Osong Public Health and Research Perspectives

Original Articles

Factors affecting depression and health-related quality of life in the elderly during the COVID-19 pandemic: Deok-Ju Kim; Osong Public Health Res Perspect. 2023;14(6):520-529. Published online November 16, 2023; DOI: https://doi.org/10.24171/j.phrp.2023.0166

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Graphical Abstract Abstract PDF: Objectives
This study investigated changes in the health behaviors of the elderly due to coronavirus disease 2019 (COVID-19), concerns due to COVID-19, depression, and healthrelated quality of life (HRQOL), and aimed to identify factors that affect depression and HRQOL in the elderly. Methods: This study was conducted using data from the 2021 Community Health Survey of the Korea Disease Control and Prevention Agency. From a total sample size of 229,242 individuals, 74,376 elderly people aged 65 or older were selected as subjects, and changes in health behaviors, concerns due to COVID-19, depression, and HRQOL were measured and analyzed. Results: The level of depression associated with sleep and fatigue was high. The lowest HRQOL was related to physical pain and discomfort, while the most common concerns were related to economic difficulties. Factors influencing depression included worries about infection and economic harm, while factors impacting HRQOL encompassed concerns about infection, economic harm, and criticism from others. Conclusion: If an infectious disease situation such as COVID-19 reoccurs in the future, it will be necessary to encourage participation in hybrid online and offline programs at senior welfare centers. This should also extend to community counseling institutions like mental health welfare centers. Additionally, establishing connections with stable senior job projects can help to mitigate the effects of social interaction restrictions, physical and psychological health issues, and economic difficulties experienced by the elderly.

Mental health and its determinants among adolescents living in families with separated or divorced parents in an urban area of Vietnam: Binh Thang Tran, Minh Tu Nguyen, Minh Tam Nguyen, Thanh Gia Nguyen, Vo Nu Hong Duc, Thi Tra My Tran; Osong Public Health Res Perspect. 2023;14(4):300-311. Published online August 9, 2023; DOI: https://doi.org/10.24171/j.phrp.2023.0110

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Graphical Abstract Abstract PDF: Objectives
We assessed the prevalence of stress, anxiety, and depression among adolescents living in families with separated or divorced parents in Hue City, Vietnam and identified factors associated with these conditions.
Methods
This cross-sectional study enrolled 309 adolescents, aged 12 to 17 years, living in families with separated or divorced parents in Hue City, Vietnam. The depression anxiety stress scale-21 (DASS-21) was used to measure stress, anxiety, and depression. Predictors of overall and individual mental health problems were identified using ordered and binary logistic regression, respectively.
Results
The DASS-21 scale revealed a 49.2% prevalence of stress, while anxiety and depression had s prevalence rates of 61.5%. Among participants, 42.4% experienced all 3 mental health issues. Several factors were identified as significant predictors of mental health problems, including poor to average economic status (adjusted odds ratio [aOR], 2.00; 95% confidence interval [CI], 1.21–3.31; p=0.007); being in high school (aOR, 5.02; 95% CI, 2.93–8.60; p<0.001); maternal occupation of teacher, healthcare professional, or official (aOR, 2.39; 95% CI, 1.13–5.03; p=0.022); longer duration of family separation or divorce (aOR, 1.24; 95% CI, 1.05–1.45; p=0.009); living with one’s mother (aOR, 1.69; 95% CI, 1.03–2.76; p=0.04); alcohol consumption (aOR, 1.70; 95% CI, 0.99–2.92; p=0.050); and being bullied (aOR, 5.33; 95% CI, 1.10–25.69; p=0.037). Most of these factors were associated with stress, anxiety, and depression. Additionally, smoking was associated with stress.
Conclusion
Adolescents with separated or divorced parents were at increased risk of stress, anxiety, and depression. The findings of this study provide important implications for prevention programs.

Sex differences in the relationship between depression and cardiovascular disease risk: a nationwide study in Korea: Seol-bin Kim, Ihn Sook Jeong; Osong Public Health Res Perspect. 2021;12(2):105-114. Published online April 29, 2021; DOI: https://doi.org/10.24171/j.phrp.2021.12.2.08

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Abstract PDF Supplementary Material

Objectives
This study aimed to identify sex differences in the association between depression and the risk of developing cardiovascular disease (CVD).
Methods
A secondary analysis was conducted of data from the fifth to seventh waves (2010−2018) of the Korea National Health and Nutrition Examination Survey. The participants were adults aged 30−74 years who had no diagnosis of CVD. The CVD risk was calculated using the Framingham Risk Score algorithm. Multiple linear regression analysis was conducted to identify the association between depression and CVD risk using a complex sample design.
Results
The mean CVD risk was higher in males and females with current depression (14.72% vs. 6.35%, respectively) than in males without current depression (11.67% and 4.42%, respectively). Current depression showed a significant association with CVD risk after controlling for only health-related characteristics, but the significance disappeared in both males and females when demographic characteristics were additionally controlled.
Conclusion
The presence of depression was not associated with CVD risk regardless of sex after controlling for confounding factors. Further studies are recommended to investigate the relationship between depression and CVD risk in a larger sample of both males and females with depression.

