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Gender differences in the association between multimorbidity and depression in older Korean adults: an analysis of data from the National Survey of Older Koreans (2011-2017)

남진영|박수진|안정현|황서연
한국역학회 (Korean Society of Epidemiology)|2022.01|Epidemiology and Health|제44권 |pp. 1-10|DOI 10.4178/epih.e2022049

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참고문헌

키워드

DepressionGender differencesMultimorbidityComorbidity

초록

OBJECTIVES: Previous studies have shown that people with multimorbidity have a higher risk of depression than those without multimorbidity. However, few studies have examined the association between depression and multimorbidity in men and women separately. Since the rates of depression and multimorbidity are different in men and women, it is necessary to examine whether gender differences affect their association.METHODS: This study included 30,138 participants (aged ≥ 65 years) from the National Survey of Older Koreans (2011-2017). Depression was defined using the Korean version of the Geriatric Depression Scale (SGDS-K). Multimorbidity was defined as people who had 2 or more chronic diseases, including arthritis, diabetes, heart disease, hypertension, pulmonary disease, cancer, stroke, or osteoporosis. Multiple logistic regression analysis was performed to determine the association between depression and multimorbidity.RESULTS: In total, 22.2% and 30.7% of men and women, respectively, had depression. Those with multimorbidity had a higher risk of depression than those without chronic conditions; specifically, the difference in risk among men was greater than that among women. Age was considered a moderator for women. While the effects of pulmonary disease, stroke, and cancer were especially substantial in the integrated analysis, gender differences were observed related to various chronic conditions comorbid with heart disease.CONCLUSIONS: There are gender differences in the association between multimorbidity and depression among older Korean adults. Therefore, gender-specific care should be provided to reduce depression in older adults with multimorbidity.

Abstract

OBJECTIVES: Previous studies have shown that people with multimorbidity have a higher risk of depression than those without multimorbidity. However, few studies have examined the association between depression and multimorbidity in men and women separately. Since the rates of depression and multimorbidity are different in men and women, it is necessary to examine whether gender differences affect their association.METHODS: This study included 30,138 participants (aged ≥ 65 years) from the National Survey of Older Koreans (2011-2017). Depression was defined using the Korean version of the Geriatric Depression Scale (SGDS-K). Multimorbidity was defined as people who had 2 or more chronic diseases, including arthritis, diabetes, heart disease, hypertension, pulmonary disease, cancer, stroke, or osteoporosis. Multiple logistic regression analysis was performed to determine the association between depression and multimorbidity.RESULTS: In total, 22.2% and 30.7% of men and women, respectively, had depression. Those with multimorbidity had a higher risk of depression than those without chronic conditions; specifically, the difference in risk among men was greater than that among women. Age was considered a moderator for women. While the effects of pulmonary disease, stroke, and cancer were especially substantial in the integrated analysis, gender differences were observed related to various chronic conditions comorbid with heart disease.CONCLUSIONS: There are gender differences in the association between multimorbidity and depression among older Korean adults. Therefore, gender-specific care should be provided to reduce depression in older adults with multimorbidity.

참고문헌 (49)

