• Title/Summary/Keyword: Health Status Depression

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A Comparative Study of Social Support, Depression, and Life Satisfaction in the Urban and Rural Elderly; (일부 도시와 농촌 지역 노인의 사회적지지, 우울, 생활 만족도에 관한 비교 연구)

  • Park, Jeong-Mo;Sim, Mi-Kyung
    • Research in Community and Public Health Nursing
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    • v.13 no.4
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    • pp.689-698
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    • 2002
  • Purpose: The study was carried out to identify the correlations among social support, depression and life satisfaction, and compare them between the rural and urban elderly. Method: The study participants included 57 rural elderly and 59 urban elderly, who were surveyed and interviewed using social support and depression. like satisfaction inventories by nursing students from May, 2002 to June, 2002. Result: The mean scores of social support and life satisfaction in the urban elderly were higher than those in the rural elderly. However, significant differences in the variables between the two elderly groups were not found. The mean score of depression in the rural elderly was higher than that in the urban elderly, but a significant difference between the two groups in depression was not found. Social support was significantly correlates with age, religion, health status in the urban elderly and with family in the rural elderly. Depression was significantly correlated with religion, monthly expenditure, health status in the both groups. Life satisfaction was significantly correlated with age. marital status, religion, monthly expenditure in the urban elderly and with health status in the rural elderly. Social support, depression and life satisfaction were correlated each other in the urban elderly. The significant correlations were found between depression and life satisfaction, and between social support and life satisfaction in the rural elderly. Conclusion: The results suggest that further replicated studies are needed with larger samples. Appropriate nursing interventions with the consideration of characteristics of the rural and urban elderly are needed and developed to improve their social support and depression.

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The Effect of Loneliness on Health Status in Older Adults: An Examination of the Mediating Role of Depression (노인의 고독이 건강상태에 미치는 영향: 우울의 매개효과 검증)

  • Hwang, Hwan;Lee, Sunhae
    • Korean Journal of Social Welfare
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    • v.66 no.4
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    • pp.207-232
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    • 2014
  • This study intended to understand the way loneliness and depression affect psychological and physical health of older adults, and conducted a structural equational modeling of a relationship among loneliness, depression and health status of older adults. A survey was conducted on 329 individuals who were utilizing senior welfare agencies located in Seoul and the surrounding cities. The study examined the effects of loneliness and depression on their health status as well as the role of depression in this process. The data analysis showed a good fit of the structural model and suggested an evidence of depression fully mediating the effect of loneliness on health status. This result indicated that the current focus of services on increasing quantity of social contact among older people may need a paradigm shift towards improving their subjective loneliness and quality of interpersonal relationships.

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Relationship of Family Strengths, Family Function, Ego-Identity and Depression in Adolescence (청소년이 지각한 가족 건강성, 가족 기능, 자아정체감과 우울과의 관계)

  • Bae, Kyung-Eui;Kim, Eun-Ha
    • Child Health Nursing Research
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    • v.13 no.3
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    • pp.357-366
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    • 2007
  • Purpose: This study was conducted to survey and examine the relationship of family strengths, family function, ego-identity and depression in adolescence in Busan, and to provide basic data for a health promoting intervention to improve their family health. Method: Data were collected from four colleges in Busan and, 680 students were enrolled in the study. Descriptive statistics, t-test or ANOVA with Scheffe's test and Pearson's correlation coefficients were used to analyze the data. Results: The mean score for family strengths was 3.58, family function 4.31, ego-identity 55.4 and depression 17.9. The scores for family strengths differed significantly according to subjective social economic state and father's job, parent's religion, parent's marital status and family composition. The scores for family function differed significantly according to parent's religion, parent's marital status and subjective social economic state. The scores for ego-identity differed according to mother's education level, parent's religion, parent's marital status and family composition. There were a positive correlations between family strengths and family function, between family strengths and ego-identity, between family function and ego-identity. There were negative correlations between family strengths and depression, between family function and depression, between ego-identity and depression. Conclusion: In order to promote ego-identity and to decrease depression in adolescence, it is necessary to develop supporting interventions to develop family strengths.

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Factors Related to Suicidal Ideation and Depression according to Gender among Korean Adults (성인의 성별에 따른 자살생각과 우울경험 관련요인)

