Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

Convergence Factors of affecting Depression of Elderly Women in Rural Area

농촌지역 여성노인의 우울에 미치는 융복합적 영향요인

  • Lee, Myung-Suk (Department of Nursing, Mokpo Catholic University) ;
  • Han, Mira (Department of Nursing, Mokpo Catholic University)
  • 이명숙 (목포가톨릭대학교 간호학과) ;
  • 한미라 (목포가톨릭대학교 간호학과)
  • Received : 2018.04.24
  • Accepted : 2018.05.20
  • Published : 2018.05.28
Download PDF
⟨ Previous Next ⟩

Abstract

This study was done to identify the significant convergence factors of affecting depression of elderly women in rural area. A total of 161 elderly women aged 65 and over were collected and data were analyzed using multiple logistic regression with SPSS/WIN 21.0. The result indicated that 42.9% of participants were depressed. In logistic regression, significant factors of depression were age(p<.001, OR=1.146), economic status (p=.004, OR=.123), number of family member living together (p=.013, OR=.020), number of social activities (p=.012, OR=.436), number of disease diagnosed (p<.001, OR=3.847), visual function (p=.023, OR=3.867), family support (p=.048, OR=.707), which accounted for 68.6% of the variance. The results of this study can contribute to develop various convergence strategies to prevent the prevalence of depression of elderly women in rural area. Further studies are needed to confirm the level of contribution of visual disability to depression in rural older women.

본 연구의 목적은 농촌지역에 거주하는 여성노인의 우울 영향요인을 파악하기 위한 것이다. 본 연구는 서술적 조사연구로 연구 대상자는 C도 농촌지역의 65세 이상 여성노인 161명을 대상으로 하였으며, SPSS 21.0을 이용하여 다중 로지스틱 회귀분석을 실시하였다. 연구결과 대상자의 평균나이는 76세로 42.9%가 우울로 나타났다. 본 연구 대상자의 우울에 미치는 유의한 영향요인은 연령(p=.008, OR=1.146), 경제상태(p=.004, OR=.123), 동거 가족수(p=.013, OR=.020), 사회 활동수(p=.012, OR=.436), 진단 받은 질병수(p<.001, OR=3.847), 시력(p=.023, OR=3.867), 사회적 지지 하부영역 중 가족의 지지(p=.048, OR=.707)였으며, 설명력은 68.6%였다. 이상의 결과는 농촌지역 여성노인의 우울 발생을 예방하기 위한 근거 및 융복합적 중재 방안 개발에 기여할 수 있으며, 향후 농촌거주 여성노인의 시력장애가 우울에 미치는 영향을 확인하는 후속연구가 필요하다.

