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KMID : 0858820110280010081
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Journal of Korean Society for Health Education and Promotion
2011 Volume.28 No. 1 p.81 ~ p.92
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Factors Related to Depression Symptom and the Influence of Depression Symptom on Self-rated Health Status, Outpatient Health Service Utilization and Quality of Life
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Kim Rock-Bum
Park Ki-Soo
Lee Jin-Hyang
Kim Bong-Jo
Chun Jin-Ho
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Abstract
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Objectives: The purpose of this study is to evaluate the influence of depression symptom on the self-rated health status(SRHS), the outpatient health service utilization and quality of life(QOL) also the relationship depression symptom with socio-demographic and health related factors.
Methods: We selected 9,550 participants without chronic diseases from a total of 18,104 in the "2009 community health survey in Gyeongnam. They were assessed by using a Korean version of the Center for Epidemiological Studies-Depression Scale(CES-D). Those with CES-D scores of 21 or greater were defined as having probable depression.
Results: A probable depression were associated in bivariate analysis with gender, age, educational status, monthly household income, marital status, current smoking status, drinking habit, physical activities and body mass index. After adjustment for covariates, probable depression groups predicted a lower status in SRHS. Likewise probable depression groups predicted a higher utilization in outpatient health service. Also probable depression groups predicted a lower score in QOL.
Conclusions: Probable depression influence SRHS, outpatient health service utilization and QOL even after adjusting for the socio-demographic, health related factors and chronic medical illness. Programs for prevention and management of depression will be helpful to promote health and QOL.
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KEYWORD
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Depression, CES-D, Self-rated health status, Outpatient health service, Quality of life
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