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http://dx.doi.org/10.15207/JKCS.2018.9.10.549

Gender differences in Factors Associated with the Severity of Depression in Middle-aged Adults: An Analysis of 2014 Korean National Health and Nutrition Examination Survey  

Lee, Young Joo (Department of Nursing, College of Nursing, Daegu Catholic University)
Publication Information
Journal of the Korea Convergence Society / v.9, no.10, 2018 , pp. 549-559 More about this Journal
Abstract
The purpose of this study is to examine the prevalence of depression in Korean middle-aged adults and to identify the gender difference in factors associated with the severity of depression. The data of 2,241 individuals who participated in the Sixth Korea National Health and Nutrition Examination Survey in 2014 were used. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9), and multivariate ordinal logistic regression analysis was performed. The prevalence rate of moderate to severe depression ($PHQ-9{\geq}10$) was identified at 5.2% (men 3.3%, women 7.0%). The factors associated with the severity of depression in men were younger age, living in metropolitan, unemployed, lower body mass index, and heavily drinking. On the other hand, women were affected by having no spouse, lower income, limited physical activity, and sleeping shorter hours.
Keywords
Community health; Depression; Mental health; Middle aged; Sex characteristics;
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1 World Health Organization. (2015). Depression: let's talk 2015. World Health Organization [Online]. www.who.int/mental_health/management/depression/en/
2 World Health Organization. (2015). Male : female ratio of age-standardized suicide rates 2015. World Health Organization [Online]. www.who.int/gho/mental_health/ suicide_rates_male_female/en/
3 S. Yang, K. S. Lee, J. S Lee, H. J. Kwan, M.H. Lee, K.O. Oh, et al. (2016) Psychiatric Mental Health Nursing. 5th ed. Seoul ; Hyunmoonsa.
4 M. Azizi, E. Fooladi, M. Masoumi, T.G. Orimi, F. Elyasi, S.R. Davis. (2018). Depressive symptoms and their risk factors in midlife women in the Middle East: a systematic review. Climacteric : the journal of the International Menopause Society, 21(1), 13-21. DOI : 10.1080/13697137.2017.1406908.   DOI
5 Y. R. Chin, H. Y. Lee, E. S. So. (2011). Suicidal ideation and associated factors by sex in Korean adults: a population-based cross-sectional survey. International journal of public health, 56(4), 429-39. DOI : 10.1007/s00038-011-0245-9.   DOI
6 C. Park & J. Lee. (2011). Analysis of Factors Affecting the Change of Depression of Korean Adult Male and Female. Health and Social Science, 29, 99-128.
7 M. J. Han & J. H. Lee. (2013). Factors Influencing Self-Identity and Menopausal Symptoms on Level of Depression in Middle Aged Women. Korean Journal of Women Health Nursing, 19(4), 275-84.   DOI
8 K. A. Kong, H.Y. Choi & S.I. Kim. (2017). Mental health among single and partnered parents in South Korea. PloS one, 12(8), e0182943. DOI : 10.1371/journal.pone.0182943.   DOI
9 K. Kroenke, R.L. Spitzer & J .B. Williams. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of general internal medicine, 16(9), 606-13.   DOI
10 C. Han, S.A. Jo, J.H. Kwak, C.U. Pae, Steffens D & Jo I, et al. (2008). Validation of the Patient Health Questionnaire-9 Korean version in the elderly population: the Ansan Geriatric study. Comprehensive psychiatry, 49(2), 218-23. DOI : 10.1016/j.comppsych.2007.08.006.   DOI
11 Korea Centers for Disease Control and Prevention. (2014). Guide to the utilization of the data from the sixth Korea National Health and Nutrition Examination Survey. Korea Centers for Disease Control and Prevention [Online]. https://knhanes.cdc.go.kr/knhanes/sub03/sub03_06_02.do
12 A.S. Fullerton. (2009). A Conceptual Framework for Ordered Logistic Regression Models. Sociological Methods and Research, 38(2), 307
13 C.S. Lopes, N. Hellwig, G.A.E. Silva, P.R. Menezes. (2016). Inequities in access to depression treatment: results of the Brazilian National Health Survey - PNS. International journal for equity in health, 15(1), 154. DOI : 10.1186/s12939-016-0446-1.   DOI