Citations

Citations to this article as recorded by

Sex Differences in the Association Between Depression and Incident Cardiovascular Disease
Keitaro Senoo, Hidehiro Kaneko, Kensuke Ueno, Yuta Suzuki, Akira Okada, Katsuhito Fujiu, Taisuke Jo, Norifumi Takeda, Hiroyuki Morita, Kentaro Kamiya, Junya Ako, Koichi Node, Hideo Yasunaga, Issei Komuro
JACC: Asia.2024; 4(4): 279. CrossRef

Gender Difference in the Association Between E-Cigarette Use and Depression among US Adults: Baksun Sung; Osong Public Health Res Perspect. 2021;12(1):13-19. Published online February 23, 2021; DOI: https://doi.org/10.24171/j.phrp.2021.12.1.03

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Abstract PDF

Objectives

The objective of this study was to determine the association between e-cigarette use and depression and examine how this association is different by gender among US adults.

Methods

Data from the 2017 Behavioral Risk Factor Surveillance System and Selected Metropolitan/Micropolitan Area Risk Trends was used, and included 174,351 of 230,875 US adults aged 18 years and older. Data were analyzed using the multivariate logistic regression models.

Results

After adjusting for age, race, education, income, marital status, employment status, smoking status, and physical activity, firstly, “current daily e-cigarette users” (AOR = 2.487, p < 0.001), “current non-daily e-cigarette users” (AOR = 1.623, p < 0.001), and “former e-cigarette users” (AOR = 1.573, p < 0.001) were associated with increased odds of depression compared with “never e-cigarette users.” Secondly, women were associated with increased odds of depression compared with men (AOR = 1.797, p < 0.001). Finally, male “current daily e-cigarette users” (AOR = 1.366, p < 0.01) were associated with increased odds of depression compared with female “never e-cigarette users.”

Conclusion

Thus, even though women tend to be more vulnerable to depression compared with men, e-cigarette use was positively associated with depression among both men and women.

Citations

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Association between e-cigarette use behaviors and perceived harmfulness of e-cigarettes and anxiety/depression symptoms among Black/African American Adults
David Adzrago, Kayo Fujimoto, Melissa B. Harrell, Antwan Jones, J. Michael Wilkerson
Preventive Medicine Reports.2023; 31: 102080. CrossRef
Association between E-Cigarette Use Behaviors and Anxiety/Depression among Black/African American Adults Based on Sexual Identity
David Adzrago, Melissa B. Harrell, Kayo Fujimoto, Antwan Jones, J. Michael Wilkerson
International Journal of Environmental Research an.2023; 20(3): 2078. CrossRef
The Association Between Nicotine Dependence and Mental Health in the General Population of Saudi Arabia: A Cross-Sectional Analytical Study
Danah Abdullah Albarrak, Abdulrahman Bandar Alotaibi, Roaa Faisal Alotaibi, Sara Hussain Alramadhan, Alhanouf Ibrahim Bin Muhanna, Abdulrahman Mohammed Aldehan, Khalid A Bin Abdulrahman
International Journal of General Medicine.2023; Volume 16: 5801. CrossRef
Use of electronic vaping products and mental health among adolescent high school students in the United States: The moderating effect of sex
Philip Baiden, Hannah S. Szlyk, Patricia Cavazos-Rehg, Henry K. Onyeaka, JaNiene E. Peoples, Erin Kasson
Journal of Psychiatric Research.2022; 147: 24. CrossRef

A Study on the Physical Activities, Mental Health, and Health-Related Quality of Life of Osteoarthritis Patients: Deok-Ju Kim; Osong Public Health Res Perspect. 2019;10(6):368-375. Published online December 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.6.07

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Abstract PDF

Objectives

The purpose of this study was to investigate the physical activities, mental health, and health-related quality of life (HRQOL) of osteoarthritis patients.

Methods

This study was conducted using data from the first year of the 7^th Korea National Health and Nutritional Examination Survey. There were 8,150 participants included in the survey, and 665 participants had been diagnosed with osteoarthritis. This study analyzed the measurements of physical activities, depression, and HRQOL in participants with osteoarthritis.

Results

The mean age of the participants was 67 ± 9.9 years and 83.1% were female. Participants rarely engaged in work-related physical activity, and engaged in leisure-related physical activities infrequently. Most of the participants (85.9%) did not do regular exercise, but 1/3 of the participants walked for over 10 minutes a day. “Pain/discomfort” had the least impact upon HRQOL, and among the depression subcategories, “difficult to sleep and tiredness” had the most impact. Multiple logistic regression analysis showed that an adverse HRQOL score was statistically significantly associated with “location changes/physical activities” (p < 0. 01), “depression” (p < 0.001) and “age” (p < 0.001).

