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KMID : 1039620210110050393
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Korean Journal of Family Practice
2021 Volume.11 No. 5 p.393 ~ p.399
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Association of Housing Poverty and Depression in Korean Elderly
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Jang Min-Seol
Park Jung-Ha
Kim Ju-Young
Lee Ki-Heon
Bae Woo-Kyung
Lee Kee-Hyuck
Han Jong-Soo
Jung Se-Young
Lee Hye-Jin
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Abstract
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Background: Housing poverty is a potential risk factor for depression in elderly people; however, this relationship depends on the socio-culturalbackground. This study aimed to determine if housing poverty is a risk factor for depression in Korean elderly people.
Methods: A total of 10,083 people aged 65 or older who participated in the National Survey of Older Koreans in 2017 were included. Housing povertywas defined as “living underground,” “semi-basement,” or “rooftop.” Depression was assessed using the Short Form of the Geriatric Depression Scale(SGDS). Comparisons of baseline variables were analyzed using the χ2test or student’s t-test, as appropriate. Logistic regression was used to analyzethe risk of depression, with or without adjustment.
Results: The odds ratio (OR) of depression was higher in the housing poverty group (OR, 1.55; 95% confidence interval [CI], 1.15?2.09), even afteradjusting for age and sex (adjusted odds ratio [aOR], 1.43; 95% CI, 1.05?1.95). However, after adjusting for income levels, ADL, and IADL disability,there was no significant association between housing poverty and depression (aOR, 1.11; 95% CI, 0.79?1.56). People with ADL or IADL disability alsoshowed nonsignificant results.
Conclusion: In Korea, even though elderly people with housing poverty are a high-risk group for depression, housing poverty is not an independentrisk factor. It is thought that low socioeconomic status and functional disabilities of people with housing poverty are associated with depression. Toreduce the risk of depression, comprehensive intervention is needed for elderly people with housing poverty.
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KEYWORD
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Housing, Depression, Aged, Poverty
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