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http://dx.doi.org/10.4332/KJHPA.2022.32.1.63

Depressive Symptoms of the Population Aged 19 and Over due to Regional Gaps in Sports Facilities  

Sim, Hyung-Seop (Department of Public Health, Yonsei University Graduate School)
Kim, Bom-Gyeol (Department of Public Health, Yonsei University Graduate School)
Kim, Do-Hee (Department of Public Health, Yonsei University Graduate School)
Kim, Tae-Hyun (Department of Healthcare Management, Graduate School of Public Health, Yonsei University)
Publication Information
Health Policy and Management / v.32, no.1, 2022 , pp. 63-72 More about this Journal
Abstract
Background: Depression is a common disease around the world. Many studies are showing that mental health can be improved through physical activity, and daily regular exercise can reduce the negative effects of depression or depressive symptoms. In order to promote individual physical activity, a physical activity-friendly environment must precede. Therefore, this study attempted to confirm whether the number of sports facilities for all affects individual depression. Methods: Among the respondents to the 2018 Community Health Survey, data from 181,086 people excluding missing value were used. Descriptive and chi-square tests were performed to understanding the general characteristics of individual level variables. A multilevel logistic regression was conducted to confirm the effect of individual and regional level variables on depressive symptoms. Results: As a result of confirming the effect of individual characteristics on depressive symptoms, it was confirmed that both socioeconomic and health behavior factors had an effect. Similar results were shown in a model that considered regional level variables, and in the case of the number of sports facilities per population, people who belongs to smaller areas were more likely to have depressive symptoms (odds ratio, 0.98; 95% confidence interval, 0.97-0.99). Conclusion: As a result of the analysis, it was confirmed that both individual level and regional level variables had a significant effect on depressive symptoms. This suggests that not only individual level approaches but also regional level approaches are needed to improve individual depressive symptoms In particular, it may be possible to consider to increase the number of sports facilities in areas where the prevalence of depressive symptoms is high and the number of sports facilities is insufficient.
Keywords
Depression; Exercise; Multilevel analysis; Sports and recreational facilities;
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1 Matias TS, Lopes MVV, da Costa BGG, Silva KS, Schuch FB. Relationship between types of physical activity and depression among 88,522 adults. J Affect Disord 2022;297:415-420. DOI: https://doi.org/10.1016/j.jad.2021.10.051.   DOI
2 Lee YS. A study on the relationship between urban environmental elements and depression: focused on urban planning strategy in the COVID-19 era. J Real Estate Anal 2020;6(3):69-88. DOI: https://doi.org/10.30902/jrea.2020.6.3.69.   DOI
3 Kim MH, Lee DT, Yu JK, Lee SJ, Lee YS. Relationship between accessibility of public exercise facilities and physical activity participation of residents in metropolitan city. Korean J Sport Sci 2014;(25):10-20. DOI: https://doi.org/10.24985/kjss.2014.25.1.10.   DOI
4 Spence JC, Lee RE. Toward a comprehensive model of physical activity. Psychol Sport Eexerc 2003;4(1):7-24. DOI: https://doi.org/10.1016/S1469-0292(02)00014-6.   DOI
5 Zhang S, Xiang K, Li S, Pan HF. Physical activity and depression in older adults: the knowns and unknowns. Psychiatry Res 2021;297:113738. DOI: https://doi.org/10.1016/j.psychres.2021.113738.   DOI
6 Health Insurance Review and Assessment Service. Healthcare Bigdata Hub [Internet]. Wonju: Health Insurance Review and Assessment Service; 2021 [cited 2021 May 28]. Available from: http://opendata.hira.or.kr/op/opc/olapMfrnIntrsIlnsInfo.do.
7 Hung M, Crum AB, Bounsanga J, Voss MW, Chen W, Birmingham WC. Prevalence of depressive symptoms in the older population. Geriatr Ment Health Care 2015;3(3-4):29-35. DOI: https://doi.org/10.1016/j.gmhc.2016.02.001.   DOI
8 Lee HJ. A comparison of melancholy and life satisfaction between leisure participants and non participants by focusing on aged sixties [master's thesis]. Busan: Pusan University of Foreign Studies; 2010.
