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- Predictors and Prevalence of Alcohol and Cannabis Co-use Among Filipino Adolescents: Evidence From a School-based Student Health Survey
- Yusuff Adebayo Adebisi, Don Eliseo Lucero-Prisno III, Jerico B. Ogaya, Victor C. Cañezo Jr., Roland A. Niez, Florante E. Delos Santos, Melchor M. Magramo, Ann Rosanie Yap-Tan, Francis Ann R. Sy, Omar Kasimieh
- J Prev Med Public Health. 2024;57(3):288-297. Published online May 9, 2024
- DOI: https://doi.org/10.3961/jpmph.24.052
- 21,456 View
- 435 Download
- 6 Web of Science
- 7 Crossref
-
Abstract
Summary
PDF - Objectives
This study explored the prevalence and predictors of alcohol and cannabis co-use among 9263 Filipino adolescents, using data from the 2019 Global School-based Student Health Survey (GSHS).
Methods
We conducted a cross-sectional secondary analysis of the GSHS, targeting adolescents aged 13-17 years and excluding cases with incomplete data on alcohol and cannabis use. Our analysis employed the bivariate chi-square test of independence and multivariable logistic regression using Stata version 18 to identify significant predictors of co-use, with a p-value threshold set at 0.05.
Results
The weighted prevalence of co-users was 4.2% (95% confidence interval [CI], 3.4 to 5.3). Significant predictors included male sex (adjusted odds ratio [aOR], 4.50; 95% CI, 3.31 to 6.10; p<0.001) and being in a lower academic year, specifically grade 7 (aOR, 4.08; 95% CI, 2.39 to 6.99; p<0.001) and grade 8 (aOR, 2.20; 95% CI, 1.30 to 3.72; p=0.003). Poor sleep quality was also a significant predictor (aOR, 1.77; 95% CI, 1.29 to 2.44; p<0.001), as was a history of attempted suicide (aOR, 5.31; 95% CI, 4.00 to 7.06; p<0.001). Physical inactivity was associated with lower odds of co-use (aOR, 0.45; 95% CI, 0.33 to 0.62; p<0.001). Additionally, non-attendance of physical education classes (aOR, 1.48; 95% CI, 1.06 to 2.05; p=0.021), infrequent unapproved parental checks (aOR, 1.37; 95% CI, 1.04 to 1.80; p=0.024), and lower parental awareness of free-time activities (aOR, 0.63; 95% CI, 0.45 to 0.87; p=0.005) were associated with higher odds of co-use. Factors not significantly linked to co-use included age group, being in grade 9, always feeling lonely, having no close friends, being bullied outside school, and whether a parent or guardian understood the adolescent’s worries.
Conclusions
The findings highlight the critical need for comprehensive interventions in the Philippines, addressing not only physical inactivity and parental monitoring but also focusing on sex, academic grade, participation in physical education classes, sleep quality, and suicide attempt history, to effectively reduce alcohol and cannabis co-use among adolescents. -
SummaryKey Message
This cross-sectional study examines the prevalence and key predictors of alcohol and cannabis co-use among 9263 Filipino adolescents using data from the 2019 Global School-based Student Health Survey. Significant predictors of co-use include male sex, lower academic grade, poor sleep quality, history of attempted suicide, physical inactivity, non-attendance in physical education classes, infrequent parental checks, and low parental awareness of adolescents' activities, with a weighted co-use prevalence of 4.2%. The study underscores the need for comprehensive interventions addressing these factors to reduce substance co-use among Filipino adolescents.Citations
Citations to this article as recorded by
- Emotional intelligence and risk-taking engagement among adolescents: Basis for a behavioral intervention framework
Jun P. Dalisay, Emelyn R. Villanueva, Erwin T. Novo, Jacquelyn Rose A. Fajilagutan, Charry M. Sison, Liza F. Lagade, Marwin D. Sarandin
Multidisciplinary Reviews.2026; 9(9): 2026445. CrossRef - Comparing self-rated health among exclusive e-cigarette users and traditional cigarette smokers: an analysis of the Health Survey for England 2019
Yusuff Adebayo Adebisi, Duaa Abdullah Bafail
Internal and Emergency Medicine.2025; 20(2): 441. CrossRef - Self-rated health differences between exclusive e-cigarette users and exclusive cigarette smokers: evidence from the 2017–2019 Scottish Health Survey
Yusuff Adebayo Adebisi, Don Eliseo Lucero-Prisno, Isaac Olushola Ogunkola
Internal and Emergency Medicine.2025; 20(3): 771. CrossRef - Prevalence, drug education, and other associated factors of current illicit drug use among a nationally representative sample of school-aged adolescents in the Philippines in 2019
Supa Pengpid, Karl Peltzer, Lyndon Esconde Santos, Earl Francis Infante Mallari
Substance Abuse Treatment, Prevention, and Policy.2025;[Epub] CrossRef - Prevalence Rates, Perceptions of Risk, and Motivations for Nonmedical Cannabis Use in Pediatric Pain
Joe Kossowsky, Christine Greco, Bridget A. Nestor, Camila Koike, Nicole Tacugue, Andreas M. Baumer, Elissa R. Weitzman
JAMA Network Open.2025; 8(5): e2512870. CrossRef - Sleep Disturbances Across the Addiction Stages: A Review of Alcohol, Cannabis and their Co-Use
Claudia B. Padula, Ariel Grayson, Sarah Izabel, Lea-Tereza Tenekedjieva, Emma Zhang, Andrea N. Goldstein-Piekarski
Current Addiction Reports.2025;[Epub] CrossRef - Prevalence, demographic, socio-economic, and lifestyle factors associated with cigarette, e-cigarette, and dual use: evidence from the 2017–2021 Scottish Health Survey
Yusuff Adebayo Adebisi, Duaa Abdullah Bafail, Oluwatobi Ebenezer Oni
Internal and Emergency Medicine.2024; 19(8): 2151. CrossRef
- Changes in Adolescent Health Behavior and the Exacerbation of Economic Hardship During the COVID-19 Pandemic: A Cross-sectional Study From the Korea Youth Risk Behavior Survey
- Chaeeun Kim, Haeun Lee, Kyunghee Jung-Choi, Hyesook Park
- J Prev Med Public Health. 2024;57(1):18-27. Published online November 11, 2023
- DOI: https://doi.org/10.3961/jpmph.23.306
- 7,787 View
- 447 Download
- 1 Web of Science
- 1 Crossref
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Abstract
Summary
PDF
Supplementary Material - Objectives
This study investigated the association between exacerbated economic hardship during the coronavirus disease 2019 (COVID-19) pandemic and changes in the health behaviors of Korean adolescents.
Methods
We analyzed data from the 2021 Korea Youth Risk Behavior Survey and included 44 908 students (22 823 boys and 22 085 girls) as study subjects. The dependent variables included changes in health behaviors (breakfast habits, physical activity, and alcohol use) that occurred during the COVID-19 pandemic. The aggravation of economic hardship by COVID-19 and the subjective economic status of the family were used as exposure variables. Multiple logistic regression analysis was utilized to calculate the prevalence odds ratios (PORs).
Results
Severe exacerbation of a family’s economic hardship due to COVID-19 was negatively associated with the health behaviors of adolescents, including increased breakfast skipping (POR, 1.85; 95% confidence interval [CI], 1.55 to 2.21 for boys and POR, 1.56; 95% CI, 1.27 to 1.92 for girls) and decreased physical activity (POR, 1.37; 95% CI, 1.19 to 1.57 for boys and POR, 1.38; 95% CI, 1.19 to 1.60 for girls). These negative changes in health behaviors were further amplified when combined with a low subjective family economic status.
Conclusions
The experience of worsening household hardship can lead to negative changes in health behavior among adolescents. It is crucial to implement measures that address the economic challenges that arise from stressful events such as COVID-19 and to strive to improve the lifestyles of adolescents under such circumstances. -
SummaryKorean summary
이 연구는 코로나바이러스감염증-19 (COVID-19) 대유행 기간 악화된 가구의 경제적 상황과 청소년의 건강 행태 변화의 관련성을 청소년건강행태조사를 이용하여 분석하였다. 가구의 경제적 상황이 COVID-19로 인해 심각하게 악화된 경우, 청소년 건강 행태의 부정적인 변화와 연관성이 관찰되었다. 가구의 경제적 상황이 악화되는 경험은 청소년들의 건강 행태에 부정적인 변화를 초래할 수 있다. COVID-19와 같은 사회적 사건으로 인해 발생하는 경제적 어려움에 대응하는 조치를 마련하고, 이러한 상황에서 청소년들의 건강 행태를 개선하기 위한 개입이 필요하다.Key Message
This study investigated the association between exacerbated economic hardship during the coronavirus disease 2019 (COVID-19) pandemic and changes in the health behaviors of Korean adolescents using the 2021 Korea Youth Risk Behavior Survey. Severe exacerbation of a family’s economic hardship due to COVID-19 was negatively associated with the health behaviors of adolescents. The experience of worsening household hardship can lead to negative changes in health behavior among adolescents. It is crucial to implement measures that address the economic challenges that arise from stressful events such as COVID-19 and to strive to improve the lifestyles of adolescents under such circumstances. -
Citations
Citations to this article as recorded by- Family Dynamics, Socioeconomic Hardships, and Health Risk Behaviours of Bulgarian Adolescents during the COVID-19 Pandemic
Elitsa Dimitrova, Anna Alexandrova-Karamanova
Children.2024; 11(8): 1016. CrossRef
- Family Dynamics, Socioeconomic Hardships, and Health Risk Behaviours of Bulgarian Adolescents during the COVID-19 Pandemic
- Association Between Low Muscle Mass and Non-alcoholic Fatty Liver Disease Diagnosed Using Ultrasonography, Magnetic Resonance Imaging Derived Proton Density Fat Fraction, and Comprehensive NAFLD Score in Korea
- Hun Ju Lee, Jae Seung Chang, Jhii Hyun Ahn, Moon Young Kim, Kyu-Sang Park, Yeon-Soon Ahn, Sang Baek Koh
- J Prev Med Public Health. 2021;54(6):412-421. Published online October 22, 2021
- DOI: https://doi.org/10.3961/jpmph.21.387
- 8,611 View
- 156 Download
- 9 Web of Science
- 11 Crossref
-
Abstract
Summary
PDFSupplementary Material
- Objectives
Non-alcoholic fatty liver disease (NAFLD) is an increasingly prevalent metabolic disease. Muscle is known to influence NAFLD development. Therefore, this study aimed to determine the relationships among low muscle mass, NAFLD, and hepatic fibrosis using various definitions of low muscle mass and NAFLD diagnostic methods, including magnetic resonance imaging-based proton density fat fraction (MRI-PDFF).
Methods
This cross-sectional study included 320 participants (107 males, 213 females) from the Korean Genome and Epidemiology Study on Atherosclerosis Risk of Rural Areas in the Korean General Population cohort. Muscle mass was assessed using whole-body dual-energy X-ray absorptiometry and adjusted for the height squared, body weight, and body mass index (BMI). NAFLD was diagnosed using ultrasonography (US), MRI-PDFF, and the comprehensive NAFLD score (CNS). Hepatic fibrosis was assessed using magnetic resonance elastography. Multivariable logistic and linear regression analyses were performed to determine the aforementioned associations.
Results
According to US, 183 participants (57.2%) had NAFLD. Muscle mass adjusted for body weight was associated with NAFLD diagnosed using US (odds ratio [OR], 3.00; 95% confidence interval [CI], 1.70 to 5.31), MRI-PDFF (OR, 2.00; 95% CI, 1.13 to 3.53), and CNS (OR, 3.39; 95% CI, 1.73 to 6.65) and hepatic fibrosis (males: β=-0.070, p<0.01; females: β=-0.037, p<0.04). Muscle mass adjusted for BMI was associated with NAFLD diagnosed by US (OR, 1.71; 95% CI, 1.02 to 2.86) and CNS (OR, 1.95; 95% CI, 1.04 to 3.65), whereas muscle mass adjusted for height was not associated with NAFLD.