  • Lee, So Young
    • Journal of Korean Public Health Nursing
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    • v.28 no.1
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    • pp.71-86
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    • 2014
  • Purpose: This study was conducted in order to identify factors that predict suicidal ideation and depression according to gender among Korean adults. Method: From the data base of the fifth Korean National Health and Nutritional Examination Survey(KNHANESV-1, 2010), data on 4,894 adults aged 19~64 were used. Data were analyzed by application of the Rao-Scott Chi-Square test and logistic analysis with SAS 9.2. Results: Overall, 8.5% of men and 18.1% of women had suicidal ideation during the last year; 7.5% of men and 17.0% of women had depression during the last two weeks. Risk factors for suicidal ideation include perceived high stress(OR male 3.649, female 2.941), depression(OR male 10.109, female 6.033), poor cognition of health status(OR male 8.115, female 6.664), low economic status(OR male 1.898), and low educational status(OR female 1.631). Risk factors for depression include perceived high stress(OR male 2.678, female 3.686), suicidal ideation(OR male 9.925, female 6.022), non-employed(OR female 1.525), married(OR female 2.392), and physical discomfort(OR female 1.545). Conclusions: Based on the above mentioned results, risk factors of suicidal ideation and depression differed according to gender. Development of various policies and appropriate intervention programs according to gender, that lessen the risk of suicidal ideation and depression for adults is needed.

Impact of Marital Status on Depression and Suicidal Ideation Among Korean Adults - Focused on the Difference by Age and Sex - (결혼상태가 우울 및 자살생각에 미치는 영향 - 연령별 성별 차이를 중심으로 -)

  • Jeon, Gyeong-Suk;Lee, Hyo-Young
    • The Korean Journal of Health Service Management
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    • v.5 no.3
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    • pp.179-190
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    • 2011
  • This study examined the association between marital status and mental health(depression, and suicidal ideation) of Korean adults by age and sex, using 2005 Korean National Health and Nutrition Examination Survey data. Differences of marital status in depression and suicidal ideation were assessed by age and sex-specific prevalence according to each stage of the life course. Our results indicated that adults who divorced, separated, and widowed had significantly higher risk of poor mental health than married adults. Men with no spouse at the stage of middle and older aged are reported higher in depressive symptom than married men. For the suicidal ideation, men with no spouse had higher risk of suicidal ideation through all stage of life course. Women were more likely to report depressive symptom and suicidal ideation than men through all stage of life course. But we could not found the mental health advantage of marriage among Korean women through all stage of life course. Based on findings, the study clearly indicate that the implication of marriage on mental health could be different for adults of different age group and sex.

Physical Health Status, Depression and Activities of Daily Living of the Low-income Elderly Living Alone in Metropolitan Areas (대도시 저소득 독거노인의 신체적 건강상태, 우울 및 일상 활동 능력)

  • Kim, Yeon-Hwa
    • Research in Community and Public Health Nursing
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    • v.16 no.2
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    • pp.137-147
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    • 2005
  • Purpose: This study was conducted to investigate physical health status. depression. activities of daily living (ADL & IADL) of the low-income elderly who live alone in urban areas. Method: The subjects were the 400 low-income elders who live alone in Daegu city and the following instruments were used: 1. The number of self-reported physical health problems and present diseases: 2. CES-D scale for depression by Jo Nam-Oak et al. (1998): and 3. ADL scale by Katz (1989) and IADL scale by Lawton and Brody (1969). Results: 1. Visual difficulty was the most prevailing problem (55.3%) among physical problems. the second bowel elimination and the third hearing disturbance. As for present diseases. arthritis (26.5%), hypertension(24.3%) and DM (11.8%) were the most common diseases. 2. There were significant differences in physical health status according to age (t=3.115. p=.045). kind of medical security (t=-1.973. p=.049). perceived life satisfaction (F=4.966. p=.007) and the number of present diseases (F=2.937. p=.033). 3. There were significant differences in depression according to sex (t=-3.758. p=.000) . kind of medical security (t=-4.368. p=.000). perceived life satisfaction (F=35.743. p=.000) and the number of present diseases (F=4.246. p=.006). 4. There were significant differences in ADL according to sex (t=-2.136. p=.033) and age (F=4.863. p=.008). and in IADL according to sex (t=4.552, p=.000), age (F=3.090. p=.047) and kind of medical security (t=-3.306. p=.001). 5. Physical health state was correlated positively with both the number of present diseases (r=.140. p=.005) and depression (r=.352. p=.000), and negatively with ADL (r=-.176. p= .000) and IADL (r= -.230. p=.000). Depression was correlated positively with the number of present diseases (r=.169. p=.001) and negatively with both ADL (r=-.139. p=.005) and IADL (r=-.203. p= .000). Conclusion: The results of this study suggest that general characteristics are important factors for physical health status, depression. ADL and IADL of the low-income elderly who live alone and there are close relations among physical health status, the number of diseases, depression, ADL and IADL. Therefore, these results must be reflected in community health programs for the low-income elderly who live alone. In addition, this kind of study must be extended to the low-income elderly who live alone in rural areas.