  1. Noël PH, "Depression and comorbid illness in elderly primary care patients : impact on multiple domains of health status and well-being", Ann Fam Med, 2, pp.555~562 (2004)
  2. Schaakxs R, "Associations between age and the course of major depressive disorder : a 2-year longitudinal cohort study", Lancet Psychiatry, 5, pp.581~590 (2018)
  3. Blazer DG, "Depression in late life : review and commentary", Focus, 7, pp.118~136 (2009)
  4. Vink D, "Risk factors for anxiety and depression in the elderly : a review", J Affect Disord, 106, pp.29~44 (2008)
  5. Djernes JK, "Prevalence and predictors of depression in populations of elderly : a review", Acta Psychiatr Scand, 113, pp.372~387 (2006)
  6. Cole MG, "Risk factors for depression among elderly community subjects : a systematic review and meta-analysis", Am J Psychiatry, 160, pp.1147~1156 (2003)
  7. Uijen AA, "Multimorbidity in primary care : prevalence and trend over the last 20 years", Eur J Gen Pract, 14(Suppl 1), pp.28~32 (2008)
  8. Held FP, "Association rules analysis of comorbidity and multimorbidity : the concord health and aging in men project", J Gerontol A Biol Sci Med Sci, 71, pp.625~631 (2016)
  9. Rocca WA, "Prevalence of multimorbidity in a geographically defined American population : patterns by age, sex, and race", ethnicity, 2014, pp.89, 1336~1349
  10. "World health statistics 2016: monitoring health for the SDGs sustainable development goals"[URL]
  11. Tinetti ME, "Designing health care for the most common chronic condition--multimorbidity", JAMA, 307, pp.2493~2494 (2012)
  12. Salive ME, "Multimorbidity in older adults", Epidemiol Rev, 35, pp.75~83 (2013)
  13. "Multiple chronic conditions—a strategic framework: optimum health and quality of life for individuals with multiple chronic conditions" (2010)[URL]
  14. Read JR, "Multimorbidity and depression : a systematic review and meta-analysis", J Affect Disord, 221, pp.36~46 (2017)
  15. Turuba R, "Assessing the relationship between multimorbidity and depression in older men and women : the International Mobility in Aging Study(IMIAS)", Aging Ment Health, 24, pp.747~757 (2020)
  16. Girgus JS, "The gender difference in depression: are elderly women at greater risk for depression than elderly men?", Geriatrics (Basel), 2, pp.35~ (2017)
  17. Agur K, "How does sex influence multimorbidity? Secondary analysis of a large nationally representative dataset", Int J Environ Res Public Health, 13, pp.391~ (2016)
  18. St Sauver JL, "Risk of developing multimorbidity across all ages in an historical cohort study : differences by sex and ethnicity", BMJ Open, 5, pp.e006413~ (2015)
  19. National survey of older Koreans, "Jung K", Korea Institute for Health and Social Affairs, 29~ (2017)
  20. Bae JN, "Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients", J Psychosom Res, 57, pp.297~305 (2004)
  21. 서성옥, "지역사회노인의 우울과 인지기능", 지역사회간호학회지, 27(1), pp.1~8 (2016), 한국지역사회간호학회[DOI]
  22. Lee DH, "Lifestyle risk score and mortality in Korean adults : a population-based cohort study", Sci Rep, 10, pp.10260~ (2020)
  23. Olaya B, "All-cause mortality and multimorbidity in older adults : the role of social support and loneliness", Exp Gerontol, 99, pp.120~126 (2017)
  24. Birk JL, "Depression and multimorbidity : Considering temporal characteristics of the associations between depression and multiple chronic diseases", Health Psychol, 38, pp.802~811 (2019)
  25. Marengoni A, "Aging with multimorbidity : a systematic review of the literature", Ageing Res Rev, 10, pp.430~439 (2011)
  26. Peleg S, "Associations between self-rated health and depressive symptoms among older adults: does age matter?", Soc Sci Med, 280, pp.114024~ (2021)
  27. Liang J, "How does self-assessed health change with age? A study of older adults in Japan", J Gerontol B Psychol Sci Soc Sci, 60, pp.zS224~S232 (2005)
  28. van Doorslaer E, "Does inequality in self-assessed health predict inequality in survival by income? Evidence from Swedish data", Soc Sci Med, 57, pp.1621~1629 (2003)
  29. Ebner NC, "Developmental changes in personal goal orientation from young to late adulthood : from striving for gains to maintenance and prevention of losses", Psychol Aging, 21, pp.664~678 (2006)
  30. Pruchno RA, "Multiple chronic condition combinations and depression in community-dwelling older adults", J Gerontol A Biol Sci Med Sci, 71, pp.910~915 (2016)
  31. Kanervisto M, "COPD, chronic bronchitis and capacity for day-to-day activities : negative impact of illness on the health-related quality of life", Chron Respir Dis, 7, pp.207~215 (2010)
  32. Jiang CH, "Relationships between chronic diseases and depression among middle-aged and elderly people in China : a prospective study from CHARLS", Curr Med Sci, 40, pp.858~870 (2020)
  33. Robinson RG, "Post-stroke depression : a review", Am J Psychiatry, 173, pp.221~231 (2016)
  34. Si Y, "The combinative effects of orem self-care theory and PDCA nursing on cognitive function, neurological function and daily living ability in acute stroke", Am J Transl Res, 13, pp.10493~10500 (2021)
  35. Haghgoo HA, "Depression, activities of daily living and quality of life in patients with stroke", J Neurol Sci, 328, pp.87~91 (2013)
  36. Smith HR, "Depression in cancer patients : pathogenesis, implications and treatment(review)", Oncol Lett, 9, pp.1509~1514 (2015)
  37. Mishel MH, "Predictors of psychosocial adjustment in patients newly diagnosed with gynecological cancer", Cancer Nurs, 7, pp.291~299 (1984)
  38. Linden W, "Anxiety and depression after cancer diagnosis : prevalence rates by cancer type, gender, and age", J Affect Disord, 141, pp.343~351 (2012)
  39. Weiss Wiesel TR, "The relationship between age, anxiety, and depression in older adults with cancer", Psychooncology, 24, pp.712~717 (2015)
  40. Misiorowski W, "Osteoporosis in men", Prz Menopauzalny, 16, pp.70~73 (2017)
  41. Canto JG, "Association of age and sex with myocardial infarction symptom presentation and in-hospital mortality", JAMA, 307, pp.813~822 (2012)
  42. Bogner HR, "Older patients’ views on the relationship between depression and heart disease", Fam Med, 40, pp.652~657 (2008)
  43. Regitz-Zagrosek V, "Mechanistic pathways of sex differences in cardiovascular disease", Physiol Rev, 97, pp.1~37 (2017)
  44. Dong X, "The prevalence of medical conditions among U. S. Chinese community-dwelling older adults", J Gerontol A Biol Sci Med Sci, 69(Suppl 2), pp.S15~S22 (2014)
  45. Connolly MJ, "The impact of depression in older patients with chronic obstructive pulmonary disease and asthma", Maturitas, 92, pp.9~14 (2016)
  46. Eisner MD, "Impact of depressive symptoms on adult asthma outcomes", Ann Allergy Asthma Immunol, 94, pp.566~574 (2005)
  47. Shi Y, "Risk factors for post-stroke depression : a meta-analysis", Front Aging Neurosci, 9, pp.218~ (2017)
  48. Yu R, "Depression in newly diagnosed type 2 diabetes", Int J Diabetes Dev Ctries, 30, pp.102~104 (2010)
  49. Wilson-Genderson M, "Onset of multiple chronic conditions and depressive symptoms : a life events perspective", Innov Aging, 1, pp.igx022~ (2017)

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