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KMID : 0880520210570010068
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Chonnam Medical Journal
2021 Volume.57 No. 1 p.68 ~ p.75
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Association between Alcohol Drinking Status and Depressive Symptoms in Korean Adults
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Yang Jung-Hwa
Choi Chang-Kyun
Kim Hye-Yeon
Heo Young-Ran
Shin Min-Ho
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Abstract
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We investigated the association between alcohol drinking status and depressive symptoms in a representative sample of South Korean adults using data from the 2017 Korea Community Health Survey (KCHS), which included 216,771 participants (99,845 men and 116,926 women). Depression was defined as a Patient Health Questionnaire-9 score of ≥10. Multivariate logistic regression using sampling weights was used to assess the relationship between alcohol drinking status and depression after adjusting for potential confounders. Alcohol intake was nonlinearly associated with depression; the risk of depression was the lowest in men who were moderate drinkers and women who were light drinkers. In men, heavy drinkers (odds ratio [OR] 1.41, 95% confidence interval [CI] 1.19?1.67), light drinkers (OR 1.13, 95% CI 0.94?1.36), infrequent drinkers (OR 1.31, 95% CI 1.00?1.73), and lifetime abstainers (OR 1.38, 95% CI 1.09?1.75) were at a higher risk of depression than moderate drinkers. In women, moderate drinkers (OR 1.19, 95% CI 1.02?1.40) and heavy drinkers (OR 1.56, 95% CI 1.33?1.84) were at a higher risk of depression than light drinkers; however, infrequent drinkers and lifetime abstainers were not at a high risk of depression. In both men and women, former drinkers were at a higher risk of depression (OR 1.61, 95% CI 1.34?1.93 and OR 1.25, 95% CI 1.09?1.43, respectively). In conclusion, the association between alcohol drinking status and depression was nonlinear in both sexes. Further investigation of age- and sex-specific factors related to the association between alcohol use and depression is needed.
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KEYWORD
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Alcohol Drinking, Depression, Health Surveys, Patient Health Questionnaire 9
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