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KMID : 0928320140140010009
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Korean Journal of Health Promotion and Disease Prevention
2014 Volume.14 No. 1 p.9 ~ p.16
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Factors Associated with Self-Reported Depression, Diagnosis, and Treatment among Korean Adults
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Lee Hae-Jong
Cho Kyung-Sook
Yoon Jang-Ho
Park Hyun-Suk
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Abstract
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Background: We compared factors associated with self?reported depression and, in particular, diagnosis and treatment of depressive symptoms in Korean adults.
Methods: The sample included 13,306 adults aged 19 years or older from the 2010 and 2011 Korea National Health and Nutrition Examination Survey (KNHANES Ⅴ). Data were applied to the χ 2 test and multivariate logistic regression analysis.
Results: The following characteristics of individuals are significantly associated with self-reported depression: female (vs. male, OR [odds ratio]=3.35), ages 50-59 years (vs. 60+, OR=1.45), economic status (low vs. high, OR=1.35; middle-low vs. high OR=1.29), unemployed (vs. employed, OR=1.23), education (elementary vs. college, OR=1.18; middle school vs. college, OR=1.27; vs. high school vs. college, OR=1.18), current smoking (vs. no, OR=1.19), high-risk alcohol consumption (vs. no, OR=1.18), perceived health (good vs. very good/excellent, OR=1.156; poor/fair vs. very good/excellent, OR=2.65), chronic disease (vs. no, OR=1.26), activity limitation due to health problems (vs. no, OR=1.74), and being in a sickbed during the past month (vs. not in a sickbed, OR=1.69). Living in a metropolitan area (vs. rural, OR=1.40) is significantly associated with greater odds of being diagnosed with depression. The odds of being treated for depression are lower for female (vs. male, OR=0.53). Greater odds of being treated for depression was seen for those with chronic conditions (vs. no, OR=1.73) and activity limitation due to health problems (vs. no, OR=2.05), as well as, those in a sickbed (vs. not, OR=1.88).
Conclusions: Applying our findings, policy makers should address the lower rates of depression diagnosed in non-metropolitan areas to reduce regional variations, and also promote treatment in females.
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KEYWORD
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Depression, Diagnosis, Treatment
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