• 제목/요약/키워드: Health Status Depression

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Factors associated with Anxiety and Depression among University Students during the COVID-19 Pandemic in Korea

  • Moo-Sik Lee;Yeon-Kyung Seo;Kyung-Tae Kim;Tae-Jun Lee;Achangwa Chiara;Jung-Hee Park
    • International Journal of Advanced Culture Technology
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    • 제11권1호
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    • pp.1-11
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    • 2023
  • Backgrounds: As the COVID-19 pandemic continues, the university students population is one of the high risk and vulnerable groups. This study analyzed the status of student's mental health, including anxiety and depression caused by COVID-19, and its related factors among a university students in Korea. Methods : Our study subjects included university students in Korea. The survey items included general characteristics, teaching methods, physical activity, eating habits (SDBQ-L), weight-related questions, general anxiety disorder-7(GAD-7), and depression symptoms checklist. Frequency analysis, chi-square test, and logistic regression analysis were performed and data was analyzed using R version 4.1.2 program. Results : The prevalence of anxiety complaints was 5.5%, while the prevalence of depression complaints was 30.8%. In the multivariable logistic regression analysis of factors influencing anxiety, anxiety occurred 19.081 times (95% confidence interval (CI): 2.352-154.807) in the group with unhealthy diet (p<0.01). While in the multivariable analysis to identify factors affecting depression, women were 2.607 times significantly higher (95% CI: 1.255-5.415) than men, 0.407 times (95% CI:0.197-0.840) for residents of the metropolitan area, 3.418 times higher (95% CI:1.633-7.198) for unhealthy dietary people, and 2.225 times higher (95% CI: 1.080-4.582) for weight gainers (p<0.05). The type of class had no effect. Conclusions: COVID-19 and its associated interventions had negative effects on the mental health status including anxiety and depression in university students in Korea. Based on our results we recommend developing mental health interventions and prevention strategies for students in all universities in Korea.

A Longitudinal Study on the Causal Association Between Smoking and Depression

  • Kang, Eun-Jeong;Lee, Jae-Hee
    • Journal of Preventive Medicine and Public Health
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    • 제43권3호
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    • pp.193-204
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    • 2010
  • Objectives: The objective of this study was to analyze the causal relationship between smoking and depression using longitudinal data. Methods: Two waves of the Korea Welfare Panel collected in 2006 and 2007 were used. The sample consisted of 14 426 in 2006 and 13 052 in 2007 who were aged 20 and older. Smoking was measured by smoking amount (none/$\geq$ two packs). Depression was defined when the summated CESD (center for epidemiological studies depression)-11 score was greater than or equal to 16. The causal relationship between smoking and depression was tested using logistic regression. In order to test the causal effect of smoking on depression, depression at year 2 was regressed on smoking status at year 1 only using the sample without depression at year 1. Likewise, smoking status at year 2 was regressed on depression at year 1 only using those who were not smoking at year 1 in order to test the causal effect of depression on smoking. The statistical package used was Stata 10.0. Sampling weights were applied to obtain the population estimation. Results: The logistic regression testing for the causal relationship between smoking and depression showed that smoking at year 1 was significantly related to depression at year 2. Smoking amounts associated with depression were different among age groups. On the other hand, the results from the logistic regression testing for the opposite direction of the relationship between smoking and depression found no significant association regardless of age group. Conclusions: The study results showed some evidence that smoking caused depression but not the other way around.

재가노인의 건강행위 관련 특성, 자아존중감, 일상생활 수행능력 및 가족지지가 우울에 미치는 영향 (The Effects of Health Behavior-related Characteristics, Self-esteem, Activities of Daily Living, and Family Support on Depression in the Community-dwelling Elderly)

