일부 도시 지역사회 노인의 우울증 유병률 및 관련 요인

국문 초록 (Abstract)

노년기 우울증은 치매와 함께 노인들에서 가장 흔한 정신질환으로 환자와 가족에게 고통을 주고, 신체적·사회적 활동을 악화시키며, 의료서비스 이용을 증가시키는 등 많은 사회적 비용을 초래하는 심각한 질환이다. 본 연구의 목적은 지역사회 노인을 대상으로 우울증 유병률을 제시하고, 우울증의 관련요인을 제시하는데 있다.
본 연구는 광주광역시 동구에서 시행한 ‘2007년 지역사회 건강조사’에 참여한 65～79세 노인 847명을 대상으로 분석하였다. 대상자들의 우울증에 대한 측정도구로 CES-D를 이용하였으며, CES-D 점수 16점 이상을 가능 우울증, 21점 이상을 추정 우울증, 25점 이상을 확정적 우울증이라고 정의하였다.
전체 대상자의 CES-D 평균 점수는 7.68±0.31이었으며, 여자(9.09±0.43)가 남자(5.51±0.39)에 비해 높았다(p<0.001). 남자의 우울증 유병률은 가능 우울증이 8.1%, 추정 우울증이 5.4%, 확정적 우울증이 3.9%였고 여자의 우울증 유병률은 각각 19.5%, 11.1%, 7.2%였으며, 세 가지 유병률 모두 성별에 따라 유의한 차이가 있었다(p<0.05). 통계적으로 유의한 추정 우울증 및 가능 우울증 관련 요인은 배우자 존재, 교육 수준, 의료보장 종류, 주관적 건강인식, 혈관성 위험요인이었다.
지역사회 노인들의 우울증 발생을 감소시키기 위해서는 무배우자, 낮은 교육 수준, 의료급여, 낮은 주관적 건강인식 및 혈관성 위험요인이 있는 노인에 대하여 집중적인 노력과 관심이이 필요하겠다.

다국어 초록 (Multilingual Abstract)

Objectives: The purpose of this study was to estimate the prevalence of depression and identify its related factors among an urban elderly.
Methods: The data for this study were obtained from 333 men and 514 women, aged 65-79 years who participated in "2007 community health survey" in Donggu, Gwangju metropolitan city. Their depressive symptoms were measured by Korean version of the Center for Epidemiological Studies-Depression Scale (CES-D).
Results: The mean CES-D score (mean±S.D) for all subjects was 7.68±0.31. The mean CES-D score was significantly greater in the women (9.09±0.43) than in the men (5.51±0.39) (p<0.001). The prevalence rates of possible depression (CES-D score ≥16), probable depression (CES-D score≥21), and definite depression (CES-D score≥25) were 8.1%, 5.4%, and 3.9% in men, respectively. The prevalence rates of possible depression, probable depression, and definite depression were 19.5%, 11.1%, and 7.2% in women, respectively. Existence of spouse (no/yes), education level (no/high school or higher), health security system (medical aid/national health insurance), self-reported health status (poor/good), vascular risk factors (present/absent) proved to be statistically significant related factors of depression.

목차 (Table of Contents)

• ABSTRACT
• 서론
• 대상 및 방법
• 결과
• 고찰
• 요약
• 참고문헌

참고문헌 (Reference)

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