A survey on the awareness, current management, and barriers for non-alcoholic fatty liver disease among the general Korean population

Abstract Non-alcoholic fatty liver disease (NAFLD) is often diagnosed incidentally during medical evaluation for diseases other than liver disease or during health checkups. This study aimed to investigate the awareness, current status, and barriers to the management of NAFLD in the general populati...

Full description

Bibliographic Details
Main Authors: Jun-Hyuk Lee, Jang Han Jung, Huiyul Park, Joo Hyun Oh, Sang Bong Ahn, Eileen Laurel Yoon, Dae Won Jun
Format: Article
Language:English
Published: Nature Portfolio 2023-09-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-42176-0
_version_ 1797559915797020672
author Jun-Hyuk Lee
Jang Han Jung
Huiyul Park
Joo Hyun Oh
Sang Bong Ahn
Eileen Laurel Yoon
Dae Won Jun
author_facet Jun-Hyuk Lee
Jang Han Jung
Huiyul Park
Joo Hyun Oh
Sang Bong Ahn
Eileen Laurel Yoon
Dae Won Jun
author_sort Jun-Hyuk Lee
collection DOAJ
description Abstract Non-alcoholic fatty liver disease (NAFLD) is often diagnosed incidentally during medical evaluation for diseases other than liver disease or during health checkups. This study aimed to investigate the awareness, current status, and barriers to the management of NAFLD in the general population. This cross-sectional study used an online survey, which consisted of 3-domain and 18-item questionnaires. The content validity index for each item of the questionnaire was rated above 0.80. Most respondents (72.8%) reported having heard of the term ‘NAFLD’, and a large proportion of the general population (85.7%) recognized the possibility of developing fatty liver without consuming alcohol. Awareness of the terminology of NAFLD and that NAFLD is a disease that needs to be managed is relatively high. However, the knowledge that NAFLD can progress to end-stage liver disease and new cardiovascular diseases is lacking. Only 25.7% of the general population is aware that NAFLD increases the incidence of heart and cerebrovascular diseases. Only 44.7% of those who were incidentally diagnosed during a health check-up were provided with any specific guidance on NAFLD, and more than half (55.3%) were not provided with education or guidance on NAFLD or did not remember it. Only 40.2% of people diagnosed with NAFLD incidentally visited a clinic. The reason for not visiting a clinic for the evaluation of NAFLD varied greatly depending on sex and age group. Only 40.2% of patients visited the clinic after being diagnosed with NAFLD. The reasons for not visiting the clinic after NAFLD diagnosis differed significantly according to sex and age.
first_indexed 2024-03-10T17:51:57Z
format Article
id doaj.art-91502cddb64c4061961e214368375d1d
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-03-10T17:51:57Z
publishDate 2023-09-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-91502cddb64c4061961e214368375d1d2023-11-20T09:20:08ZengNature PortfolioScientific Reports2045-23222023-09-011311810.1038/s41598-023-42176-0A survey on the awareness, current management, and barriers for non-alcoholic fatty liver disease among the general Korean populationJun-Hyuk Lee0Jang Han Jung1Huiyul Park2Joo Hyun Oh3Sang Bong Ahn4Eileen Laurel Yoon5Dae Won Jun6Department of Family Medicine, Nowon Eulji Medical Center, Eulji University, College of MedicineDepartment of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hallym University, College of MedicineDepartment of Family Medicine, Myongji Hospital, Hanyang University College of MedicineDepartment of Internal Medicine, Nowon Eulji Medical Center, Eulji University, College of MedicineDepartment of Internal Medicine, Nowon Eulji Medical Center, Eulji University, College of MedicineDepartment of Internal Medicine, Hanyang University, College of MedicineDepartment of Internal Medicine, Hanyang University, College of MedicineAbstract Non-alcoholic fatty liver disease (NAFLD) is often diagnosed incidentally during medical evaluation for diseases other than liver disease or during health checkups. This study aimed to investigate the awareness, current status, and barriers to the management of NAFLD in the general population. This cross-sectional study used an online survey, which consisted of 3-domain and 