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Trends in health behaviors over 20 years: findings from the 1998-2018 Korea National Health and Nutrition Examination Survey
Soyeon Kim, Sunhye Choi, Jihee Kim, Suyeon Park, Young-Taek Kim, Ok Park, Kyungwon Oh
Epidemiol Health. 2021;43:e2021026.   Published online April 19, 2021
DOI: https://doi.org/10.4178/epih.e2021026
  • 15,014 View
  • 366 Download
  • 28 Web of Science
  • 23 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
This study aimed to examine the trends in health behaviors in Korean population using data from the Korea National Health and Nutrition Examination Survey (KNHANES).
METHODS
The subjects were 96,408 adults aged 19 years or older who participated in the first (1998) through seventh (2016-2018) KNHANES health interview. The prevalence of health behaviors (cigarette smoking, alcohol drinking, and physical activity) and annual percent change (APC) were estimated using SAS and the Joinpoint program.
RESULTS
The prevalence of current cigarette smoking in men decreased by 2.8%p (APC= -2.8, p< 0.001) annually over the 20-year period, and the prevalence of exposure to secondhand smoke at home substantially decreased compared to 2005 (APC= -8.8, p< 0.001). Compared to 2005, the prevalence of current alcohol drinking in women, but not men, increased (APC= 2.0, p< 0.001), and the prevalence of binge drinking decreased in men (APC= -0.7, p< 0.001) and increased in women (APC= 2.4, p< 0.001). The prevalence of aerobic physical activity decreased from 2014 in both gendersd (p< 0.001). The prevalence of healthy behaviors practice (non-smoking, alcohol abstinence, and aerobic physical activity) was down-trending (APC= -5.3, p< 0.001), especially among women (APC= -6.4, p< 0.001).
CONCLUSIONS
Over the past 20 years, smoking behaviors improved. However, drinking behavior was unchanged and physical activity indicators markedly decreased. More active programs are necessary for improving health behaviors, which are major risk factors linked to chronic diseases.
Summary
Korean summary
국민건강영양조사(1998-2018) 자료를 활용하여 지난 20년간 성인의 건강행태를 분석한 결과 흡연율과 간접흡연 노출률은 지속적으로 감소하였고, 신체활동 실천율 또한 감소하였다. 월간음주율과 폭음률의 경우 남자는 큰 변화가 없었던 반면 여자는 모두 증가하였다.
Key Message
This study aimed to examine the trends in health behaviors in Korean population using data from the 1998-2018 Korea National Health and Nutrition Examination Survey (KNHANES). Over the past 20 years, the prevalence of cigarette smoking and exposure to secondhand smoke in Korean adults consistently decreased, as well as the prevalence of physical activity. There was no considerable change in men, whereas in women, the prevalence of alcohol drinking and binge drinking both increased.

Citations

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  • Variability in the association of smoking status with the prevalence of diabetes mellitus in the Korean population according to different definitions of smoking status: analysis based on the Korea National Health and Nutrition Examination Survey (2014-202
    Yechan Kyung, Young Sook Park, Mi Hyeon Jin, Hae Jeong Lee
    International Journal of Environmental Health Research.2024; 34(9): 3218.     CrossRef
  • Relationship between Handgrip Strength and Incident Diabetes in Korean Adults According to Gender: A Population-Based Prospective Cohort Study
    Sung-Bum Lee, Min-Kyeung Jo, Ji-Eun Moon, Hui-Jeong Lee, Jong-Koo Kim
    Journal of Clinical Medicine.2024; 13(2): 627.     CrossRef
  • Influencing factors of health screening among retirees: an extended TPB approach
    Jiayi Xu, Younghwan Pan, Qiongzhen Li
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • Chronic Disease Patterns and Their Relationship With Health-Related Quality of Life in South Korean Older Adults With the 2021 Korean National Health and Nutrition Examination Survey: Latent Class Analysis
    Mi-Sun Lee, Hooyeon Lee
    JMIR Public Health and Surveillance.2024; 10: e49433.     CrossRef
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    Di Shang, Cynthia Williams, Hera Culiqi
    JMIR Medical Informatics.2024; 12: e57717.     CrossRef
  • Contemporary Statistics of Acute Ischemic Stroke and Transient Ischemic Attack in 2021: Insights From the CRCS-K-NIH Registry
