한국융합학회논문지 (Journal of the Korea Convergence Society)

  • 제13권4호
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  • Pages.79-88
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  • 2022
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  • 2233-4890(pISSN)
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  • 2713-6353(eISSN)
한국융합학회 (Korea Convergence Society)
권호 표지
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DOI QR Code

COVID-19 유행 기간 동안 한국인의 우울한 기분과 부정적인 건강 행동 사이의 연관성

Associations between depressed mood with negative health behaviors of Koreans during the COVID-19 pandemic

  • 정수연 (연세대학교 보건대학원 국민건강증진연구소) ;
  • 이지영 (연세대학교 보건대학원 국민건강증진연구소) ;
  • 김희진 (연세대학교 보건대학원 국민건강증진연구소)
  • Jung, Suyeon (Department of Epidemiology and Health Promotion, Institution for Health Promotion, Graduate School of Public Health, Yonsei University) ;
  • Lee, Ji-Young (Department of Epidemiology and Health Promotion, Institution for Health Promotion, Graduate School of Public Health, Yonsei University) ;
  • Kim, Heejin (Department of Epidemiology and Health Promotion, Institution for Health Promotion, Graduate School of Public Health, Yonsei University)
  • 투고 : 2021.12.28
  • 심사 : 2022.04.20
  • 발행 : 2022.04.28
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초록

본 연구의 목적은 한국에서 COVID-19 유행 기간 동안 건강 행동 변화와 우울한 기분의 연관성을 평가하는 것이다. 한국 성인의 비례표본을 이용하여 인터넷 기반 단면 설문조사를 실시하였고, 로지스틱 회귀모형을 이용하여 연관성을 평가하였다. 그 결과, COVID-19 유행 기간 동안 앉거나 눕는 시간, 걷는 시간, 흡연 및 음주의 부정적인 변화는 우울한 기분으로의 변화와 관련이 있었다 [교차비(OR): 2.23(95% CI=1.77-2.81), 2.04(95% CI=1.63-2.56), 2.84(95% CI=1.51-5.36) 및 1.82(95% CI=1.26-2.63)]. COVID-19 유행기간 동안 긍정적인 건강 변화(활동 증가, 흡연 및 알코올 감소)를 증진시키기 위한 전략은 정신적 스트레스 경감에 도움이 될 수 있다.

The objective of this study was to assess the association of changes in behaviors and depressed mood during the COVID-19 pandemic in Korea. A cross-sectional internet-based survey was conducted, using proportional samples of Korean adults and a logistic regression model was used to assess the association. As a result, negative changes of daily sitting or lying down time, daily walking time, smoking, and alcohol consumption were associated with being more depressed during the COVID-19 pandemic [odds ratios (ORs): 2.23 (95% CI=1.77-2.81), 2.04 (95% CI=1.63-2.56), 2.84 (95% CI=1.51-5.36), and 1.82 (95% CI=1.26-2.63), respectively]. This indicates that strategies to promote positive health behaviors change (increased activities and decreased consumption of smoking and alcohol) could help address psychological distress during the COVID-19 pandemic.