Conclusion

Exercise programs should be in place which are manageable in everyday life for the elderly (> 65 years). Changes in daily routine so that patients become more active, should be supported by the family and community, together with assistance in managing psychological problems such as depression.

Citations

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Prevalence and Predictors of Depression in Women with Osteoarthritis: Cross-Sectional Analysis of Nationally Representative Survey Data
Ananya Ravi, Elisabeth C. DeMarco, Sarah Gebauer, Michael P. Poirier, Leslie J. Hinyard
Healthcare.2024; 12(5): 502. CrossRef
A scalable 12-week exercise and education programme reduces symptoms and improves function and wellbeing in people with hip and knee osteoarthritis
Jemma L. Smith, Aidan Q. Innes, Danielle S. Burns, Davina Deniszczyc, James Selfe, Stephen MacConville, Kevin Deighton, Benjamin M. Kelly
Frontiers in Rehabilitation Sciences.2023;[Epub] CrossRef
Special Issue on Biomechanical and Biomedical Factors of Knee Osteoarthritis
Hanatsu Nagano
Applied Sciences.2022; 12(22): 11807. CrossRef
Investigation on the association between diabetes distress and productivity among patients with uncontrolled type 2 diabetes mellitus in the primary healthcare institutions
Yingqi Xu, Gabrielle Yin Yern Tong, Joyce Yu-Chia Lee
Primary Care Diabetes.2020; 14(5): 538. CrossRef

Body Weight Misperception and Psychological Distress Among Children and Adolescents: The CASPIAN-V Study: Roya Riahi, Mohammad Esmaeil Motlagh, Ramin Heshmat, Mostafa Qorbani, Seyede Shahrbanoo Daniali, Roya Kelishadi; Osong Public Health Res Perspect. 2019;10(5):315-324. Published online October 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.5.08

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Abstract PDF

Objectives

Misperception of weight status is a risk factor that affects psychological health. The aim of this study was to evaluate the association between weight misperception patterns and psychological distress among Iranian children and adolescents.

Methods

This was a cross-sectional nationwide study where data was collected from 14,440 students, aged 7–18 years who participated in the national school-based surveillance program (CASPIAN-V). The students’ weight perception and psychological distress were assessed by validated questionnaires. Weight misperception was classified as misperception of being either underweight or overweight with respect to actual weight.

Results

The rate of weight misperception in all study participants was 59.1%. In groups with a perception of being underweight or overweight, the risks of worthlessness, being worried, experiencing aggression, insomnia, or depression, were significantly higher than groups with an accurate weight perception (p < 0.05). The risk of anxiety in girls of normal weight who perceived themselves as underweight, decreased by 57% compared to girls with an accurate weight perception (OR: 0.43; 95% CI, 0.28–0.66).

Conclusion

Weight misperception is highly prevalent among Iranian children and adolescents and is associated with their psychological health status. Appropriate education intervention needs to be developed to improve the children and adolescents’ perception of their body weight status.

Citations

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Association between weight, weight perception, weight teasing and mental health among adolescents
Wenxin Gu, Xiaoyan Yu, Yinliang Tan, Zhiping Yu, Jingfen Zhu
Child and Adolescent Psychiatry and Mental Health.2024;[Epub] CrossRef
Body image and behavioural and emotional difficulties in German children and adolescents
Lea Krause, Tanja Poulain, Wieland Kiess, Mandy Vogel
BMC Pediatrics.2023;[Epub] CrossRef
Extracting the Hidden Patterns Affecting Mental Health through Data Mining Techniques
Maryam Jahanbakhsh, Asal Aghadavodian Jolfaee, Roya Kelishadi, Mohammad Sattari
Journal of Advances in Medical and Biomedical Rese.2022; 30(140): 281. CrossRef
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Talma Rosenthal, Rhian M. Touyz, Suzanne Oparil
Current Hypertension Reports.2022; 24(9): 325. CrossRef
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Figen I. Esenay, Tufan A. Sezer
Journal of Child and Adolescent Psychiatric Nursin.2022; 35(4): 349. CrossRef
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Junli Su, Wei Wang
Complexity.2021; 2021: 1. CrossRef
Weight self-perception in adolescents: evidence from a population-based study
Mariana Contiero San Martini, Daniela de Assumpção, Marilisa Berti de Azevedo Barros, Antônio de Azevedo Barros Filho, Josiemer Mattei
Public Health Nutrition.2021; 24(7): 1648. CrossRef
Childhood obesity prevention policies in Iran: a policy analysis of agenda-setting using Kingdon’s multiple streams
Shahnaz Taghizadeh, Rahim Khodayari-Zarnaq, Mahdieh Abbasalizad Farhangi
BMC Pediatrics.2021;[Epub] CrossRef
Stakeholders perspectives of barriers and facilitators of childhood obesity prevention policies in Iran: A Delphi method study
Shahnaz Taghizadeh, Mahdieh Abbasalizad Farhangi, Rahim Khodayari-Zarnaq
BMC Public Health.2021;[Epub] CrossRef
Between perception and reality: BMI in adolescence
Alessia Margarito, Eleonora Guaitoli, Giovanni Di Trapani, Lorenzo Petrucci
Journal of Advanced Health Care.2020;[Epub] CrossRef

