The Journal of the Korea institute of electronic communication sciences (한국전자통신학회논문지)

Korea Institute of Electronic Communication Science (한국전자통신학회)
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The Relationship between Existence of Spouses and Depression of Korean Elderly

우리나라 노인의 배우자 유무와 우울과의 관련성

  • 박형수 (경기의료재단 영광하나의원) ;
  • 정미화 (조선대학교 대학원 보건학과) ;
  • 유진호 (전남과학대학교)
  • Received : 2012.08.24
  • Accepted : 2012.10.05
  • Published : 2012.10.31
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Abstract

The depression of the elderly decreases satisfaction in life and is also an important risky factor of their suicide. The subjects of the study were 615 males and 904 females aged above 65 who had the 2008 Korea National Health and Nutrition Examination Survey on the relations between presence of spouses and depression given by the Korea Center for Disease Control and Prevention. Through a chi-square test and a multiple logistic regression, the relations between general characteristics, contraction, health characteristics and depression were analysed. As a result of the multiple logistic regression for which age, family income, subjective health status, presence of activity limitation and stress were revised, the odds ratio of the males without spouses was 2.37(95% CI 1.03-5.45), which indicates that they had more depression than female subjects. However, for the female subjects, there were no relations between presence of spouses and depression.

노인 우울은 삶의 만족을 저하시킬 뿐 아니라 노인 자살의 중요한 위험요인이다. 본 연구에서는 남자와 여자 노인의 배우자 유무와 우울과의 관련성에 대하여 질병관리본부에서 실시한 4기 2차년도 2008년 국민건강영양조사 대상자중 65세 이상 노인 남자 615명, 여자 904명을 연구대상으로 하였다. 분석은 카이제곱 검정과 다중로지스틱 회귀분석을 통해 일반적 특성, 이환 및 건강관련 특성과 우울과의 관련성을 파악하였다. 연구결과 연령, 가구소득, 주관적 건강상태, 활동제한 유무, 스트레스 정도 등을 보정한 다중로지스틱 회귀분석에서 배우자가 없는 남자 노인의 비차비는 2.37(95% CI 1.03-5.45)로 우울을 더 느꼈으며, 여자노인의 경우에서는 배우자의 유무와 우울과는 관련성이 없었다.

