{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T03:33:36Z","timestamp":1760240016308,"version":"build-2065373602"},"reference-count":37,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2019,2,16]],"date-time":"2019-02-16T00:00:00Z","timestamp":1550275200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.3390\/ijerph16040570","type":"journal-article","created":{"date-parts":[[2019,2,17]],"date-time":"2019-02-17T22:11:50Z","timestamp":1550441510000},"page":"570","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Understanding Risk Behaviors of Vietnamese Adults with Chronic Hepatitis B in an Urban Setting"],"prefix":"10.3390","volume":"16","author":[{"given":"Thieu Van","family":"Le","sequence":"first","affiliation":[{"name":"Viet-Tiep Friendship Hospital, Hai Phong 180000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thuc Thi Minh","family":"Vu","sequence":"additional","affiliation":[{"name":"Hanoi Medical University, Hanoi 100000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anh Kim","family":"Dang","sequence":"additional","affiliation":[{"name":"Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giang Thu","family":"Vu","sequence":"additional","affiliation":[{"name":"Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Long Hoang","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Binh Cong","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Viet-Tiep Friendship Hospital, Hai Phong 180000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tung Hoang","family":"Tran","sequence":"additional","affiliation":[{"name":"Institute of Orthopaedic and Trauma Surgery, Vietnam\u2014Germany Hospital, Hanoi 100000 Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7827-8449","authenticated-orcid":false,"given":"Bach Xuan","family":"Tran","sequence":"additional","affiliation":[{"name":"Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000 Vietnam"},{"name":"Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7931-2116","authenticated-orcid":false,"given":"Carl A.","family":"Latkin","sequence":"additional","affiliation":[{"name":"Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7092-9566","authenticated-orcid":false,"given":"Cyrus S.H.","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9629-4493","authenticated-orcid":false,"given":"Roger C.M.","family":"Ho","sequence":"additional","affiliation":[{"name":"Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam"},{"name":"Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2019,2,16]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2017). 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