18-item questionnaires. The content validity index for each item of the questionnaire was rated above 0.80. Most respondents (72.8%) reported having heard of the term ‘NAFLD’, and a large proportion of the general population (85.7%) recognized the possibility of developing fatty liver without consuming alcohol. Awareness of the terminology of NAFLD and that NAFLD is a disease that needs to be managed is relatively high. However, the knowledge that NAFLD can progress to end-stage liver disease and new cardiovascular diseases is lacking. Only 25.7% of the general population is aware that NAFLD increases the incidence of heart and cerebrovascular diseases. Only 44.7% of those who were incidentally diagnosed during a health check-up were provided with any specific guidance on NAFLD, and more than half (55.3%) were not provided with education or guidance on NAFLD or did not remember it. Only 40.2% of people diagnosed with NAFLD incidentally visited a clinic. The reason for not visiting a clinic for the evaluation of NAFLD varied greatly depending on sex and age group. Only 40.2% of patients visited the clinic after being diagnosed with NAFLD. The reasons for not visiting the clinic after NAFLD diagnosis differed significantly according to sex and age.https://doi.org/10.1038/s41598-023-42176-0
spellingShingle Jun-Hyuk Lee
Jang Han Jung
Huiyul Park
Joo Hyun Oh
Sang Bong Ahn
Eileen Laurel Yoon
Dae Won Jun
A survey on the awareness, current management, and barriers for non-alcoholic fatty liver disease among the general Korean population
Scientific Reports
title A survey on the awareness, current management, and barriers for non-alcoholic fatty liver disease among the general Korean population
title_full A survey on the awareness, current management, and barriers for non-alcoholic fatty liver disease among the general Korean population
title_fullStr A survey on the awareness, current management, and barriers for non-alcoholic fatty liver disease among the general Korean population
title_full_unstemmed A survey on the awareness, current management, and barriers for non-alcoholic fatty liver disease among the general Korean population
title_short A survey on the awareness, current management, and barriers for non-alcoholic fatty liver disease among the general Korean population
title_sort survey on the awareness current management and barriers for non alcoholic fatty liver disease among the general korean population
url https://doi.org/10.1038/s41598-023-42176-0
work_keys_str_mv AT junhyuklee asurveyontheawarenesscurrentmanagementandbarriersfornonalcoholicfattyliverdiseaseamongthegeneralkoreanpopulation
AT janghanjung asurveyontheawarenesscurrentmanagementandbarriersfornonalcoholicfattyliverdiseaseamongthegeneralkoreanpopulation
AT huiyulpark asurveyontheawarenesscurrentmanagementandbarriersfornonalcoholicfattyliverdiseaseamongthegeneralkoreanpopulation
AT joohyunoh asurveyontheawarenesscurrentmanagementandbarriersfornonalcoholicfattyliverdiseaseamongthegeneralkoreanpopulation
AT sangbongahn asurveyontheawarenesscurrentmanagementandbarriersfornonalcoholicfattyliverdiseaseamongthegeneralkoreanpopulation
AT eileenlaurelyoon asurveyontheawarenesscurrentmanagementandbarriersfornonalcoholicfattyliverdiseaseamongthegeneralkoreanpopulation
AT daewonjun asurveyontheawarenesscurrentmanagementandbarriersfornonalcoholicfattyliverdiseaseamongthegeneralkoreanpopulation
AT junhyuklee surveyontheawarenesscurrentmanagementandbarriersfornonalcoholicfattyliverdiseaseamongthegeneralkoreanpopulation
AT janghanjung surveyontheawarenesscurrentmanagementandbarriersfornonalcoholicfattyliverdiseaseamongthegeneralkoreanpopulation
AT huiyulpark surveyontheawarenesscurrentmanagementandbarriersfornonalcoholicfattyliverdiseaseamongthegeneralkoreanpopulation
AT joohyunoh surveyontheawarenesscurrentmanagementandbarriersfornonalcoholicfattyliverdiseaseamongthegeneralkoreanpopulation
AT sangbongahn surveyontheawarenesscurrentmanagementandbarriersfornonalcoholicfattyliverdiseaseamongthegeneralkoreanpopulation
AT eileenlaurelyoon surveyontheawarenesscurrentmanagementandbarriersfornonalcoholicfattyliverdiseaseamongthegeneralkoreanpopulation
AT daewonjun surveyontheawarenesscurrentmanagementandbarriersfornonalcoholicfattyliverdiseaseamongthegeneralkoreanpopulation