한국 성인에 있어서 우울증 및 자살사고에 미치는 관련요인 = Correlates of depressive symptoms and suicidal ideation among Korean adults

다국어 초록 (Multilingual Abstract)

To find out the characteristics of depressive symptoms and suicidal ideation and their risk factors among various areas such as sociodemographic characteristics, activity limitations, morbidity, and health behaviors.
We used the raw data of the Third National Health and Nutrition Examination Survey (KNHANES III), 2005 of Korea. The subjects were total of 7802 (male 3510, female 3292). Dependent variables were prevalence of depression and prevalence of suicidal ideation. Independent variables were socioeconomic status, heath behaviors, and quality of life. etc. We provide prevalence of depression and suicidal ideation according to each levels of variables, also provide age and sex adjusted odds ratios. finally, we suggest correlates of depressive symptoms and suicidal ideation using multiple logistic regression analysis.
Prevalence of depressive symptoms was 15.4% (Male 11.3%, Female 19.4%). Prevalence of suicidal ideation was 18.5% (Male 13.9%, Female 23.0%). Correlates of the depressive symptoms were female sex (OR=2.39, 95% CI 2.38-2.40), no occupation (OR=1.56, 95% CI 1.55-1.56), under 1 million won of monthly income (OR=1.518, 95% CI 1.513-1.523), Charlson Comorbidity Index score 3 and over (OR=1.67, 95% CI 1.67-1.68) current smoker (OR=1.92, 95% CI 1.38-1.39), high risk drinker (OR=1.21, 95% CI 1.21-1.21). Correlates of the suicidal ideation were female sex (OR=2.16, 95% CI 2.16-2.17), no occupation (OR=1.50, 95% CI 1.50-1.51), under 1 million won of monthly income (OR=1.62, 95% CI 1.62-1.63), Charlson Comorbidity Index score 3 and over (OR=1.70, 95% CI 1.69-1.72), current smoker (OR=1.92, 95% CI 1.91-1.92), high risk drinker (OR=1.21, 95% CI 1.21-1.21), and having depressive symptoms (OR=7.77, 95% CI 7.76-7.79).
Prevalence of depressive symptoms and suicidal ideation among korea were very high and almost all known correlates of depressive symptoms and suicidal ideation were consistent with our results. It would be needed to lessen individual, social and national burden of depressive symptoms and suicidal ideation with active management and intervention of the correlates of these devastating conditions.

목차 (Table of Contents)

• Ⅰ. 서론 = 1
• Ⅱ. 연구대상 및 방법 = 3
• 1. 국민건강 영양조사 개요 = 3
• 2. 연구의 기본 틀 = 4
• 3. 연구대상 = 8
• 4. 분석내용 = 9
• 5. 분석방법 = 11
• Ⅲ. 결과 = 13
• 1. 연구 대상자의 일반적 특성 = 13
• 2. 성별, 연령군별 우울증 및 자살사고 유병률 = 15
• 3. 사회·경제적 수준에 따른 우울증 및 자살사고 유병률 = 17
• 4. 삶의 질 수준에 따른 우울증 및 자살사고 유병률 = 21
• 5. 의료이용 수준에 따른 우울증 및 자살사고 유병률 = 23
• 6. 활동장해 수준에 따른 우울증 및 자살사고 유병률 = 25
• 7 건강습관 수준에 따른 우울증 및 자살사고 유병률 = 27
• 8. 평생질환 이환 여부에 따른 우울증 및 자살사고 유병률 = 31
• 9. 지난 1년간 질환 이환 여부에 따른 우울증 및 자살사고 유병률 = 35
• 10. Charlson Comorbidity Index 수준에 따른 우울증 및 자살사고 유병률 = 39
• 11. 다변량 로지스틱 회귀분석 (Multivariate Logistic Regression Analysis) = 41
• Ⅳ. 고찰 = 45
• 1. 우울증상과 자살사고의 유병률 = 45
• 2. 우울증상 관련요인 = 46
• 3. 자살사고 관련요인 = 47
• 4. 연구의 제한점 및 의의 = 50
• Ⅴ. 결론 = 52
• Ⅵ. 참고문헌 = 53
• Ⅶ. 적요 = 62