  • 이소영
    • 지역사회간호학회지
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    • 제21권4호
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    • pp.489-501
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    • 2010
  • Purpose: The purpose of this study was to investigate the effects of health behavior-related characteristics, self-esteem, activities of daily living, and family support on depression in the community-dwelling elderly. Methods: The participants were 229 elders sampled from Seoul and other five provinces. A structured questionnaire was used to collect data, and data were analyzed by applying t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression with SAS 8.12. Results: There was a negative correlation between depression, MMSE-K, self-esteem, ADL, IADL, and family support. Depression and health behavior-related characteristics showed a significant difference according to stress level and the reason of stress. Major factors that affected the elders depression were self-esteem, the amount of alcohol drinking, sleeping hours, ADL and the cognition of health status, which explained 59.4%. Conclusion: Based on the findings of this study, self-esteem and health behavior-related characteristics including alcohol drinking, sleeping hours and ADL were the influencing factors of depression in the community-dwelling elderly. Therefore, effective psychological and physical health promotion methods need to be developed and applied in nursing interventions to prevent depression in the community-dwelling elderly.

도시지역 일부 고등학생들의 우울과 불안에 관한 조사 연구 (A Study on the Depression and Anxiety of High School Students in an Urban Area)

  • 곽은주;송인순;정용준;조영채
    • 보건교육건강증진학회지
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    • 제20권2호
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    • pp.63-79
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    • 2003
  • This study has examined the degree of depression and anxiety among high school students in an urban area and then explored the factors influencing their depression and/or anxiety status. Self-administered questionnaires were offered to 2,381 students from ten high schools in Daejon Metropolitan City. The items for investigation included such factors as various characteristics of school and family life, daily life style, and the degree of depression and anxiety. Based on the study results, the following conclusions were made; 1. The distribution according to the depression degree has shown that 61.9% of students were normal, 32.9% of students had mild depression, 5.0% moderate depression, and 0.3% severe depression. As for anxiety, 40.2% of students were normal, while 19.1% were classified as having anxiety and 40.7% borderline anxiety. 2. As regards to the degree of depression and anxiety, it was greater in girls than boys, in 3rd graders than 1st and 2nd graders, and in the groups who have recieved lower grades in studies, who had poor relations with their friends and a low feeling of satisfaction with school life. In particular, concerning various characteristics of family life, the scores of depression and anxiety were higher in the groups whose financial conditions were poor, whose parents' interests were lower, whose degree of satisfaction with their family and school life was lower, than their counterparts. 3. According to their life styles higher scores of depression and anxiety were found in the groups whose sleeping time was inappropriate, whose breakfasts were skipped, who ate daily snacks, who didn't take regular exercises, and who had poor health habits, compared to their counterparts, respectively. 4. As for the correlation between the degree of depression and its associated variables, the higher scores of depression were in positive correlation with the groups who had lower grades in studies, poor relation with their friends, low feeling of satisfaction with school and home life, low parents' interest, poor subjective condition of health, breakfast skipping, lack of regular exercises, and lower indices of health habits. 5. As for anxiety, the higher scores of anxiety were in the positive correlation with the groups with poor relation with their friends, low feeling of satisfaction with school and family life, poor subjective condition of health, lack of regular exercises, and poor health habits. 6. The influential factors on the depression of students were selected such as subjective condition of health, sex, feeling of satisfaction with family and school life, grades in studies, relation with their friends, presence of regular exercises, degree of interest of parents, sleeping time, cigarette smoking and eating breakfast. 7. The influential factors on the anxiety state of students were selected such as subjective condition of health, feeling of satisfaction with family and school life, sex, sleeping time, regular exercises, cigarette smoking, snacking and relations with their friends. The present study results suggest that girls rather than boys, higher graders than lower ones are more vulnerable to anxiety and depression state, and besides, various characteristics of school and family life, and daily life style can be influential on students' emotional states. Therefore, better management of psychological status of students is thought to require a wide variety of measures to modify the influencing factors and to encourage social support.

