journal.2025; 66(1): 16. CrossRef - Determinants of the lost to follow-up status among patients with tuberculosis who emigrated to the Republic of Korea: a mixed-method study
Sumin Jeon, Ji Yeon Lee, Ina Jeong, Sooim Sin, Inhan Lee, Younghyun Kim, Ah Yeon Han, Seung-Eun Lee, Soonryu Seo, Hyungjun Kim, Yunhyung Kwon, Chieeun Song, Joon-Sung Joh, Sung Hye Kim
Frontiers in Public Health.2025;[Epub] CrossRef - Impact of active tuberculosis on social mobility and its gender differences: Difference in differences using nationwide tuberculosis surveillance data and national health insurance data
Daseul Moon, Dawoon Jeong, Young Ae Kang, Gyeong In Lee, Hongjo Choi, Hansoo Ko
PLOS One.2025; 20(11): e0334961. CrossRef - Cohort profile: the KDCA-Tuberculosis-NHIS cohort linking tuberculosis surveillance and health insurance data in Korea
Dawoon Jeong, Jinsun Kim, Seung Won Lee, Hongjo Choi, Hojoon Sohn, Jieun Kim, Hyewon Lee, Hyeran Jeong, Seung Eun Lee, Young-joon Park, Jaiyong Kim, Eun Mi Kim, Minji Koo, Hoyeon Jang, Young Ae Kang
Epidemiology and Health.2025; 47: e2025071. CrossRef - A Quasi-experimental Study on the Effect of Pre-entry Tuberculosis Screening for Immigrants on Treatment Outcomes in South Korea: A Difference-in-Differences Analysis
Sarah Yu, Dawoon Jeong, Hee-Yeon Kang, Young Ae Kang, Gyeong In Lee, Hongjo Choi
Journal of Epidemiology and Global Health.2024; 14(1): 154. CrossRef - Relationship between metformin use and mortality in tuberculosis patients with diabetes: a nationwide cohort study
Eunki Chung, Dawoon Jeong, Jeongha Mok, Doosoo Jeon, Hee-Yeon Kang, Heejin Kim, Heesun Kim, Hongjo Choi, Young Ae Kang
The Korean Journal of Internal Medicine.2024; 39(2): 306. CrossRef - Trends in Nationally Notifiable Infectious Diseases in Humans and Animals during COVID-19 Pandemic, South Korea
Taehee Chang, Sung-il Cho, Dae sung Yoo, Kyung-Duk Min
Emerging Infectious Diseases.2024;[Epub] CrossRef - Beyond reducing direct medical cost: examining health outcomes in tuberculosis through a difference-in-differences analysis of South Korea’s out-of-pocket payment exception policy
Sarah Yu, Daseul Moon, Dawoon Jeong, Young Ae Kang, Gyeong In Lee, Hongjo Choi
Frontiers in Public Health.2024;[Epub] CrossRef - Timing and predictors of death during treatment in patients with multidrug/rifampin-resistant tuberculosis in South Korea
Eunjeong Son, Hongjo Choi, Jeongha Mok, Young Ae Kang, Dawoon Jeong, Doosoo Jeon
The Korean Journal of Internal Medicine.2024; 39(4): 640. CrossRef - ANÁLISE ESPACIAL DOS CASOS DE TUBERCULOSE EM UM ESTADO DA AMAZÔNIA OCIDENTAL BRASILEIRA: ESTUDO CLÍNICO-EPIDEMIOLÓGICO
Waleska Thicyara Cândida dos Santos, Mário Sérgio Monteiro Fonseca
Revista Contemporânea.2024; 4(12): e6889. CrossRef - Sex differences in the impact of diabetes mellitus on tuberculosis recurrence: a retrospective national cohort study
Dararat Eksombatchai, Dawoon Jeong, Jeongha Mok, Doosoo Jeon, Hee-Yeon Kang, Hee Jin Kim, Hee-Sun Kim, Hongjo Choi, Young Ae Kang
International Journal of Infectious Diseases.2023; 127: 1. CrossRef - Nationwide Treatment Outcomes of Patients With Multidrug/Rifampin-Resistant Tuberculosis in Korea, 2011–2017: A Retrospective Cohort Study (Korean TB-POST)
Hongjo Choi, Jeongha Mok, Young Ae Kang, Dawoon Jeong, Hee-Yeon Kang, Hee Jin Kim, Hee-Sun Kim, Doosoo Jeon
Journal of Korean Medical Science.2023;[Epub] CrossRef - Prevalence and associated factors of diabetes mellitus among patients with tuberculosis in South Korea from 2011 to 2018: a nationwide cohort study
Dawoon Jeong, Jeongha Mok, Doosoo Jeon, Hee-Yeon Kang, Hee Jin Kim, Hee-Sun Kim, Jeong Mi Seo, Hongjo Choi, Young Ae Kang
BMJ Open.2023; 13(3): e069642. CrossRef - Impact of Anti-Tuberculosis Drug Use on Treatment Outcomes in Patients with Pulmonary Fluoroquinolone-Resistant Multidrug-Resistant Tuberculosis: A Nationwide Retrospective Cohort Study with Propensity Score Matching
Hongjo Choi, Dawoon Jeong, Young Ae Kang, Doosoo Jeon, Hee-Yeon Kang, Hee Jin Kim, Hee-Sun Kim, Jeongha Mok
Tuberculosis and Respiratory Diseases.2023; 86(3): 234. CrossRef - Retreatment after loss to follow-up reduces mortality in patients with multidrug/rifampicin-resistant tuberculosis
Hongjo Choi, Jeongha Mok, Young Ae Kang, Dawoon Jeong, Hee-Yeon Kang, Hee Jin Kim, Hee-Sun Kim, Doosoo Jeon
ERJ Open Research.2023; 9(4): 00135-2023. CrossRef - Association between diabetes mellitus and cause of death in patients with tuberculosis: A Korean nationwide cohort study
Se Hyun Kwak, Dawoon Jeong, Jeongha Mok, Doosoo Jeon, Hee-Yeon Kang, Hee Jin Kim, Hee-Sun Kim, Hongjo Choi, Young Ae Kang, Frederick Quinn
PLOS ONE.2023; 18(12): e0295556. CrossRef
- Incidence of respiratory infections after the COVID-19 pandemic (2023-2024) and its association of vaccination among entire populations in Korea
First
Prev