    Do Yeon Kim, Tai Hwan Park, Yong-Jin Cho, Jong-Moo Park, Kyungbok Lee, Minwoo Lee, Juneyoung Lee, Sang Yoon Bae, Da Young Hong, Hannah Jung, Eunvin Ko, Hyung Seok Guk, Beom Joon Kim, Jun Yup Kim, Jihoon Kang, Moon-Ku Han, Sang-Soon Park, Keun-Sik Hong, Ho
    Journal of Korean Medical Science.2024;[Epub]     CrossRef
  • Health-Related Quality of Life and Associated Comorbidities in Community-Dwelling Women with Breast Cancer
    Dong Kee Jang, Hyung Seok Nam, Jieun Kim, Yeo Hyung Kim
    Journal of Clinical Medicine.2024; 13(17): 5321.     CrossRef
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    Jeongmin Moon, Ejin Kim, Hyemin Jang, Insung Song, Dohoon Kwon, Cinoo Kang, Jieun Oh, Jinah Park, Ayoung Kim, Moonjung Choi, Yaerin Cha, Ho Kim, Whanhee Lee
    International Journal of Epidemiology.2024;[Epub]     CrossRef
  • Adherence to Cancer Prevention Guidelines and Cancer Incidence and Mortality: A Population-Based Cohort Study
    Jin-Kyoung Oh, Minji Han, Byungmi Kim, Eun Young Park
    Cancer Research and Treatment.2023; 55(1): 15.     CrossRef
  • Ocular motility disorders following coronavirus disease-19 vaccination
    Kyung-Ah Park, Hyeshin Jeon, Dong Gyu Choi, Jae Ho Jung, Hyun-Jin Shin, Byung Joo Lee, Yeji Moon, Se-Youp Lee, Dong Cheol Lee, Soon Young Cho, Seong-Joon Kim, Sei Yeul Oh, Sunghyuk Moon, Shin Yeop Oh, Daye Diana Choi, Mi Young Choi, Won Jae Kim, Ungsoo Sa
    Graefe's Archive for Clinical and Experimental Ophthalmology.2023; 261(4): 1127.     CrossRef
  • Alcoholic liver disease in relation to cancer incidence and mortality: Findings from a large, matched cohort study in South Korea
    Thi Phuong Thao Tran, Minji Han, Ngoc Minh Luu, Jin‐Kyoung Oh
    Cancer Medicine.2023; 12(7): 8754.     CrossRef
  • Associations of dual use of tobacco cigarettes and e‐cigarettes, sleep duration, physical activity and depressive symptoms among middle‐aged and older Korean adults
    Mi‐Ae You, JiYeon Choi, Youn‐Jung Son
    Nursing Open.2023; 10(6): 4071.     CrossRef
  • Prevalence, Trend, and Risk Factors for Early Chronic Obstructive Pulmonary Disease: An Analysis of the Nationwide Population-Based Survey from 2010 to 2019 in South Korea
    Taeyun Kim, Hyunji Choi, Ju-il Seo, Seung-Jin Kim, Ji-Eun Choi, Minsu Yun, Jihun Kang
    COPD: Journal of Chronic Obstructive Pulmonary Disease.2023; 20(1): 153.     CrossRef
  • Trends in the Quality of Primary Care and Acute Care in Korea From 2008 to 2020: A Cross-sectional Study
    Yeong Geun Gwon, Seung Jin Han, Kyoung Hoon Kim
    Journal of Preventive Medicine and Public Health.2023; 56(3): 248.     CrossRef
  • Association of handgrip strength with new-onset CKD in Korean adults according to gender
    Sung-Bum Lee, Miryung Kim, Hui-Jeong Lee, Jong-Koo Kim
    Frontiers in Medicine.2023;[Epub]     CrossRef
  • Elevated Uric Acid Levels with Early Chronic Kidney Disease as an Indicator of New-Onset Ischemic Heart Disease: A Cohort of Koreans without Diabetes
    Sung-Bum Lee, Hui-Jeong Lee, Ha Eun Ryu, Byoungjin Park, Dong-Hyuk Jung
    Biomedicines.2023; 11(8): 2212.     CrossRef
  • Clinical and life style factors related to the nighttime blood pressure, nighttime dipping and their phenotypes in Korean hypertensive patients
    Byung Sik Kim, Ju Han Kim, Wan Kim, Woo Shik Kim, Sungha Park, Sang Jae Lee, Jang Young Kim, Eun Mi Lee, Sang Hyun Ihm, Wook Bum Pyun, Jeong-Hun Shin, Jinho Shin
    Clinical Hypertension.2023;[Epub]     CrossRef
  • Combinations of lifestyle behaviors and cancer risk among Korean adults
    Ngoc Minh Luu, Thi Tra Bui, Thi Phuong Thao Tran, Thi Huyen Trang Nguyen, Jin-Kyoung Oh
    Scientific Reports.2023;[Epub]     CrossRef
  • Risk for Esophageal Cancer Based on Lifestyle Factors–Smoking, Alcohol Consumption, and Body Mass Index: Insight from a South Korean Population Study in a Low-Incidence Area
    Mi Jung Kwon, Ho Suk Kang, Hyo Geun Choi, Joo-Hee Kim, Ji Hee Kim, Woo Jin Bang, Sung Kwang Hong, Nan Young Kim, Sangkyoon Hong, Hong Kyu Lee
    Journal of Clinical Medicine.2023; 12(22): 7086.     CrossRef
  • Association of Muscle Strength with Non-Alcoholic Fatty Liver Disease in Korean Adults
    Sung-Bum Lee, Yu-Jin Kwon, Dong-Hyuk Jung, Jong-Koo Kim
    International Journal of Environmental Research and Public Health.2022; 19(3): 1675.     CrossRef
  • Association of Handgrip Strength with Diabetes Mellitus in Korean Adults According to Sex
