Factors Related to Depression Symptom and the Influence of Depression Symptom on Self-rated Health Status, Outpatient Health Service Utilization and Quality of Life

우울증상에 관련된 요인과 우울증상이 지각된 건강수준, 외래의료이용, 삶의 질에 미치는 영향

  • Kim, Rock-Bum (Department of Preventive Medicine.Institute of Health Sciences, School of Medicine, Gyeongsang National University) ;
  • Park, Ki-Soo (Department of Preventive Medicine.Institute of Health Sciences, School of Medicine, Gyeongsang National University) ;
  • Lee, Jin-Hyang (Department of Preventive Medicine.Institute of Health Sciences, School of Medicine, Gyeongsang National University) ;
  • Kim, Bong-Jo (Department of Psychiatry.Institute of Health Sciences, School of Medicine, Gyeongsang National University) ;
  • Chun, Jin-Ho (Department of Preventive Medicine, School of Medicine, Inje University)
  • 김록범 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 박기수 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 이진향 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 김봉조 (경상대학교 의학전문대학원 정신과학교실 및 건강과학연구원) ;
  • 전진호 (인제대학교 의과대학 예방의학교실)
  • Received : 2011.02.21
  • Accepted : 2011.03.24
  • Published : 2011.03.30

Abstract

Objectives: The purpose of this study is to evaluate the influence of depression symptom on the self-rated health status(SRHS), the outpatient health service utilization and quality of life(QOL) also the relationship depression symptom with socio-demographic and health related factors. Methods: We selected 9,550 participants without chronic diseases from a total of 18,104 in the '2009 community health survey in Gyeongnam. They were assessed by using a Korean version of the Center for Epidemiological Studies-Depression Scale(CES-D). Those with CES-D scores of 21 or greater were defined as having probable depression. Results: A probable depression were associated in bivariate analysis with gender, age, educational status, monthly household income, marital status, current smoking status, drinking habit, physical activities and body mass index. After adjustment for covariates, probable depression groups predicted a lower status in SRHS. Likewise probable depression groups predicted a higher utilization in outpatient health service. Also probable depression groups predicted a lower score in QOL. Conclusions: Probable depression influence SRHS, outpatient health service utilization and QOL even after adjusting for the socio-demographic, health related factors and chronic medical illness. Programs for prevention and management of depression will be helpful to promote health and QOL.

Keywords

References

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