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Factors Associated with Depression by Household Type among the Elderly in the Community

  • Eunsook Lee (Dept. of Nursing, College of Nursing, Gyeongsang National Univ.) ;
  • Heesun Kang (Dept. of Nursing, Sunchon National Univ.)
  • Received : 2023.08.15
  • Accepted : 2023.09.05
  • Published : 2023.09.30

Abstract

This study aimed to identify factors associated with depression by household type among the elderly in the community during the COVID-19 pandemic. The subjects were 72,812 elderly aged 65 and over who participated in the 2020 Community Health Survey. Multivariate logistic regression with complex samples was performed to analyze the data. The incidence of depression was higher in single-person households than in multi-person households. In single-person and multi-person households, depression was higher in women, those over 75 years old, those with middle school graduates or lower, those with a household monthly income of 1 million won or less, and those receiving basic living recipients. Factors related to depression among the elderly in single-person households were physical activity, sleep time, and drinking, among the changes in lifestyle due to COVID-19. Factors related to depression among the elderly in multi-person households were physical activity, sleep time, consumption of instant food, and alcohol drinking, among the changes in lifestyle due to COVID-19, and psychological concerns due to COVID-19. Promoting mental health and developing customized programs by household type is necessary to prevent depression in the elderly in the community.

Keywords

Acknowledgement

This work was supported by the Sunchon National University Research Foundation in 2022(Grant number:2022-0311)

References

  1. OECD, Tackling the Mental Health Impact of the COVID-19 Crisis ; An Integrated, whole of society response. 12 May 2021. https://www.oecd.org/coronavirus/policy
  2. Korea Institute for Health and Social Affairs, 2020 Elderly Survey. Ministry of Health and Welfare.
  3. E. W. Lee. "COVID-19 generation, mental healthg,"Gyeonggi Research Institute, No. 414, pp.1-25, 2020.
  4. M. N. Mumba, A. F. Nacarrow, Cody, B. A. Key, H. Wang, M. Robb, A. Jurczyk, F. Ford, M. A. Kelley, and R. S. Allen, "Intensity and type of physical activity predicts depression in older adults." Aging & Mental Health, Vol.25, No.4, pp. 664-671, 2021. doi: 10.1080/13607863.2020.1711861
  5. Meo, S. A., Alhowikan, A. M., Al-Khlaiwi, T., Meo, I. M., Halepoto, D. M., Iqbal, M., and Ahmed, N. "Novel coronavirus 2019-nCoV : prevalence, biological and clinical characteristics comparison with SARS-CoV and MERS-CoV." European Review for Medical and Pharmacological Sciences, Vol. 24, No. 4, pp. 2012-2019. 2020. doi:10.26355/eurrev_202002_20379
  6. H. K. Kwon, and M. H. Seong, "Effects of COVID-19 Fear, Anxiety, and Depression on Health-related Quality of Life in the Elderly," The Journal of Humanities and Social science, Vol.12, No.4, pp.1303-1318, 2021. DOI: http://dx.doi.org/10.22143/HSS21.12.4.93
  7. J. K. Ha, and S. L. Lee, "The effect of health-related habitual consumption and lifetime on subjective health of one person households: focusing on comparison between non-one person households and generations," Family and Environment Research, Vol. 55, No.2, pp.141-152, 2017. https://doi.org/10.6115/fer.2017.011
  8. Y. J. Kang, "A study on factors affecting depression of single-person households: comparison among young, middle-aged, and older adults," Journal of Life-span Studies, Vol. 9, No.1, pp. 1-19, 2019. https://doi.org/10.30528/jolss.2019.9.1.001
  9. K. K. Seong, S. J. Kim, and J. H. Moon, "Effects of Life Changes Due to COVID-19 on Depression in the Elderly,"Social Work Practice Research, Vol. 18, No. 2, pp.99-129. 2021. doi: 10.38082/SWPR.2021.18.02.9
  10. S. I. Nam, S. J. Kim, and H. J. Kim, "Gender Differences in the Effect of Mutual Spousal Support on Depression in Young-Old Age." Health and Social Welfare Review, Vol.38, No.2, pp. 257-289. 2018. doi: 10.15709/hswr.2018.38.2.257
  11. Santini, Z. I., Jose, P. E., Cornwell, E. Y., Koyanagi, A., Nielsen, L., Hinrichsen, C., and Koushede, V. "Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans(NSHAP): a longitudinal mediation analysis." The Lancet Public Health, Vol.5, No.1, pp.62-70. 2020. doi: 10.1016/S2468-2667(19)30230-0
  12. H. S. Cho, J. H. Choi, K. H. Park, K. J. Joo, H. Ga, and H. J. Ko, "Standardization of the Korean version of Patient Health Questionnaire-9 as a screening instrument for major depressive disorder." Journal of the Korean Academy of Family Medicine, Vol.28, No.2, pp.114-119. 2007.
  13. D. J. Kim, "Effect of Changes in Daily Life and Psychological Factors Due to COVID-19 on Depression in the Elderly." Journal of the Korea Entertainment Industry Association(JKEIA), Vol. 16, No. 3, pp. 187-196. 2022. doi:10.21184/jkeia.2022.4.16.3.187
  14. H. S. Choi, J. H. Choi, K. H. Park, K. J. Joo, H. Ga, H. J. Ko, and S. R. Kim, "Standardization of the Korean version of Patient Health Questionnaire-9 as a screening instrument for major depressive disorder." Journal of the Korean Academy of Family Medicine. Vol. 28, No. 2, pp. 114-119. 2007
  15. H. W. Kim, K. Y. Kim, S. A. Kim, H. C. Yoon, S. H. Jin, E.H. Jang, and Y. J. Cho,"Changes in Health Behavior, Mental Health, and the Degree of Practice of Quarantine Rules according to the Psychological Concerns of Local Residents during the COVID-19 Outbreak."Korean Public Health Research, Vol. 47, No. 4, pp.107~119. 2021. doi: 10.22900/kphr.2021.47.4.008
  16. Wassink-Vossen, S., Collard, R. M., Voshaar, R. C. O., Comijs, H. C., de Vocht, H. M., and Naarding, P. "Physical (in) activity and depression in older people." Journal of Affective Disorders, Vol. 161, pp. 65-72. 2014. doi: 10.1016/j.jad.2014.03.001
  17. Sidor, A., and Rzymski, P., "Dietary Choices and Habits during COVID-19 Lockdown: Experience from Poland." Nutrients. Vol.12, No. 6, pp.1~13. 2020 doi:10.3390/nu12061657
  18. J. Y. Park, and M. A. Shin, "A Comparative Study on Depressive Mood Experiences by Gender of Elderly Living Alone During the COVID-19 Pandemic." The Journal of Humanities and Social science, Vol.12 No.6. 2021. doi: 10.22143/HSS21.12.6.152
  19. Rodriguez, L. M., Litt, D. M., and Stewart, S. H. "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. Vol.110. 2020. doi:10.1016/j.addbeh.2020.106532110:106532
  20. Cole, M. G., and Dendukuri, N. "Risk factors for depression among elderly community subjects: a systematic review and meta-analysis." American Journal of Psychiatry, Vol.160, No. 6, pp.1147-1156. 2003. doi: 10.1176/appi.ajp.160.6.1147
  21. Hidaka, B. H. "Depression as a disease of modernity: explanations for increasing prevalence." Journal of affective disorders, Vol.140, No.3, pp. 205-214. 2012. doi:10.1016/j.jad.2011.12.036