韩国成年人抑郁症状患病率的城乡差异

Ji-An Jeong, Sun A Kim, Jung Ho Yang, Min-Ho Shin
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引用次数: 1

摘要

本研究旨在调查生活在城市和农村地区的韩国人抑郁症的患病率,并按社会经济地位分层。该研究包括2017年韩国社区健康调查的216,765名参与者。抑郁症状用PHQ-9进行评估,10分或更高的分数表明有抑郁症状。地址中有“邑”和“面”的住宅被划分为农村地区,地址中有“东”的住宅被划分为城市地区。以家庭收入和受教育程度评价社会经济地位。进行抽样权的泊松回归分析,并根据人口统计学、生活方式、社会经济地位和合并症进行调整。城市抑郁症状的校正患病率为3.33% (95% CI, 3.21-3.45),农村为2.59% (95% CI, 2.43-2.74)。城市地区抑郁症状的患病率是农村地区的1.29倍(95% CI, 1.20-1.38)。按月收入分类,城市地区与农村地区的抑郁患病率比分别为:200万韩元以下1.39 (95% CI, 1.28 ~ 1.51)、200 ~ 399万韩元1.22 (95% CI, 1.06 ~ 1.41)、400万韩元以上1.09 (95% CI, 0.90 ~ 1.32),且城乡差异在家庭收入较低的对象中更为明显(p =0.033)。然而,城乡差异并没有因性别、年龄或教育水平而不同。总之,我们在韩国的代表性样本中发现了抑郁症状的城乡差异,并揭示了这些差异可能因收入水平而异。这些结果表明,心理健康政策必须考虑到不同居住地和收入的健康差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Urban-Rural Differences in the Prevalence of Depressive Symptoms in Korean Adults.

Urban-Rural Differences in the Prevalence of Depressive Symptoms in Korean Adults.

Urban-Rural Differences in the Prevalence of Depressive Symptoms in Korean Adults.

Urban-Rural Differences in the Prevalence of Depressive Symptoms in Korean Adults.

This study aimed to investigate the prevalence of depression among Koreans living in urban and rural areas, stratified by socioeconomic status. The study included 216,765 participants from the 2017 Korean Community Health Survey. Depressive symptoms were assessed using the PHQ-9, with a score of 10 or higher indicating depressive symptoms. Residences with the words Eup and Myeon in their addresses were categorized as rural areas, and residences with Dong in their addresses as urban areas. Socioeconomic status was evaluated by household income and education level. A Poisson regression analysis with sampling weights was conducted and adjusted for demographic, lifestyle, socioeconomic status, and comorbidity. The adjusted prevalence rate of depressive symptoms was 3.33% (95% CI, 3.21-3.45) in urban areas and 2.59% (95% CI, 2.43-2.74) in rural areas. The prevalence of depressive symptoms in urban areas was 1.29 times (95% CI, 1.20-1.38) higher than in rural areas. The prevalence rate ratio for depressive symptoms in urban areas compared to rural areas sorted by monthly incomes was 1.39 (95% CI, 1.28-1.51) for less than 2 million won, 1.22 (95% CI, 1.06-1.41) for 2 to 3.99 million won, and 1.09 (95% CI, 0.90-1.32) for more than 4 million won, and the urban-rural difference was more evident in lower household income subjects (p for interaction=0.033). However, urban-rural differences did not differ according to sex, age, or education level. In conclusion, we found urban-rural differences in depressive symptoms in a representative sample of Koreans, and revealed that these differences may vary according to income level. These results suggest that mental health policy must consider the health disparities according to residence and income.

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