본문 바로가기
KERD
논문KCI 등재

노인의 우울 증상이 일반 및 암 건강검진 수검에 미치는 영향

The Effect of Depressive Symptoms in Elderly on General and Cancer Health Screening Participation

김석현|조승원
대한노인정신의학회 (Korean Association For Geriatric Psychiatry)|2023.04|노인정신의학 (Journal of Korean Geriatric Psychiatry)|제27권 제1호|pp. 8-15

0

조회

0

다운로드

5

인용

0

참고문헌

키워드

우울Depression건강검진Patient Health QuestionnaireDiagnostic screening programs

초록

Objective: In this study, we investigate the effect of depressive symptoms in elderly on general and cancer health screening participation using the large epidemiological study data in South Korea. Methods: This study was conducted on 1,977 people who responded to a health examination questionnaire among 2,360 adults aged 60 or older who participated in the Korea National Health and Nutrition Examination Survey (KNHANES) in 2020. Depressive symptoms were measured by the Patient Health Questionnaire-9 and classified as minimal (0-4), mild (5-9), and moderate and severe (10-27). To investigate the relationship between depressive symptoms and health screening participation, a multiple logistic regression model controlling covariates was used. Results: Compared to the group with minimal depressive symptoms, the mild group did not show a significant difference (odd ratio [OR]=0.71, 95% confidence interval [95% CI]=0.45-1.13), but the moderate to severe group showed a significant negative relationship with general health screening participation (OR=0.59, 95% CI=0.35-0.99). There was a significant negative relationship between depressive symptoms and cancer health screening participation (mild group OR=0.77, 95% CI=0.48-1.23; moderate to severe group OR=0.50, 95% CI=0.28-0.87). Conclusion: This study showed that people with depressive symptoms are less likely to get a general and cancer health screening. In order to promote health screening participation, policies that consider health behavior promotion programs and psychiatric interventions targeting moderate to severe depressive symptom groups are necessary

Abstract

Objective: In this study, we investigate the effect of depressive symptoms in elderly on general and cancer health screening participation using the large epidemiological study data in South Korea. Methods: This study was conducted on 1,977 people who responded to a health examination questionnaire among 2,360 adults aged 60 or older who participated in the Korea National Health and Nutrition Examination Survey (KNHANES) in 2020. Depressive symptoms were measured by the Patient Health Questionnaire-9 and classified as minimal (0-4), mild (5-9), and moderate and severe (10-27). To investigate the relationship between depressive symptoms and health screening participation, a multiple logistic regression model controlling covariates was used. Results: Compared to the group with minimal depressive symptoms, the mild group did not show a significant difference (odd ratio [OR]=0.71, 95% confidence interval [95% CI]=0.45-1.13), but the moderate to severe group showed a significant negative relationship with general health screening participation (OR=0.59, 95% CI=0.35-0.99). There was a significant negative relationship between depressive symptoms and cancer health screening participation (mild group OR=0.77, 95% CI=0.48-1.23; moderate to severe group OR=0.50, 95% CI=0.28-0.87). Conclusion: This study showed that people with depressive symptoms are less likely to get a general and cancer health screening. In order to promote health screening participation, policies that consider health behavior promotion programs and psychiatric interventions targeting moderate to severe depressive symptom groups are necessary

참고문헌 (34)

