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KMID : 1138720210470020041
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Korean Public Health Research
2021 Volume.47 No. 2 p.41 ~ p.53
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Effects of Psychosocial Stress and Depression on Hypertension and Diabetes Prevalence in Rural Adults
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Pahn Ji-Hyon
Yang Young-Ran
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Abstract
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Purpose: The purpose of this study is to identify the effects of psychosocial stress and depression on hypertension and diabetes prevalence in rural adults.
Methods: This cross-sectional analysis was conducted for total of 4,540 participants who completed baseline health examinations for the Korean Genome and Epidemiology Study(KoGES) - Rural Study. Psychological stress is measured by the Short Form-Psychosocial Well-being Index (SF-PWI), and depression was measured by the Center for Epidemiology Studies Depression Scale(CESD). Data were analyzed using descriptive statistics and logistic regression analysis.
Results: Of total, the prevalence of hypertension and diabetes were 23.2% and 7.8% respectively. The prevalence of hypertension were higher 1.59 times in the highly depressive group than the normal group (95% CI = 1.01-2.49). The prevalence of diabetes were higher 2.01 times in high stress group (95% CI=1.22-3.31) and 2.68 times (95% CI=1.50-4.81) in the highly depressive group than normal group.
Conclusion: It is suggested to develop an integrated programs that can cope with mental problems such as stress and depression for the prevention and management of hypertension and diabetes for rural adults.
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KEYWORD
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Hypertension, Diabetes Mellitus, Psychological Stress, Depression
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