키워드

참고문헌

  1. GBD 2019 Disease and Injuries Collaborators Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019. (2020). a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020(396), 1204-1222. DOI : 10.1016/S0140-6736(20)30925-9
  2. GBD 2019 Mental Disorders Collaborators. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990-2019. (2022). a systematic analysis from the Global Burden of Disease Study 2019. Lancet Psychiatry, 9(2), 137-150. DOI : 10.1016/S2215-0366(21)00395-3
  3. Institute for Health Metrics and Evaluation, University of Washington. (2020). COVID-19 projections. https://covid19.healthdata.org/
  4. C. Chaves, T. Castellanos, M. Abrams & C. Vazquez. (2018). The impact of economic recessions on depression and individual and social well-being: the case of Spain (2006-2013). Soc Psychiatry Psychiatr Epidemiol. 53(9), 977-986. DOI : 10.1007/s00127-018-1558-2
  5. Tapia Granados JA et al. (2018). Cardiovascular Risk Factors, Depression, and Alcohol Consumption During Joblessness and During Recessions Among Young Adults in CARDIA. Am J Epidemiol, 187(11), 2339-2345. DOI : 10.1093/aje/kwy127
  6. Beaglehole B, Mulder RT, Frampton CM, Boden JM, Newton-Howes G & Bell CJ. (2018). Psychological distress and psychiatric disorder after natural disasters: systematic review and meta-analysis. Br J Psychiatry, 213(6), 716-722. DOI : 10.1192/bjp.2018.210
  7. COVID-19 Mental Disorders Collaborators (2021). Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet (London, England), 398(10312), 1700-1712. DOI : 10.1016/S0140-6736(21)02143-7
  8. H. Y. Lee, D. Choi & J. J. Lee. (2022). Depression, anxiety, and stress in South Korea general population during the COVID-19 pandemic. Epidemiology and health, e2022018. Advance online publication. DOI : 10.4178/epih.e2022018
  9. C. Shin et al. (2017). Prevalence and Associated Factors of Depression in General Population of Korea: Results from the Korea National Health and Nutrition Examination Survey, 2014. Journal of Korean medical science, 32(11), 1861-1869. DOI : 10.3346/jkms.2017.32.11.1861
  10. J. W. Hong, J. H. Noh & D. J. Kim. (2021). The prevalence of and factors associated with depressive symptoms in the Korean adults: the 2014 and 2016 Korea National Health and Nutrition Examination Survey. Social psychiatry and psychiatric epidemiology, 56(4), 659-670. DOI : 10.1007/s00127-020-01945-2
  11. H. S. Lee, D. Dean, T. Baxter, T. Griffith & S. Park. (2021). Deterioration of mental health despite successful control of the COVID-19 pandemic in South Korea. Psychiatry research, 295, 113570. DOI : 10.1016/j.psychres.2020.113570
  12. R. Schaakxs, H. C. Comijs, R. C. van der Mast, R. A. Schoevers, A. Beekman & B. Penninx. (2017). Risk Factors for Depression: Differential Across Age?. The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 25(9), 966-977. DOI : 10.1016/j.jagp.2017.04.004
  13. He Q. et al. (2014). Smoking and major depressive disorder in Chinese women. PloS one, 9(9), e106287. DOI : 10.1371/journal.pone.0106287
  14. L. Manninen, K. Poikolainen, E. Vartiainen & Laatikainen, T. (2006). Heavy drinking occasions and depression. Alcohol and alcoholism (Oxford, Oxfordshire), 41(3), 293-299. DOI : 10.1093/alcalc/agh246
  15. D. S. Salkever et al. (2014). Increasing earnings of social security disability income beneficiaries with serious mental disorder. The journal of mental health policy and economics, 17(2), 75-90.
  16. M. Pompili et al. (2014). Unemployment as a risk factor for completed suicide: A psychological autopsy study. Archives of suicide research : official journal of the International Academy for Suicide Research, 18(2), 181-192. DOI : 10.1080/13811118.2013.803449
  17. X. Wang, L. Cai, J. Qian & J. Peng. (2014). Social support moderates stress effects on depression. International journal of mental health systems, 8(1), 41. DOI : 10.1186/1752-4458-8-41
