The Prevalence of Depression and Related Factors among Adults

제주지역 성인의 우울 유병률과 관련 요인

  • 박은옥 (제주대학교 의과대학 간호학과) ;
  • 김문두 (제주대학교 의학전문대학원) ;
  • 손영주 (제주한라대학 간호과) ;
  • 송효정 (제주대학교 의과대학 간호학과) ;
  • 홍성철 (제주대학교 의학전문대학원)
  • Published : 2009.09.30

Abstract

Purpose: This study was to investigate depression prevalence and related factors of depression in Jeju Province. Methods: The study sample selected using randomized cluster sampling method, and the unit of cluster was 25 households. Data were collected from 1275 adults in 723 households through home visit interview. The response rate was 89.4%. The instrument used for measuring depression was CES-D, the cut-off score was 21. Data were analyzed using Chi-square test and logistic regression. Results: The prevalence of depression in Jeju was 18.1%. The significant differences were found with depression prevalence rate by the group of gender, age, inhabited area, marital status, educational status, monthly household income, life satisfaction, socioeconomic status, perceived health status, morbidity during last 2 weeks, perceived stress, perceived fatigue, participation in social activities, and family life satisfaction. The most predictive factors among those variables were perceived fatigue with 17.93 of odds ratio, family life satisfaction with 9.86 odds ratio, and perceived stress with 9.66 of odds ratio. Conclusion: The prevention and management of depression program development was suggested and mental health promotion program for the prevention of depression was suggested.

Keywords

References

  1. Cho, K. W. (2003). Factors related to subjective well-being and depression symptoms among the elderly in rural areas. Unpublished master's thesis, Chungnam National University, Daejeon.
  2. Cho, M. J., & Kim, K. H. (1993). Diagnostic validity of the CESD (Korean version) in the assessment of DSM-III-R major depression. Journal of the Korean Neuropsychiatric Association, 32(3), 381-399.
  3. Cho, M. J., Ha, Y. S., Han, K. J., Park, S. A., Song, M. S., Kim, Y. I., et al. (1999). Depressive symptoms in a Korean rural sample-Risk Factor and Factor Structure. Journal of Korean Neuropsychiatry Association, 38(2), 266-277.
  4. Cho, M. J., Ham, B. J., Hong, J. P., Lee, D. W., Lee, J. Y., Jeong, I. W., et al. (2007). The epidemiological survey of psychiatric illnesses in Korea. Seoul: Ministry of Health & Welfare.
  5. Cho, N., Yang, K., Hong, Y. S., Lee, E. O., & Choe, M. A. (1998). The relationship between family function and depression of elderly according to their assertiveness and pattern of interaction in expanded families. The Seoul Journal of Nursing, 12(2), 185-201.
  6. Cho, S. J., Jeon, H. J., Kim, M. J., Kim, J. K., Kim, S. U., Lyoo, I. K., et al. (2001). Prevalence and correlates of depressive symptoms among the adolescents in an urban area in Korea. Journal of Korean Neuropsychiatry Association, 40(4), 627-639.
  7. Cho, S. J., Yim, H. W., Chae, J. M., Ji, Y. N., Lee, H. G., Bang, M. H., et al. (2007). Depression prevalence among community population in urban area. Poster presentation presented at the 59th conference of Korean Academy of Preventive Medicine, Gosung.
  8. Hur, J. S., & Yoo, S. H. (2002). Determinants of depression among elderly persons. Mental Health & Social Work, 13(6), 7-35.
  9. Hwang, S. S. (1999). A study on psycho-environmental factors related to senile depression. Unpublished master's thesis, The Catholic University of Korea, Seoul.
  10. Jung, H. S. (2007). A stand on the influencing factors of depression in the elderly. Unpublished master's thesis, Kongju National University, Gongju.
  11. Kang, D. (2005). A study on factors influencing the depression of the elderly in rural. Unpublished master's thesis, Mokwon University, Daejeon.
  12. Kim, M. D., Hwang, S. W., & Hong, S. C. (2003). Prevalence of depression and correlates of depressive symptoms among residents in rural areas of Jeju island. The Korean Academy of Family Medicine, 24, 833-844.
  13. Kim, M. Y., & Kang, Y. J. (2000). Depression and related factors for adolescents. Journal of Korean Society of School Health, 13(2), 261-270
  14. Kim, Y. B. (2004). Prevalence of depression and correlates of depressive symptoms among residents in urban area of Jeju island. Unpublished master's thesis, Cheju National University, JeJu.
  15. Korea Institute of Health and Social Affairs (2006). The third National Health and Nutrition Examination Survey (KNHANES III), 2005. Ministry Health and Welfare, Korea Institute of Health and Welfare.
  16. Korea National Statistical Office (2004). Report on the social statistics survey. Korea National Statistical Office.
  17. Lee, K. M., Choi, Y. K., Kang, R. H., & Lee, M. S. (2004). Factors associated with depressive symptoms of the married women -focused on family relationship satisfaction and conflictcoping method-. Journal of Korean Neuropsychiatry Association, 43(2), 229-236.
  18. Lee, M. S., Choi, Y. K., Jeong, I., & Kwak, D. I. (2000). Epidemiological study of geriatric depression in a Korea urban area. Geriatric Psychiatry, 4(2), 154-163.
  19. Park, K. S. (1995). A survey on depression degrees and its factors of urban high school students. Unpublished master's thesis, Chungnam National University, Daejon.
  20. Park, S. Y. (1999). The relationship among family support, powerlessness and depression in the elderly patient. The Journal of Korean Academic Society of Adult Nursing, 11(3), 425-435.
  21. Park, E. O., Kim, M. D., Kim, J. Y., Son, Y., J., Song, H. J., & Hong, S. C. (2007). A survey on Depression prevalence in Jejudo. Jeju: Jeju special self-governing province, Cheju National University.
  22. Ra, J. G. (2007, July 18). Depressive Jeju, Jolly Ulsan? The Hankookllbo, p. E42.
  23. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general populaltion. Journal Applied Psychological Measures, 1, 385-401 https://doi.org/10.1177/014662167700100306
  24. Riolo, S. A., Nguyen, T. A., Greden, J. F., & King, C. A. (2005). Prevalence of depression by race/ethnicity: Findings from the national health and nutrition examination survey III. American Journal of Public Health, 95(6), 998-1000. https://doi.org/10.2105/AJPH.2004.047225
  25. Seo, H. I. (2004). A study on depression and its related factors among general high school students. Unpublished master's thesis, Seoul National University, Seoul.
  26. Shin, H. C. (1999). Chronic fatigue, definition of chronic fatigue syndrome and historical review. J Korean Academy Family Medicine, 20(5), 647-658.
  27. Song, G. G. (1997). Chronic fatigue syndrome. The Journal of Rheumatology Health, 4(2), 163-176.
  28. Song, Y., Huang, Y., Liu, D., Kwan, J. S. H., Zhang, F., Sham, P. C., et al. (2008). Depression in college: Depressive symptoms and personality factors in Beijing and Hong Kong college freshmen. Comprehensive Psychiatry, 49, 496-502. https://doi.org/10.1016/j.comppsych.2008.02.005
  29. Weissman, M. M., & Klerman, G. L. (1985). Gender and depression. Trends in Neurosciences, 8, 815-819.
  30. Weissman, M. M., Myers, J. D., & Ross, C. E. (1986). Community survey of psychiatric disorders. New Brunswick, NJ : Ruters University Press.
  31. World Health Organization (2003). Investing in mental health. Geneva: World Health Organization.