  1. Population projections for Korea : 2020~2070, "Statistics Korea", Statistics Korea, ~ (2022)
  2. Choi DH, "The trend of health insurance medical care costs in the last 20 years", HIRA Research, 14, pp.52~61 (2020)
  3. 정현진, "국민건강보험공단 제2형 당뇨 건강검진사업의 비용-효과분석", 보건경제와 정책연구, 14(1), pp.29~50 (2008), 한국보건경제정책학회
  4. Lee KE, "Five-year survival rate among older adults participating in the national geriatric screening program: a South Korean population-based cohort study", Arch Gerontol Geriatr, 83, pp.179~184 (2019)
  5. Senore C, "Population based cancer screening programmes as a teachable moment for primary prevention interventions. A review of the literature", Front Oncol, 2, pp.45~ (2012)
  6. Taylor KL, "Lung cancer screening as a teachable moment for smoking cessation", Lung Cancer, 56, pp.125~134 (2007)
  7. 여지영, "건강검진 수검의 결정요인 및 건강증진행위 변화 효과", 보건행정학회지, 22(1), pp.49~64 (2012), 한국보건행정학회[DOI]
  8. Khaw KT, "Healthy aging", BMJ, 315, pp.1090~1096 (1997)
  9. "National Health Insurance Service"[URL]
  10. 유아현, "건강검진 수검률에 미치는 영향요인 분석: 국민건강영양조사 제7기 자료를 중심으로", 산업융합연구, 19(1), pp.1~6 (2021), 대한산업경영학회[DOI]
  11. 신현영, "The Association between Socioeconomic Status and Adherence to Health Check-up in Korean Adults, Based on the 2010–2012 Korean National Health and Nutrition Examination Survey", Korean Journal of Family Medicine, 39(2), pp.114~121 (2018), 대한가정의학회
  12. 장형숙, "중년기 암생존자의 이차암 검진 미수검 관련요인: 국민건강영양조사 제6기, 제7기(2013-2017) 자료 이용", 융복합지식학회논문지, 7(3), pp.135~144 (2019), 융복합지식학회[DOI]
  13. 임지혜, "소득수준에 따른 암 검진 이용현황 분석: 2014년 국민건강영양조사 자료를 중심으로", 디지털융복합연구, 15(1), pp.329~338 (2017), 한국디지털정책학회[DOI]
  14. Myong JP, "Factors associated with participation in colorectal cancer screening in Korea: the fourth Korean National Health and Nutrition Examination Survey (KNHANES IV)", Int J Colorectal Dis, 27, pp.1061~1069 (2012)
  15. 정윤경, "노년기 건강검진 참여의 영향요인- 한국고령화연구패널(KLoSA) 1~5차 자료를 바탕으로 -", Crisisonomy, 14(1), pp.135~148 (2018), (사)위기관리이론과실천[DOI]
  16. Hajek A, "The use of routine health check-ups and psychological factors—a neglected link. Evidence from a population-based study", J Public Health, 26, pp.137~144 (2018)
  17. Park H, "The association between new-onset depressive symptoms and participating in medical check-ups among elderly individuals", Int J Environ Res Public Health, 19, pp.11509~ (2022)
  18. 김용, "노인 우울증에 영향을 미치는 요인들에 대한 연구", 노인정신의학, 25(2), pp.120~127 (2021), 대한노인정신의학회
  19. 김윤희, "서울특별시 노인의 우울과 스트레스의 영향인자: 2018 지역사회건강조사 자료 분석", 노인정신의학, 26(1), pp.28~38 (2022), 대한노인정신의학회
  20. Jang BN, "Association between health behaviours and depression: findings from a national crosssectional study in South Korea", BMC Psychiatry, 20, pp.238~ (2020)
  21. Rovner BW, "Depression and mortality", JAMA, 265, pp.993~996 (1991)
  22. Gilman SE, "Depression and mortality in a longitudinal study : 1952-2011", CMAJ, 189, pp.E1304~E1310 (2017)
  23. Stubbs B, "Depression and physical health multimorbidity: primary data and country-wide meta-analysis of population data from 190593 people across 43 low- and middle-income countries", Psychol Med, 47, pp.2107~2117 (2017)
  24. Peytremann-Bridevaux I, "Healthcare and preventive services utilization of elderly Europeans with depressive symptoms", J Affect Disord, 105, pp.247~252 (2008)
  25. Kroenke K, "The PHQ-9 : validity of a brief depression severity measure", J Gen Intern Med, 16, pp.606~613 (2001)
  26. 이승현, "우울장애 선별 시 한글판 Patient Health Questionnaire-9의 기준점수(Cut-Off Point)에 대한 타당도 연구", Mood and Emotion, 12(1), pp.32~36 (2014), 대한우울조울병학회
  27. 박경연, "한국 중년남성의 건강검진 수진 예측요인: 제6기 2013년 국민건강영양조사를 이용하여", Journal of The Korean Data Analysis Society, 18(2), pp.1035~1049 (2016), 한국자료분석학회
  28. 한순희, "한국인의 성별에 따른 건강검진 수검 관련 요인: 국민건강영양조사 제6기 1차(2013) 자료를 이용하여", 보건교육건강증진학회지, 33(3), pp.37~48 (2016), 한국보건교육건강증진학회[DOI]
  29. Park S, "A multi-level analysis on the affecting factors of health screening: focusing on household and regional factors", pp.2021
  30. 백서영, "노년기 건강행동의 결정요인 : 앤더슨 행동 모델의 적용", 노인복지연구, 75(3), pp.31~62 (2020), 한국노인복지학회[DOI]
  31. 하유정, "한국 노인의 성별에 따른 주관적 건강인식과 건강행위의 관계 – 국민건강영양조사 제7기 조사를 이용하여 -", 한국웰니스학회지, 16(1), pp.246~252 (2021), 한국웰니스학회[DOI]
  32. Bauer LK, "Effects of depression and anxiety improvement on adherence to medication and health behaviors in recently hospitalized cardiac patients", Am J Cardiol, 109, pp.1266~1271 (2012)
  33. Katon WJ, "The relationship between changes in depression symptoms and changes in health risk behaviors in patients with diabetes", Int J Geriatr Psychiatry, 25, pp.466~475 (2010)
  34. Jones GC, "Effects of depressive symptoms on health behavior practices among older adults with vision loss", Rehabil Psychol, 54, pp.164~172 (2009)