Gender Differences in Harmful Use of Alcohol Among Korean Adults: Eunok Park, Yeon Sook Kim; Osong Public Health Res Perspect. 2019;10(4):205-214. Published online August 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.4.02

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Abstract PDF

Objectives

Harmful alcohol consumption is associated with considerable social and economic damage to individuals and society. Because gender and ethnic background influence alcohol intake differently, examining gender specific factors influencing harmful drinking is necessary. This study investigated gender differences in alcohol consumption, harmful drinking, and the associated factors among Korean adults.

Methods

We analyzed the data from the 2012–2015 Korean National Health and Nutrition Examination Survey. Data from survey participants aged 20–64 years (N = 18,581) were included. The Alcohol Use Disorders Identification Test was used for alcohol dependence, and pooled weights were used. Chi-squared tests and multiple logistic regression analyses were conducted.

Results

The prevalence of harmful alcohol use (Alcohol Use Disorders Identification Test score ≥ 16) was 10.7% in the total sample; 18.4% in men and 3.4% in women, which constituted a significant difference. Education, marital status, smoking, perceived stress, and depressive feeling were associated with harmful drinking in both genders. However, household income, occupation, and perceived health status were associated with harmful drinking only in men.

Conclusion

Since there are gender differences in harmful drinking and alcohol dependence, gender tailored prevention and intervention strategies for alcohol dependence are necessary including consideration of smoking, stress, and depressive feeling.

Citations

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Characteristics and Clinical Course of Diabetes of the Exocrine Pancreas: A Nationwide Population-Based Cohort Study
Nami Lee, So Jeong Park, Dongwoo Kang, Ja Young Jeon, Hae Jin Kim, Dae Jung Kim, Kwan-Woo Lee, Edward J. Boyko, Seung Jin Han
Diabetes Care.2022; 45(5): 1141. CrossRef
Harmful alcohol use among mothers of under-five child: findings from the Panel Study on Korean Children
Seulgi Kim, Seung-Ah Choe, Sung-Il Cho
BMC Women's Health.2021;[Epub] CrossRef
Characteristics and Clinical Course of Diabetes of the Exocrine Pancreas: A Nationwide Population-Based Cohort Studybrief Title: Diabetes of the Exocrine Pancreas
Nami Lee, So Jeong Park, Dongwoo Kang, Ja Young Jeon, Hae Jin Kim, Dae Jung Kim, Kwan-Woo Lee, Edward J. Boyko, Seung Jin Han
SSRN Electronic Journal .2021;[Epub] CrossRef
Associations between Harmful Experiences from Alcohol Use of Others and Mental Health in Korean Adolescents
Mi Ah Han
International Journal of Environmental Research an.2019; 16(21): 4240. CrossRef

Factors Affecting Activity Limitation in the Elderly: Data Processed from the Korea National Health and Nutrition Examination Survey, 2016: Jong-Hoon Moon; Osong Public Health Res Perspect. 2019;10(3):117-122. Published online June 30, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.3.02

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Abstract PDF

Objectives

The aim of this study was to compare the sociodemographic characteristics, depression, and the health-related quality of life outcome, among the Korean elderly population, with and without activity limitation.

Methods

The data used was drawn from the raw data of the seventh Korea National Health and Nutrition Examination Survey (N = 8,150). There were 1,632 records for individuals aged 65 or older extracted from the seventh Korea National Health and Nutrition Examination Survey database, 199 of those had missing responses (n = 1,433). Differences within the sociodemographic characteristic, the Patient Health Questionnaire-9, and the EuroQol-5 Dimension were analyzed using logistic regression analysis according to the presence or absence of activity limitation.

Results

The prevalence of activity limitation among the elderly individuals surveyed was 19.9%. In the unadjusted regression analysis, the odds ratios of all independent variables (age, gender, education level, type of region, family income, the Patient Health Questionnaire-9, all 5 domains of the EuroQol-5 Dimension) between the elderly individuals with and without activity limitation, were significant. Although, in the adjusted logistic regression analysis, it was observed that the only factors that were significantly associated with activity limitation were the Patient Health Questionnaire-9, EuroQol-5 Dimension, type of region, and family income.

Conclusion

These findings demonstrated that activity limitation in elderly individuals is associated with the sociodemographic characteristics of family income and type of region of residence, as well as depression and the health-related quality of life outcome.

