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KMID : 1044620190520040234
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Journal of Preventive Medicine and Public Health
2019 Volume.52 No. 4 p.234 ~ p.241
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Interactions of Behavioral Changes in Smoking, High-risk Drinking, and Weight Gain in a Population of 7.2 Million in Korea
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Kim Yeon-Yong
Kang Hee-Jin
Ha Seong-Jun
Park Jong-Heon
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Abstract
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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.
Method: 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.
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KEYWORD
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Lifestyle, Smoking, Alcohol drinking, Overweight, Health risk behaviors
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