Impact of the presence of a family member with dementia on the prevalence of depression: a comparison based on household income level.

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Min Hui Moon, Suk Woong Kang, Min Hyeok Choi
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引用次数: 0

Abstract

Background: Families caring for patients with dementia are more vulnerable to depression. This cross-sectional study compared differences in socioeconomic status and gender related to depression among families of patients with dementia and identified associated factors.

Methods: Inequality in depression according to household income level among families of patients with dementia was assessed using the Korean Community Health Survey, which included a sample of over 200,000 participants. Depression prevalence was assessed using the Patient Health Questionnaire-9 (PHQ-9) and each independent variable was calculated. Significant differences were analyzed using the chi-square test. Complex-sample multivariate logistic regression was performed to examine the association between the income levels of families of patients with dementia and depression. Additionally, an analysis of depression, stratified by income level and gender, was conducted.

Results: The prevalence of depression among families of patients with dementia was 4.41%. The odds ratio (OR) for depression among families of patients with dementia compared to the population of families without patients with dementia was 1.49. Depression was significantly more likely in families with lower income levels (adjusted OR [aOR]: 2.17, 95% confidence interval [CI]: 2.16-2.18). The magnitude of the impact of having a family member with dementia on depression varied by income level, being highest in the lowest income group (aOR: 1.64, 95% CI: 1.63-1.66) and lowest in the highest income group (aOR: 1.26, 95% CI: 1.24-1.27). Stratification by gender showed that both men and women in families of patients with dementia were more likely to experience depression than those in families without patients with dementia. Women had a higher likelihood of depression across all income levels than men; however, the impact of having a family member with dementia was more pronounced among men, especially those from lower-income groups.

Conclusions: Our findings suggest the necessity for support policies tailored to low-income groups and women among families of patients with dementia. This is crucial given the higher prevalence of depression among families of patients with dementia than among families without patients with dementia.

患有痴呆症的家庭成员对抑郁症患病率的影响:基于家庭收入水平的比较。
背景:照顾痴呆症患者的家庭更容易患抑郁症。这项横断面研究比较了痴呆症患者家庭中与抑郁相关的社会经济地位和性别差异,并确定了相关因素。方法:使用韩国社区健康调查(Korean Community Health Survey)评估痴呆症患者家庭中家庭收入水平不同的抑郁症不平等,该调查包括20多万参与者的样本。使用患者健康问卷-9 (PHQ-9)评估抑郁症患病率,并计算每个自变量。采用卡方检验分析显著差异。采用复杂样本多变量logistic回归来检验痴呆患者家庭收入水平与抑郁症之间的关系。此外,对抑郁症进行了分析,按收入水平和性别分层。结果:痴呆患者家属中抑郁症患病率为4.41%。痴呆患者家庭与无痴呆患者家庭抑郁的比值比(OR)为1.49。收入水平较低的家庭更容易患抑郁症(调整后的OR [aOR]: 2.17, 95%可信区间[CI]: 2.16-2.18)。家庭成员患有痴呆症对抑郁症的影响程度因收入水平而异,最低收入组的影响最大(aOR: 1.64, 95% CI: 1.63-1.66),最高收入组的影响最小(aOR: 1.26, 95% CI: 1.24-1.27)。性别分层表明,痴呆患者家庭中的男性和女性比没有痴呆患者家庭中的男性和女性更容易患抑郁症。在所有收入水平中,女性患抑郁症的可能性都高于男性;然而,家庭成员患有痴呆症的影响在男性中更为明显,尤其是那些来自低收入群体的男性。结论:我们的研究结果表明,有必要制定针对低收入群体和痴呆症患者家庭中的女性的支持政策。这一点至关重要,因为痴呆症患者的家庭中抑郁症的患病率高于没有痴呆症患者的家庭。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
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