Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Gender Difference in Risk Factors for Depression in Community-dwelling Elders

지역사회에 거주하는 여성과 남성노인의 우울 위험요인 비교

  • Received : 2011.04.19
  • Accepted : 2012.02.05
  • Published : 2012.02.29
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Abstract

Purpose: This study was conducted to compare the degree of depression between men and women and to identify factors influencing their depression. Methods: Participants in this cross-sectional descriptive study were 263 persons over 65 years old (men: 103, women: 160). Data were collected through face to face interviews using questionnaires and were done in two urban areas in 2010. Research instruments utilized in this study were SGDS, MMSE-K, SRH, FILE, sleep pattern scale, family and friend support scale, and social support scale. Multivariate regression analysis was performed to identify factors influencing depression in elders. Results: The proportions of participants with depression were significantly different between men and women (52.4% vs. 67.5%). Regression model for depression in elderly men significantly accounted for 54%; disease stress (32%), economic stress (10%), perceived health status (4%), and family support, educational level, age, and hypertension. Regression model for depression in elderly women significantly accounted for 47%; disease stress (25%), perceived social loneliness (8%), friend support (5%), family stress (4%), and sleep satisfaction, and family support. Conclusion: Results demonstrate that depression is an important health problem for elders, and show gender differences for factors influencing depression. These results could be used in the developing depression prevention programs.