Conclusions
Low muscle mass was associated with NAFLD and liver fibrosis; therefore, maintaining sufficient muscle mass is important to prevent NAFLD. A prospective study and additional consideration of muscle quality are needed to strengthen the findings regarding this association. -
SummaryKorean summary
비알콜성 간질환은 대사질환 중 하나로 적은 근육양과의 연관성이 지속적으로 제시되었으나, 기존 연구들에서 일관되지 않은 결과를 보여주었다. KoGES-ARIRANG 코호트의 320명을 대상으로 초음파·MRI-PDFF·CNS 진단기준을 사용하여 단면연구를 수행한 결과, 세 진단기준에서 모두 적은 근육량과 비알콜성 간질환 사이에 연관성이 나타났다. -
Citations
Citations to this article as recorded by- Sarcopenia as a risk factor for nonalcoholic fatty liver disease and liver fibrosis: an updated systematic review and meta-analysis
Xinrong Zuo, Doudou Chen, Yi Kang, Xinyi Hu, Yarong Zhang, Kuo Tang, Junhua Shi, Tao Li, Wangning Shangguan
Frontiers in Nutrition.2026;[Epub] CrossRef - Unrecognised rural–urban disparities in epidemiology of metabolic-associated fatty liver disease in the representative area of China
Tingfeng Wu, Junzhao Ye, Suilin Mo, Miaosheng Ye, Xiaoyi Li, Qing Li, Wengeng Wang, Qiaocong Zheng, Ke Luo, Yi Zhang, Shouwei Tu, Daituan Che, Rulong Gong, Xing Chen, Rong Miu, Congxiang Shao, Yanhong Sun, Bihui Zhong
BMJ Nutrition, Prevention & Health.2025; 8(1): 124. CrossRef - How to define low muscle mass: A critical exploration of current definitions supports a reference equation-based approach
R. Reiter, B. Wernly, J. Oswald, J. Gomahr, J. Eberhardt, D. Schaffler-Schaden, B. Iglseder
Clinical Nutrition.2025; 55: 104. CrossRef - Prevalence of Sarcopenia and Its Defining Components in Non-alcoholic Fatty Liver Disease Varies According to the Method of Assessment and Adjustment: Findings from the UK Biobank
Christine L. Freer, Elena S. George, Sze-Yen Tan, Gavin Abbott, David Scott, Robin M. Daly
Calcified Tissue International.2024; 114(6): 592. CrossRef - Prevalence and outcome of sarcopenia in non-alcoholic fatty liver disease
Suprabhat Giri, Prajna Anirvan, Sumaswi Angadi, Ankita Singh, Anurag Lavekar
World Journal of Gastrointestinal Pathophysiology.2024;[Epub] CrossRef - The prevalence and effects of sarcopenia in patients with metabolic dysfunction-associated steatotic liver disease (MASLD): A systematic review and meta-analysis
Xiaoyan Li, Jie He, Qiuhua Sun
Clinical Nutrition.2024; 43(9): 2005. CrossRef - Quantitative Assessment of Body Composition in Cirrhosis
Christian Skou Eriksen, Søren Møller
Diagnostics.2024; 14(19): 2191. CrossRef - Reply–Letter to the editor–The prevalence and effects of sarcopenia in patients with metabolic dysfunction-associated steatotic liver disease (MASLD): A systematic review and meta-analysis
Xiaoyan Li, Qiuhua Sun
Clinical Nutrition.2024; 43(12): 231. CrossRef - Association between Regional Body Muscle Mass and Non-Alcoholic Fatty Liver Disease: An Observational Study Using Data from the REACTION Study
Jing Du, Shizhan Ma, Li Fang, Meng Zhao, Zhongshang Yuan, Yiping Cheng, Jiajun Zhao, Xiude Fan, Qingling Guo, Zhongming Wu
Journal of Personalized Medicine.2023; 13(2): 209. CrossRef - Predicting Habitual Use of Wearable Health Devices Among Middle-aged Individuals With Metabolic Syndrome Risk Factors in South Korea: Cross-sectional Study
Jaeyoung Ha, Jungmi Park, Sangyi Lee, Jeong Lee, Jin-Young Choi, Junhyoung Kim, Sung-il Cho, Gyeong-Suk Jeon
JMIR Formative Research.2023; 7: e42087. CrossRef - Osteosarcopenia in NAFLD/MAFLD: An Underappreciated Clinical Problem in Chronic Liver Disease
Alessandra Musio, Federica Perazza, Laura Leoni, Bernardo Stefanini, Elton Dajti, Renata Menozzi, Maria Letizia Petroni, Antonio Colecchia, Federico Ravaioli
International Journal of Molecular Sciences.2023; 24(8): 7517. CrossRef
- Sarcopenia as a risk factor for nonalcoholic fatty liver disease and liver fibrosis: an updated systematic review and meta-analysis
- Age-period-cohort Analysis of Healthy Lifestyle Behaviors Using the National Health and Nutrition Survey in Japan
- Tasuku Okui
- J Prev Med Public Health. 2020;53(6):409-418. Published online August 13, 2020
- DOI: https://doi.org/10.3961/jpmph.20.159
- 15,057 View
- 259 Download
- 18 Crossref
-
Abstract
PDF
- Objectives
This study conducted an age-period-cohort (APC) analysis of trends in healthy lifestyle behaviors in Japan.
Methods
We used National Health and Nutrition Survey data on salt intake and prevalence of smoking, drinking, and physical activity between 1995 and 2018 in Japan. Age groups were defined from 20 years to 69 years old in 10-year increments. Cohorts were defined for each age group of each year with a 1-year shift, and cohorts born in 1926-1935 (first cohort) until 1989-1998 (last cohort) were examined. We conducted a Bayesian APC analysis, calculating estimated values for each behavior by age group, period, and cohort.
Results
Estimated salt intake decreased from cohorts born in the 1930s to the 1960s, but increased thereafter in both genders, and the magnitude of increase was larger for men. Estimated smoking prevalence increased in the cohorts starting from the 1930s for men and the 1940s for women, and then decreased starting in the cohorts born in the 1970s for both genders. Although estimated drinking prevalence decreased starting in the cohorts born in approximately 1960 for men, for women it increased until the cohorts born in approximately 1970. Estimated physical activity prevalence decreased starting in the cohorts born in the 1940s in both genders, but the magnitude of decrease was larger for women.
Conclusions
Trends in cohort effects differed by gender, which might be related to changes in the social environment for women. Improvements in dietary and exercise habits are required in more recently born cohorts of both genders. -
Summary
Citations
Citations to this article as recorded by- Evaluating trends in cigarette and HTP use in Japan and measurement issues in the National Health and Nutrition Survey
David T Levy, Mona Issabakhsh, Kenneth E Warner, Alex Liber, Rafael Meza, Michael Cummings
Tobacco Control.2025; 34(5): 659. CrossRef - Analysis of differences in stroke mortality rates between metropolitan and non-metropolitan areas in Japan from 1999 to 2023
Tasuku Okui
Annals of Epidemiology.2025; 106: 1. CrossRef - Temporal Changes in the Age at Diagnosis of Osteonecrosis of the Femoral Head and Potential Associated Factors: A Multicenter Sentinel Monitoring System in Japan
Shinya Tanaka, Takashi Sakai, Wakaba Fukushima, Yasuhiko Takegami, Wataru Ando, Nobuhiko Sugano, Shiro Imagama
The Journal of Arthroplasty.2025; 40(10): S120. CrossRef - Origin, Impact, and Solutions for Lifestyle-Related Diseases in Japan
David Cai, Mohsin Yakub
Cureus.2025;[Epub] CrossRef - Hierarchical Age-Period-Cohort Analysis of Smoking Prevalence and Cigarettes per Day in South Korea
Chang Kyun Choi, Hyeon Ji Lee, Mina Suh, Jae Kwan Jun, EunKyo Kang
Nicotine and Tobacco Research.2025;[Epub] CrossRef - Recent Trends in Cigarette and HTP Use in Japan: A Scoping Review
Mona Issabakhsh, Shannon Gravely, Kota Katanoda, Nargiz Travis, Radhika Ranganathan, Christopher J Cadham, Zhe Yuan, Yameng Li, Alex C Liber, Kenneth Michael Cummings, David T Levy
Nicotine and Tobacco Research.2025;[Epub] CrossRef - From risk to reward: Japan’s potential for health and economic improvements
Eiko Saito, Federico Podestà
Discover Social Science and Health.2024;[Epub] CrossRef - Decreased antioxidant-related superoxide dismutase 1 expression in peripheral immune cells indicates early ethanol exposure
Akira Kado, Kyoji Moriya, Yukiko Inoue, Shintaro Yanagimoto, Takeya Tsutsumi, Kazuhiko Koike, Mitsuhiro Fujishiro
Scientific Reports.2024;[Epub] CrossRef - Divergence in smoking and drinking trends: Results from age-period-cohort analytical approach
Duyen Nguyen, Michael Donnelly, Ciaran O'Neill
Social Science & Medicine.2024; 362: 117474. CrossRef - Old story, new twist: reducing salt and increasing potassium intake as a social issue according to the INTERMAP Japan
Junichi Yatabe, Kazuya Ishida, Midori Sasaki Yatabe
Hypertension Research.2023; 46(2): 526. CrossRef - Subtype prevalence and baseline visual acuity by age in Japanese patients with neovascular age-related macular degeneration
Tomoko Sawada, Tsutomu Yasukawa, Hiroko Imaizumi, Hisashi Matsubara, Kazuhiro Kimura, Hiroto Terasaki, Hiroto Ishikawa, Tomoya Murakami, Masaru Takeuchi, Yoshinori Mitamura, Yutaro Mizusawa, Yoshihiro Takamura, Toshinori Murata, Jiro Kogo, Masahito Ohji
Japanese Journal of Ophthalmology.2023; 67(2): 149. CrossRef - Age, Period, and Cohort Analysis of Smoking Intensity Among Current Smokers in Malaysia, 1996–2015
Chien Huey Teh, Sanjay Rampal, Kuang Hock Lim, Omar Azahadi, Aris Tahir
Nicotine and Tobacco Research.2023; 25(7): 1340. CrossRef - Comparison of Secular Trends in Esophageal Cancer Mortality in China and Japan during 1990–2019: An Age-Period-Cohort Analysis
Ruiqing Li, Jinyi Sun, Tong Wang, Lihong Huang, Shuwen Wang, Panglin Sun, Chuanhua Yu
International Journal of Environmental Research and Public Health.2022; 19(16): 10302. CrossRef - Estimation of the Effect of Salt-Intake Reduction on Cardiovascular Mortality Decline between 1950 and 2017 in Japan: A Retrospective Simulation Study
Takehiro Sugiyama, Nayu Ikeda, Kazuko Minowa, Nobuo Nishi
Nutrients.2022; 14(18): 3747. CrossRef - An analysis of predictors for heavy alcohol drinking using nationally representative survey data in Japan
Tasuku Okui
BMC Public Health.2021;[Epub] CrossRef - An Age-Period-Cohort Analysis of Prevalence and Consultation Rate for Dyslipidemia in Japan
Tasuku Okui
Asia Pacific Journal of Public Health.2021; 33(1): 46. CrossRef - An Age-Period-Cohort Analysis of Biomarkers of Lifestyle-Related Diseases Using the National Health and Nutrition Survey in Japan, 1973–2018
Tasuku Okui
International Journal of Environmental Research and Public Health.2020; 17(21): 8159. CrossRef - Socioeconomic Disparities in All-Cause and Cause-Specific Mortality Rates among Municipalities in Japan, 1999–2019
Tasuku Okui
International Journal of Environmental Research and Public Health.2020; 17(24): 9213. CrossRef
- Relationship Between Non-alcoholic Fatty Liver Disease and Decreased Bone Mineral Density: A Retrospective Cohort Study in Korea
- Jisun Sung, Seungho Ryu, Yun-Mi Song, Hae-Kwan Cheong
- J Prev Med Public Health. 2020;53(5):342-352. Published online July 17, 2020
- DOI: https://doi.org/10.3961/jpmph.20.089
- 8,163 View
- 157 Download
- 19 Crossref
-
Abstract
PDF
- Objectives
The aim of this retrospective cohort study was to investigate whether non-alcoholic fatty liver disease (NAFLD) was associated with incident bone mineral density (BMD) decrease.
Methods
This study included 4536 subjects with normal BMD at baseline. NAFLD was defined as the presence of fatty liver on abdominal ultrasonography without significant alcohol consumption or other causes. Decreased BMD was defined as a diagnosis of osteopenia, osteoporosis, or BMD below the expected range for the patient’s age based on dual-energy X-ray absorptiometry. Cox proportional hazards models were used to estimate the hazard ratio of incident BMD decrease in subjects with or without NAFLD. Subgroup analyses were conducted according to the relevant factors.
Results
Across 13 354 person-years of total follow-up, decreased BMD was observed in 606 subjects, corresponding to an incidence of 45.4 cases per 1000 person-years (median follow-up duration, 2.1 years). In the model adjusted for age and sex, the hazard ratio was 0.65 (95% confidence interval, 0.51 to 0.82), and statistical significance disappeared after adjustment for body mass index (BMI) and cardiometabolic factors. In the subgroup analyses, NAFLD was associated with a lower risk of incident BMD decrease in females even after adjustment for confounders. The direction of the effect of NAFLD on the risk of BMD decrease changed depending on BMI category and body fat percentage, although the impact was statistically insignificant.