14 R. T. Demmer, S. Gelb, S. F. Suglia, K.M. Keyes, A.E. Aiello & P.C. Colombo, et al. (2015). Sex differences in the association between depression, anxiety, and type 2 diabetes mellitus. Psychosomatic medicine, 77(4), 467-77. DOI : 10.1097/psy.0000000000000169.   DOI
15 J. Hoebel, U.E. Maske, H. Zeeb, T. Lampert. (2017). Social Inequalities and Depressive Symptoms in Adults: The Role of Objective and Subjective Socioeconomic Status. PloS one, 12(1), e0169764. DOI : 10.1371/journal.pone.0169764.   DOI
16 Y. Liu, I.D. Ozodiegwu, Y. Yu, R. Hess, R. Bie. (2017). An association of health behaviors with depression and metabolic risks: Data from 2007 to 2014 U.S. National Health and Nutrition Examination Survey. Journal of affective disorders, 217, 190-6. DOI : 10.1016/j.jad.2017.04.009.   DOI
17 A. Pan, O.H. Franco, Y.F. Wang, Z.J. Yu, X.W. Ye & X. Lin. (2008). Prevalence and geographic disparity of depressive symptoms among middle-aged and elderly in China. Journal of affective disorders, 105(1-3), 167-75. DOI : 10.1016/j.jad.2007.05.003.   DOI
18 Z. Li, Y. Li, L. Chen, P. Chen & Y. Hu. (2015). Prevalence of Depression in Patients With Hypertension: A Systematic Review and Meta-Analysis. Medicine, 94(31), e1317. DOI : 10.1097/md.0000000000001317.   DOI
19 Y. Wang, J.M. Lopez, S.C. Bolge, V.J. Zhu & P.E. Stang. (2016). Depression among people with type 2 diabetes mellitus, US National Health and Nutrition Examination Survey (NHANES), 2005-2012. BMC psychiatry, 16:88. DOI : 10.1186/s12888-016-0800-2.   DOI
20 W. K. Kim, D. Shin & W. O. Song. (2015). Depression and Its Comorbid Conditions More Serious in Women than in Men in the United States. Journal of Women's Health (Larchmt), 24(12), 978-85. DOI : 10.1089/jwh.2014.4919.   DOI
21 A.M. Krebber, L.M. Buffart, G. Kleijn, I.C. Riepma, R. de Bree & C.R. Leemans, et al. (2014). Prevalence of depression in cancer patients: a meta-analysis of diagnostic interviews and self-report instruments. Psycho-oncology, 23(2), 121-30. DOI : 10.1002/pon.3409.   DOI
22 J. E. Chu, H. Lee, C.H. Yoon, H. I. Cho, J.Y. Hwang & Y.J. Park. (2014). Relationships between Depressed Mood and Life Style Patterns in Koreans Aged 40 Years. Journal of the Korean Society of Food Science and Nutrition, 43(5), 772-83.   DOI
23 J. Kim & T. J. Lee. (2018). Economic Insecurity and Mental Health in the Middle-aged Men. The Korean Journal of Health Economics and Policy, 24(1), 142-66.
24 J.H. Kim, W.ML Kang & S.Y. Mun. (2013). The Effects of Problem Drinking on Life Satisfaction Mediated by Depression among the Middle-Aged: Focusing on Gender. Korean Journal of Family Welfare, 18(3), 185-203.   DOI
25 L.E. McKenzie, R.N. Polur, C. Wesley, J.D. Allen, R.E. McKeown, J. Zhang. (2013). Social contacts and depression in middle and advanced adulthood: findings from a US national survey, 2005-2008. International Journal of Social Psychiatry, 59(7), 627-35. DOI : 10.1177/0020764012463302.   DOI
26 L.M. de Wit, A. van Straten, M. van Herten, B.W. Penninx, P. Cuijpers. (2009). Depression and body mass index, a u-shaped association. BMC public health, 9:14. DOI : 10.1186/1471-2458-9-14.   DOI
27 S.J. Danke, J.P. Loenneke, P.D. Loprinzi. (2016). Mild Depressive Symptoms Among Americans in Relation to Physical Activity, Current Overweight/Obesity, and Self-Reported History of Overweight/Obesity. International journal of behavioral medicine, 23(5), 553-60. DOI : 10.1007/s12529-016-9541-3.   DOI
28 J.T. Bromberger, L. Schott, H.M. Kravitz & H. Joffe. (2015). Risk factors for major depression during midlife among a community sample of women with and without prior major depression: are they the same or different? Psychological medicine, 45(8), 1653-64. DOI : 10.1017/s0033291714002773.   DOI
29 A.C. Hayley, L.J. Williams, K. Venugopal, G.A. Kennedy, M. Berk, J.A. Pasco. (2015). The relationships between insomnia, sleep apnoea and depression: findings from the American National Health and Nutrition Examination Survey, 2005-2008. Australian & New Zealand Journal of Psychiatry, 49(2), 156-70. DOI : 10.1177/0004867414546700.   DOI
30 M. R. Song, Y.S. Lee, J. D. Baek & M. Miller. (2012). Physical activity status in adults with depression in the National Health and Nutrition Examination Survey, 2005-2006. Public health nursing (Boston, Mass), 29(3), 208-17. DOI : 10.1111/j.1525-1446.2011.00986.x.   DOI