관련 논문AI추천

Decreased Health-Seeking Behaviors in People With Depressive Symptoms: The Korea National Health and Nutrition Examination Survey 2014, 2016, and 2018Hong Hyungsook, Kim Tae-Suk, Oh Jihoon, Oh Jihye대한신경정신의학회 · PSYCHIATRY INVESTIGATION2022 · 제19권 제2호노인 우울증에 영향을 미치는 요인들에 대한 연구김용, 박종일, 정상근, 한명일대한노인정신의학회 · 노인정신의학2021 · 제25권 제2호노인의 우울증에 영향을 미치는 요인: 국민건강영양조사 제7기 자료김봉정한국보건정보통계학회 · 보건정보통계학회지2020 · 제45권 제2호우울이 연소 고령 노인집단의 건강증진행동에 미치는 영향이귀옥, 이수연, 황숙연한국사회복지교육협의회 · 한국사회복지교육2022 · 제57권 초미세먼지와 노인 우울증의 관련성박종, 류소연, 신민호, 조경희, 최성우, 한미아한국보건정보통계학회 · 보건정보통계학회지2021 · 제46권 제2호Physical Activity and Depression: Nationwide Evaluation of Depression and Physical Activity in South Korea김광준, 김진수, 윤동현한국운동생리학회 · 운동과학2024 · 제33권 제2호

이 간행물의 다른 논문 (5건)

일지역 치매고위험군의 인지기능에 영향을 주는 요인: 독거노인 중심으로이윤희, 김다은, 김정란, 전소연pp. 1-7외상 후 스트레스 장애 잔단 유무에 따른 고령의 재향 군인의 뇌백질 고신호 차이배희원, 이은영, 이승훈, 최하연, 최진희pp. 16-22노년기 우울 증상 평가에서 주관적 척도와 객관적 척도 간 상관성 연구박채린, 추일한pp. 23-29알츠하이머병에서 APOE e4 유전형과 인지기능, 뇌 부피, 당 대사량 그리고 뇌 아밀로이드 침착과의 연관성박제민, 윤원배, 김경원, 이현지, 이영민, 서화규, 문은수, 김유준, 이병대, 박경준, 김학진, 최경운pp. 30-36치매, 정신증, 기분장애 환자군에서 관찰되는 MMSE 세부 항목별 점수 비교정수봉, 진아영, 안호영, 백인호, 김낙영pp. 37-42
원문 보기