Citations

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Higher physical activity is associated with lower activity limitation: Cross-sectional analyses among the Spanish working population
R. López-Bueno, G.F. López-Sánchez, L. Smith, E. Sundstrup, L.L. Andersen, J.A. Casajús
Science & Sports.2023; 38(3): 247. CrossRef
Self-Reported Reasons for Activity Limitations According to Age and Sex in Community-Dwelling Stroke Survivors
Young-Ah Choi, Yeo Hyung Kim
Healthcare.2023; 11(10): 1420. CrossRef
Comparative analysis of health status and health service utilization patterns among rural and urban elderly populations in Hungary: a study on the challenges of unhealthy aging
Nora Kovacs, Peter Piko, Attila Juhasz, Csilla Nagy, Beatrix Oroszi, Zoltan Ungvari, Roza Adany
GeroScience.2023; 46(2): 2017. CrossRef
Associations between Depressive Symptoms and Satisfaction with Meaningful Activities in Community-Dwelling Japanese Older Adults
Michio Maruta, Hyuma Makizako, Yuriko Ikeda, Hironori Miyata, Atsushi Nakamura, Gwanghee Han, Suguru Shimokihara, Keiichiro Tokuda, Takuro Kubozono, Mitsuru Ohishi, Kounosuke Tomori, Takayuki Tabira
Journal of Clinical Medicine.2020; 9(3): 795. CrossRef

The Effects of Restricted Physical Activity on Health-Related Quality of Life in Adult Patients with Depression: Deok-Ju Kim; Osong Public Health Res Perspect. 2019;10(2):85-92. Published online April 30, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.2.07

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Abstract PDF

Objectives

The objective was to identify restricted physical activity in patients with depression, and to determine the effects of that restricted activity, on their health-related quality of life (HRQOL).

Methods

Data was analysed from Year 1 of the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII-1). From a total sample of 8,150 subjects, 277 adults aged ≥19 years who were diagnosed with depression were selected. The results were derived using restricted activity and HRQOL data measured from the subjects.

Results

Most of the participants were females ≥ 50 years old. HRQOL scores were high in the “self-care” dimension and low in the “pain/discomfort” and “anxiety/depression” dimensions. Their restricted activity due to illness in the past year, led to increases in participants being bedridden or absent from work. Many participants reported being bedridden for more than 3 months. A higher number of absences owing to illness in the past year, and longer durations of being bedridden, had a negative impact on HRQOL. Age, marital status, educational level, income level, and occupation were the sociodemographic variables that had an impact on HRQOL.

Conclusion

Patients with depression experiencing stress in their daily lives should take measures to avoid illness and pain that may lead to them becoming bedridden, and employ lifestyle habits with support from families and community health promotion centres, where mental health counselling can be accessed.

Citations

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Childhood trauma, inflammatory biomarkers and the presence of a current depressive episode: Is there a relationship in subjects from a population study?
Leonardo Carvalho Oliveira, Natália Wirowski, Pedro Borges de Souza, Andressa Schneider Lobato, Karen Jansen, Taiane de Azevedo Cardoso, Thaíse Campos Mondin, Jean Pierre Oses, Flávio Kapczinski, Luciano Dias de Mattos Souza, Ricardo Azevedo da Silva, Fer
Journal of Psychiatric Research.2023; 158: 255. CrossRef
The Relationship between Physical Activity and Health-Related Quality of Life in Korean Adults: The Eighth Korea National Health and Nutrition Examination Survey
Mun-Gyu Jun, Se-Hyeon Han
Healthcare.2023; 11(21): 2861. CrossRef

Regional Differences of Mental Health Status and Associated Factors: Based on the Community Health Survey: Ji Hye Lim; Osong Public Health Res Perspect. 2018;9(4):175-184. Published online August 31, 2018; DOI: https://doi.org/10.24171/j.phrp.2018.9.4.06

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Abstract PDF

Objectives

The aim of this study was to determine whether there were differences in mental health specific to regions in Korea, and the factors that affected mental health status.

Methods

Data from the 2016 Community Health Survey in Korea were used; 224,421 health survey participants provided responses on mental health issues, demographics, and health behavior, and were included in the study.

Results

A statistically significant difference was observed in the incidence of mental health status between different regions of Korea. Independent variables that affected mental health were sex, age, marital status, household income, economic activity, whether living with dementia patients, self-reported health status, smoking, alcohol drinking, sleep time, and chronic diseases. Risk factors associated with symptoms of depression were gender (female), bereavement or being divorced, low household income, family member with dementia, poor self-reported health status, currently smoking, level of physical activity, insufficient hours of sleep and suffering from chronic diseases.

Conclusion

This study suggests that a standardized healthcare policy is needed to reduce regional variation in mental health. In the future, similar studies that include medical expenses for mental healthcare and relevant variables according to regions of Korea should be conducted.