  18. B. G. Shapero et al. (2014). Stressful life events and depression symptoms: the effect of childhood emotional abuse on stress reactivity. Journal of clinical psychology, 70(3), 209-223. DOI : 10.1002/jclp.22011
  19. X. Meng & C. D'Arcy. (2013). The projected effect of increasing physical activity on reducing the prevalence of common mental disorders among Canadian men and women: a national population-based community study. Preventive medicine, 56(1), 59-63. DOI : 10.1016/j.ypmed.2012.11.014
  20. D. Nutt, S. Wilson & L. Paterson. (2008). Sleep disorders as core symptoms of depression. Dialogues in clinical neuroscience, 10(3), 329-336. DOI : 10.31887/DCNS.2008.10.3/dnutt
  21. M. Khosravi et al. (2015). Healthy and Unhealthy Dietary Patterns Are Related to Depression: A Case-Control Study. Psychiatry investigation, 12(4), 434-442. DOI : 10.4306/pi.2015.12.4.434
  22. M. A. Han & H. R. Kim. (2021). Smoking Behavior Changes during COVID-19 among Korean Adults. American journal of health behavior, 45(6), 1031-1040. DOI : 10.5993/AJHB.45.6.7
  23. K. H. Park, A. R. Kim, M. A. Yang, S. J. Lim & J. H. Park. (2021). Impact of the COVID-19 pandemic on the lifestyle, mental health, and quality of life of adults in South Korea. PloS one, 16(2), e0247970. DOI : 10.1371/journal.pone.0247970
  24. E. Kang, H. Lee, J. H. Sohn, J. Yun, J. Y. Lee & Y. C. Hong. (2021). Impact of the COVID-19 Pandemic on the Health Status and Behaviors of Adults in Korea: National Cross-sectional Web-Based Self-report Survey. JMIR public health and surveillance, 7(11), e31635. DOI : 10.2196/31635
  25. Y. Lee, S. Baek & J. Shin. (2021). Changes in Physical Activity Compared to the Situation before the Outbreak of COVID-19 in Korea. International journal of environmental research and public health, 19(1), 126. DOI : 10.3390/ijerph19010126
  26. E. H. Choi, W. J. Kim & E. M. Baek. (2022). Latent Class Analysis of Health Behavior Changes Due to COVID-19 among Middle-Aged Korean Workers. International journal of environmental research and public health, 19(3), 1832. DOI : 10.3390/ijerph19031832
  27. A. L. Rebar, R. Stanton, D. Geard, C. Short, M. J. Duncan & C. Vandelanotte. (2015). A meta-meta-analysis of the effect of physical activity on depression and anxiety in non-clinical adult populations. Health psychology review, 9(3), 366-378. DOI : 10.1080/17437199.2015.1022901
  28. B. Stubbs et al. (2018). Association between depression and smoking: A global perspective from 48 low- and middle-income countries. Journal of psychiatric research, 103, 142-149. DOI : 10.1016/j.jpsychires.2018.05.018
  29. A. Mykletun, S. Overland, L. E. Aaro, H. M. Liabo & R. Stewart. (2008). Smoking in relation to anxiety and depression: evidence from a large population survey: the HUNT study. European psychiatry : the journal of the Association of European Psychiatrists, 23(2), 77-84. DOI : 10.1016/j.eurpsy.2007.10.005
  30. J. E. Jeong, S. H. Joo, C. Hahn, D. J. Kim & T. S. Kim. (2019). Gender-Specific Association between Alcohol Consumption and Stress Perception, Depressed Mood, and Suicidal Ideation: The 2010-2015 KNHANES. Psychiatry investigation, 16(5), 386-396. DOI : 10.30773/pi.2019.02.28
  31. R. Stanton et al. (2020). Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults. International journal of environmental research and public health, 17(11), 4065. DOI : 10.3390/ijerph17114065
  32. L. M. Rodriguez, D. M. Litt & S. H. Stewart. (2020). Drinking to cope with the pandemic: The unique associations of COVID-19-related perceived threat and psychological distress to drinking behaviors in American men and women. Addictive behaviors, 110, 106532. DOI : 10.1016/j.addbeh.2020.106532
  33. G. Knell, M. C. Robertson, E. E. Dooley, K. Burford & K. S. Mendez. (2020). Health Behavior Changes During COVID-19 Pandemic and Subsequent "Stay-at-Home" Orders. International journal of environmental research and public health, 17(17), 6268. DOI : 10.3390/ijerph17176268
