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당뇨병 근로자의 우울 영향요인: 국민건강영양조사를 바탕으로

Factors Influencing Depression in Workers with Diabetes Mellitus-using the Korean National Health and Nutrition Examination Survey-

  • Jang, Eun-Hee (Department of Nursing, Incheon Catholic University)
  • 투고 : 2021.11.14
  • 심사 : 2022.01.20
  • 발행 : 2022.01.28

초록

본 연구는 당뇨병 근로자의 우울 정도 및 영향요인을 파악하기 위해 국민건강영양조사 자료를 분석하였으며, 우울 정도는 PHQ-9를 활용하였고, 만 30세 이상의 직업이 있는 당뇨병 환자 685명을 대상으로 하였다. 자료분석은 복합표본 선형 회귀분석을 이용하였다. 연구결과, 여성, 40~49세, 65세 이상. 편부모와 미혼자녀로 구성된 세대, 비정규직 근로자가 우울이 높았으며, 가구소득이 높고, 교육수준이 고등학교 졸업 이상의 근로자는 우울이 낮게 나타났다(p>.05). 또한, 약물치료를 하는 경우, 스트레스가 많은 경우, 1주일간 걷기 일수가 2~3일/주, 주관적 건강상태가 보통이거나 나쁜 경우, 우울증으로 의사진단을 받은 경우 우울이 높게 나타났다(p>.05). 본 연구결과를 바탕으로 당뇨병 근로자의 우울 관리 개발 프로그램 연구와, 정부 및 지역사회에서 당뇨병 근로자의 우울에 대한 체계적인 사정 및 진단 프로그램과 직장내에서 당뇨병 근로자를 위한 건강증진행동을 위한 지원체계가 마련되어야 할 것이다.

The purpose of this study is to identify the factors influencing the depression in workers with diabetes mellitus. Using data from the Korean National Health and Nutrition Examination Survey (KNHANES). 685 workers with diabetes mellitus who were ≥30 years of age were enrolled. Depression was evaluated on the basis of PHQ-9 levels. Data were analyzed by complex sample linear regression using SPSS/WIN 23.0. The factors influencing depression included gender, age, household type, household income level, education level, type of employment (p>.05). The additional factors included stress perception level, weekly walking days (p>.05). Therefore, it is necessary to prepare systematic programs for depression and a support system for health promotion plan for diabetes mellitus in work places and throughout society. In addition, research on depression management program development is needed.

키워드

과제정보

This work was supported by the Incheon Catholic University Research Grant of 2021.

