|
KMID : 1138720190450030013
|
|
Korean Public Health Research
2019 Volume.45 No. 3 p.13 ~ p.23
|
|
|
Effects of high-risk alcohol drinking and smoking on treatment and complications management of diabetes mellitus patients: Cross-sectional study
|
|
Jeong Seung-Min
Kim Young-Soo
|
|
|
Abstract
|
|
|
PURPOSE:To investigate the effects of high-risk alcohol drinking and smoking status on the treatment and management of diabetes mellitus.
METHODS:The subjects were diabetic patients over 30 years of age who participated in the 2016 Community Health Survey. The primary outcome variable was untreated diabetes mellitus. The secondary outcome variables were screening for diabetic retinopathy, screening for diabetic nephropathy, and awareness of HbA1c. The main explanatory variables were high-risk alcohol drinking and smoking status. We tested the association between the explanatory variables and outcome variables using multivariable logistic regression analysis. We also evaluated the interaction between alcohol drinking and smoking status.
RESULTS:Total 23,763 participants were included, and region population-weighted 3,278,816 subjects were analyzed. High-risk drinkers had 1.39 times higher risk of untreated diabetes mellitus and also showed significantly higher risk in all the secondary outcomes. Smoking status did not have a significantly higher risk of untreated diabetes mellitus. However, in the screening for diabetic retinopathy, screening for diabetic nephropathy, and awareness of HbA1c, the current smokers showed 1.42, 1.21, and 1.70 times higher risk than nonsmokers, respectively. There were significant interactions between high-risk drinking and smoking in unreceived diabetic nephropathy screening and unawareness of HbA1c.
CONCLUSIONS:Both high-risk drinking and smoking increased the risk of untreated and unmanaged diabetes. We also observed the significant interaction between high-risk alcohol drinking and smoking. These findings can be used as evidence to support the importance of alcohol drinking and smoking cessation policies.
|
|
|
KEYWORD
|
|
|
Diabetes Mellitus, Smoking, alcohol drinking, Diabetes Complications, Glycated Hemoglobin A
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|