  34. T. V. Tran et al. (2020). Impacts and interactions of COVID-19 response involvement, health-related behaviours, health literacy on anxiety, depression and health-related quality of life among healthcare workers: a cross-sectional study. BMJ open, 10(12), e041394. DOI : 10.1136/bmjopen-2020-041394
  35. A. Capasso et al. (2021). Increased alcohol use during the COVID-19 pandemic: The effect of mental health and age in a cross-sectional sample of social media users in the U.S. Preventive medicine, 145, 106422. DOI : 10.1016/j.ypmed.2021.106422
  36. G. H. Kim, H. W.Yun, W. Cho, H. Kimm, K. J. Jung & S. H. Jee. (2021). Relationship Between Changes in Sedentary Time, Physical Activity, and Body Mass Index During the COVID-19 Pandemic in Korea. Asia-Pacific journal of public health, 33(8), 958-960. DOI : 10.1177/10105395211032817
  37. E. Robinson et al. (2021). Obesity, eating behavior and physical activity during COVID-19 lockdown: A study of UK adults. Appetite, 156, 104853. DOI : 10.1016/j.appet.2020.104853
  38. C. I. Vardavas & K. Nikitara. (2020). COVID-19 and smoking: A systematic review of the evidence. Tobacco induced diseases, 18, 20. DOI : 10.18332/tid/119324
  39. G. Lippi & B. M. Henry. (2020). Active smoking is not associated with severity of coronavirus disease 2019 (COVID-19). European journal of internal medicine, 75, 107-108. DOI : 10.1016/j.ejim.2020.03.014
  40. L. Jacob et al. (2021). Alcohol use and mental health during COVID-19 lockdown: A cross-sectional study in a sample of UK adults. Drug and alcohol dependence, 219, 108488. DOI : 10.1016/j.drugalcdep.2020.108488
  41. K. Thompson, D. J. Dutton, K. MacNabb, T. Liu, S. Blades & M. Asbridge. (2021). Changes in alcohol consumption during the COVID-19 pandemic: exploring gender differences and the role of emotional distress. Modifications de la consommation d'alcool pendant la pandemie de COVID-19 : exploration des differences selon le genre et du role de la detresse emotionnelle. Health promotion and chronic disease prevention in Canada : research, policy and practice, 41(9), 254-263. DOI : 10.24095/hpcdp.41.9.02
  42. C. L. Niedzwiedz et al. (2021). Mental health and health behaviours before and during the initial phase of the COVID-19 lockdown: longitudinal analyses of the UK Household Longitudinal Study. Journal of epidemiology and community health, 75(3), 224-231. DOI : 10.1136/jech-2020-215060
  43. B. Cheval et al. (2021). Relationships between changes in self-reported physical activity, sedentary behaviour and health during the coronavirus (COVID-19) pandemic in France and Switzerland. Journal of sports sciences, 39(6), 699-704. DOI : 10.1080/02640414.2020.1841396
  44. F. B. Schuch et al. (2020). Associations of moderate to vigorous physical activity and sedentary behavior with depressive and anxiety symptoms in self-isolating people during the COVID-19 pandemic: A cross-sectional survey in Brazil. Psychiatry research, 292, 113339. DOI : 10.1016/j.psychres.2020.113339
  45. C. I. Karageorghis et al. (2021). Physical activity and mental well-being under COVID-19 lockdown: a cross-sectional multination study. BMC public health, 21(1), 988. DOI : 10.1186/s12889-021-10931-5
  46. P. Chen, L. Mao, G. P. Nassis, P. Harmer, B. E. Ainsworth & F. Li. (2020). Coronavirus disease (COVID-19): The need to maintain regular physical activity while taking precautions. Journal of sport and health science, 9(2), 103-104. DOI : 10.1016/j.jshs.2020.02.001
  47. J. Meyer et al. (2020). Changes in Physical Activity and Sedentary Behavior in Response to COVID-19 and Their Associations with Mental Health in 3052 US Adults. International journal of environmental research and public health, 17(18), 6469. DOI : 10.3390/ijerph17186469