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The Effect of Socioeconomic Status to Change in Adolescent Depression: A Multilevel Latent Growth Analysis (사회경제적 수준이 청소년 우울감에 미치는 영향: 다층잠재성장모형을 적용하여)

  • Choi, You-Jung;Lee, Tae-Ro
    • The Journal of Korean Society for School & Community Health Education
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    • v.20 no.1
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    • pp.69-84
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    • 2019
  • Objectives: The purpose of this study is to examine change in adolescent depression across time and to determine the relation between individual and neighborhood socioeconomic status (SES) and depression. Methods: This study employed multilevel latent growth analysis using longitudinal data from Korea Children and Youth Panel Survey. A sample of this study consists of 2,351 adolescents who were in first grade of middle school in 2010. Results: Results showed that both initial level and downward trajectory of depression varied significantly across individuals as well as across neighborhoods. On the individual level, self-rated economic condition(b=-0.203, p<.001) was related to the initial level of depression. Adolescents whose father had a high educational level(b=0.028, p<.001) or whose mother had a low educational level(b=-0.022, p=.011) had lower rates of decline in adolescent depression. On the neighborhood level, neighborhood deprivation index (b=0.003, p=.019) and gini coefficient(b=0.124, p=.040) were associated with lower rates of decline in depression. Conclusions: Low SES in adolescence is correlated with worse mental health, especially depression. Social disparities in depression likely originate before adulthood. The findings argue for the importance of understanding depression in adolescence from a multilevel or ecological framework.

Factors Influencing Subjective Health Status Perception of Obese College Students (비만인 대학생의 주관적 건강상태 인식의 영향요인)

  • Kim, Mi Jin;Kim, Kyung Hee
    • Journal of the Korean Society of School Health
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    • v.30 no.3
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    • pp.336-343
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    • 2017
  • Purpose: The purpose of this study is to identify influencing factors of subjective health status perception of obese college students. Methods: We used the data from the 2015 Community Health Survey. The subjects of this study included 951 obese college students. The data were analyzed using t-test, ANOVA and multiple linear regression with SPSS ver. 23. Results: The average score of subjective health status was $3.81{\pm}0.81$. Gender, age, residential area, stress and depression were found to be the influencing factors of subjective health status perception and explained 6.7% of the subjective health status. Conclusion: These findings indicate that effective intervention programs are needed to help obese college students correctly recognize their subjective health status and manage stress and depression.

Relationship between depression and number of present teeth in Korean elderly: Data from the Sixth Korea National Health and Nutrition Examination Survey (한국 노인의 우울과 현존 치아수의 관련성 : 제 6기 국민건강영양조사 자료 이용)

  • Choi, Hye-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.5
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    • pp.689-698
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    • 2019
  • Objectives: The study aimed to investigate the relationship between depression and number of present teeth in Korean elderly individuals. Methods: Data for this cross-sectional survey was obtained from the records of the sixth Korea National Health and Nutrition Examination Survey (KNHANES). The subjects were 1,199 Korean elderly individuals above 65 years of age. The survey and examination data were used for the independent variables. The KNHANES included health status, nutrition survey, and oral examination. $x^2-test$ was performed to identify the characteristics of depression and number of teeth present according to the characteristics of the study subjects. Logistic regression analysis was also performed to identify the relationship between depression and number of teeth present. The statistical significance level wa sset at 0.05. Results: The prevalence of depression in the subjects was 14.8%. There were statistically significant differences in the prevalence of depression, depending on gender (p<0.001), education level (p=0.001), income (p=0.001), spouse status (p<0.001), and alcohol consumption (p=0.020). The association between depression and the number of teeth present showed statistically significant difference after adjustment (p=0.040). Conclusions: Depression in elderly individuals was closely related to the number of teeth present. Therefore, public health policies for improving oral health should be established to prevent depression.

Factors Related to Anxiety and Depression of the Family Caregivers' with Dementia Patients: based on 2015 Community Health Survey (치매환자 가족부양자의 불안 및 우울 관련 요인: 2015년 지역사회 건강조사를 바탕으로)

  • Um, Taerim;Choi, Boyoung
    • The Journal of Korean Society for School & Community Health Education
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    • v.19 no.3
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    • pp.65-77
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    • 2018
  • Background & Objectives: This study aims to investigate the health status of family caregivers with dementia patients and identify the factors related to their anxiety and depression. Methods: Data from 2015 Community Health Survey(n=2,426) was used. A chi-square test was performed to investigate the health status of family caregivers, and a multiple logistic regression analysis was used to identify the factors associated with anxiety and depression. Results: Odds ratio(OR) of anxiety and depression was 1.29 times higher in female, 2.49 times higher in over 70 years versus under 39 years. ORs were lower 34.0%, 26.0%, 26.0% in the working group, the physical activity group, the alcohol drinking group respectively. ORs of anxiety and depression were 4.54 times, 1.57 times higher in the stress group, the chronic disease group respectively. And ORs were 61.0%, 28.0% lower respectively when social networks and social activities was present. Conclusions: The rate of experiencing anxiety and depression was high in family caregivers with dementia patients. It is necessary to provide diverse programs to reduce the burden of family support, anxiety and depression of family caregivers.