Conclusions
NAFLD had a significant protective effect on BMD in females. However, the effects may vary depending on BMI category or body fat percentage. -
Summary
Citations
Citations to this article as recorded by- Association of metabolic dysfunction-associated steatotic liver disease with bone health in adults: a systematic review and meta-analysis of observational studies
Xingzhi Li, Wei Luo, Ke Chen, Yong Peng
Frontiers in Endocrinology.2026;[Epub] CrossRef - The contested association between MASLD and osteoporosis: a narrative review of heterogeneous evidence and modifying factors
Ya-Jun Xiao, Yan-Ling Zhang, Xiao-Zhou Mao, Di Yang, Yan-Qun Liu, Yan Cheng, Xiao-Ling Liu, Chang-Feng Sun, Hao Sun, Cun-Liang Deng
Archives of Osteoporosis.2026;[Epub] CrossRef - Comparison of NAFLD, MAFLD, and MASLD Prevalence and Clinical Characteristics in Asia Adults
Xinjuan Huang, Ruoling Yu, Xinyun Tan, Manjie Guo, Yuanqin Xia, Huihui Zou, Xuelian Liu, Chunxiang Qin
Journal of Clinical and Experimental Hepatology.2025; 15(1): 102420. CrossRef - Role of traditional Chinese medicine on fracture, hospitalization, and total mortality risks in patients with hyperthyroidism and osteoporosis
Yuan-Chih Hsiao, Chi-Hsiang Chung, Chien-Jung Lin, Li-Jen Tsai, Shi-Wen Kuo, Chieh-Hua Lu, Wu-Chien Chien
Medicine.2025; 104(20): e42484. CrossRef - Increased BMD in SLD Patients Without Advanced Hepatic Fibrosis: Evidence From the NHANES 2017–2020 Database
Tianhao Wu, Lu Li, Yayuan Mei, Peizhen Lv, Jiawei Cui, Lin Liu, Yuemin Nan, Ang Li, Yu-Chen Fan
Canadian Journal of Gastroenterology and Hepatology.2025;[Epub] CrossRef - Anti-osteoporotic treatments in the era of non-alcoholic fatty liver disease: friend or foe
Maria Eleni Chondrogianni, Ioannis Kyrou, Theodoros Androutsakos, Christina-Maria Flessa, Evangelos Menenakos, Kamaljit Kaur Chatha, Yekaterina Aranan, Athanasios G. Papavassiliou, Eva Kassi, Harpal S. Randeva
Frontiers in Endocrinology.2024;[Epub] CrossRef - Bone mass, microarchitecture and turnover among young Indian women with non-alcoholic fatty liver disease
Alpesh Goyal, Suraj Kubihal, Yashdeep Gupta, Shalimar, Devasenathipathy Kandasamy, Mani Kalaivani, Nikhil Tandon
Endocrine.2024; 86(2): 790. CrossRef - Effects of Metabolic Dysfunction-Associated Steatotic Liver Disease on Bone Density and Fragility Fractures: Associations and Mechanisms
Shaghayegh Khanmohammadi, Mohammad Shafi Kuchay
Journal of Obesity & Metabolic Syndrome.2024; 33(2): 108. CrossRef - Association between nonalcoholic fatty liver disease and bone mineral density: Mendelian randomization and mediation analysis
Minzhe Zheng, Junxiang Xu, Zongxian Feng
Bone Reports.2024; 22: 101785. CrossRef - Liver and bone in tandem: osteopenia as an inevitable companion to non-alcoholic fatty liver disease
A.F. Sheptulina, A.A. Yafarova, E.M. Mamutova, A.R. Kiselev, O.M. Drapkina
Russian Journal of Evidence-Based Gastroenterology.2024; 13(4): 40. CrossRef - Non-alcoholic fatty liver disease and osteoporosis: a bi-directional association
E. N. Dudinskaya, Yu. S. Onuchina
Problems of Geroscience.2024; (4): 171. CrossRef - Association between body fat and bone mineral density in Korean adults: a cohort study
Hyunjung Yoon, Eunju Sung, Jae-Heon Kang, Cheol-Hwan Kim, Hocheol Shin, Eunsol Yoo, Minyoung Kim, Mi Yeon Lee, Sujeong Shin
Scientific Reports.2023;[Epub] CrossRef - Liver fibrosis is associated with impaired bone mineralization and microstructure in obese individuals with non-alcoholic fatty liver disease
Ilaria Barchetta, Carla Lubrano, Flavia Agata Cimini, Sara Dule, Giulia Passarella, Arianna Dellanno, Alberto Di Biasio, Frida Leonetti, Gianfranco Silecchia, Andrea Lenzi, Maria Gisella Cavallo
Hepatology International.2023; 17(2): 357. CrossRef - Non-Alcoholic Fatty Liver Disease and Bone Tissue Metabolism: Current Findings and Future Perspectives
Oxana M. Drapkina, Anastasia Yu. Elkina, Anna F. Sheptulina, Anton R. Kiselev
International Journal of Molecular Sciences.2023; 24(9): 8445. CrossRef - Nonalcoholic Fatty Liver Disease Is Associated With Decreased Bone Mineral Density in Adults: A Systematic Review and Meta‐Analysis
Ying‐Hao Su, Kuo‐Liong Chien, Shu‐Hua Yang, Wei‐Tso Chia, Jen‐Hau Chen, Yen‐Ching Chen
Journal of Bone and Mineral Research.2023; 38(8): 1092. CrossRef - The National Consensus statement on the management of adult patients with non-alcoholic fatty liver disease and main comorbidities
Marina V. Maevskaya, Yulia V. Kotovskaya, Vladimir T. Ivashkin, Olga N. Tkacheva, Ekaterina A. Troshina, Marina V. Shestakova, Valeriy V. Breder, Natalia I. Geyvandova, Vladimir L. Doshchitsin, Ekaterina N. Dudinskaya, Ekaterina V. Ershova, Khava B. Kodzo
Terapevticheskii arkhiv.2022; 94(2): 216. CrossRef - Nonalcoholic fatty liver disease and osteoporosis: A potential association with therapeutic implications
Ilias D. Vachliotis, Athanasios D. Anastasilakis, Antonis Goulas, Dimitrios G. Goulis, Stergios A. Polyzos
Diabetes, Obesity and Metabolism.2022; 24(9): 1702. CrossRef - Hepatic fibrosis is associated with an increased rate of decline in bone mineral density in men with nonalcoholic fatty liver disease
Ji Won Yoon, Min Joo Kim, Goh-Eun Chung, Jong In Yang, Jeong Yoon Yim, Jin Ju Kim, Sun Mie Kim, Min-Sun Kwak
Hepatology International.2021; 15(6): 1347. CrossRef - NAFLD Associated Comorbidity
L. B. Lazebnik, S. V. Turkina
Experimental and Clinical Gastroenterology.2021; (10): 5. CrossRef
- Comparison of Computed Tomography-based Abdominal Adiposity Indexes as Predictors of Non-alcoholic Fatty Liver Disease Among Middle-aged Korean Men and Women
- Jongmin Baek, Sun Jae Jung, Jee-Seon Shim, Yong Woo Jeon, Eunsun Seo, Hyeon Chang Kim
- J Prev Med Public Health. 2020;53(4):256-265. Published online June 18, 2020
- DOI: https://doi.org/10.3961/jpmph.20.140
- 8,633 View
- 177 Download
- 6 Crossref
-
Abstract
PDFSupplementary Material
- Objectives
We compared the associations of 3 computed tomography (CT)-based abdominal adiposity indexes with non-alcoholic fatty liver disease (NAFLD) among middle-aged Korean men and women.
Methods
The participants were 1366 men and 2480 women community-dwellers aged 30-64 years. Three abdominal adiposity indexes—visceral fat area (VFA), subcutaneous fat area (SFA), and visceral-to-subcutaneous fat ratio (VSR)—were calculated from abdominal CT scans. NAFLD was determined by calculating the Liver Fat Score from comorbidities and blood tests. An NAFLD prediction model that included waist circumference (WC) as a measure of abdominal adiposity was designated as the base model, to which VFA, SFA, and VSR were added in turn. The area under the receiver operating characteristic curve (AUC), integrated discrimination improvement (IDI), and net reclassification improvement (NRI) were calculated to quantify the additional predictive value of VFA, SFA, and VSR relative to WC.
Results
VFA and VSR were positively associated with NAFLD in both genders. SFA was not significantly associated with NAFLD in men, but it was negatively associated in women. When VFA, SFA, and VSR were added to the WC-based NAFLD prediction model, the AUC improved by 0.013 (p<0.001), 0.001 (p=0.434), and 0.009 (p=0.007) in men and by 0.044 (p<0.001), 0.017 (p<0.001), and 0.046 (p<0.001) in women, respectively. The IDI and NRI were increased the most by VFA in men and VSR in women.
Conclusions
Using CT-based abdominal adiposity indexes in addition to WC may improve the detection of NAFLD. The best predictive indicators were VFA in men and VSR in women. -
Summary
Citations
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Yi-Wen Mao, Hong-Dou Zeng, Ye Fang, Xin-Yao Wu, Ming-Hao Zhang, Cheng-Da Hu, Ya-Xin Zhao
Frontiers in Oncology.2025;[Epub] CrossRef - Usefulness of Body Fat and Visceral Fat Determined by Bioimpedanciometry versus Body Mass Index and Waist Circumference in Predicting Elevated Values of Different Risk Scales for Non-Alcoholic Fatty Liver Disease
María Gordito Soler, Ángel Arturo López-González, Daniela Vallejos, Emilio Martínez-Almoyna Rifá, María Teófila Vicente-Herrero, José Ignacio Ramírez-Manent
Nutrients.2024; 16(13): 2160. CrossRef - The interplay of factors in metabolic syndrome: understanding its roots and complexity
Md. Sharifull Islam, Ping Wei, Md Suzauddula, Ishatur Nime, Farahnaaz Feroz, Mrityunjoy Acharjee, Fan Pan
Molecular Medicine.2024;[Epub] CrossRef - Relationship between Non-Alcoholic Fatty Liver Disease and Visceral Fat Measured by Imaging-Based Body Composition Analysis: A Systematic Review
Ker Ming Seaw, Christiani Jeyakumar Henry, Xinyan Bi
Livers.2023; 3(3): 463. CrossRef - Stratifying the risk of ovarian cancer incidence by histologic subtypes in the Korean Epithelial Ovarian Cancer Study (Ko‐EVE)
Soseul Sung, Youjin Hong, Byoung‐Gie Kim, Ji‐Yeob Choi, Jae Weon Kim, Sang‐Yoon Park, Jae‐Hoon Kim, Yong‐man Kim, Jong‐Min Lee, Tae Jin Kim, Sue K. Park
Cancer Medicine.2023; 12(7): 8742. CrossRef - Correlation between CT Abdominal Anthropometric Measurements and Liver Density in Individuals with Non-Alcoholic Fatty Liver Disease
Dragoș Constantin Cucoranu, Marian Pop, Raluca Niculescu, Vlad Vunvulea, Irina-Bianca Kosovski, Radu-Ovidiu Togănel, Eliza Russu, Adrian Vasile Mureșan, Răzvan-Andrei Licu, Anca Bacârea
Medicina.2023; 59(3): 500. CrossRef
- Interactions of Behavioral Changes in Smoking, High-risk Drinking, and Weight Gain in a Population of 7.2 Million in Korea
- Yeon-Yong Kim, Hee-Jin Kang, Seongjun Ha, Jong Heon Park
- J Prev Med Public Health. 2019;52(4):234-241. Published online July 3, 2019
- DOI: https://doi.org/10.3961/jpmph.18.290
- 7,533 View
- 175 Download
- 2 Crossref
-
Abstract
Summary
PDF
- Objectives
To identify simultaneous behavioral changes in alcohol consumption, smoking, and weight using a fixed-effect model and to characterize their associations with disease status.
Methods
This study included 7 000 529 individuals who participated in the national biennial health-screening program every 2 years from 2009 to 2016 and were aged 40 or more. We reconstructed the data into an individual-level panel dataset with 4 waves. We used a fixed-effect model for smoking, heavy alcohol drinking, and overweight. The independent variables were sex, age, lifestyle factors, insurance contribution, employment status, and disease status.
Results
Becoming a high-risk drinker and losing weight were associated with initiation or resumption of smoking. Initiation or resumption of smoking and weight gain were associated with non-high-risk drinkers becoming high-risk drinkers. Smoking cessation and becoming a high-risk drinker were associated with normal-weight participants becoming overweight. Participants with newly acquired diabetes mellitus, ischemic heart disease, stroke, and cancer tended to stop smoking, discontinue high-risk drinking, and return to a normal weight.
Conclusions
These results obtained using a large-scale population-based database documented interactions among lifestyle factors over time. -
SummaryKorean summary
이 분석은 흡연, 음주, 체중의 동시적 변화에 대해 패널분석방법론인 고정효과 모형을 이용하여 분석하였으며, 2009년부터 2016년까지 2년 주기로 4차례 모두 건강검진을 수검받은 720만 명을 대상으로 하였다. 흡연, 음주, 체중의 동시적 변화에 대한 방향성을 탐색하여 생활습관 관련 행태가 독자적이 아닌 유기적으로 변화하는 양상을 확인하였다, 또한 당뇨병, 뇌졸중, 암이 신규로 진단되었을 때 행태 변화가 나타나는 것을 확인하였다. -
Citations
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Jeongmin Lee, Kwang Joon Kim, Yang Sun Park, Yong-ho Lee, Kyeong Hye Park, Hee-Won Jung, Bong-Soo Cha, Hun-Sung Kim, Chang Oh Kim
The Korean Journal of Internal Medicine.2025; 40(6): 1017. CrossRef - Association between Body Mass Index and Risk of Gastric Cancer by Anatomic and Histologic Subtypes in Over 500,000 East and Southeast Asian Cohort Participants
Jieun Jang, Sangjun Lee, Kwang-Pil Ko, Sarah K. Abe, Md. Shafiur Rahman, Eiko Saito, Md. Rashedul Islam, Norie Sawada, Xiao-Ou Shu, Woon-Puay Koh, Atsuko Sadakane, Ichiro Tsuji, Jeongseon Kim, Isao Oze, Chisato Nagata, Shoichiro Tsugane, Hui Cai, Jian-Min
Cancer Epidemiology, Biomarkers & Prevention.2022; 31(9): 1727. CrossRef
- Comprehensive approaches to diabetes in the elderly: adapting to evolving trends
- Perceptions About Alcohol Harm and Alcohol-control Strategies Among People With High Risk of Alcohol Consumption in Alberta, Canada and Queensland, Australia
- Diana C. Sanchez-Ramirez, Richard C. Franklin, Donald Voaklander
- J Prev Med Public Health. 2018;51(1):41-50. Published online December 30, 2017
- DOI: https://doi.org/10.3961/jpmph.17.112
- 10,440 View
- 214 Download
- 8 Crossref
-
Abstract
PDF
- Objectives
To explore alcohol perceptions and their association hazardous alcohol use in the populations of Alberta, Canada and Queensland, Australia.
Methods
Data from 2500 participants of the 2013 Alberta Survey and the 2013 Queensland Social Survey was analyzed. Regression analyses were used to explore the association between alcohol perceptions and its association with hazardous alcohol use.
Results
Greater hazardous alcohol use was found in Queenslanders than Albertans (p<0.001). Overall, people with hazardous alcohol were less likely to believe that alcohol use contributes to health problems (odds ratio [OR], 0.46; 95% confidence interval [CI], 0.27 to 0.78; p<0.01) and to a higher risk of injuries (OR, 0.54; 95% CI, 0.33 to 0.90; p<0.05). Albertans with hazardous alcohol use were less likely to believe that alcohol contributes to health problems (OR, 0.48; 95% CI, 0.26 to 0.92; p<0.05) and were also less likely to choose a highly effective strategy as the best way for the government to reduce alcohol problems (OR, 0.63; 95% CI, 0.43 to 0.91; p=0.01). Queenslanders with hazardous alcohol use were less likely to believe that alcohol was a major contributor to injury (OR, 0.39; 95% CI, 0.20 to 0.77; p<0.01).