성인 초기의 아토피피부염이 자살생각, 자살계획 및 자살시도에 미치는 영향 (Effects of Atopic Dermatitis on Suicidal Ideation, Plans and Attempts in Young Adult)

  • 김지영;양영란
    • 지역사회간호학회지
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    • 제28권4호
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    • pp.504-512
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    • 2017
  • Purpose: This study aims to investigate the effects of atopic dermatitis on suicidal ideation, plans and attempts in young adult. Methods: Data are from the Sixth Korean National Health and Nutrition Examination Survey (KNHANES VI, 2013, 2015) in a sample of 2,983 respondents aged 19 to 39 years. Data were analyzed using Frequency, Percentage, $x^2$ test, Complex sample multivariate binary logistic regression analysis with SPSS version 18.0 software. Results: Firstly, factors affecting suicidal ideation are gender, education level, smoking, self-reported health status, asthma, depression and stress perception. Factors affecting suicidal plan are education level, self-reported health status, asthma and depression. Lastly, factors affecting suicidal attempt are gender, education level, smoking, self-reported health status, depression and stress perception. Compared to non-atopic group, the prevalence of suicidal ideation and plan of atopic group increased from odds ratio 2.14 to 2.48 and 1.90 to 2.50, respectively. Odds ratio for suicidal attempt was odds ratio 2.69 (10% error level). Conclusion: The results show that atopic dermatitis in young adult affects suicidal ideation, plans and attempts. Therefore, it is necessary to identify atopic patients who have suicidal thoughts and plans and develop an intervention program to prevent and manage suicide in young adult.

쉼터 노숙자의 분노표현에 영향을 미치는 요인 (The Predictors of Anger Expression of the Homeless in the Shelters)

  • 황라일;윤지원
    • 지역사회간호학회지
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    • 제22권1호
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    • pp.22-32
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    • 2011
  • Purpose: The purposes of this study were to examine the level of anger, anger expression, depression, psychosomatic symptom and perceived health status, and to identify the influencing factors of anger expression in shelter residents. Methods: This study employed a descriptive correlational design. Data were collected from 407 homeless people residing at 27 shelters using structured instrument. Results: The level of anger expression was different by age, educational level, existence of children, and duration of shelter residency. Anger expression was significantly correlated with depression, psychosomatic symptoms and perceived health status. The predictors of high-level anger expression was younger age, low educational level, duration of shelter residency in Model 1 (F=6.884, p<.001, Adj. $R^2=.065$, and depression and psychosomatic symptoms in Model 2 (F=7.197, p<.001, Adj. $R^2=.113$. Conclusion: This study suggested that the homeless in the shelters had various psychological vulnerabilities, and therefore more individualized programs based on their needs and psychological health status should be provided for the homeless.

가족형태에 따른 청소년의 자살생각에 영향을 미치는 요인 (Factors that Affect Suicidal Ideation among Korean Adolescents by Family Type)

  • 김희걸;김희진
    • 한국학교보건학회지
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    • 제31권3호
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    • pp.167-177
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    • 2018
  • Purpose: This study examined the factors that affect suicidal ideation among Korean adolescents according to their family type. Methods: The data of the 2017 Korea Youth Risk Behavior Web-based Survey was used in this study. Out of 62,276, a total of 60,077 adolescents (51,367 adolescents from two-parent families and 8,710 adolescents from single-parent families) were included in the analysis. Results: This study demonstrated that the level of suicidal ideation of the adolescents in single-parent families was significantly higher than that of the adolescents in two-parent families. The factors that affect suicidal ideation among the two-parent family adolescents were gender, grade, economic status, academic performance, smoking, drinking, physical activity, subjective health status, subjective body image, subjective happiness, stress, and depression. The factors that affect suicidal ideation among the single-parent family adolescents included gender, grade, smoking, subjective health status, subjective happiness, stress and depression. Conclusion: Single-parent family adolescents are likely to have a higher level of suicidal ideation along with higher levels of depression and stress and lower levels of subjective health and happiness, compared to single-parent family adolescents. For this higher-risk group of suicidal ideation, more thoughtful attentions and proactive policies are needed to manage their mental health and stress in school and family situations.

