초미세먼지와 노인 우울증의 관련성
Cross-sectional Associations between Particulate Matter (PM2.5) and Depression (PHQ-9) in the Elderly
1
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
Objectives: This study confirmed the relationship between particulate matter (PM2.5) and depression in the elderly over 65 years old using communitybased data. Methods: The 2017 Community Health Survey was used, and 67,417 people who responded to the depression screening question were selected as subjects for the study. Multilevel logistic regression analysis was used to consider regional impacts based on community-based data. In addition, in order to confirm the relationship between PM2.5 and depression, physical activity and social relation factors were considered together and evaluated. Results: As a result of this study, the risk of depression was increased in Q3 area of 1.66 (95% confidence interval, 95% CI: 1.09-2.52) and Q4 area of 1.50 (95% CI: 1.04-2.18) compared to the Q1 area. In the case of walking, the risk of depression decreased to 0.66 (95% CI: 0.59-0.60), and when there was no trust between neighbors, the risk of depression increased significantly to 1.76 (95% CI: 1.75-1.78). Conclusions: This study suggests that the risk of depression may increase in the elderly living in areas with high PM2.5. Therefore, it is considered that there will be a need for education for the elderly to prevent PM2.5 and health programs to improve physical activity and social relations
Abstract
Objectives: This study confirmed the relationship between particulate matter (PM2.5) and depression in the elderly over 65 years old using communitybased data. Methods: The 2017 Community Health Survey was used, and 67,417 people who responded to the depression screening question were selected as subjects for the study. Multilevel logistic regression analysis was used to consider regional impacts based on community-based data. In addition, in order to confirm the relationship between PM2.5 and depression, physical activity and social relation factors were considered together and evaluated. Results: As a result of this study, the risk of depression was increased in Q3 area of 1.66 (95% confidence interval, 95% CI: 1.09-2.52) and Q4 area of 1.50 (95% CI: 1.04-2.18) compared to the Q1 area. In the case of walking, the risk of depression decreased to 0.66 (95% CI: 0.59-0.60), and when there was no trust between neighbors, the risk of depression increased significantly to 1.76 (95% CI: 1.75-1.78). Conclusions: This study suggests that the risk of depression may increase in the elderly living in areas with high PM2.5. Therefore, it is considered that there will be a need for education for the elderly to prevent PM2.5 and health programs to improve physical activity and social relations
참고문헌 (31)
- World Health Organization, "Depression : Let’s talk" (2017), World Health Organization
- Seniors survey 2017, "Ministry of Health and Welfare", Ministry of Health and Welfare, 8~9 (2017)
- Ruo B, "Depressive symptoms and health-related quality of life : the heart and soul study", JAMA, 290(2), pp.215~221 (2003)[DOI]
- Hare DL, "Depression and cardiovascular disease : a clinical review", Eur Heart J, 35(21), pp.1365~1372 (2014)[DOI]
- Cavanagh JTO, "Psychological autopsy studies of suicide : a systematic review", Psychol Med, 33(3), pp.395~405 (2003)[DOI]
- 김은주, "노인자살예방을 위한 통합적 위기개입모델 다층효과 연구: 자살생각·우울을 중심으로", 한국노년학, 37(1), pp.173~200 (2017), 한국노년학회
- Shin J, "Long-term exposure to ambient air pollutants and mental health status : a nationwide population-based cross-sectional study", PloS One, 13(4), pp.e0195607~ (2018)[DOI]
- Kim J, "Demographic and environmental factors associated with mental health : a cross-sectional study", Int J Environ Res Public Health, 14(4), pp.431~ (2017)[DOI]
- Chang MS, "An empirical study on factors associated with mental health in the elderly: focusing on the influence of the characteristics at individual and community level", pp.2017
- 이현경, "우리나라 노인의 정신건강 관련 요인 분석", 한국콘텐츠학회 논문지, 12(12), pp.672~682 (2012), 한국콘텐츠학회[DOI]
- World Health Organization, "Ambient air pollution : a global assessment of exposure and burden of disease" (2017), World Health Organization
- Ministry of Environment, "What is the particulate matter?" (2016), Ministry of Environment
- 경선영, "미세먼지의 건강영향", 대한의사협회지, 60(5), pp.391~398 (2017), 대한의사협회[DOI]
- 한설희, "미세 먼지와 치매: 대기 오염이 인지 건강과 관계 있을까?", 대한신경과학회지, 37(2), pp.135~143 (2019), 대한신경과학회
- 노지현, "미세먼지와 인지기능", 신경정신의학, 57(1), pp.81~85 (2018), 대한신경정신의학회[DOI]
- Wang R, "Cross-sectional associations between long-term exposure to particulate matter and depression in China : the mediating effects of sunlight, physical activity, and neighborly reciprocity", J Affect Disord, 249, pp.8~14 (2019)[DOI]
- Power MC, "The relation between past exposure to fine particulate air pollution and prevalent anxiety : observational cohort study", BMJ, 350, pp.h1111~ (2015)[DOI]
- Raudenbush SW, "A multivariate, multilevel rasch model with application to self-reported criminal behavior", Sociol Methodol, 33(1), pp.169~211 (2003)[DOI]
- 허미라, "신임소방공무원들의 직무스트레스, 우울 및 자살생각간의 관련성에 대한 연구: 우울의 매개효과를 중심으로", 한국화재소방학회 논문지, 34(5), pp.64~71 (2020), 한국화재소방학회[DOI]
- 김정아, "한국 성인에서 성별과 연령에 따른 체중조절방법과 우울증상과의 관련성", Korean Journal of Family Practice, 9(5), pp.460~466 (2019), 대한가정의학회[DOI]
- Developing health inequalities report and monitoring the status of health inequalities in Korea, "Kim DJ", Korea Institute for Health and Social Affairs, ~ (2018)
- 짱샨샨, "노인의 삶의 질 결정요인에 관한 중·한 비교 연구", 한국거버넌스학회보, 27(1), pp.149~173 (2020), 한국거버넌스학회[DOI]
- Sacks JD, "Particulate matter-induced health effects : who is susceptible?", Environ Health Perspect, 119(4), pp.446~454 (2011)[DOI]
- Bell ML, "Evidence on vulnerability and susceptibility to health risks associated with short-term exposure to particulate matter : a systematic review and meta-analysis", Am J Epidemiol, 178(6), pp.865~876 (2013)[DOI]
- Ajmani GS, "Effects of ambient air pollution exposure on olfaction : a review", Environ Health Perspect, 124(11), pp.1683~1693 (2016)[DOI]
- Underwood E, "The polluted brain", Science, 355(6323), pp.342~345 (2017)[DOI]
- Teychenne M, "Physical activity and likelihood of depression in adults : a review", Prev Med, 46(5), pp.397~411 (2008)[DOI]
- Liu Y, "The effect of neighbourhood social ties on migrants’ subjective wellbeing in Chinese cities", Habitat Int, 66, pp.86~94 (2017)[DOI]
- Kim YJ, "Factors associated with thyroid cancer screening of Korea using a multi-level analysis: results from community health survey 2012", pp.2015
- Bae EK, "Effect of particulate matter (PM10) on cardiovascular disease in Korea using a multi-level model: results from 2012 community health survey", pp.2014
- 손용진, "사회자본이 도시와 농어촌 노인의 우울증에 미치는 영향에 관한 연구 :성인자녀 관계망 및 사회적 관계망을 중심으로", GRI연구논총, 12(3), pp.311~339 (2010), 재단법인 경기연구원