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References

  1. Adams, K. B., Sanders, S., & Auth, E. A. (2004). Loneliness and depression in independent living retirement communities: Risk and resilience factors. Aging and Mental Health, 8, 475-485. http://dx.doi.org/10.1080/13607860410001725054
  2. Back, J. H., & Lee, Y. (2011). Gender differences in the association between socioeconomic status (SES) and depressive symptoms in older adults. Archives of Gerontology and Geriatrics, 52, e140-e144. http://dx.doi.org/10.1016/j.archger.2010.09.012
  3. Cole, M. G., & Dendukuri, N. (2003). Risk factors for depression among elderly community subjects: A systematic review and meta-analysis. American Journal of Psychiatry, 160, 1147-1156. https://doi.org/10.1176/appi.ajp.160.6.1147
  4. Han, I. Y., & Chung, S. D. (2002). Linkage effects of new social support system for the elderly women living alone. Journal of the Korean Gerontological Society, 21(3), 145-156.
  5. Huang, C. Q., Dong, B. R., Lu, Z. C., Yue, J. R., & Liu, Q. X. (2010). Chronic diseases and risk for depression in old age: A meta-analysis of published literature. Ageing Research Reviews, 9(2), 131-141. http://dx.doi.org/10.1016/j.arr.2009.05.005
  6. Huang, C. Q., Zhang, X. M., Dong, B. R., Lu, Z. C., Yue, J. R., & Liu, Q. X. (2010). Health status and risk for depression among the elderly: A meta-analysis of published literature. Age Ageing, 39, 23-30. http://dx.doi.org/10.1093/ageing/afp187
  7. Jung, Y. M. (2007). Health status and associated factors of depression according to depression in elderly women. Journal of the Korean Gerontological Society, 27(1), 71-86.
  8. Jung, Y. M., & Kim, J. H. (2004). Comparison of cognitive levels, nutritional status, depression in the elderly according to living situations. Journal of Korean Academy of Nursing, 34, 495-503. https://doi.org/10.4040/jkan.2004.34.3.495
  9. Kaneko, Y., Motohashi, Y., Sasaki, H., & Yamaji, M. (2007). Prevalence of depressive symptoms and related risk factors for depressive symptoms among elderly persons living in a rural Japanese community: A crosssectional study. Community Mental Health Journal, 43, 583-590. http://dx.doi.org/10.1007/s10597-007-9096-5
  10. Korea Centers for Disease Control & Prevention. (2009). Risk factors for depression in older Koreans: Community-based geriatric cohort study, 2006-2007. Public Health Weekly Report KCDC, 2, 737-741.
  11. Kim, C. G. (2007). The relationship of family support, health perception, nutritional status and depression in elders. Journal of Korean Gerontological Nursing, 9, 14-21.
  12. Kim, D. B., & Sohn, E. S. (2005). A meta-analysis of the variables related to depression in elderly. Journal of the Korean Gerontological Society, 25(4), 167-187.
  13. Kim, K. J., & Pyo, K. S. (2008). An exploration of the arousing factors and the relaxing factors on depression among the old people. Journal of Welfare for the Aged, 39, 111-143.
  14. Kwon, Y. C., & Park, J. H. (1989). Korean version of mini-mental state examination (MMSE-K), Part I: Development of the test for the elderly. Journal of the Korean Neuropsychiatric Association, 28, 125-135.
  15. Lee, H. S., Kim, H. S., & Jung, Y. M. (2009). Depression and quality of life in Korean elders. Journal of Korean Academy of Community Health Nursing, 20, 12-22.
  16. Lee, I. J. (2007). Sex differences in the effects of psychosocial factors on depression and life satisfaction of older persons. Journal of Welfare for the Aged, 36, 159-179.
  17. Lee, K. J., & Park, H. S. (2006). A study on the perceived health status, depression, and activities of daily living for the elderly in urban areas. Journal of Korean Academy of Women's Health Nursing, 12, 221-230.
  18. Lee, P. S., Lee, Y. M., Lim, J. Y., Hwang, R. I., & Park, E. Y. (2004). The relationship of stress, social support and depression in the elderly. Journal of Korean Academy of Nursing, 34, 477-484. https://doi.org/10.4040/jkan.2004.34.3.477
  19. Lee, S. S., & Lee, K. J. (2002). The stress, social support and psychological well-being of the elderly. Journal of the Korean Gerontological Society, 22(1), 1-20.
  20. Lee, S. Y. (2010). The effects of health behavior-related characteristics, selfesteem, activities of daily living, and family support on depression in the community-dwelling elderly. Journal of Korean Academy of Community Health Nursing, 21, 489-501. https://doi.org/10.12799/jkachn.2010.21.4.489
  21. Lee, Y. J., & Kim, T. H. (1999). A study on the buffering effect of social support on the stress of the elderly who lives alone. Journal of the Korean Gerontological Society, 19(3), 79-93.
  22. Lynch, S. A. (1998). Who supports whom? How age and gender affect the perceived quality of support from family and friends. Gerontologist, 38, 231-238. https://doi.org/10.1093/geront/38.2.231
  23. Moon, M. J. (2010). Factors influencing depression in elderly people living at home. Journal of Korean Academy of Nursing, 40, 542-550. http://dx.doi.org/10.4040/jkan.2010.40.4.542
  24. National Health Insurance Corporation. (2009, June 24). Depressed patients in elderly increasing continuously. Retrieved January 26, 2011, http://www.nhic.or.kr/portal/site/main/menuitem.31f14893bf4f6c38b31148b4062310a0/
  25. National Health Insurance Corporation. (2010, November 8). Medical cost of elderly in the first half of 2010. Retrieved January 26, 2011, from http://www.nhic.or.kr/portal/site/main/menuitem.31f14893bf4f6c38b31148b4062310a0/
  26. Oh, J. J., Song, M. S., & Kim, S. M. (1998). Development and validation of Korean sleep scale A. Journal of Korean Academy of Nursing, 28, 563-572. https://doi.org/10.4040/jkan.1998.28.3.563
  27. Oh, K. O., Sung, E. O., & Gang, M. H. (2006). Influencing factors on depression in elderly residing in the community. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 15, 459-466.
  28. Park, Y. H., & Kang, H. S. (2008). Factors associated with social isolation in older adults using senior welfare centers. Journal of Korean Academy of Nursing, 38, 712-719. http://dx.doi.org/10.4040/jkan.2008.38.5.712
  29. Song, M. S. (1991). Construction of a functional status prediction model for the elderly. Unpublished doctoral dissertation, Seoul National University, Seoul.
  30. The Korean Geriatrics Society. (2005). Textbook of geriatric medicine (2nd ed.). Seoul: Medical Publishing.

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