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Linking neighbourhood safety and children's internalizing and externalizing problems: Mediating role of maternal depression
Youngmin Cho
Child & Family Social Work.2023; 28(4): 1089. CrossRef
Factors Affecting Activity Limitation in the Elderly: Data Processed from the Korea National Health and Nutrition Examination Survey, 2016
Jong-Hoon Moon
Osong Public Health and Research Perspectives.2019; 10(3): 117. CrossRef
Depression Status in Korea
Soo Kyung Koo
Osong Public Health and Research Perspectives.2018; 9(4): 141. CrossRef

Effects of Physical Activity on Depression in Adults with Diabetes: Deok-Ju Kim; Osong Public Health Res Perspect. 2018;9(4):143-149. Published online August 31, 2018; DOI: https://doi.org/10.24171/j.phrp.2018.9.4.02

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Abstract PDF

Objectives

The purpose of this study was to identify the current state of physical activity in adults with diabetes and to investigate the effect of physical activity on depression.

Methods

The present study was conducted using data from the 2^nd year of the 6^th Korea National Health and Nutritional Examination Survey. From the total of 7,550 individuals, 418 adults diagnosed with diabetes were selected as participants, and their physical activity and depression levels were examined.

Results

The physical activity status of the participants showed that they did not usually engage in physical activities at work, and only a few participants were involved in moderate intensity physical leisure activity. Apart from walking for 10 minutes each day, which accounted for 1/3 of the participants, most of the participants did not engage in specific forms of exercise. An examination of the effects of physical activity on depression revealed that moderate intensity physical activity at work and leisure influenced depression. In terms of demographic characteristics, gender, occupation, income quintile, and subjective health status were all found to affect depression.

Conclusion

For elderly (60 years or older) patients with diabetes, which accounted for the majority of the diabetic population, a systematic leisure program and professional education are necessary to help them to manage stress and depression in daily life. Additionally, provision of community and family support should encourage regular, moderate intensity exercise and promote lifestyle changes to encourage increased physical activity.

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Prevalence of comorbid depression and associated factors among hospitalized patients with type 2 diabetes mellitus in Hunan, China
Rehanguli Maimaitituerxun, Wenhang Chen, Jingsha Xiang, Atipatsa C. Kaminga, Xin Yin Wu, Letao Chen, Jianzhou Yang, Aizhong Liu, Wenjie Dai
BMC Psychiatry.2023;[Epub] CrossRef
Barriers & facilitators to physical activity in people with depression and type 2 diabetes mellitus in Pakistan: A qualitative study to explore perspectives of patient participants, carers and healthcare staff
Aatik Arsh, Saima Afaq, Claire Carswell, Karen Coales, Najma Siddiqi
Mental Health and Physical Activity.2023; 25: 100542. CrossRef
Moderating Effect of Grip Strength in the Association between Diabetes Mellitus and Depressive Symptomatology
Diogo Veiga, Miguel Peralta, Élvio R. Gouveia, Laura Carvalho, Jorge Encantado, Pedro J. Teixeira, Adilson Marques
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Triad of impairment in older people with diabetes-reciprocal relations and clinical implications
A.H. Abdelhafiz, P.C. Davies, A.J. Sinclair
Diabetes Research and Clinical Practice.2020; 161: 108065. CrossRef
Association between exercise and health-related quality of life and medical resource use in elderly people with diabetes: a cross-sectional population-based study
Chien-Cheng Huang, Chien-Chin Hsu, Chong-Chi Chiu, Hung-Jung Lin, Jhi-Joung Wang, Shih-Feng Weng
BMC Geriatrics.2020;[Epub] CrossRef
Challenges and Strategies for Diabetes Management in Community-Living Older Adults
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Diabetes Spectrum.2020; 33(3): 217. CrossRef

Sex-based Association between Depression and Metabolic Syndrome in Korean Middle-aged and Older Adults: Jin Suk Ra, Hye Sun Kim; Osong Public Health Res Perspect. 2017;8(2):130-137. Published online April 30, 2017; DOI: https://doi.org/10.24171/j.phrp.2017.8.2.05

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Abstract PDF

Objectives

This study aimed to identify the sex-based association between depression and the development of metabolic syndrome (Mets) among middle-aged and older Korean adults.

Methods

A cross-sectional design was used for the secondary analysis of the 2010–2014 Korean National Health and Nutrition Examination Survey. Data from 1,938 men and 2,404 women were analyzed. Mets was defined in accordance with the criteria used for clinical diagnosis. Depression was assessed with a question about having clinical depression. The association between depression and the development of Mets with or without adjustment for covariates was identified by conducting logistic regression analysis on weighted data using a complex sample procedure.

Results

More women than men had depression. Before covariate adjustment, depression was significantly associated with the development of Mets among women (odds ratio [OR], 1.586; 95% confidence interval [CI], 1.152–2.183) and with a higher triglyceride level among men (OR, 1.679; 95% CI, 1.001–2.818). After covariate adjustment; depression was significantly associated with higher waist circumference among women (adjusted OR [AOR], 1.532; 95% CI, 1.046–2.245) and higher triglyceride level (AOR, 1.511; 95% CI, 1.029–2.219) than was Mets. Conversely, depression did not have significant effects on the development of Mets among men.