Conclusions
Our results suggest that people with hazardous alcohol use tend to underestimate the negative effect of alcohol consumption on health and its contribution to injuries. In addition, Albertans with hazardous alcohol use were less in favor of strategies considered highly effective to reduce alcohol harm, probably because they perceive them as a potential threat to their own alcohol consumption. These findings represent valuable sources of information for local health authorities and policymakers when designing suitable strategies to target alcohol-related problems. -
Summary
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Sam Burton, Rebecca Monk, Emma Davies, Megan Goodier, Abigail K. Rose
BMC Public Health.2025;[Epub] CrossRef - Prenatal alcohol exposure risk perception dimensions and influencing factors: A systematic review and conceptual model
May N. Erng, Natasha Reid, Karen M. Moritz, Mieke van Driel
Australian and New Zealand Journal of Public Health.2023; 47(3): 100047. CrossRef - Differences in Perceived Threat and Efficacy in Managing Opioid Use Disorder versus Alcohol Use Disorder
Vaishnavi Tata, Zahra Majd, Ashna Talwar, Shweta Bapat, Austin De La Cruz, James E. Essien, J. Douglas Thornton
Substance Use & Misuse.2023; 58(10): 1187. CrossRef - Identifying the Assumptions and Bias That Affect Screening and Brief Interventions for Harmful Alcohol Use
Brenda Johnston
Journal of the American Psychiatric Nurses Association.2022; 28(1): 76. CrossRef - Rethinking Unhealthy Alcohol Use in the United States: A Structured Review
Joseph R Volpicelli, Percy Menzies
Substance Abuse: Research and Treatment.2022;[Epub] CrossRef - Proportion of cancer cases and deaths attributable to alcohol consumption by US state, 2013-2016
Ann Goding Sauer, Stacey A. Fedewa, Priti Bandi, Adair K. Minihan, Michal Stoklosa, Jeffrey Drope, Susan M. Gapstur, Ahmedin Jemal, Farhad Islami
Cancer Epidemiology.2021; 71: 101893. CrossRef - Actitudes hacia el consumo de alcohol en adolescentes chiapanecos
Jesús Ocaña Zúñiga, Germán Alejandro García Lara, Óscar Cruz Pérez, Carlos Eduardo Pérez Jiménez
Enseñanza e Investigación en Psicología.2020; 2(1): 84. CrossRef - Breathalysing and surveying river users in Australia to understand alcohol consumption and attitudes toward drowning risk
Amy E. Peden, Richard C. Franklin, Peter A. Leggat
BMC Public Health.2018;[Epub] CrossRef
- Hazardous Alcohol Use in 2 Countries: A Comparison Between Alberta, Canada and Queensland, Australia
- Diana C. Sanchez-Ramirez, Richard Franklin, Donald Voaklander
- J Prev Med Public Health. 2017;50(5):311-319. Published online July 14, 2017
- DOI: https://doi.org/10.3961/jpmph.17.040
- 10,852 View
- 138 Download
- 10 Crossref
-
Abstract
PDF
- Objectives
This article aimed to compare alcohol consumption between the populations of Queensland in Australia and Alberta in Canada. Furthermore, the associations between greater alcohol consumption and socio-demographic characteristics were explored in each population. Methods: Data from 2500 participants of the 2013 Alberta Survey and the 2013 Queensland Social Survey were analyzed. Regression analyses were used to explore the associations between alcohol risk and socio-demographic characteristics. Results: A higher rate of hazardous alcohol use was found in Queenslanders than in Albertans. In both Albertans and Queenslanders, hazardous alcohol use was associated with being between 18 and 24 years of age. Higher income, having no religion, living alone, and being born in Canada were also associated with alcohol risk in Albertans; while in Queenslanders, hazardous alcohol use was also associated with common-law marital status. In addition, hazardous alcohol use was lower among respondents with a non-Catholic or Protestant religious affiliation. Conclusions: Younger age was associated with greater hazardous alcohol use in both populations. In addition, different socio-demographic factors were associated with hazardous alcohol use in each of the populations studied. Our results allowed us to identify the socio-demographic profiles associated with hazardous alcohol use in Alberta and Queensland. These profiles constitute valuable sources of information for local health authorities and policymakers when designing suitable preventive strategies targeting hazardous alcohol use. Overall, the present study highlights the importance of analyzing the socio-demographic factors associated with alcohol consumption in population-specific contexts. -
Summary
Citations
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Mansoor Kodori, Sajjad Khosravi, Nadia Oroomiei, Maryam Abdoli, Morteza Ali Moradi, Tahereh Fani, Leili Abedi Gheshlaghi
Journal of Substance Use.2025; 30(1): 132. CrossRef - Predicting Hazardous Alcohol Drinking Behaviors in Family Members of Hazardous Alcohol-Drinker Patients
Ching-Yen Chen, Chen-Chun Lin, Jung-Ta Kao, Wen-Ling Yeh, Chiao-Yun Lin, Yun-Fang Tsai
International Journal of Environmental Research and Public Health.2022; 19(9): 5497. CrossRef - Alcohol use disorder and its associated factors among residents in Southern Ethiopia during the era of COVID-19
Habtamu Endashaw Hareru, Abdene Weya Kaso, Berhanu Gidisa Debela, Lulu Abebe, Daniel Sisay W/tsadik, Reta Kassa Abebe, Chalachew Kassaw
SAGE Open Medicine.2022;[Epub] CrossRef - Factors associated with alcohol use and abuse in Brazilian primary health care settings
Tatiana Longo Borges, Ligiane Paula da Cruz de Sousa, Emilene Reisdorfer, Kelly Graziani Giacchero Vedana, Sandra Cristina Pillon, Adriana Inocenti Miasso
Archives of Psychiatric Nursing.2021; 35(5): 486. CrossRef - A scoping review of female drowning: an underexplored issue in five high-income countries
Kym Roberts, Ogilvie Thom, Susan Devine, Peter A. Leggat, Amy E. Peden, Richard C. Franklin
BMC Public Health.2021;[Epub] CrossRef - Alcohol use disorder among prisoners in Debre Berhan prison, Ethiopia: a cross-sectional study
Yohannes Gebreegziabhere Haile, Kaleab Berhanu Kebede, Asnake Limenhe, Kassahun Habatmu, Atalay Alem
Substance Abuse Treatment, Prevention, and Policy.2020;[Epub] CrossRef - A Bayesian shared components modeling approach to develop small area indicators of social determinants of health with measures of uncertainty
Todd A. Norwood, Clarissa Encisa, Xiaotian Wang, Laura Seliske, Jessie Cunningham, Prithwish De
Canadian Journal of Public Health.2020; 111(3): 342. CrossRef - Prevalence of alcohol consumption and related factors among students of higher education centers in one of the northeastern cities of Iran
Behrad Pourmohammadi, Moahammad Ali Jalilvand
AIMS Public Health.2019; 6(4): 523. CrossRef - Breathalysing and surveying river users in Australia to understand alcohol consumption and attitudes toward drowning risk
Amy E. Peden, Richard C. Franklin, Peter A. Leggat
BMC Public Health.2018;[Epub] CrossRef - Alcohol Consumption and Risky Drinking Patterns among College Students from Selected Countries of the Carpathian Euroregion
Maria Zadarko-Domaradzka, Zbigniew Barabasz, Marek Sobolewski, Edyta Nizioł-Babiarz, Beata Penar-Zadarko, Agnieszka Szybisty, Emilian Zadarko
BioMed Research International.2018; 2018: 1. CrossRef
- Patterns of Alcohol Consumption and Suicidal Behavior: Findings From the Fourth and Fifth Korea National Health and Nutritional Examination Survey (2007–2011)
- Hong-Chul Bae, Seri Hong, Sung-In Jang, Kwang-Sig Lee, Eun-Cheol Park
- J Prev Med Public Health. 2015;48(3):142-150. Published online May 21, 2015
- DOI: https://doi.org/10.3961/jpmph.14.027
- 13,533 View
- 160 Download
- 17 Crossref
-
Abstract
PDF
- Objectives
The purpose of this study was to investigate the association between suicidal behavior and patterns of alcohol consumption in Korean adults.
Methods
This study was based on data provided by the Korea National Health and Nutritional Examination Survey from 2007 to 2011. A total of 42 347 subjects were included in the study, of whom 19 292 were male and 23 055 were female. Logistic regression analysis was performed to assess the association between patterns of alcohol consumption and suicidal behavior.
Results
Among the study subjects, 1426 males (11.3%) and 3599 females (21.2%) had experienced suicidal ideation, and 106 males (0.8%) and 190 females (1.1%) had attempted suicide during the previous 12 months. Alcohol Use Disorders Identification Test (AUDIT) scores were found to be associated with suicidal ideation in males and associated with both suicidal ideation and suicide attempts in females. Alcoholic blackouts were associated with suicidal ideation and suicide attempts in males, and were also associated with suicidal ideation in females.
Conclusions
In this study, we found that certain patterns of alcohol consumption were associated with suicidal behaviors. In particular, only alcoholic blackouts and categorized AUDIT scores were found to be associated with suicidal behavior in males. We therefore suggest that further research is needed to examine this relationship prospectively and in other settings. -
Summary
Citations
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Sungmin Cho, Sangwoo Park, Su Kyoung Lee, Si Nae Oh, Kyae Hyung Kim, Ahryoung Ko, Sang Min Park, S. M. Yasir Arafat
Depression and Anxiety.2024;[Epub] CrossRef - Prevalence and correlates of alcohol‐induced blackout in a diverse sample of veterans
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Mohd Faiz Gahamat, Md Mizanur Rahman, Razitasham Safii
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Ying Guo, Chia-Liang Dai, Rose Marie Ward, W. Alex Mason
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Seyed Saeed Hashemi Nazari, Kamyar Mansori, Hajar Nazari Kangavari, Ahmad Shojaei, Shahram Arsang-Jang
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Sarah Ledden, Paul Moran, David Osborn, Alexandra Pitman
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Cara Richardson, Kathryn A. Robb, Rory C. O'Connor
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Myoungjee Jung
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Joseph Studer, Gerhard Gmel, Nicolas Bertholet, Simon Marmet, Jean‐Bernard Daeppen
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Diana M. Voloshyna, Erin E. Bonar, Rebecca M. Cunningham, Mark A. Ilgen, Frederic C. Blow, Maureen A. Walton
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Jerônimo Costa Branco, Janaína Motta, Carolina Wiener, Jean Pierre Oses, Fernanda Pedrotti Moreira, Barbara Spessato, Luciano Dias, Ricardo da Silva
Psychology, Health & Medicine.2017; 22(3): 275. CrossRef - Association between FKBP5 and CRHR1 genes with suicidal behavior: A systematic review
Eduardo De la Cruz-Cano
Behavioural Brain Research.2017; 317: 46. CrossRef - Factors influencing suicidal tendencies in patients with diagnosis of attempted suicide in medical history and relapse prevention
Kvetoslava Kotrbová, Ivan Dóci, Lidmila Hamplová, Vít Dvořák, Šárka Selingerová, Veronika Růžičková, Šárka Chmelařová
Central European Journal of Public Health.2017; 25(4): 271. CrossRef - Age–period–cohort analysis of the suicide rate in Korea
Chiho Park, Yon Ho Jee, Keum Ji Jung
Journal of Affective Disorders.2016; 194: 16. CrossRef - Alcohol-Induced Blackouts: A Review of Recent Clinical Research with Practical Implications and Recommendations for Future Studies
Reagan R. Wetherill, Kim Fromme
Alcoholism: Clinical and Experimental Research.2016; 40(5): 922. CrossRef - Combined Influence of Smoking and Alcohol Drinking on Suicidal Ideation and Attempts among Korean Adults: Using Data from the Korean National Health and Nutrition Examination Survey 2008~2011
Hyun Sook Kim, Yunmi Kim, Yoon Hee Cho
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Jérôme Jeanblanc
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Review- Alcohol as a Risk Factor for Cancer: Existing Evidence in a Global Perspective
- Nina Roswall, Elisabete Weiderpass
- J Prev Med Public Health. 2015;48(1):1-9. Published online January 27, 2015
- DOI: https://doi.org/10.3961/jpmph.14.052
- 21,652 View
- 319 Download
- 16 Crossref
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Abstract
PDF
- The purpose of the present review is to give an overview of the association between alcohol intake and the risk of developing cancer. Two large-scale expert reports; the World Cancer Research Fund (WCRF)/American Institute of Cancer Research (AICR) report from 2007, including its continuous update project, and the International Agency for Research of Cancer (IARC) monograph from 2012 have extensively reviewed this association in the last decade. We summarize and compare their findings, as well as relate these to the public health impact, with a particular focus on region-specific drinking patterns and disease tendencies. Our findings show that alcohol intake is strongly linked to the risk of developing cancers of the oral cavity, pharynx, larynx, oesophagus, colorectum (in men), and female breast. The two expert reports diverge on the evidence for an association with liver cancer and colorectal cancer in women, which the IARC grades as convincing, but the WCRF/AICR as probable. Despite these discrepancies, there does, however, not seem to be any doubt, that the Population Attributable Fraction of alcohol in relation to cancer is large. As alcohol intake varies largely worldwide, so does, however, also the Population Attributable Fractions, ranging from 10% in Europe to almost 0% in countries where alcohol use is banned. Given the World Health Organization’s prediction, that alcohol intake is increasing, especially in low- and middle-income countries, and steadily high in high-income countries, the need for preventive efforts to curb the number of alcohol-related cancers seems growing, as well as the need for taking a region- and gender-specific approach in both future campaigns as well as future research. The review acknowledges the potential beneficial effects of small doses of alcohol in relation to ischaemic heart disease, but a discussion of this lies without the scope of the present study.
