Interactions of Behavioral Changes in Smoking, High-risk Drinking, and Weight Gain in a Population of 7.2 Million in Korea
- Author:
Yeon Yong KIM
1
;
Hee Jin KANG
;
Seongjun HA
;
Jong Heon PARK
Author Information
- Publication Type:Original Article
- From:Journal of Preventive Medicine and Public Health 2019;52(4):234-241
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