Keywords

References

  1. J. T. Baek, H. Y. Lee, & Y. C. Cho. (2016). Relating factors on depressive symptoms among the elderlies in urban areas. Journal of the Korea Academia-Industrial Cooperation Society, 17(5), 506-515. DOI: 10.5762KAIS.2016.17.5.506 https://doi.org/10.5762/KAIS.2016.17.5.506
  2. E. K. Kim. (2015). Comparison of the factors related to depression of the female elderly living alone by region. Korean Journal of Human Ecology, 24(6), 811-827. DOI: 10.5934/kjhe.2015.24.6.811
  3. National Health Big Data Hub. (2016). Depression. https://www.opendata.hira.or.kr
  4. World Health Organization. (2014). Global health estimates 2014 summary tables-DALY by cause, age and sex, by WHO region, 2000-2012. https://www.who.int/entity/healthinfo/global_burden_disease/GHE_DALY_Global_2000_2012.xls?ua=1
  5. S. Wiktorsson et al. (2018). Few sex differences in hospitalized suicide attempters aged 70 and above. International Journal of Environmental Research and Public Health. 15(1), 141. DOI: 10.3390/ijerph15010141
  6. S. H. Lee. (2013). Comparative study on influencing factors of suicidal ideation according to sex in the elderly. Journal of Korean Public Health Nursing, 27(3), 500-512. DOI: 10.5932/JKPHN.2013.27.3.500
  7. S. Maji. (2018). Society and 'good woman': A critical review of gender difference in depression. International Journal of Social Psychiatry, 0020764018765023. DOI: 10.1177/0020764018765023
  8. J. H. Yoo & H. Y. Sung. (2009). The moderating effect of family relationship on depression in the elderly. Journal of the Korean Gerontological Society, 29(2), 717-728.
  9. K. C. Lim & S. H. Kim. (2012). Prevalence and correlates of depression in older Koreans: Comparison of young-old and old-old. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 21(1), 1-10. https://doi.org/10.12934/jkpmhn.2012.21.1.1
  10. B. W. Chang & T. Y. Jang. (2018). A Meta-analysis of the effect of planned exercise on their self efficacy, depression, life satisfaction. Journal of Digital Convergence, 16(2), 293-298. DOI: 10.14400/JDC.2018.16.2.293
  11. J. I. Kim. (2014). Predictive relationships between depression and health status, physical function, and social support of elders in rural areas. Journal of Korean Gerontological Nursing, 16(3), 231-241. DOI: 10.17079/jkgn.2014.16.3.231
  12. Korea National Statistical Office. (2016). Korean Statistical Information Service. http://www.kosis.kr
  13. H. R. Kim. (2014). Comparison of prevalence of depression and its risk factors between elders in urban and rural areas. Journal of Korean Society Living Environment System, 21(1), 108-120. DOI: 10.21086/ksles.2014.02.21.1.108
  14. M. S. Song, S. K. Kim, & N. C. Kim. (2011). A study on the correlation between elderly women's depression and physical fitness. Journal of Korean Biological Nursing Science, 13(1), 37-43.
  15. H. W. Kang & K. M. Park. (2012). Comparison of correlates of depression in late-life between urban and rural areas. Journal of the Korean Gerontological Society, 32(1), 129-143.
  16. H. A. Kim. (2011). The impacts of elderly women's physical health on their depression; Focused on the moderating effects of social support. Unpublished master's thesis, Daegu University, Gyeongbuk.
  17. A. M. Boerema, A. Kleiboer, A. T. Beekman, K. van Zoonen, H. Dijkshoorn, & P. Cuijpers. (2016). Determinants of help-seeking behavior in depression: a cross-sectional study. BMC Psychiatry, 16(78), 1-9. DOI: 10.1186/s12888-016-0790-0
  18. S. E. Lee & B. H. Kim. (2016). Predictors of depression in community dwelling older women living alone. Journal of Korean Gerontological Nursing, 18(1), 1-11. DOI: 10.17079/jkgn.2016.18.1.1
  19. S. E. Kim & S. A. Kim. (2013). A predictive model of depression in rural elders-decision tree analysis. Journal of Korean Academy of Nursing, 43(3), 442-451. DOI: 10.4040/jkan.2013.43.3.442
  20. H. J. Kim. (1994). An Effect of muscle strength training program on strength, muscle endurance, instrumental activities of daily living and quality of life in the institutionalized elderly. Unpublished doctoral dissertation, Seoul National University, Seoul.
  21. B. S. Kee. (1996). A preliminary study for the standardization of geriatric depression scale short form-Korean version. Journal of the Korean Neuropsychiatric Association, 35, 298-307.
  22. Y. J. Kim. (2017). The influence of social networks and social support on depression: for older women in rural area. Journal of the Korea Convergence Society, 8(10), 339-349. DOI: 10.15207/JKCS.2017.8.10.339
  23. S. E. Kim & S. A. Kim. (2013). A predictive model of depression in rural elders-decision tree analysis. Journal of Korean Academy of Nursing, 43(3), 442-451. DOI: 10.4040/jkan.2013.43.3.442
  24. J. A. Son, S. R. Suh & M, Kim. (2015). Factors related to depression of rural elders. Journal of Korean Gerontological Nursing, 17(1), 56-64. DOI: 10.17079/jkgn.2015.17.1.56
  25. K. J. Kwon & J. Y. Bae. (2016). A study on factors influencing the depression in elderly people who live alone in rural area. Journal of Regional Studies, 24(4), 71-88.
  26. N. H. Noran et al. (2009). Severity of visual impairment and depression among elderly Malaysians. Asia-Pacific Journal of Public Health, 21(1), 43-50. DOI: 10.1177/1010539508327353
  27. S. Y. Tasi, S. Y. Cheng, W. M. Hsu, Y. P .T. Su, J. H. Liu, & P. Chou. (2003). Association between visual impairment and depression in the elderly. Journal of Formosan Medical Association, 102(2), 86-90.
  28. E. S. An & S. M. Song. (2017). The effects of welfare services experience by the low-income seniors on the satisfaction of life - focusing on mediating effects of family conflicts and depression. Journal of Digital Convergence, 15(10), 9-18. DOI: 10.14400/JDC..2017.15.10.9
  29. J. N. Sohn. (2013). Factors influencing depressive symptoms in community dwelling older people. Journal of Academy Psychiatric Mental Health Nursing, 22(2), 107-116. DOI: 10.12934.jkpmhn.2013.22.2.107 https://doi.org/10.12934/jkpmhn.2013.22.2.107
  30. Y. M. Kim & Y. M. Ko. (2018). Effects of separated children support on depression in one-person households of the elderly. Journal of the Korea Convergence Society, 9(3), 265-277. DOI: 10.15207/JKCS.2018.9.3.265
  31. H. Y, O. Lee, K. Beum, & Y. Gim. (2016). Effects of online social relationship on depression among older adults in South Korea. Journal of Korea Contents Association, 16(5), 623-637. DOI: 10.5392/JKCA.2016.05.623