-
Summary
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Original Articles- Associations Between Socio-demographic Characteristics and Healthy Lifestyles in Korean Adults: The Result of the 2010 Community Health Survey
- So Yeon Ryu, Jong Park, Seong Woo Choi, Mi Ah Han
- J Prev Med Public Health. 2014;47(2):113-123. Published online March 31, 2014
- DOI: https://doi.org/10.3961/jpmph.2014.47.2.113
- 15,318 View
- 127 Download
- 20 Crossref
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Abstract
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Objectives Several previous studies have found that healthy behaviors substantially reduce non-communicable disease incidence and mortality. The present study was performed to estimate the prevalence of four modifiable healthy behaviors and a healthy lifestyle among Korean adults according to socio-demographic and regional factors.
Methods We analyzed data from 199 400 Korean adults aged 19 years and older who participated in the 2010 Korean Community Health Survey. We defined a healthy lifestyle as a combination of four modifiable healthy behaviors: non-smoking, moderate alcohol consumption, regular walking, and a healthy weight. We calculated the prevalence rates and odds ratios of each healthy behavior and healthy lifestyle according to socio-demographic and regional characteristics.
Results The prevalence rates were as follows: non-smoking, 75.0% (53.7% in men, 96.6% in women); moderate alcohol consumption, 88.2% (79.7% in men, 96.9% in women); regular walking, 45.0% (46.2% in men, 43.8% in women); healthy weight, 77.4% (71.3% in men, 73.6% in women); and a healthy lifestyle, 25.5% (16.4% in men, 34.6% in women). The characteristics associated with a low prevalence of healthy lifestyle were male gender, younger age (19 to 44 years of age), low educational attainment, married, living in a rural area, living in the Chungcheong, Youngnam, or Gwangwon-Jeju region, and poorer self-rated health.
Conclusions Further research should be implemented to explore the explainable factors of disparities for socio-demographic and regional characteristics to engage in the healthy lifestyle among adults.
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- Drinking Patterns Among Korean Adults: Results of the 2009 Korean Community Health Survey
- So Yeon Ryu, Catherine M. Crespi, Annette E. Maxwell
- J Prev Med Public Health. 2013;46(4):183-191. Published online July 31, 2013
- DOI: https://doi.org/10.3961/jpmph.2013.46.4.183
- 15,171 View
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Abstract
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Objectives In Korea, the proportion of deaths due to alcohol is estimated at 8.9%, far exceeding the global estimate of 3.8%. Therefore, this study was performed to examine the factors associated with low-risk, moderate-risk, and high-risk drinking patterns in Korean adults and to identify target populations for prevention and control of alcohol-related diseases and deaths.
Methods We analyzed data from 230 715 Korean adults aged 19 years and older who participated in the 2009 Korean Community Health Survey. Multinomial logistic regression analysis was used to examine associations between socio-demographic and health-related factors and patterns of alcohol use.
Results A substantially larger proportion of men than women engaged in high risk (21.2% vs. 3.4%) and moderate-risk alcohol use (15.5% vs. 8.2%). In both sexes, moderate- and high-risk uses were associated with younger age, higher income, being currently employed, smoking, being overweight/obese, and good self-rated health.
Conclusions Given the large proportion of the population that is engaging in moderate- and high-risk drinking and given the social norms that support this behavior, public health policies and campaigns to reduce alcohol consumption targeting the entire population are indicated.
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Special Article- Burden of Noncommunicable Diseases and National Strategies to Control Them in Korea
- Young-Ho Khang
- J Prev Med Public Health. 2013;46(4):155-164. Published online July 31, 2013
- DOI: https://doi.org/10.3961/jpmph.2013.46.4.155
- Correction in: J Prev Med Public Health 2013;46(5):292
- 26,087 View
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Abstract
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Noncommunicable diseases (NCDs) are the most important causes of premature mortality and disability-adjusted life years in Korea. NCDs are also the main contributor to socioeconomic inequalities in mortality and life expectancy. Reduction of NCDs and NCD inequalities would result in significant improvement in healthy life expectancy and health equity in Korea. Major NCD risk factors such as dietary risks (including salt intake), alcohol consumption, cigarette smoking, and high blood pressure were found to be the leading modifiable risk factors of disability-adjusted life years in Korea, based on the 2010 Global Burden of Disease Study. Several Korean studies have shown that these risk factors play an important role in creating socioeconomic inequalities in NCD mortality and total mortality. Current international discussions on NCD policies in the United Nations and the World Health Organization would provide better opportunities for developing aggressive population-wide policy measures in Korea. Considering the paucity of population-wide policies to control major NCD risk factors in Korea, rigorous population approaches such as taxation and regulation of unhealthy commodities as well as public education and mass campaigns should be further developed in Korea.
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Original Article- Alcohol Consumption and Mortality in the Korean Multi-center Cancer Cohort Study
- En-Joo Jung, Aesun Shin, Sue K. Park, Seung-Hyun Ma, In-Seong Cho, Boyoung Park, Eun-Ha Lee, Soung-Hoon Chang, Hai-Rim Shin, Daehee Kang, Keun-Young Yoo
- J Prev Med Public Health. 2012;45(5):301-308. Published online September 28, 2012
- DOI: https://doi.org/10.3961/jpmph.2012.45.5.301
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Abstract
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Objectives To examine the association between alcohol consumption habit, types of beverages, alcohol consumption quantity, and overall and cancer-specific mortality among Korean adults.
Methods The alcohol consumption information of a total of 16 320 participants who were 20 years or older from the Korean Multi-center Cancer Cohort were analyzed to examine the association between alcohol consumption habit and mortality (median follow-up of 9.3 years). The Cox proportional hazard model was used to estimate the hazard ratio (HR) of alcohol consumption to mortality adjusting for age, sex, geographic areas, education, smoking status, and body mass index.
Results Alcohol drinkers showed an increased risk for total mortality compared with never drinkers (HR, 1.72; 95% confidence interval [CI], 1.38 to 2.14 for past drinkers; HR, 1.21; 95% CI, 1.06 to 1.39 for current drinkers), while past drinkers only were associated with higher risk for cancer deaths (HR, 1.84; 95% CI, 1.34 to 2.53). The quantity of alcohol consumed per week showed a J-shaped association with risk of mortality. Relative to light drinkers (0.01 to 90 g/wk), never drinkers and heavy drinkers (>504 g/wk) had an increased risk for all-cause and cancer deaths: (HR, 1.18; 95% CI, 0.96 to 1.45) and (HR, 1.39; 95% CI, 1.05 to 1.83) for all-cause mortality; and (HR, 1.55; 95% CI, 1.15 to 2.11) and (HR, 2.07; 95% CI, 1.39 to 3.09) for all cancer mortality, respectively. Heavy drinkers (>504 g/wk) showed an elevated risk for death from stomach and liver cancers.
Conclusions The present study supports the existence of a J-shaped association between alcohol consumption quantity and the risk of all-cause and cancer deaths. Heavy drinkers had an increased risk of death from cancer overall and liver and stomach cancer.
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Ji-Eun Park, Tae-young Choi, Yeonhee Ryu, Sung-Il Cho
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Chao Huang, Jian Zhan, Yu-Jian Liu, De-Jia Li, Su-Qing Wang, Qi-Qiang He
Mayo Clinic Proceedings.2014; 89(9): 1201. CrossRef - Attributable fraction of alcohol consumption on cancer using population-based nationwide cancer incidence and mortality data in the Republic of Korea
Sohee Park, Hai-Rim Shin, Boram Lee, Aesun Shin, Kyu-Won Jung, Duk-Hee Lee, Sun Ha Jee, Sung-Il Cho, Sue Kyung Park, Mathieu Boniol, Paolo Boffetta, Elisabete Weiderpass
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Annals of Oncology.2014; 25(8): 1526. CrossRef - Alcohol Consumption and Viral Load Are Synergistically Associated with CIN1
Kyung-Jin Min, Jae-Kwan Lee, Sanghoon Lee, Mi Kyung Kim, Rui Medeiros
PLoS ONE.2013; 8(8): e72142. CrossRef
English Abstracts- Estimating the Socioeconomic Costs of Alcohol Drinking Among Adolescents in Korea.
- Jaeyeun Kim, Woojin Chung, Sunmi Lee, Chongyon Park
- J Prev Med Public Health. 2010;43(4):341-351.
- DOI: https://doi.org/10.3961/jpmph.2010.43.4.341
- 7,609 View
- 101 Download
- 14 Crossref
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Abstract
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- OBJECTIVES
The purpose of this study was to estimate the socioeconomic costs resulting from alcohol drinking among adolescents as of 2006 from a societal perspective. METHODS: The costs were classified into direct costs, indirect costs, and other costs. The direct costs consisted of direct medical costs and direct non-medical costs. The indirect costs were computed by future income losses from premature death, productivity losses from using medical services and reduction of productivity from drinking and hangover. The other costs consisted of property damage, public administrative expenses, and traffic accident compensation. RESULTS: The socioeconomic costs of alcohol drinking among adolescents as of 2006 were estimated to be 387.5 billion won (0.05% of GDP). In the case of the former, the amount included 48.25% for reduction of productivity from drinking and hangover, 39.38% for future income losses from premature death, and 6.71% for hangover costs. CONCLUSIONS: The results showed that the socioeconomic costs of alcohol drinking among adolescents in Korea were a serious as compared with that of the United States. Therefore, the active interventions such as a surveillance system and a prevention program to control adolescents drinking by government and preventive medicine specialist are needed. -
Summary
Citations
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Roberta Matković, Josipa Glavaš
Psychology International.2025; 7(4): 102. CrossRef - Disparity between Subjective Health Perception and Lifestyle Practices among Korean Adolescents: A National Representative Sample
Aniceto Echalico Braza, Jinsoo Jason Kim, Sun Hee Kim
Journal of Lifestyle Medicine.2022; 12(3): 153. CrossRef - Maternal working hours and smoking and drinking in adolescent children: based on the Korean National Health and Nutrition Examination Survey VI and VII
Tae-Hwi Park, Yong-Duk Ahn, Jeong-Bae Rhie
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Luis Antonio Díaz, Francisco Idalsoaga, Eduardo Fuentes‐López, Andrea Márquez‐Lomas, Carolina A. Ramírez, Juan Pablo Roblero, Roberta C. Araujo, Fátima Higuera‐de‐la‐Tijera, Luis Guillermo Toro, Galo Pazmiño, Pedro Montes, Nelia Hernandez, Manuel Mendizab
Hepatology.2021; 74(5): 2478. CrossRef - Economic burden of alcohol-related cancers in the Republic of Korea
Minji Han, Binh Thang Tran, Heeyoun Cho, Jin-Kyoung Oh
Drug and Alcohol Dependence.2020; 217: 108295. CrossRef - An Item Response Theory Analysis of the Korean Version of the CRAFFT Scale for Alcohol Use Among Adolescents in Korea
Youngshin Song, Hyerang Kim, So-Youn Park
Asian Nursing Research.2019; 13(4): 249. CrossRef - Development of Addiction Prevention Care Program for Nurses
Sungjae Kim, Se-Jin Joo, Young Ok Song, Jin-Gyung Cha, Jeongwoon Yang
STRESS.2019; 27(4): 389. CrossRef - Characteristics of sauna deaths in Korea in relation to different blood alcohol concentrations
Kyung-Moo Yang, Bong-Woo Lee, Jaeseong Oh, Seong Ho Yoo
Forensic Science, Medicine and Pathology.2018; 14(3): 307. CrossRef - High prevalence of sarcopenia among binge drinking elderly women: a nationwide population-based study
Jun-Il Yoo, Yong-Chan Ha, Young-Kyun Lee, Hana-Choi, Moon-Jib Yoo, Kyung-Hoi Koo
BMC Geriatrics.2017;[Epub] CrossRef - An effective hangover treatment: Friend or foe?
Marlou Mackus, Marith van Schrojenstein Lantman, Aurora JAE van de Loo, David Nutt, Joris C Verster
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Janne S. Tolstrup, Richard Stephens, Morten Grønbaek
Alcoholism: Clinical and Experimental Research.2014; 38(2): 466. CrossRef - The economic burden of the 2009 pandemic H1N1 influenza in Korea
Yang-Woo Kim, Seok-Jun Yoon, In-Hwan Oh
Scandinavian Journal of Infectious Diseases.2013; 45(5): 390. CrossRef - Consumer Satisfaction and Efficacy of the Hangover Cure After-Effect©
J. C. Verster, O. Berthélemy
Advances in Preventive Medicine.2012; 2012: 1. CrossRef - Moderate drinking and motivational enhancement therapy
Kang-Sook Lee
Journal of the Korean Medical Association.2011; 54(10): 1047. CrossRef
- The Association of Cardiovascular Risk Factors with Nonalcoholic Fatty Liver Disease in Health Checkup Examinees.
- Jae Hee Yu, Kang Sook Lee, Seon Young Lee, A Rum Hong, Yong Sang Park
- J Prev Med Public Health. 2008;41(6):407-412.
