Decreased Health-Seeking Behaviors in People With Depressive Symptoms: The Korea National Health and Nutrition Examination Survey 2014, 2016, and 2018

다국어 초록 (Multilingual Abstract)

Objective The purpose of this study was to investigate the effects of depressive symptoms on health-seeking behaviors using the large epidemiological study data of the Korea National Health and Nutrition Examination (KNHANES).Methods Data from the Korea National Health and Nutrition Examination Survey (KNHANES), which is a large-scale national survey, were used in this study. The Patient Health Questionnaire-9 (PHQ-9) was used to assess the depressive state of the participants. Specialized self-reported questionnaires that included questions about health-seeking behaviors were also performed. To examine the relationships between depression and health-seeking behaviors, complex sample logistic regression models with control for covariates were used.Results There was a significant association between decreased health-seeking behaviors and depressive symptoms in adults (odds ratio [OR]: 3.11, 95% confidence interval [CI]: 2.44–3.96). The association was found to be especially strong in males (OR: 2.63, 95% CI: 1.69–4.10) versus in females (OR: 2.49, 95% CI: 1.90–3.27). With regard to age group, younger adults (19–44 years of age) showed the highest OR (OR: 3.07, 95% CI: 2.12–4.45).Conclusion Our findings support the idea that there is a significant association between health-seeking behaviors and depressive symptoms in the Korean population. These results suggest that individuals with decreased health-seeking behaviors could be evaluated for depressive symptoms.

참고문헌 (Reference)

1 박형욱, "한국 의료의 질 향상 방안" 대한의사협회 55 (55): 969-977, 2012

2 최용준 ; 이재호 ; 고병수 ; 조경희, "일차의료의 개념과 가치, 그리고 한국의 현실과 과제" 대한의사협회 56 (56): 856-865, 2013

3 김민경 ; 이혜련 ; 권주연 ; 오현수, "뇌졸중 환자의 건강행위에 대한 영향요인 및 매개요인" 한국성인간호학회 25 (25): 610-621, 2013

4 정진은, "국민건강영양조사 자료의 복합표본설계효과와 통계적 추론" 한국영양학회 45 (45): 600-612, 2012

5 Rickwood D, "Young people’s helpseeking for mental health problems" 4 : 218-251, 2005

6 Han C, "Validation of the Patient Health Questionnaire-9 Korean version in the elderly population:the Ansan Geriatric study" 49 : 218-223, 2008

7 Wilson CJ, "The role of problem orientation and cognitive distortions in depression and anxiety interventions for young adults" 10 : 52-61, 2011

8 Seidler ZE, "The role of masculinity in men’s help-seeking for depression: a systematic review" 49 : 106-118, 2016

9 Walters P, "The relationship between asthma and depression in primary care patients: a historical cohort and nested case control study" 6 : e20750-, 2011

10 Kessler RC, "The relationship between age and depressive symptoms in two national surveys" 7 : 119-126, 1992

11 Sepehri A, "Taking account of context:how important are household characteristics in explaining adult healthseeking behaviour? The case of Vietnam" 23 : 397-407, 2008

12 조정기 ; 김규식 ; 남지원 ; 최보율 ; 문홍상, "Sociodemographic Factors Related to Lower Urinary Tract Symptoms in Men: A Korean Community Health Survey" 대한배뇨장애요실금학회 21 (21): 143-151, 2017

13 Venmans LM, "Short-term effects of an educational program on health-seeking behavior for infections in patients with type 2 diabetes: a randomized controlled intervention trial in primary care" 31 : 402-407, 2008

14 Ando S, "Psychosocial factors associated with suicidal ideation in clinical patients with depression" 151 : 561-565, 2013

15 WolffJL, "Prevalence, expenditures, and complications of multiple chronic conditions in the elderly" 162 : 2269-2276, 2002

16 Nagai S, "Predictors of help-seeking behavior: distinction between helpseeking intentions and help-seeking behavior" 57 : 313-322, 2015

17 Grella CE, "Perceptions of need and help received for substance dependence in a national probability survey" 60 : 1068-1074, 2009

18 Krumm S, "Men’s Views on Depression: A Systematic Review and Metasynthesis of Qualitative Research" 50 : 107-124, 2017

19 Galdas PM, "Men and health help-seeking behaviour:literature review" 49 : 616-623, 2005

20 Beiersmann C, "Malaria in rural Burkina Faso: local illness concepts, patterns of traditional treatment and influence on health-seeking behaviour" 6 : 106-, 2007

21 Chinnakali P, "Hypertension in the elderly: prevalence and health seeking behavior" 4 : 558-562, 2012

22 Neilson EK, "Help-seeking experiences of youth with suicidal ideations" 1 : 22-27, 2014

23 Yamashiro G, "Help-seeking among Asian and Pacific Americans: a multiperspective analysis" 42 : 176-186, 1997

24 Ukwaja KN, "Healthcare-seeking behavior, treatment delays and its determinants among pulmonary tuberculosis patients in rural Nigeria: a cross-sectional study" 13 : 25-, 2013

25 Bausell RB, "Health-seeking behavior among the elderly" 26 : 556-559, 1986

26 Jurcev-Savicevic A, "Health-care seeking behaviour for tuberculosis symptoms in Croatia" 22 : 573-577, 2012

27 Pandey KR, "Health seeking behaviour of parents for children with pneumonia" 48 : 131-134, 2009

28 Klemenc-Ketis Z, "Health seeking behaviour in general population with psychological symptoms" 26 : 181-186, 2014

29 Shaikh BT, "Health seeking behaviour and health service utilization in Pakistan: challenging the policy makers" 27 : 49-54, 2005

30 Nolen-Hoeksema S, "Gender differences in coping with depression across the lifespan" 3 : 81-90, 1995

31 Kitko L, "Factors that influence health-seeking behaviors of patients experiencing acute stroke" 40 : 333-340, 2008

32 Sherman KA, "Factors associated with professional healthcare advice seeking in women at risk for developing breast cancer-related lymphedema" 101 : 445-451, 2018

33 Poortaghi S, "Evolutionary concept analysis of health seeking behavior in nursing: a systematic review" 15 : 523-, 2015

34 Hounsome N, "EQ-5D as a quality of life measure in people with dementia and their carers: evidence and key issues" 14 : 390-399, 2011

35 Shahpesandy H, "Different manifestation of depressive disorder in the elderly" 26 : 691-695, 2005

36 Ramirez-Avila L, "Depressive symptoms and their impact on health-seeking behaviors in newly-diagnosed HIV-infected patients in Durban, South Africa" 16 : 2226-2235, 2012

37 Liefland L, "Depressive symptoms among help-seeking Latinas in a disadvantaged, urban, northeastern community mental health center" 50 : 331-335, 2014

38 Huang ZJ, "Depressive symptomatology and mental health help-seeking patterns of U.S.- and foreign-born mothers" 11 : 257-267, 2007

39 Bunde J, "Depression and prehospital delay in the context of myocardial infarction" 68 : 51-57, 2006

40 Kweon S, "Data resource profile: The Korea National Health and Nutrition Examination Survey (KNHANES)" 43 : 69-77, 2014

41 Ávila GA, "Association between depressive symptoms and dental care-seeking behavior among elderly Brazilian people" 45 : 132-138, 2016