Conclusion

Depression was associated with the development of Mets among middle-aged and older Korean women. Healthcare providers in communities should assess women with depression for the presence of Mets components. Interventions for relieving depressive symptoms should also be provided to women at risk for Mets.

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The relationship between lifestyle risk factors and depression in Korean older adults: a moderating effect of gender
Shinuk Kim
BMC Geriatrics.2022;[Epub] CrossRef
A study on the effect of poor housing on self-esteem, depression: Focusing on comparison of the people with and without disabilities
Sul Hee Yoo, Ji Hye Kim, Jun Yim
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How do Sexual Identity, and Coming Out Affect Stress, Depression, and Suicidal Ideation and Attempts Among Men Who Have Sex With Men in South Korea?: Byonghee Cho, Aeree Sohn; Osong Public Health Res Perspect. 2016;7(5):281-288. Published online October 31, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.09.001

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Abstract PDF

Objectives
This study investigated the status of sexual identity, perceived stigma, stress, depression, and suicidal ideation and attempts. It also examined how sexual identity and “coming out” affect stress, depression, and suicidal ideation and attempts.
Methods
Suicidal ideation, psychological health status, and health-related behaviors were assessed using the Internet to maximize the confidentiality of the participants, men who have sex with men (MSM). The data were collected from a total of 873 MSM aged between 19 years and 59 years in 2014.
Results
Only 20.9% of the MSM had come out (18.0% voluntarily and 2.9% by others). The prevalences of perceived stress and depression among MSM were 46.7% and 42.7%, respectively, compared with 20.1% and 7.4% among general men. Approximately 32% of the MSM reported any suicidal ideation, and 3.3% had attempted suicide in the past year. The likelihood of suicidal ideation was significantly associated with being age 30–39 years [odds ratio (OR) = 1.8], high school or less (OR = 1.6), having been outed (OR = 5.2), feeling stressed (OR = 1.8), and feeling depressed (OR = 12.4) after sociodemographic factors and other perceptions were controlled for.
Conclusion
The present study provides evidence that MSM are at an elevated risk for suicidal ideation and attempts with high stress and depression. Some risk factors were specific to being gay or bisexual in a hostile environment.

Citations

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Stress of being outed to parents, LGBTQ family support, and depressive symptoms among sexual and gender diverse youth
Peter S. McCauley, Alexander J. Del Farno, Antonia E. Caba, Benton M. Renley, Shaylynne Shuler, Lisa A. Eaton, Ryan J. Watson
Journal of Research on Adolescence.2024; 34(1): 205. CrossRef
High Interest in the Use of mHealth Platform for HIV Prevention among Men Who Have Sex with Men in Nepal
Kamal Gautam, Kiran Paudel, Ali Ahmed, Manisha Dhakal, Jeffrey A Wickersham, Krishna C Poudel, Sherry Pagoto, Bibhav Acharya, Keshab Deuba, Pablo K Valente, Roman Shrestha
Journal of Community Health.2024;[Epub] CrossRef
Age Differences in the Associations Between Outness and Suicidality Among LGBTQ+ Youth
Brian A. Feinstein, Ethan H. Mereish, Mary Rose Mamey, Cindy J. Chang, Jeremy T. Goldbach
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Psychological Status of Men Who Have Sex with Men during COVID-19: An Online Cross-Sectional Study in Western China
Bing Lin, Jiaxiu Liu, Wei He, Haiying Pan, Xiaoni Zhong
International Journal of Environmental Research an.2023; 20(2): 1333. CrossRef
Social capital, perceived stress, and mental health of men who have sex with men in China: A cross-sectional study
Xiaoyue Zhang, Ying Zhou, Kaili Zhang
Frontiers in Psychology.2023;[Epub] CrossRef
HIV-related stigma, depression and suicidal ideation among HIV-positive MSM in China: a moderated mediation model
Jiaqi Fu, Xu Chen, Zhenwei Dai, Yiman Huang, Weijun Xiao, Hao Wang, Mingyu Si, Yijin Wu, Ling Zhang, Shu Jing, Xin Liu, Fei Yu, Guodong Mi, Xiao-You Su
BMC Public Health.2023;[Epub] CrossRef
Trends in Human Immunodeficiency Virus-Related Knowledge and Stigma among Men Who Have Sex with Men in the Republic of Korea from 2012 to 2022
Aeree Sohn
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HIV-Related Stigma, Sexual Identity, and Depressive Symptoms Among MSM Living With HIV in China: A Moderated Mediation Modeling Analysis
Tianyue Mi, Guanghua Lan, Xueying Yang, Xiaoming Li, Shan Qiao, Zhiyong Shen, Yuejiao Zhou
American Journal of Men's Health.2022; 16(2): 155798832210875. CrossRef
Sexual Minority Stigma, Sexual Orientation Concealment, Social Support and Depressive Symptoms Among Men Who have Sex with Men in China: A Moderated Mediation Modeling Analysis
Changmian Ding, Xiangfan Chen, Wei Wang, Bin Yu, Huimin Yang, Xiaoyan Li, Shumin Deng, Hong Yan, Shiyue Li
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Depression among Korean Adults with Type 2 Diabetes Mellitus: Ansan-Community-Based Epidemiological Study: Chan Young Park, So Young Kim, Jong Won Gil, Min Hee Park, Jong-Hyock Park, Yeonjung Kim; Osong Public Health Res Perspect. 2015;6(4):224-232. Published online August 31, 2015; DOI: https://doi.org/10.1016/j.phrp.2015.05.004