- DOI: https://doi.org/10.3961/jpmph.2008.41.6.407
- 6,013 View
- 43 Download
- 4 Crossref
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Abstract
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- OBJECTIVES
The purpose of this study was to evaluate the relationship of nonalcoholic fatty liver and cardiovascular risk factors. METHODS: This study was conducted to investigate the association of nonalcoholic fatty liver and cardiovascular risk factors for adult men (n=2976) and women (n=2442) who were over 19 years old, after excluding the HBsAg(+) or anti-HCV(+) patients and the men and women with increased alcohol intake (men: 40 g/week, women: 20 g/week). RESULTS: Compared with the normal liver subjects, the nonalcoholic fatty liver subjects showed a significantly increased frequency of abnormal systolic blood pressure (> or =120 mmHg), fasting blood sugar (> or =100 mg/dL), total cholesterol (> or =200 mg/dL), triglyceride (> or =150 mg/dL), high density lipoprotein cholesterol (<40 mg/dL), low density lipoprotein cholesterol (> or =130g m/dL) and abdominal obesity in men, and all these measures were significantly increased in the women except for abnormal HDL cholesterol. After adjusting for the body mass index, age, smoking, exercise and a nonalcoholic liver, the odds ratios of an abnormal waist hip ratio were 1.35(95% Confidence Interval=1.05-4.72) in the mild fatty liver, 1.61(1.19-2.18) in the moderate fatty liver, 2.77(1.57-4.92) in the severe fatty liver compared with a normal liver. The adjusted odds ratios for abnormal fasting blood sugar were 1.26(1.03-1.53) in the mild fatty liver, 1.62(1.27-2.06) in the moderate fatty lliver and 1.77(1.12-2.78) in the severe fatty liver. The adjusted odds ratios for abnormal triglyceride were 1.38(1.11-1.72) in the mild fatty liver, 1.73(0.33-2.24) in the moderate fatty liver and 1.91(1.17-3.10) in the severe fatty liver of men. Adjusted odds ratios for abnormal triglyceride were 1.50(1.04-2.15) in mild, 1.71(1.07-2.68) in moderate, 1.81(0.69-4.38) in severe fatty liver of women. CONCLUSIONS: The nonalcoholic fatty liver subjects had more cardiovascular risk factors compared with the normal liver subjects. Thus, prevention and treatment of the nonalcoholic fatty liver is necessary by lifestyle modifications such as restriction of alcohol intake, no smoking, exercise and adequate eating habits. -
Summary
Citations
Citations to this article as recorded by- Insulin sensitizers for the treatment of non-alcoholic fatty liver disease
Zeynel Abidin Ozturk
World Journal of Hepatology.2014; 6(4): 199. CrossRef - Leitura A Influência da Composição Corporal e Idade no Perfil Hepático e Prostático de Homens do Município de Flores da Cunha/RS
F. Nascimento, E. Borba, A. Philipi, A.C. Guimarães, R. Boff, P. Spada, A. Coitinho, C. Funchal, C. Dani
Ciência em Movimento - Biociências e Saúde.2013; 15(30): 9. CrossRef - Recent advances in nonalcoholic fatty liver disease
Onpan Cheung, Arun J Sanyal
Current Opinion in Gastroenterology.2010; 26(3): 202. CrossRef - Recent advances in nonalcoholic fatty liver disease
Onpan Cheung, Arun J Sanyal
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- Cohort Study on the Association between Alcohol Consumption and the Risk of Colorectal Cancer in the Korean Elderly.
- Hoi Jeong Lim, Byung Joo Park
- J Prev Med Public Health. 2008;41(1):23-29.
- DOI: https://doi.org/10.3961/jpmph.2008.41.1.23
- 7,307 View
- 73 Download
- 12 Crossref
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Abstract
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- OBJECTIVES
We examined the association between alcohol consumption and incidence of colorectal cancer in elderly Koreans. METHODS: The cohort members (n=14,304) consisted of 4,834 males and 9,470 females derived from the Korea Elderly Pharmacoepidemiologic Cohort (KEPEC), a population-based dynamic cohort. They were aged 65 years old or older and lived in Busan between 1993-1998; they were beneficiaries of the Korean Medical Insurance Corporation (KMIC). Baseline information was surveyed by a self-administered, mailed questionnaire. This study population was restricted to 14,304 participants who reported alcohol drinking habits on the questionnaire and had not been diagnosed with colorectal cancer at baseline. The adjusted hazard ratios (aHR) of status, type, frequency and daily average amount of alcohol consumption were computed with Cox's proportional hazard model, with the never-drinkers as a reference group and controlling for age and gender. RESULTS: After 4.82 person-years of mean follow-up 112 cases of colorectal cancer occurred. The incidence densities of colorectal cancer were 161 (95% CI=123-200) for never-drinkers, 219 (95% CI=125-339) for ex-drinkers, and 137 (95% CI=84-189) for current-drinkers per 100,000 person-year. The status, type, frequency, and daily average amount of alcohol consumption were not significantly related to the incidence of colorectal cancer after controlling for age and gender. CONCLSIONS: There was no significant association between alcohol consumption and colorectal cancer among elderly people after controlling for age and gender. -
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Citations
Citations to this article as recorded by- Sex difference in alcohol consumption associated with colorectal cancer risk in Quzhou, China: A nested case-control study
Shi-Ming Lai, Hong-Hong Zhu, Zhi-Juan Gan, Bi-Yun Zheng, Zhao-Hui Xu, Zhi-Cheng Wang, Xiao-Fang Liao
Preventive Medicine Reports.2024; 44: 102807. CrossRef - Wine consumption and colorectal cancer risk: a meta-analysis of observational studies
Weisong Xu, Hui Fan, Zhijuan Han, Yufeng Liu, Yiping Wang, Zhenming Ge
European Journal of Cancer Prevention.2019; 28(3): 151. CrossRef - Marital status and education as risk factors for colorectal cancer
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Cheng Zhang, Min Zhong
Cancer Causes & Control.2015; 26(4): 549. CrossRef - Alcohol Drinking, Cigarette Smoking and Risk of Colorectal Cancer in the Korean Multi-center Cancer Cohort
Sooyoung Cho, Aesun Shin, Sue K. Park, Hai-Rim Shin, Soung-Hoon Chang, Keun-Young Yoo
Journal of Cancer Prevention.2015; 20(2): 147. CrossRef - The relationship between mild alcohol consumption and mortality in Koreans: a systematic review and meta-analysis
Ji-Eun Park, Tae-young Choi, Yeonhee Ryu, Sung-Il Cho
BMC Public Health.2015;[Epub] CrossRef - Attributable fraction of alcohol consumption on cancer using population-based nationwide cancer incidence and mortality data in the Republic of Korea
Sohee Park, Hai-Rim Shin, Boram Lee, Aesun Shin, Kyu-Won Jung, Duk-Hee Lee, Sun Ha Jee, Sung-Il Cho, Sue Kyung Park, Mathieu Boniol, Paolo Boffetta, Elisabete Weiderpass
BMC Cancer.2014;[Epub] CrossRef - Alcohol drinking and colorectal cancer risk: an overall and dose–response meta-analysis of published studies
V. Fedirko, I. Tramacere, V. Bagnardi, M. Rota, L. Scotti, F. Islami, E. Negri, K. Straif, I. Romieu, C. La Vecchia, P. Boffetta, M. Jenab
Annals of Oncology.2011; 22(9): 1958. CrossRef - Alcohol intake and risk of colorectal cancer: Results from the UK Dietary Cohort Consortium
J Y Park, C C Dahm, R H Keogh, P N Mitrou, B J Cairns, D C Greenwood, E A Spencer, I S Fentiman, M J Shipley, E J Brunner, J E Cade, V J Burley, G D Mishra, D Kuh, A M Stephen, I R White, R N Luben, A A Mulligan, K-T Khaw, S A Rodwell
British Journal of Cancer.2010; 103(5): 747. CrossRef - Alcohol Consumption and Digestive Cancer Mortality in Koreans: The Kangwha Cohort Study
Sang-Wook Yi, Jae Woong Sull, John Alderman Linton, Chung Mo Nam, Heechoul Ohrr
Journal of Epidemiology.2010; 20(3): 204. CrossRef - Baseline alcohol consumption, type of alcoholic beverage and risk of colorectal cancer in the European Prospective Investigation into Cancer and Nutrition-Norfolk study
Jin Young Park, Panagiota N. Mitrou, Christina C. Dahm, Robert N. Luben, Nicholas J. Wareham, Kay-Tee Khaw, Sheila A. Rodwell
Cancer Epidemiology.2009; 33(5): 347. CrossRef - A Novel Polymorphism rs1329149 of CYP2E1 and a Known Polymorphism rs671 of ALDH2 of Alcohol Metabolizing Enzymes Are Associated with Colorectal Cancer in a Southwestern Chinese Population
Huan Yang, Yanhong Zhou, Ziyuan Zhou, Jinyi Liu, Xiaoyan Yuan, Ketaro Matsuo, Toshiro Takezaki, Kazuo Tajima, Jia Cao
Cancer Epidemiology, Biomarkers & Prevention.2009; 18(9): 2522. CrossRef
Multicenter Study- Cigarette Smoking, Alcohol Consumption, Tuberculosis and Risk of Lung Cancer: The Korean Multi-center Cancer Cohort Study.
- Jisuk Bae, Jin Gwack, Sue Kyung Park, Hai Rim Shin, Soung Hoon Chang, Keun Young Yoo
- J Prev Med Public Health. 2007;40(4):321-328.
- DOI: https://doi.org/10.3961/jpmph.2007.40.4.321
- 7,839 View
- 134 Download
- 12 Crossref
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Abstract
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- OBJECTIVES
The aim of this study was to evaluate the roles of cigarette smoking, alcohol consumption, tuberculosis, and their interactions in the risk of lung cancer in a Korean cohort. METHODS: The study subjects comprised 13,150 males and females aged above 20 years old. During the follow up period from 1993 to 2002, 79 lung cancer cases were identified by the central cancer registry and the national death certificate database. Information on cigarette smoking, alcohol consumption and the history of physiciandiagnosed tuberculosis was obtained by interview. Indirect chest X-ray findings were also evaluated to ascertain tuberculosis cases. Cox proportional hazard models were used to estimate relative risks (RR) and 95% confidence intervals (CI) after adjusting for age and gender. RESULTS: Cigarette smoking was statistically significantly associated with an increased risk of lung cancer [for current smokers, RR = 2.33 (95% CI = 1.23 - 4.42) compared to non-smokers]. After further adjustment for cigarette smoking, both alcohol consumption and tuberculosis showed no statistically significant association with the risk of lung cancer [for current drinkers, RR = 0.80 (95% CI = 0.48 - 1.33) compared to non-drinkers] [for tuberculosis cases, RR = 1.17 (95% CI = 0.58 - 2.36) compared to noncases]. There was no statistically significant interaction between cigarette smoking and alcohol consumption (pinteraction = 0.38), or cigarette smoking and tuberculosis (p-interaction = 0.74). CONCLUSIONS: Although cigarette smoking was confirmed as a risk factor of lung cancer in this cohort study, this study suggests that alcohol consumption and tuberculosis may not be associated with the risk of lung cancer. -
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Citations
Citations to this article as recorded by- Wine Consumption and Lung Cancer Risk: A Systematic Review and Meta-Analysis
Carlotta Bertola, Camilla Gobbetti, Gaia Baccarini, Roberto Fabiani
Nutrients.2025; 17(8): 1322. CrossRef - A Case–Control Study of Lung Cancer at a Tertiary Care Hospital of Western Maharashtra, India
Anita Maurya, Raj Kumar, Anurag Khera, Rajeev Kumar, Dhananjay Kumar Singh, Puja Dudeja
Medical Journal of Dr. D.Y. Patil Vidyapeeth.2023; 16(3): 336. CrossRef - Study on changes in Ryodoraku test according to carbon monoxide concentration in exhaled breath
Jin Suk Koo
Journal of Korean Medicine.2020; 41(1): 45. CrossRef - Effect of COPD on symptoms, quality of life and prognosis in patients with advanced non-small cell lung cancer
Young-Soo Yi, Woo Ho Ban, Kyeong-Yae Sohng
BMC Cancer.2018;[Epub] CrossRef - SmokeHaz
Leah Jayes, Patricia L. Haslam, Christina G. Gratziou, Pippa Powell, John Britton, Constantine Vardavas, Carlos Jimenez-Ruiz, Jo Leonardi-Bee, Bertrand Dautzenberg, Bo Lundbäck, Monica Fletcher, Archie Turnbull, Paraskevi Katsaounou, Dick Heederik, Dan Sm
Chest.2016; 150(1): 164. CrossRef - Evaluation of Pulmonary Nodules
Chunxue Bai, Chang-Min Choi, Chung Ming Chu, Devanand Anantham, James Chung-man Ho, Ali Zamir Khan, Jang-Ming Lee, Shi Yue Li, Sawang Saenghirunvattana, Anthony Yim
Chest.2016; 150(4): 877. CrossRef - Completeness of Cancer Case Ascertainment in Korea Radiation Effect and Epidemiology Cohort Study
Minkyo Song, In-Seong Cho, Zhong Min Li, Yoon-Ok Ahn
Journal of Korean Medical Science.2012; 27(5): 489. CrossRef - Prior lung disease and lung cancer risk in an occupational-based cohort in Yunnan, China
Ya-Guang Fan, Yong Jiang, Run-Sheng Chang, Shu-Xiang Yao, Ping Jin, Wendy Wang, Jie He, Qing-hua Zhou, Philip Prorok, You-Lin Qiao, Ping Hu
Lung Cancer.2011; 72(2): 258. CrossRef - Increased Lung Cancer Risk among Patients with Pulmonary Tuberculosis: A Population Cohort Study
Yang-Hao Yu, Chien-Chang Liao, Wu-Huei Hsu, Hung-Jen Chen, Wei-Chih Liao, Chih-Hsin Muo, Fung-Chang Sung, Chih-Yi Chen
Journal of Thoracic Oncology.2011; 6(1): 32. CrossRef - Lung cancer risk and cigarette smoking, lung tuberculosis according to histologic type and gender in a population based case–control study
Sue K. Park, Lisa Y. Cho, Jae Jeong Yang, Boyoung Park, Soung Hoon Chang, Kun-Sei Lee, Hyeongsu Kim, Keun-Young Yoo, Choon-Taek Lee
Lung Cancer.2010; 68(1): 20. CrossRef - Facts and fiction of the relationship between preexisting tuberculosis and lung cancer risk: A systematic review
Hui‐Ying Liang, Xue‐Lian Li, Xiao‐Song Yu, Peng Guan, Zhi‐Hua Yin, Qin‐Cheng He, Bao‐Sen Zhou
International Journal of Cancer.2009; 125(12): 2936. CrossRef - Irinotecan and oxaliplatin combination as the first-line treatment for patients with advanced non-small cell lung cancer
Myung Hee Chang, Kyoung Ha Kim, Hyun Jung Jun, Hyo Song Kim, Seong Yoon Yi, Ji Eun Uhm, Min Jae Park, Do Hyoung Lim, Sang Hoon Ji, In Gyu Hwang, Jeeyun Lee, Yeon Hee Park, Jin Seok Ahn, Myung-ju Ahn, Keunchil Park
Cancer Chemotherapy and Pharmacology.2009; 64(5): 917. CrossRef
Original Articles- Using Tobit Regression Analysis to Further Understand the Association of Youth Alcohol Problems with Depression and Parental Factors among Korean Adolescent Females.