이중차이분석을 활용한 노인장기요양보험제도의 방문간호서비스 효과 (The Effects of Visiting Nursing Services in Long-term Care Insurance: A Difference-in-Difference Analysis)

  • 김지은;이인숙
    • 지역사회간호학회지
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    • 제26권2호
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    • pp.89-99
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    • 2015
  • Purpose: The purpose of this study was to demonstrate the effects of visiting nursing services in long-term care (LTC) insurance on changes in health status and physical functions among the elderly. Methods: We analyzed survey data on the living status and welfare needs of the elderly from 2008 and 2011 using the difference-in-difference method with propensity score matching. Results: The subjects were 76 elders including 38 visiting nursing service users(intervention group) and 38 home-based LTC service users (control group). Results from DID analysis confirmed that the subjective health status level of the intervention group was 2.2 points higher (p=.044) and the depression level was 0.3 point lower (p=.039) than the control group. In addition, the intervention group's ADL score was 1.9 (p=.027) and IADL 3.9 (p=.030), showing that their health was deteriorated less. Conclusion: Visiting nursing service in LTC insurance was associated with delayed deterioration of subjective health status, depression, ADL and IADL. These findings suggest the need of rebuilding visiting nursing service programs focusing on prevention services, which will be more contributive to elderly health care and the reduction of social costs.

노인의 본인인지 구강건강상태와 우울감 (Association of self-perceived oral health and depression in the elderly: the sixth Korea national health and nutrition examination survey(the 6th KNHANES))

  • 조한아;허윤민;김형주;최은실
    • 한국치위생학회지
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    • 제16권2호
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    • pp.285-293
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    • 2016
  • Objectives: The aim of the study was to investigate the association of self-perceived oral health and depression in the Korean elderly. Methods: The subjects were 1,329 elderly in Korea from the sixth Korea National Health and Nutrition Examination Survey (the 6th KNHANES). The dependent variable was depression that continued more than two weeks. Model I for the impacts of depression on self-reported oral health, Model II for the impacts of depression on chewing problem, Model III for the impacts of depression on speaking problem was evaluated. PASW Statistics 18.0 version was used for frequency analysis, chi-square test and logistic regression analysis. Results: Female elderly were much more prone to depression than male. Female had lower monthly compensation, less medicaid, chewing problem, speaking problem, and less education. For these reasons, they tended to have more depression than male (p<0.001). Self-perceived oral health impacts on depression included poor self-reported oral health(p<0.01), poor chewing problem(p<0.01) and poor speaking problem(p<0.05). On the other hand, male did not show a statistically significant association. Conclusions: The study showed the self-perceived oral health related quality of life had a significant influence on depression in the elderly. The continuing lifelong oral health care can prevent depression in the later life because oral health care improvement can enhance the self-perceived oral health status.

기혼 중년 남성의 직업스트레스, 직업 안정성, 우울, 가족유대감, 주관적 건강상태, 사회적 지지가 삶의 질에 미치는 영향에 대한 융합적 연구 (A Converged Study about Influences of Job Stress, Job Security, Depression, Family Bond, Subjective Health Status, Social Support on Quality of Life in Married Middle-Aged Male)

  • 김향수;김송순
    • 한국융합학회논문지
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    • 제8권3호
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    • pp.101-114
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    • 2017
  • 본 연구는 기혼 중년 남성의 직업 스트레스, 직업 안정성, 우울, 가족유대감, 주관적 건강상태, 사회적 지지가 삶의 질에 미치는 영향요인을 알아보고자 하는 서술적 조사연구이다. 대상자는 B광역시, D광역시, J시에 거주하는 40~59세 중년 남성 149명의 설문지를 통해 자료를 수집하였고 SPSS/WIN 18.0프로그램을 이용하여 분석하였다. 연구결과, 삶의 질과 직업 스트레스(r=-.544, p<.001)과는 보통의 역 상관관계, 우울(r=-.748, p<.001)과는 높은 역 상관관계, 직업 안정성(r=.566, p<.001), 주관적 건강상태(r=.537, p<.001)과는 보통의 순 상관관계, 가족유대감(r=.712, p<.001), 사회적 지지(r=.739, p<.001)과는 높은 순 상관관계를 나타냈다. 삶의 질에 영향을 미치는 요인은 우울, 사회적 지지, 가족유대감, 주관적 건강상태, 현 직종의 근무년수, 규칙적인 운동여부 순으로, 전체 설명력은 75.1%로 나타났다. 따라서, 질적인 중년기 삶을 영위하기 위해 우울은 낮추고 사회적 지지 체계의 확충 및 가족유대감과 주관적 건강상태 증진, 현 직종에서의 근무년수를 높이기 위한 방안이 필요하다.