9 Ko KW. Physical activity status and task. Health Welf Policy Forum 2013;(198):38-47.
10 Kim WK. Relationship among individual, social, environmental factor and leisure time physical activity of undergraduates. Korea J Sports Sci 2012;21(2):1189-1198.
11 Park SJ, Choi HR, Choi JH, Kim KW, Hong JP. Reliability and validity of the Korean version of the Patient Health Questionnaire-9 (PHQ-9). Anxiety Mood 2010;6(2):119-124.
12 Walker JG, Mackinnon AJ, Batterham P, Jorm AF, Hickie I, McCarthy A, et al. Mental health literacy, folic acid and vitamin B12, and physical activity for the prevention of depression in older adults: randomised controlled trial. Br J Psychiatry 2010;197(1):45-54. DOI: https://doi.org/10.1192/bjp.bp.109.075291.   DOI
13 Health Insurance Review and Assessment Service. Disease information through statistics [Internet]. Wonju: Health Insurance Review and Assessment Service; [date unknown] [cited 2022 Mar 10]. Available from: https://www.hira.or.kr/dummy.do?pgmid=HIRAA030502030000&lnsCtgyNm=sixtyAge&sortSno=46.
14 Singh NA, Stavrinos TM, Scarbek Y, Galambos G, Liber C, Fiatarone Singh MA. A randomized controlled trial of high versus low intensity weight training versus general practitioner care for clinical depression in older adults. J Gerontol A Biol Sci Med Sci 2005;60(6):768-776. DOI: https://doi.org/10.1093/gerona/60.6.768.   DOI
15 Km JY, Jun HJ, The multilevel factors on physical activity: a comparison study between young and elderly single-person households. J Korea Plan Assoc 2021;56(2):49-65. DOI: https://doi.org/10.17208/jkpa.2021.04.56.2.49.   DOI
16 Cho JH, Kang BM. Determinants of physical activity in environmental and social factor: a review. Korean J Meas Eval Phys Educ Sports Sci 2009;21(2):87-104. DOI: https://doi.org/10.21797/ksme.2009.11.3.008.   DOI
17 Lee JY. The relationship between participation in physical activity and depression in the elderly [master's thesis]. Seoul: Korea University; 2008.
18 Korea Disease Control and Prevention Agency. Korea community health at a glance 2020: Korea Community Health Survey (KCHS). Cheongju: Korea Disease Control and Prevention Agency; 2021.
19 Cho SE, Na KS, Cho SJ, Im JS, Kang SG. Geographical and temporal variations in the prevalence of mental disorders in suicide: Systematic review and meta-analysis. J Affect Disord 2016;190:704-713. DOI: https://doi.org/10.1016/j.jad.2015.11.008.   DOI
20 Hamer M, Stamatakis E, Steptoe A. Dose-response relationship between physical activity and mental health: the Scottish Health Survey. Br J Sports Med 2009;43(14):1111-1114. DOI: https://doi.org/10.1136/bjsm.2008.046243.   DOI
21 Kim MH. The comparison of effect to exercise participation on mental health. J Sport Leis Stud 2001;16:239-249.
22 Statistics Korea. Korea Statistical Information Service [Internet]. Daejeon: Statistics Korea; [date unknown] [cited 2021 May 28]. Available from: https://kosis.kr/index/index.do.
23 Lee YS, Son Y, Lee DT. Relationships between distribution of community exercise facilities and health perception, and participation to physical activity-emphasis on a city district. J Sport Leisure Stud 2012;47:551-564.   DOI
24 Moon SJ, Lee GR, Nam EW. Related factors of depression according to individual attributes and regional environment: using multi-level analysis. Health Policy Manag 2020;30(3):355-365. DOI: https://doi.org/10.4332/KJHPA.2020.30.3.355.   DOI
25 Chen HL, Wei J, Huang HC, Lin CW. Mediating effect of symptom severity on the relationship between self-efficacy for exercise and depression. J Clin Nurs 2011;20(1-2):294-296. DOI: https://doi.org/10.1111/j.1365-2702.2010.03488.x.   DOI
26 Robinson W. Ecological correlations and the behavior of individuals. Am Sociol Rev 1950;15(3):351-357. DOI: https://doi.org/10.2307/2087176.   DOI