- Jorge Delva, Andrew Grogan Kaylor, Emily Steinhoff, Dong Eok Shin, Kristine Siefert
- J Prev Med Public Health. 2007;40(2):145-149.
- DOI: https://doi.org/10.3961/jpmph.2007.40.2.145
- 6,232 View
- 72 Download
- 7 Crossref
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Abstract
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- OBJECTIVES
This study characterized the extent to which youth depressive symptoms, parental alcohol problems, and parental drinking account for differences in alcoholrelated problems among a large sample of adolescent females. METHODS: The stratified sample consists of 2077 adolescent females from twelve female-only high schools located in a large metropolitan city in the Republic of Korea. Students completed a questionnaire about alcohol use nd alcohol problems, their parents' alcohol problems, and a number of risk and protective factors. Data were analyzed using tobit regression analyses to better characterize the associations among variables. RESULTS: Almost two-thirds of students who consume alcohol had experienced at least one to two alcohol-related problems in their lives and 54.6% reported at least one current symptom of depression, with nearly one-third reporting two depressive symptoms. Two-thirds of the students indicated that at least one parent had an alcoholrelated problem, and that approximately 29% had experie nced several problems. Results of tobit regression analyses indicate that youth alcohol-related problems are positively associated with depressive symptoms (p<0.01) and parent drinking problems (p<0.05). Parental drinking is no longer significant when the variable parental attention is added to the model. Decomposition of the tobit parameters shows that for every unit of increase in depressive symptoms and in parent drinking problems, the probability of a youth experiencing alcohol problems increases by 6% and 1%, respectively. For every unit of increase in parental attention, the probability of youth experiencing drinking problems decreases by 5%. CONCLUSIONS: This study presents evidence that alcoholrelated problems and depressive symptoms are highly prevalent among adolescent females. Although a comprehensive public health approach is needed to address drinking and mental health problems, different interventions are needed to target factors associated with initiation of alcohol problems and those associated with increased alcohol problems among those who already began experiencing such problems. -
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Citations
Citations to this article as recorded by- Impact of the Friendly Schools whole‐school intervention on transition to secondary school and adolescent bullying behaviour
Donna Cross, Therese Shaw, Melanie Epstein, Natasha Pearce, Amy Barnes, Sharyn Burns, Stacey Waters, Leanne Lester, Kevin Runions
European Journal of Education.2018; 53(4): 495. CrossRef - Parenting and Youth Psychosocial Well- Being in South Korea using Fixed-Effects Models
Yoonsun Han, Andrew Grogan-Kaylor
Journal of Family Issues.2013; 34(5): 689. CrossRef - Alcohol and tobacco use among South Korean adolescents: An ecological review of the literature
Jun Sung Hong, Na Youn Lee, Andrew Grogan-Kaylor, Hui Huang
Children and Youth Services Review.2011; 33(7): 1120. CrossRef - Tobit Model for Outcome Variable Is Limited by Censoring in Nursing Research
Kuan-Chia Lin, Su-Fen Cheng
Nursing Research.2011; 60(5): 354. CrossRef - The Relationship of Weight‐Related Attitudes With Suicidal Behaviors in Korean Adolescents
Jun‐Su Kim, Kayoung Lee
Obesity.2010; 18(11): 2145. CrossRef - The Difficulty of Maintaining Positive Intervention Effects: A Look at Disruptive Behavior, Deviant Peer Relations, and Social Skills During the Middle School Years
John E. Lochman, Karen L. Bierman, John D. Coie, Kenneth A. Dodge, Mark T. Greenberg, Robert J. McMahon, Ellen E. Pinderhughes
The Journal of Early Adolescence.2010; 30(4): 593. CrossRef - Longitudinal tobit regression: A new approach to analyze outcome variables with floor or ceiling effects
Jos Twisk, Frank Rijmen
Journal of Clinical Epidemiology.2009; 62(9): 953. CrossRef
- Type of Alcoholic Beverage and High Risk Drinking for Acute Harm.
- Woojin Chung, Taiwoo Yoo, Sunmi Lee
- Korean J Prev Med. 2003;36(4):383-389.
- 5,783 View
- 26 Download
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Abstract
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- OBJECTIVE
Studies have suggested that beer is associated with a high risk of mortality and morbidity. The purpose of this study was to investigate how types of alcoholic beverage are related to high risk acute harm. METHODS: Data from the 1997 Korea's Behavioral Risk Factor Surveillance System Survey, collected through telephone questionings, were analyzed based on multi-stage stratified random sampling (N=1, 045). Among those who had drunk at least one type of alcoholic beverage in the last month, one episode where the drinker had consumed the highest level of ethanol was selected, and the alcohol consumption per drinking day categorized into four risk levels of short-term, 'acute' harm, according to the WHO guidelines. Employing ordered logistic regression analyses, as the explanatory variables, types of alcoholic beverage, with and without socioeconomic characteristics, were considered. RESULTS: Spirits and soju were more than ten and three times, respectively, more likely than beer, while makkolli and wine were almost as likely as beer, to involve high risk drinking, irrespective of controlling for the socioeconomic characteristics. CONCLUSIONS: Unlike most Western countries, in Korea, beer, rather than spirits or soju, is generally less likely to be associated with high risk drinking for acute harm. The influence of beverage types on high risk drinking for acute harm appears to vary between countries. -
Summary
- Cigarette Smoking, Alcohol and Cancer Mortality in Men: The Kangwha Cohort Study.
- Sang Gyu Lee, Chung Mo Nam, Sang Wook Yi, Hee Chul Ohrr
- Korean J Prev Med. 2002;35(2):123-128.
- 3,657 View
- 35 Download
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Abstract
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- OBJECTIVE
To examine the relationship between cigarette smoking, alcohol and cancer mortality in men in the Kangwha cohort after 12 years and 10 months of follow up. METHODS: The subjects consisted of 2,681 men in the Kangwha cohort aged over 55 in 1985. Number of deaths and the time to death from all cancers and other cause were measured and the data for the smoking and drinking habits were obtained from the baseline survey data in 1985. All subjects were categorized into four groups according to their smoking habits: non-smokers, ex-smokers, moderate-smokers (1-19 cigarettes per day), heavy-smokers (> or =20 cigarettes per day). In addition, they were also categorized according to their drinking habits: non-drinkers, light-drinkers (< or =1 drink per week), moderate-drinkers (<3 drinks per day), heavy-drinkers (> or =3 drinks per day). The cancer specific death rates were calculated according to their smoking and drinking status. The adjusted risk ratio for all cancer deaths according to their smoking and drinking status were estimated using the Cox's proportional hazard regression model. RESULTS: Using nonsmokers as the reference category, the adjusted risk ratio for all cancer deaths were 1.573(95% CI=1.003-2.468) for heavy-smokers. For lung cancer deaths, the adjusted risk ratios were 3.540(95% CI=1.251-10.018) for moderate-smoker and 4.114(95% CI=1.275-13.271) for heavy-smokers. Compared to non-drinkers, the adjusted risk ratio for stomach cancer was 2.204(95% CI=1.114-4.361) for light-drinkers. CONCLUSION: Smoking is the most significant risk factor for cancer deaths particularly lung cancer. -
Summary
- Prevalence of Hazardous and Harmful Alcohol Consumption Using Alcohol Use Disorders Identification Test in Chungju Area.
- Hyeongsu Kim, Sounghoon Chang, Kunsei Lee, Cheongsik Kim, Kiock Kim
- Korean J Prev Med. 2001;34(3):277-283.
- 2,489 View
- 27 Download
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Abstract
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- OBJECTIVES
To investigate the prevalence of hazardous and harmful alcohol use, which are a subthreshold of alcohol related disorders. METHODS: Direct-interview questionnaires to 1,183 rural persons (489 male, 694 female) were conducted in Chungju-city from July 2 to 26, 1998. As a screening instrument, the alcohol use disorders identification test (AUDIT) was used. RESULTS: The prevalence of alcohol use was 41.7%. In males, it was 66.3% and in females, it was 24.4%. The mean of the AUDIT score of males and females was 13.2 and 5.6, respectively. As WHO guideline, the prevalence of hazardous alcohol use in males and females was 80.3% and 20.7%, respectively. This suggests that the prevalence of 'hazardous drinking' and 'harmful drinking' was 45.4% and 29.3% for males and 1.2% and 2.4% for females, respectively. CONCLUSIONS: This study presented the prevalence of hazardous and harmful drinking of a rural population in Korea and reviewed those health problems. Further evaluation to detect and treat lower alcoholic drinkers is recommended -
Summary
- Predictors of Successful Control for Selfishness, Dishonesty, Resentment, and Fear (SDRF) among Korean Alcoholics Anonymous Members.
- Ein Soon Shin, Han Joong Kim, Yoon Chul Chung
- Korean J Prev Med. 2001;34(1):73-79.
- 3,023 View
- 20 Download
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Abstract
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- OBJECTIVES
To examine predictors of successful control for selfishness, dishonesty, resentment, and fear(SDRF) among Korean Alcoholics Anonymous(AA) members. METHODS: This study was a cross-sectional study. The study group included members from 18 different AA groups which were enrolled in the Korean AA Association in 1998. 207 out of 300 self administered questionnaires were completed by AA members (response rate 69.0%). Alcoholics who attended AA meetings were divided into two groups according to their self reported level of success in SDRF control; one with very successful experience after AA participation and the other with little or no success. In this study, the general characteristics, AA activities, relapse experience, and degree of effort exerted for SDRF control were compared between two groups. In order to study predictors of successful SDRF control after joining AA, 4 logistic regression analyses were performed for each of the 4 SDRF indices. RESULTS: The proportion of those reporting a very successful experience was 19.9% for selfishness, 20.7% for dishonesty, 25.5% for resentment, and 24.7% for fear. After control for the effect of general characteristics, the practice of the 12th step(taking alcoholics to an AA meeting after conveying messages) was found to be a significant predictor for the successful control of both selfishness(OR=6.04) and the dishonesty(OR=7.77). And individuals making every effort for SDRF control showed more successful control of selfishness(OR=4.10), dishonesty(OR=4.01), and fear(OR=34.89). CONCLUSIONS: Bivariate and multivariate analyses demonstrated that especially practicing the 12th step and making every effort themselves, may help alcoholics to control SDRF successfully after joining AA. -
Summary
- Effects of Change in Obestiy and Life Style Factors on Blood Pressure and Serum Cholesterol - 3-year Follow-up among Workers in a Steel Manufacturing Industry -.
- Myung Hwa Ha, Duk Hee Lee, Song Kwon Lee
- Korean J Prev Med. 1999;32(3):415-420.
- 2,456 View
- 19 Download
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Abstract
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- OBJECTIVES
We investigated the effects of changes in obesity and life style factors, such as cigarette smoking, alcohol drinking, and exercise, on the changes in blood pressure and serum cholesterol among Korean men. METHODS: This study included 7,205 healthy male employees in the steel manufacturing industry. Each subject underwent health examination in 1994 and was re-examined in 1997. The study subjects were classified into four categories, according to changes in body mass index (BMI) (loss; stable; mild gain; severe gain), cigarette smoking (quitter; non-smoker; smoker continued; smoker started), alcohol drinking (quitter; non-drinker; drinker continued; drinker started) and exercise (more exercise; continuous regular exercise; continuous irregular or no exercise; less exercise), respectively. We evaluated the relationship between the categories of change in those independent variables and the changes in blood pressure and serum cholesterol, adjusted for BMI in 1994 and age by analysis of variance. RESULTS: The change in systolic blood pressure was positively associated with the changes in BMI (p<0.001) and drinking (p=0.001), but negatively with smoking (p=0.004), compared to the first category of each independent variables. The systolic blood pressure was significantly less increased in the continuous smoking group than quitter or non-smoker. The changes in diastolic blood pressure and serum cholesterol appeared to have statistically significant linear relationships only with the change in BMI. The change in exercise showed a marginal significance with diastolic blood pressure (p=0.088). CONCLUSIONS: These prospective data emphasize the importance of obesity as a determinant of the changes in blood pressure and serum cholesterol. In addition, the changes in smoking and drinking habits can affect systolic blood pressure. -
Summary
- The Influence of Smoking and Alcohol Intake on Copper, Zinc, and Nitric Oxide Concentration in Serum.
- Yeon Pyo Hong, Byung Sun Choi, Jung Duci Park, Im Won Chang
- Korean J Prev Med. 1998;31(2):265-274.
- 3,059 View
- 22 Download
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- To investigate the change of nitric oxide(No), copper, and zinc in serum on smoking and alcohol ingestion in young adults, this study was performed in a cross-sectional study in 127 healthy, men in Korea who had HBsAg(-), HCVAb(-), and no symptomatic liver, heart, gastrointestinal, chronic diseases, and inflammatory sign(lower than 10,000 white blood cell count in CBC). At the men's entry into the study, blood samples were drawn from each subject and immediately centrifuged for analysis of NO, copper, and zinc. Each man completed a questionnaire that provided information on smoking, alcohol intake and present and past medical history. NO was analyzed by HPLC(Green et al., 1982), copper and zinc by atomic absorption spectrophotometer with air-acetylene flame and total cholesterol(TC) by Spectrum EPX. smoking(number of cigarettes per day and pack-year) and alcohol intake was grouped tertile. Copper was adjusted for age and zinc and for age and TC. NO, copper, and zinc on smoking and alcohol ingestion were analyzed in general linear models, respectively. NO, copper and zinc in serum did not show statistical differences between non-smoking and high-smoking group and no-alcohol intake and high-alcohol intake group. This study, suggested that copper, zinc, and NO was not good biological marker for early effect by smoking and alcohol intake in young adults. However, selection bias should be Considered in evaluation of this result. A large prospective study, will be needed in advance on usefulness of copper, zinc, and NO as a marker for risk fictors and early change of atherosclerosis.