    Sung-Bum Lee, Ji-Eun Moon, Jong-Koo Kim
    Diagnostics.2022; 12(8): 1874.     CrossRef
  • Smoking trajectory and cancer risk: A population-based cohort study
    Minh Luu, Minji Han, Tra Bui, Phuong Thao Tran, Min-Kyung Lim, Jin Oh
    Tobacco Induced Diseases.2022; 20(August): 1.     CrossRef
  • Awareness of and practice toward cancer prevention recommendations: results of the Korean National Cancer Prevention Awareness and Practice Survey in 2021
    Jin-Kyoung Oh, Eunjung Park, Byungmi Kim, Yoon-Jung Choi, E Hwa Yun, Min Kyung Lim, Jeong-Soo Im, Eun Young Park
    Epidemiology and Health.2022; 44: e2022068.     CrossRef
Handwashing with soap and national handwashing projects in Korea: focus on the National Handwashing Survey, 2006-2014
Moo-Sik Lee, Su Jin Hong, Young-Taek Kim
Epidemiol Health. 2015;37:e2015039.   Published online August 31, 2015
DOI: https://doi.org/10.4178/epih/e2015039
  • 21,551 View
  • 241 Download
  • 17 Web of Science
  • 20 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Handwashing is the most fundamental way to prevent the spread of infectious diseases. Correct handwashing can prevent 50 to 70% of water-infections and foodborne-infections. We report the results of a fact-finding study on general handwashing attitude and practice in the Republic of Korea by analyzing habits and awareness among adults and students (grades 4 to 12) based on the 2006 to 2014 National Handwashing Surveys and observational surveys.
METHODS
The awareness survey was performed by telephone interviews with adults and students in 16 municipalities and provinces sampled by quota for region, sex and age. The observational survey was performed in subway, railway, and other public restrooms in seven municipalities selected through systematic sampling.
RESULTS
Adults and students washed their hands with soap/sanitizer an average of 6.6 and 5.2 times daily, respectively, in 2014, an increase and decrease compared to 2006 (4.8) and 2013 (6.8). Their average daily handwashing frequency in 2014, 9.8 and 8.3, was higher than in 2006 (7.6), but lower than in 2013 (10.3).The percentage of participants handwashing with soap after using the restroom (29.5%) has been increasing since 2009, but remain slower than in other countries (42% to 49%). The percentages of participants handwashing with water in 2014, 2013, and 2011 were 57.5%, 72.6%, and 71.4%, respectively.
CONCLUSIONS
Handwashing with soap is an important national public health issue, and national projects promoting it should be given high priority. Research support is necessary to provide scientific evidence of the importance of handwashing with soap and to develop and implement evidence-based policies.
Summary
Korean summary
우리나라(한국)의 2006년부터 2014년 사이에 수행된 손씻기 실태조사 결과분석을 통하여 성인과 초•중•고등학생들의 평소 손씻기 실태 및 인식, 공공화장실 이용시 손씻기 행동의 수준 및 추세를 파악함으로써 추후 비누로 손씻기 사업의 근거와 정책 및 전략 개발의 기초자료를 제공하고자 하였다.

Citations

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  • Hand hygiene knowledge, attitude, and practice before, during and post COVID-19: a cross-sectional study among university students in the United Arab Emirates
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    Infection Prevention in Practice.2024; 6(2): 100361.     CrossRef
  • Determinants of Handwashing at Critical Times Among Mothers/Caregivers of Children Under-Five Years Old: Panel Data Evidence From Rural Afghanistan
    Conrad Murendo, Richard Mottershead, Edwin Kimani, Kumar Chandan
    Environmental Health Insights.2024;[Epub]     CrossRef
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    Health Economics.2023; 32(2): 324.     CrossRef
  • Hands Are Frequently Contaminated with Fecal Bacteria and Enteric Pathogens Globally: A Systematic Review and Meta-analysis
    Molly E. Cantrell, Émile Sylvestre, Hannah C. Wharton, Rahel Scheidegger, Lou Curchod, David M. Gute, Jeffrey Griffiths, Timothy R. Julian, Amy J. Pickering
    ACS Environmental Au.2023; 3(3): 123.     CrossRef
  • Factors Associated with Handwashing Behaviors During the COVID-19 Pandemic: An Analysis of the Community Health Survey in Korea
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    SAGE Open Nursing.2023;[Epub]     CrossRef
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    BMJ Open.2022; 12(2): e053329.     CrossRef
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