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Understanding Risk Behaviors of Vietnamese Adults with Chronic Hepatitis B in an Urban Setting

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Viet-Tiep Friendship Hospital, Hai Phong 180000, Vietnam
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Hanoi Medical University, Hanoi 100000, Vietnam
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Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam
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Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
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Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
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Institute of Orthopaedic and Trauma Surgery, Vietnam—Germany Hospital, Hanoi 100000 Vietnam
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Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000 Vietnam
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Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
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Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore
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Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore
*
Author to whom correspondence should be addressed.
The authors contributed equally.
Int. J. Environ. Res. Public Health 2019, 16(4), 570; https://doi.org/10.3390/ijerph16040570
Received: 17 December 2018 / Revised: 16 January 2019 / Accepted: 12 February 2019 / Published: 16 February 2019
Cigarette smoking and alcohol consumption can be considered as risk factors that increase the progression of chronic liver disease. Meanwhile, unprotected sex is one of the main causes of hepatitis B infection. This study aimed to explore drinking, smoking, and risky sexual behaviors among people with chronic hepatitis B virus (HBV) in a Vietnamese urban setting, as well as investigating potential associated factors. A cross-sectional study was performed in October 2018 in Viet-Tiep Hospital, Hai Phong, Vietnam. A total of 298 patients who had been diagnosed with chronic hepatitis B reported their smoking status, alcohol use, and sexual risk behavior in the last 12 months. A multivariate logistic regression model was used to identify the associated factors. It was identified that 82.5% of participants never used alcohol. The Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) positive result among male patients was 7.4% (0% in female patients). In addition, 14.5% of participants were current smokers and the mean number of cigarettes per day was 7.4 (SD = 3.4). It was found that 35.4% of male patients had sex with two or more sex partners. Furthermore, 66.7% and 74.1% of participants used condoms when having sex with casual partners/one-night stands and sex workers, respectively. There was a positive correlation between monthly drinking and currently smoking. White-collar workers were less likely to have multiple sex partners within the last 12 months. Our study highlights the need for integrating counseling sessions and educational programs with treatment services. View Full-Text
Keywords: smoking; alcohol; sexual risk; chronic hepatitis B; Vietnam smoking; alcohol; sexual risk; chronic hepatitis B; Vietnam
MDPI and ACS Style

Le, T.V.; Vu, T.T.M.; Dang, A.K.; Vu, G.T.; Nguyen, L.H.; Nguyen, B.C.; Tran, T.H.; Tran, B.X.; Latkin, C.A.; Ho, C.S.; Ho, R.C. Understanding Risk Behaviors of Vietnamese Adults with Chronic Hepatitis B in an Urban Setting. Int. J. Environ. Res. Public Health 2019, 16, 570.

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