3,111 View
13 Download
22 Crossref

Abstract PDF

Objectives
There are an increasing number of studies being carried out on depression in patients with diabetes. Individuals with diabetes have been reported as having a higher prevalence of depression compared to those without diabetes. However, only a few studies involving Korean patients have been conducted. The aims of this study were to examine the prevalence of depression and to find various risk factors according to the degree of depression among Korean patients with Type 2 diabetes mellitus (T2DM).
Methods
An Ansan-community-based epidemiological study was conducted from 2005 to 2012. The total number of participants in this study was 3,540, from which patients with diabetes (n = 753) have been selected. The presence of depression was evaluated using the Beck Depression Inventory total score.
Results
The prevalence of depression was 28.8%. The mean age of participants was 55.5 ± 8.2 years. We divided the participants into three groups (without-depression, moderate-depression, and severe-depression groups) to examine the depression prevalence among Korean T2DM patients. The unemployed participants had 2.40 [95% confidence interval (CI) 1.21–4.76], the low-income participants had 2.57 (95% CI 1.52–4.35), the participants using an oral diabetes medicine or insulin had 2.03 (95% CI 1.25–3.32), the participants who are currently smoking had 2.03 (95% CI 1.10–3.73), and those without regular exercise had 1.91 (95% CI 1.17–3.14) times higher odds of depression in the severe-depression group, compared with the without-depression group.
Conclusion
There was a significant association between depression prevalence and diabetes, and we found various risk factors according to the degree of depression in Korean patients with T2DM.

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Higher risk of depression in individuals with type 2 diabetes and obesity: Results of a meta-analysis
Thelma Beatriz González-Castro, Yudy Merady Escobar-Chan, Ana Fresan, María Lilia López-Narváez, Carlos Alfonso Tovilla-Zárate, Isela Esther Juárez-Rojop, Jorge L Ble-Castillo, Alma Delia Genis-Mendoza, Pedro Iván Arias-Vázquez
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Nhu Minh Hang Tran, Quang Ngoc Linh Nguyen, Thi Han Vo, Tran Tuan Anh Le, Ngoc Ha Ngo
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Wojujutari Kenni Ajele, Teslim Alabi Oladejo, Abimbola A. Akanni, Oyeyemi Bukola Babalola
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Bereket Beyene Gebre, Suzan Anand, Zebene Mekonnen Assefa
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Exposure–Response Relationship Between Aircraft Noise and Sleep Quality: A Community-based Cross-sectional Study: Soo Jeong Kim, Sang Kug Chai, Keou Won Lee, Jae-Beom Park, Kyoung-Bok Min, Hyun Gwon Kil, Chan Lee, Kyung Jong Lee; Osong Public Health Res Perspect. 2014;5(2):108-114. Published online April 30, 2014; DOI: https://doi.org/10.1016/j.phrp.2014.03.004

3,601 View
26 Download
19 Crossref

Abstract PDF

Objectives
Exposure to aircraft noise has been shown to have adverse health effects, causing annoyance and affecting the health-related quality of life, sleep, and mental states of those exposed to it. This study aimed to determine sleep quality in participants residing near an airfield and to evaluate the relationship between the levels of aircraft noise and sleep quality.
Methods
Neighboring regions of a military airfield were divided into three groups: a high exposure group, a low exposure group, and a control group. A total of 1082 participants (aged 30–79 years) completed a comprehensive self-administered questionnaire requesting information about demographics, medical history, lifestyle, and the Pittsburgh Sleep Quality Index.
Results
Of the 1082 participants, 1005 qualified for this study. The prevalence of sleep disturbance was 45.5% in the control group, 71.8% in the low exposure group, and 77.1% in the high exposure group (p for trend < 0.001). After adjusting for potential confounding factors, we determined the exposure–response relationship between the degree of aircraft noise and sleep quality. Of the participants with a normal mental status, the prevalence of sleep disturbance was 2.61-fold higher in the low exposure group and 3.52-fold higher in the high exposure group than in the control group.
Conclusion
The relationship between aircraft noise and health should be further evaluated through a large-scale follow-up study.

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