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Summary
- Lifestyle.
- Hee Choul Ohrr
- Korean J Prev Med. 1993;26(4):469-479.
- 2,715 View
- 23 Download
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- This article reviewed the historic and epidemiologic reasons for the emergence of health promotion with a special focus on lifestyle. Health effects of tobacco, alcohol, physical exercise, and nutrition were briefly presented by reviewing recent researches. Social environments supposed to limit the application of health promotion strategies are also mentioned.
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Summary
- A Study of The Relationship between Alcohol Intake, Smoking, Relative Weight and Serum Lipids Level in Young Adult Male Workers.
- Ji Ho Lee, Byung Mann Cho, Soo Ill Lee, Don Kyoun Kim
- Korean J Prev Med. 1992;25(4):386-398.
- 2,406 View
- 20 Download
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- In order to study the relationship between life-style and serum lipids level in young adults, the author measured the concentration of serum total cholesterol (TC), triglyceride (TG) and high density lipoprotein cholesterol (HDL-C) and investigated age, relative weight, weekly alcohol intake and daily cigarette smoking through questionnaire in 310 male workers aged 20 to 39, in Ulsan area. The results obtained were as follows: 1. In the factors being able to influence serum lipids level there was negative correlation between age and alcohol intake, and the positive corrrelation between age and relative weight, alcohol intake and relative weight, alcohol intake and smoking with the strongest correlation between alcohol intake and smoking. 2. In univariate analysis, mean total cholesterol concentration were significantly different according to age, smoking and relative weight; mean triglyceride concentration were significantly different according to relative weight only; mean HDL-C concentration were significantly different according to alcohol intake alone. 3. In non-drinkers, HDL-C concentration of smokers were significantly lower than that of nonsmokers but triglyceride concentration of smokers were significant higher. And in drinkers, total cholesterol concentration of smokers was significantly higher than that of non-smokers. 4. In multiple regression analysis, significant independent variables were relative weight, age and smoking in the total cholesterol concentration, and relative weight, age and alcohol intake in the triglyceride concentration, and alcohol intake, relative weight and smoking in the HDL-C concentration. By these independent variables, total variation in each dependent variable was explained 7.9%, 17.6% and 7.4% respectively.
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Summary
- Case-Control Study on Effects of Alcohol Intake and Smoking to Gastritis of Korean Adult Men.
- Yun Chul Hong, Chung Yill Park, Won Chul Lee, Kang Sook Lee
- Korean J Prev Med. 1992;25(3):238-246.
- 3,257 View
- 34 Download
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- We performed case-control studies for the 1, 138 Korean adult men. According to the results of UGIS, we classified the gastritis into the erosive gastritis, superficial gastritis, and hypertrophic gastritis. And then, we selected controls among non-gastritis group after matching. Alcohol intake and smoking history was obtained by questionnaire. And we observed the effects of alcohol intake and smoking to the each gastritis. The results obtained were as follows; 1. Smokers had a risk of getting erosive gastritis more than twice (2.6) than non-smokers and there was dose-response relationships between smoking and erosive gastritis. Alcohol intake, however, had no significant relation with the erosive gastritis. 2. Both smoking and alcohol intake had no significant relations with superficial gastritis. 3. Smoking had no significant relation with hypertrophic gastritis, but dividing between those who drank more than 100gm of alcohol a week and those who drank less, we obtained the odds ratio of 3. 4 suggesting that there existed a significant relation between moderate or excessive alcohol intake and hypertrophic gastritis. 4. Among the gastritis patients, those who had erosive gastritis smoked most heavily, and those who had hypertrophic gastritis drank most excessively.
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Summary
- The Effect of Alcohol on the Blood Lipid Level of Korean Adult Men.
- Chung Yill Park, Yun Chul Hong, Seung Han Lee
- Korean J Prev Med. 1992;25(1):44-52.
- 2,649 View
- 24 Download
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Abstract
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- This study was conducted to evaluate the relations between alcohol intake and blood lipid level in a group of 1,138 Korean adult men, ages 20 to 69 years. Total number of each of a variety of drinks in the previous two weeks was obtained by questionnaire and converted into grams of alcohol consumed in a week. The levels of blood lipid such as Cholesterol, HDL-Cholesterol, Triglyceride and LDL-Cholesterol were examined by enzyme method. We also observed the effects of various variables such as age, body mass index, smoking, exercise and blood pressure on blood lipid level. The results obtained were as follows; 1. Average weekly alcohol intake was 129.0+/-167.4 gm and that of 30-39 age group was the highest as 149.3+/-170.4gm. 2. Levels of Cholesterol, Triglyceride and LDL-Cholesterol tended to increase with increasing age, but level of HDL-Cholesterol showed no significant relationship with age. 3. The positive linear regressions of alcohol intake on HDL-Cholesterol and Triglyceride were noted statistically significant. 4. Multiple regression analysis demonstrated that the effect of alcohol on HDL-Cholesterol and Triglyceride was statistically significant and the contribution rates were 5.0% and 0.8%, respectively. And, in the case of HDL-Cholesterol, the alcohol intake was the most significant independent variable.
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SummaryEnglish Abstracts
- Socioeconomic Costs of Alcohol Drinking in Korea.
- Woo Jin Chung, Hyun Jun Chun, Sun Mi Lee
- J Prev Med Public Health. 2006;39(1):21-29.
- 3,567 View
- 110 Download
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Abstract
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- OBJECTIVES
We wanted to estimate the annual socioeconomic costs of alcohol drinking in Korea. METHODS: The costs were classified as direct costs, indirect costs and the other costs. The direct costs consisted of direct medical costs, indirect medical costs and subsidiary medical costs. Particularly, the medical costs and population attributable fraction for disease were considered to reflect the calculation of the direct medical costs. The indirect costs were computed by the extent to which the loss of productivity and loss of the workforce might have occurred due to changes in mortality and morbidity according to alcohol drinking. The other costs consisted of property loss, administration costs and costs of alcoholic beverage. RESULTS: The annual costs, which seemed to be attributable to alcohol drinking, were estimated to be 149,352 hundred million won (2.86% of GDP). In case of the latter, the amount includes 9,091 hundred million won for direct costs (6.09%), 62,845 hundred million won for the reduction and loss of productivity (42.08%), 44,691 hundred million won for loss of the workforce (29.92%), and the other costs (21.91%). CONCLUSIONS: Our study confirms that compared with the cases of Japan (1.9% of GNP) and the other advanced countries (1.00-1.42% of GDP), alcohol drinking incurs substantial socioeconomic costs to the Korean society. Therefore, this study provides strong support for government interventions to control alcohol drinking in Korea. -
Summary
- Correlates of Problem Drinking by the Alcohol Use Disorders Identification Test on Korean College Campus.
- Sung soo Chun, Ae ree Sohn
- J Prev Med Public Health. 2005;38(3):307-314.
- 3,187 View
- 43 Download
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- OBJECTIVE
To survey college students with an Alcohol Use Disorder, and analyze the reasons for their disorder. METHODS: The cross-sectional study was conducted at 60 four-year colleges within Seoul and 9 other provinces. The schools and students selected for the study provide a nationally representative sample, and the survey was conducted between May 15th and June 14th 2003. 2, 385 cases were analyzed using questionnaires, which included a series of questions about students' alcohol use and associated problems, as well as an Alcohol Use Disorder Identification Test. RESULTS: 42.3% of students were found to have an Alcohol Use Disorder. The probability of a student having an Alcohol Use Disorder was 1.30 times higher among male compared to female students. Those students not living with their parents or relatives were 1.40 times more likely to have an Alcohol Use Disorder. Those students where the father had a drinking problem and those who admitted that their parents drank heavily while they were growing up were 1.38 and 1.54 times more likely, respectively, to have an Alcohol Use Disorder. Those students attending a general university, joining a student club, attaining less than a B average credit score and those unsatisfied with their education were 1.60, 1.36, 1.41 and 1.27 times more likely, respectively, to have an Alcohol Use Disorder. Those students who had experience of drugs, smoking, binge drinking when they were in the last year of high school and the forceful consumption of mixed alcohol were 3.67, 1.95, 2.15 and 1.76 times more likely, respectively, to have an Alcohol Use Disorder. CONCLUSIONS: College students' with an Alcohol Use Disorder is a very severe and large problem within colleges. An Alcohol Use Disorder is determined by individual and family variables, the college environmental and life variables, as well as behavior variables. -
SummaryTOP
- Estimating the Burden of Diseases due to High Alcohol Consumption in Korea.
- Jung Kyu Lee, Yong Ik Kim, Seok Jun Yoon, Jin Yong Lee, Heeyoung Lee, Jong Hyock Park, Youngsoo Shin
- J Prev Med Public Health. 2005;38(2):175-181.
- 3,225 View
- 70 Download
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Abstract
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- OBJECTIVES
This study estimated the burden of disease due to high alcohol consumption using DALY, a composite indicator recently developed by the Global Burden of Disease study group. The results were analyzed by age and sex. METHODS: Firstly, high alcohol consumption-related diseases, and their relative risk (RR), were selected. Secondly, population attributable fractions (PAFs) were computed using formulae, including the relative risk (RR) and prevalence of exposure (Pe). Thirdly, the DALYs of high alcohol consumption-related diseases were estimated. Lastly, the attributable burdens of diseases due to high alcohol consumption wereconcluded as being the sum of the products that multiplied the DALYs of high alcohol consumption-related diseases by their population attributable fraction (PAF). RESULTS: The burden of high alcohol consumption in Korea was 2992.3 person years (PYs) per 100, 000 persons in men, and 1426.6 in women. For men, the high alcohol consumption-induced diseases with the five biggest burdens were liver cirrhosis, hypertensive disease, liver cancer, cerebral infarction and intracerebral hemorrhage. For women, these were cerebral infarction, intracerebral hemorrhage, hypertensive disease, liver cirrhosis and liver cancer. CONCLUSION: This study highlighted the attributable fraction of diseases due to exposure to high alcohol consumption, by quantifying the results of exposure to risk factors. Therefore, it is now possible to assess interventions for risk factors in quantifiable terms in each population. Finally, measuring the risk factor burdens was expected to contribute to priority setting and effective resource allocation in public health policy. -
SummaryOriginal Articles
- A Study of the Relationship between Parental Alcohol Problems and Alcohol Use among Adolescent Females in Republic of Korea.
- Dong Eok Shin, Jorge Delva
- J Prev Med Public Health. 2004;37(3):232-237.
- 3,063 View
- 27 Download
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Abstract
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- OBJECTIVES
The study was designed to test if alcohol use and alcohol-related problems among adolescent females are related to their parents' level of alcohol problems. METHODS: In 2001, a stratified sample of 2077 adolescent females, grades 10-11, from twelve female-only high schools located in a large metropolitan city in the Republic of Korea completed a questionnaire about alcohol use, parental attention, and parental alcohol consumption, and other risk and protective factors. Data were analyzed with chi-square and regression analyses. RESULTS: Nearly 63% of the student drinkers had experienced at least one to two alcohol-related problems in their lives. Two-thirds of all 2077 students indicated that at least one of their parents had an alcohol-related problem and that approximately 29% had experienced several problems. Results of random effects ordinal logistic regression analyses suggest a dose-response relationship between parental and youth alcohol-related problems. Youth who report having parents with some and many alcohol problems were 30% (Odds Ratios [OR] = 1.30; 95% Confidence Interval [CI] = 1.10 - 1.53) and 55% (OR = 1.55; 95%CI = 1.23 - 1.95) more likely to experience alcoholrelated problems than youth whose parents do not have alcohol problems, respectively, after statistically adjusting for important covariates. CONCLUSIONS: This study presents evidence that alcoholrelated problems among adolescent female students is highly prevalent. Also, the study findings reveal a high percentage of parents with alcohol problems, as reported by students. This study presents evidence of what might be a hidden problem among adults and youths in the Republic of Korea that merits serious attention. -
Summary
- Association between Alcohol Drinking and Cardiovascular Disease Mortality and All-cause Mortality: Kangwha Cohort Study.
- Sang Wook Yi, Sang Hyun Yoo, Jae Woong Sull, Heechoul Ohrr
- J Prev Med Public Health. 2004;37(2):120-126.
- 3,142 View
- 114 Download
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- OBJECTIONS: This study sought to examine relationships between alcohol drinking and cardiovascular disease mortality and all-cause mortality. METHODS: From March 1985 through December 1999, 2, 696 males and 3, 595 females aged 55 or over as of 1985 were followed up for their mortality until 31 December 1999. We calculated the mortality risk ratios by level of alcohol consumption. Among the drinker, the level of alcohol consumption was calculated by the frequency of alcohol comsumption and the type of alcohol. Cox proportional hazard model was used to adjust for confounding factors. RESULTS: Among males, compared to abstainer, heavy drinker had significantly higher mortality in all cause (Risk ratio=1.35), cardiovascular disease (Risk ratio=1.52) and cerebrovascular disease (Risk ratio =1.66). Although not significant, moderate drinker had lower ischemic heart disease mortality (Risk ratio =0.38). Among females, there was no statistically significant association between alcohol comsumption and mortality. CONCLUSION: The results of this study suggest that alcohol drinking has harmful effect on all-cause mortality, cardiovascular disease mortality and cerebrovascular disease mortality among males, especially in heavy drinker among males. Minimal evidence on protective effect for cardiovascular disease mortality in low or moderate drinker is observed.
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