Keywords

References

  1. Statistics Korea(2006), Population Projection Data. http://kostat.go.kr/wnsearch/search.jsp,
  2. Jeon I. S, Min G. S, "Analysis On the Retiring Baby Boomers' Impact on the Real Estate Market and How the Financial Sector Should Respond to the Resulting Changes", J of The Korea Institute of Electronic Communication Sciences, Vol. 6, No. 6, pp. 921-928, 2011.
  3. Statistics Korea(2006), Elderly statistics. http://kostat.go.kr/wnsearch/search.jsp
  4. You K. S, Park H. S, "Comparison of Health Status between Senior People Living Alone and Those who Live with Their Families", J of the Korea Gerontological Society, Vol. 23, No. 4, pp. 163-179, 2003.
  5. Korea Center for Disease Control, 2009. http://healthy 1318.cdc.go.kr http://knhanes.cdc.go.kr 2009.
  6. Kim D. B, Sohn E. S, "A Meta-analysis of the Variables Related to Depression in Elderly", J of the Korea Gerontological Society, Vol. 25, No. 4, pp. 167-187, 2005.
  7. Chou K. L, Chi I, "Prevalence and correlates of depression in Chinese oldest-old" International Journal of Geriatric Psychiatry, Vol. 20, pp. 41-50, 2005. https://doi.org/10.1002/gps.1246
  8. Gazmararian J, Baker D, Parker R, Blazer D. G, "A multivariate analysis of factors associated with depression: Evaluating the role of health literacy as a potential contributor", Archives of Internal Medicine, Vol. 160, pp. 3307-3314, 2000. https://doi.org/10.1001/archinte.160.21.3307
  9. Shin C. H, "The Study on Effects of Objective Life Attributes on Depression of Elderly Mediated by Life-satisfaction", J of the Korea Gerontological Society, Vol. 30, No. 2, pp. 453-469, 2010.
  10. Mynatt S. L, "Depression in the older adults: Recognition and nursing intervention", Tenn Nurse, Vol. 67, No. 4, pp. 8-10, 2004.
  11. Coren S, Hewitt P. L, "Sex differences in elderly suicide rates: some predictive factors", Aging and Mental Health, Vol. 3, No. 2, pp. 112-118, 1999. https://doi.org/10.1080/13607869956262
  12. Conwell Y, "Management of suicidal bahavior in the elderly. Psychiatric Clinics of North America, Vol. 20, pp. 667-683, 1997. https://doi.org/10.1016/S0193-953X(05)70336-1
  13. Shon E. S, "A Study on Religious Participation, Coping Resources and Depression among the Bereaved Elderly", J of Welfare for the Aged, Vol. 41, pp. 183-204, 2008.
  14. Park J. H, Cheong J. H, "The Influence of Depression on the Life Satisfaction of the Elderly People Living alone: A Mediating Effect of Problem Drinking", J of Welfare for the Aged, Vol. 47, pp. 309-329, 2010.
  15. Tag Y. L, Kim S. A, Lee B. S, "Perceived Social Support, Instrumental Support Needs, and Depression of Elderly Women", J of Korea Society of Women health nursing, Vol. 9, No. 4, pp. 449-456, 2003.
  16. Tibaldi F, Bruckers L, Van Oyen H, Van der Heyden J, Molenberghs G, "Statistical software for calculating properly weighted estimates from Health Interview Survey Data", Social and Preventive med, Vol. 48, pp. 269-271, 2003. https://doi.org/10.1007/s00038-003-3017-3
  17. Han M. A, Kim K. S, Ryu S. Y, Kang M. G, Park J, "Association between smoking and alcohol drinking and suicidal behavior in Korean adolescents: Korea Youth Behavioral Risk Factor Surveillance, 2006", J of Preventive Medicine Vol. 49, pp. 248-252, 2009. https://doi.org/10.1016/j.ypmed.2009.06.014
  18. Han Y. O, "The development of module for measurement and wireless communication of SpO2/PPG signals", J of The Korea Institute of Electronic Communication Sciences, Vol. 6, No. 6, pp. 981-986, 2011.
  19. Kang J. H, Kim J. A, Oh K. S, Oh K. O, Lee S. O, Lee S. J, Jun H. Y, Kim H. R, "Health Status, Depression and Social Support of Elderly Beneficiaries of the National Basic Livelihood Security System", J of Korean Academy of Adult Nursing, Vol. 20, No. 6, pp. 866-882, 2008.
  20. Kim Y. S, Yoo M. S, Park J. H(2009). Factors Influencing Depression in Community-dwelling Elderly with Low Income. J of the Korea Gerontological Society 29(4);1313-1325
  21. Cho S. J, Yim H. W, Chae J. M, Ji Y. N, Lee H. G, Bang M. H, et al, "Depression prevalence among community population in urban area", Poster presentation presented at the 59th conference of Korean Academy of Preventive Medicine, Gosung.
  22. Riolo S. A, Nguyen T. A, Greden J. F, King C. A, "Prevalence of depression by race/ ethnicity: Findings from the national health and nutrition examination survey III", American Journal of Public Health, Vol. 95, No. 6, pp. 998-1000, 2005. https://doi.org/10.2105/AJPH.2004.047225
  23. Lee K. U, Cho S. M, Park J. I, "Cognitive Dysfunction and Improvement after Antidepressant Treatment in Patients with Non-Psychotic Major Depressive Disorder in Mild to Moderate Severity : A Prospective Study", The Korean J of Psychopharmacology, Vol. 19, No. 5, pp. 283-292, 2008..
  24. Lee M. A, "Elderly depression according to marital status, gender", Korean J of Sociology, Vol. 44, No. 4, pp. 32-62, 2010.
  25. Jung Y. M, Kim J. U, "Comparison of Cognitive Levels, Nutritional Status, Depression in the Elderly according to Living Situations", J of Korean Acad Nurs, Vol. 34, No. 3, pp. 495-503, 2004. https://doi.org/10.4040/jkan.2004.34.3.495
  26. Ko S. D, Son A. R, Choi Y. S, "A Study on the Relationship of the Geriatric Depression to the Elderly's General Characteristics", Korean J of Family Welfare, Vol. 6, No. 1, pp. 3-15, 2001.
  27. Hur J. S, Yoo S. H, "Determinants of Depression among Elderly Persons", Korea J of Mental Health & Social Work, Vol. 13, pp. 7-35, 2002.
  28. Lee P. S, Lee Y. M, Lim J. Y, Hwang R. I, Park E. Y, "The Relationship of Stress, Social Support and Depression in the Elderly", J of Korean Acad Nurs, Vol. 34, No. 3, pp. 477-484, 2004. https://doi.org/10.4040/jkan.2004.34.3.477
  29. Carr, Deborah, "Gender, Preloss Marital Dependence, and Older Adults' Adjustment to Widowhood." Journal of Marriage and Family Vol. 66, pp. 236-243, 2004. https://doi.org/10.1111/j.0022-2445.2004.00015.x
  30. Carr D, J. S. House, C. Wortman, R. Nesse, R. C. Kessler, "Psychological Adjustment to Sudden and Anticipated Spousal Loss among Older Widowed persons", Journal of Gerontology: Social Sciences, Vol. 56, No. 8, pp. 237-248, 2001..
  31. Kim S. Y, Ko S. G, Kwon J. H, "The Moderating Effect of Social Support and Coping on Widowed Elderly", J of The Korean clinical Psychology, Vol. 26, No. 3, pp. 573-596, 2007. https://doi.org/10.15842/kjcp.2007.26.3.002
  32. Ried L. D, Planas L. G, "Aging, health and depressive symptoms; Are women and men different?", J of Women's Health, Vol. 11, pp. 813-824, 2002. https://doi.org/10.1089/15409990260430963
  33. Sohn S. J, Shin J. H, Shin H. Y, Chung E. K, Bum M. S, Kweon S. S, "Assessment of Depression and Relates in Rural Elderly", Korean J of Rural Med Vol. 25, No. 1, pp. 85-98, 2000.
  34. Kim Y. J, "Mediating Effects of Social Supports on the Decrease of Depression of the Rural Elderly", J of Welfare for the Aged, Vol. 46, pp. 77-104, 2009.
  35. Murata C, Kondo K, Hirai H, Ichida Y, Ojima T, "Association between depression and socio-economic status among communitydwelling elderly in Japan: the Aichi gerontological evaluation study", J of Health Place, Vol. 14, No. 3, pp. 406-414, 2008. https://doi.org/10.1016/j.healthplace.2007.08.007