일 도시 지역 저소득층 노인의 성별 우울 유병률과 위험요인 = Prevalence and Risk Factors of Depression by Gender in Low Income Elders in Urban Community

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to identify the prevalence of depression and risk factors for depression by gender in low income elderly people in Korean communities. Methods: The sample included 350 women and 211 men who were 60 years of age or over and family members of low income households in a Korean community. Depression was measured using the Korean version of the Geriatric Depression Scale. Results: The prevalence of depression was higher for women (59.14%) compared to men (47.87%). Multivariate logistic regression analysis showed a difference in risk factors of depression prevalence by gender. Prevalence of depression in women was associated with lack of confidential relationships, self-rated health status as poor, poor sleep status, limited instrumental activities of daily living, and lack of regular social participation. For men, the risk factors were low education level, lack of regular exercise, poor or moderate self-rated health status, and lack of confidential relationships. Conclusion: The findings from this study indicate that the prevalence of depression and risk factors for depression are different according to gender, and these findings can promote screening and prevention strategies for lower income urban elders in Korea.

참고문헌 (Reference)

1 김현미, "취약계층 독거노인의 우울에 미치는 영향변인" 지역사회간호학회 22 (22): 355-364, 2011

2 이승희, "저소득층 재가노인의 근골격계 만성통증과 우울이 건강관련 삶의 질에 미치는 영향에 관한 연구" 지역사회간호학회 21 (21): 21-30, 2010

3 문명자, "재가노인의 우울 영향 요인에 관한 연구" 한국간호과학회 40 (40): 542-550, 2010

4 김희년, "자기효능감이 요보호독거노인의 우울수준에 미치는 영향에 관한 연구" 한국노인복지학회 48 (48): 59-82, 2010

5 박선영, "일 지역사회 저소득 노인의 우울, 일상생활수행능력과 삶의 질의 관계에 대한 연구" 한국보건간호학회 23 (23): 78-90, 2009

6 정순둘, "우울 영향요인 : 베이비부머, 예비노인, 현재노인의 비교" 한국노인복지학회 52 (52): 305-324, 2011

7 남기민, "여성독거노인들이 인지한 사회활동과 사회적 지지가 삶의 질에 미치는 영향 :우울과 죽음불안의 매개효과를 중심으로" 한국노인복지학회 52 (52): 325-348, 2011

8 신창환, "삶의 특성이 노인우울에 미치는 영향에 관한 연구: 삶의 만족도의 매개효과를 중심으로" 한국노년학회 30 (30): 453-469, 2010

9 원종순, "방문간호대상노인의인지기능, 우울및생활만족도평가" 한국간호과학회 38 (38): 1-10, 2008

10 이은진, "독거노인 자살시도에 대한 우울과 여가활동 참여의 영향에 관한 연구: 서울특별시 노원구를 중심으로" 한국노년학회 30 (30): 615-628, 2010

11 김지미, "노인의 우울과 건강수준과의 관련성" 한국노년학회 30 (30): 1311-1327, 2010

12 권현수, "노인의 사회참여가 삶의 만족도에 미치는 영향-우울, 주관적 건강상태의 매개효과를 중심으로-" 한국생활과학회 18 (18): 995-1008, 2009

13 안지연, "관절염 노인의 연령별 우울정도와 위험요인" 한국간호과학회 39 (39): 72-83, 2009

14 배진희, "고령노인의 일상생활기능 저하가 우울에 미치는 영향 -사회활동참여와 노인학대의 매개효과를 중심으로-*" 한국노년학회 29 (29): 353-368, 2009

15 Kwon, J. D., "The research of Korean dementia family: Development of the measurement tool and model for the caregiving" Hong Ik Jae 1995

16 Chiao, C., "Social participation reduces depressive symptoms among older adults: An 18-year longitudinal analysis in Taiwan" 11 : 292-, 2011

17 American Psychiatric Association, "Quick reference to the diagnostic criteria from DSM-IV"

18 National Health Insurance Corporation, "Medical cost of elderly in the first half of 2010"

19 Walters, K., "Local area deprivation and urban-rural differences in anxiety and depression among people older than 75 years in Britain" 94 : 1768-1774, 2004

20 Kwon, Y. C., "Korean version of Mini-mental State Examination (MMSE-K)-Part I: development of the test for the elderly" 28 : 125-135, 1989

21 World Health Organization, "Disease control priorities related to mental, neurological, developmental, and substance abuse disorders: World health report, mental health, new understanding, new hope" World Health Organization 2006

22 Yesavage, J. A., "Development and validation of geriatric depression screening scale. A preliminary report" 17 : 37-49, 1983

23 Oh, J. J., "Development and validation of Korea sleep scale A" 28 : 563-572, 1998

24 Chen, R., "Depression in older people in rural China" 165 : 2019-2025, 2005

25 Seedat, S., "Cross-national associations between gender and mental disorders in the World Health Organization world mental health surveys" 66 : 785-795, 2009

26 Hsieh, F. Y., "A simple method of sample size calculation for linear and logistic regression" 17 : 1623-1634, 1998

27 Jung, I. K., "A reliability and validity study of Geriatric Depression Scale" 36 : 103-112, 1997

28 Ministry of Health and Welfare, "2010 National Health Statistics" Ministry of Health and Welfare & Korea Centers for Disease Control and Prevention 2011

29 Ministry for Health, Welfare and Family Affairs, "2008 Report on the Korean National Older Adults Life Survey" Ministry for Health, Welfare and Family Affairs 2009

30 Folstein, M. F., ""Minimental state". A practical method for grading the cognitive state of patients for the clinician" 12 : 189-198, 1975