참고문헌

  1. Korean Diabetes Association. (2020). Diabetes fact sheet in Korea 2020. https://www.diabetes.or.kr/pro/news/admin.php?category=A&code=admin&number=1972&mode=view
  2. Korean Diabetes Association. (2021). Clinical practice guidelines for diabetes. http://kdaguideline.com/
  3. H. G. Jeon, J. Y. Won, X. Peng & K. C. Lee. (2019). Investigating effects of emotional states on the glucose control of diabetes in Korean Adults. Journal of Digital Convergence, 17(10), 301-311. DOI : 10.14400/JDC.2019.17.10.301
  4. J. Y. Oh. (2008). Risk factors for depression in patients with diabetes Mellitus. The Journal of Korean Diabetes. 9(4), 294-293. https://doi.org/10.4093/kcd.2008.9.4.294
  5. P. M. Mommersteeg, R. Herr, F. Pouwer, R. I. Holt & A. Loerbroks. (2013). The association between diabetes and an episode of depressive symptoms in the 2002 World Health Survey: an analysis of 231797 individuals from 47 countries. Diabetic Medicine, 30(6), e208-e214. DOI : 10.1111/dme.12193
  6. B. J. Kim. (2008). Diabetes and depression. The Journal of Korean Diabetes, 9(4), 281-286. https://doi.org/10.4093/kcd.2008.9.4.281
  7. N. Sartorius. (2018). Depression and diabetes. Dialogues in clinical neuroscience, 20(1), 47-52. DOI : 10.31887/DCNS.2018.20.1/nsartorius
  8. A. Nouwen et al. (2019). Longitudinal associations between depression and diabetes complications: A systematic review and meta-analysis. Diabetic Medicine, 36(12), 1562-1572. DOI : 10.1111/dme.14054
  9. Y. Jeong & M. Kim. (2012). Comparative study on HbA1C, self-care behavior, and quality of life by depression status in type II diabetic patients. Journal of Korean Academy of Fundamentals of Nursing, 19(3), 353-362. DOI : 10.7739/jkafn.2012.19.3.353
  10. Korea Health Promotion Institution. (2017). National health plan 2020. https://www.khealth.or.kr/hpl/hplIdx/idxDataOne.do?menuId=MENU00819&idx_ix=301
  11. M. S. Kim & E. Choi. (2020). The impacts of workplace discrimination and violence on depressive symptoms among Korean employees. Korean Journal of Occupational Health Nursing, 29(2), 160-171. DOI : 10.5807/kjohn.2020.29.2.160
  12. National Statistical Office of Korea. (2019). Korean Social Trends 2019. http://kostat.go.kr/sri/srikor/srikor_pbl/3/index.board
  13. Y. Jung & K. S. Jung. (2021). The effect of long working hours on mental health among Korean wage earners. Health and Social Welfare Review, 41(1), 160-175. DOI : 10.15709/hswr.2021.41.1.160
  14. G. Byun & H. Lee. (2018). The impact of employment instability on mental health: the case of South Korea. Health and Social Welfare Review, 38(3), 129-160. DOI : 10.15709/hswr.2018.38.3.129
  15. I. Han & D. Sin. (2020). The issues and assignments of future legislative policy on the platform labor. Labor Law Forum, 29, 241-268. DOI : 10.46329/LLF.2020.02.29.241
  16. H. De Witte, J. Pienaar & N. De Cuyper. (2016). Review of 30 years of longitudinal studies on the association between job insecurity and health and well being: is there causal evidence?. Australian Psychologist, 51(1), 18-31. DOI : 10.1111/ap.12176
  17. E. Jang. (2020). Gender difference in quality of life among workers with diabetes mellitus. Journal of Digital Convergence, 18(8), 281-291. DOI : 10.14400/JDC.2020.18.8.281
  18. Y. J. Park. (2018). Diabetes, returning to work, and your rights for health. Journal of Korean Diabetes, 19(1), 53-57. DOI : 10.4093/jkd.2018.19.1.53
  19. M. De Groot, R. Anderson, K. E. Freedland, R. E. Clouse & P. J. Lustman. (2001). Association of depression and diabetes complications: a meta-analysis. Psychosomatic Medicine, 63(4), 619-630. https://doi.org/10.1097/00006842-200107000-00015
  20. M. Y. Park. (2017). Factors associated with depression among adults with diabetes mellitus. M.D. Dong-A University, Busan.
  21. H. W. Jung et al. (2020). Association of depressive/anxiety symptoms with ego resilience and social conflict/support in patients with diabetes mellitus. Anxiety and Mood, 16(1), 9-17. DOI : 10.24986/anxmod.2020.16.1.9
  22. R. L. Spitzer, K. Kroenke & J. B. W. Wiliams & the Patient Health Questionnaire Primary Care Study Group. (1999). Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Journal of American Medical Association, 282(18), 1737-1744. DOI : 10.1001/jama.282.18.1737
  23. C. S. Han et al. (2008). Validation of the patient health questionnaire-9 Korean version in the elderly population: the Ansan geriatric study. Comprehensive Psychiatry, 49(2), 218-223. DOI : 10.1016/j.comppsych.2007.08.006
  24. K. Y. Park. (2017). Reliability, validity and clinical usefulness of the Korean version of the patient health questionnaire-9 (PHQ-9). Global Health and Nursing, 7(2), 71-78. DOI : 10.35144/ghn.2017.7.2.71
  25. S. Park, S. Lee & J. Song. (2017). The effects of job stress on work-family conflicts and depression among female low-wage workers-mediated moderating effect of resilience-. Korean Journal of Family Social Work, 12(58), 123-150.
  26. S. K. Kim, S. Park & H. Rhee. (2017). The effect of work-family conflict on depression in married working women. Journal of Digital Convergence, 15(3), 267-275. DOI : 10.14400/JDC.2017.15.3.267
  27. H. Lee, M. Sohn & M. Choi. (2013). Factors associated with depression among workers by socio-economic factors, health behaviors, and characteristics of work environment. Korean Journal of Health Education Promotion, 30(5), 125-138. DOI : 10.14367/kjhep.2013.30.5.125
  28. B. Kang, H. Oh, Y. Seo, E. Gil & A. Jo. (2020). Experience of depression regarding psychosocial factors in middle-class Korea workers: comparison of life cycle analysis. Korean Journal of Occupational Health Nursing, 29(1), 49-57. DOI : 10.5807/kjohn.2020.29.1.49
  29. G. S. Jeon & H. Y. Lee. (2011). Impact of marital status on depression and suicidal ideation among Korean adults-focused on the difference by age and sex-. The Korean Journal of Health Service Management, 5(3), 179-190. https://doi.org/10.12811/kshsm.2011.5.3.179
  30. H. J. Lee. (2018). Association between marital status, household types and anxiety.depression: an analysis of the 4-6th Korea national health and nutrition examination survey(2007-2015). M.D. Yonsei University, Seoul.
  31. D. J. Kim & H. J. Lee. (2017). Comparison of health behavior and mental health among Korean workers according to work patterns: based on the Korea national health and nutritional examination survey 2014. Journal of the Korean society for Wellness, 12(2), 319-328. DOI : 10.21097/ksw.2017.05.12.2.319