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As unhealthy behaviours can influence liver disease progression, we compared the effects of various behavioural factors on all\u2010cause mortality among people with chronic hepatitis B (CHB), with or without chronic hepatitis Delta (CHD). We used 5\u2010year follow\u2010up data from people with CHB participating in the French ANRS CO22 HEPATHER cohort. A Cox proportional hazards model helped determine whether the pattern of risk factors for all\u2010cause mortality differed according to CHD status. Of the 3884 people included, 183 had CHD and 154 died during follow\u2010up. After multivariable adjustment, daily soft drink consumption significantly increased mortality risk in people with CHD and almost reached significance in those without CHD (adjusted hazard ratio (aHR) [95% CI]: 6.09 [2.40\u201315.48],\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001, and 1.58 [0.97\u20132.56],\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.066 respectively). Moreover, past or current unhealthy alcohol use and tobacco smoking were both associated with a higher risk of mortality in all people with CHB (1.74 [1.09\u20132.79],\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.020, and 1.61 [1.13\u20132.31],\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.009 respectively). Daily soft drink consumption significantly increased all\u2010cause mortality in people with CHD. Unhealthy alcohol use and tobacco smoking were associated with a higher mortality risk in all people with CHB. Education about healthy eating and support for smoking cessation and alcohol reduction could greatly improve health and survival of people with CHB, with and without CHD.\n                  <\/jats:p>","DOI":"10.1111\/jvh.70033","type":"journal-article","created":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T04:09:41Z","timestamp":1748664581000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unhealthy Behaviours and All\u2010Cause Mortality Among People With Chronic Hepatitis B, With and Without Hepatitis Delta (\n                    <scp>ANRS CO22 HEPATHER<\/scp>\n                    )"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1928-0263","authenticated-orcid":false,"given":"Cl\u00e9mence","family":"Ramier","sequence":"first","affiliation":[{"name":"Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences \u00c9conomiques &amp; Sociales de la Sant\u00e9 &amp; Traitement de l'Information M\u00e9dicale, ISSPAM  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrice","family":"Carrat","sequence":"additional","affiliation":[{"name":"Institut Pierre Louis d'\u00c9pid\u00e9miologie et de Sant\u00e9 Publique Sorbonne Universit\u00e9, INSERM  Paris France"},{"name":"H\u00f4pital Saint\u2010Antoine, Unit\u00e9 de Sant\u00e9 Publique Assistance Publique\u2010H\u00f4pitaux de Paris (AP\u2010HP)  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent Di","family":"Beo","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences \u00c9conomiques &amp; Sociales de la Sant\u00e9 &amp; Traitement de l'Information M\u00e9dicale, ISSPAM  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucia","family":"Parlati","sequence":"additional","affiliation":[{"name":"D\u00e9partement d'H\u00e9patologie\/Addictologie Universit\u00e9 de Paris Cit\u00e9; INSERM U1016; AP\u2010HP, H\u00f4pital Cochin  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Lotto","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences \u00c9conomiques &amp; Sociales de la Sant\u00e9 &amp; Traitement de l'Information M\u00e9dicale, ISSPAM  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8853-3829","authenticated-orcid":false,"given":"Fabienne","family":"Marcellin","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences \u00c9conomiques &amp; Sociales de la Sant\u00e9 &amp; Traitement de l'Information M\u00e9dicale, ISSPAM  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0164-7917","authenticated-orcid":false,"given":"Camelia","family":"Protopopescu","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences \u00c9conomiques &amp; Sociales de la Sant\u00e9 &amp; Traitement de l'Information M\u00e9dicale, ISSPAM  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6794-4837","authenticated-orcid":false,"given":"Patrizia","family":"Carrieri","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences \u00c9conomiques &amp; Sociales de la Sant\u00e9 &amp; Traitement de l'Information M\u00e9dicale, ISSPAM  Marseille 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