The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
권호 표지
DOI QR코드

DOI QR Code

Gender Difference in Factors Related to Depression in Vulnerable Elderly

취약계층 노인의 성별 우울 관련 요인

  • Received : 2014.07.15
  • Accepted : 2014.08.21
  • Published : 2014.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

The aim of this study was to understand the factors related to depression according to gender in vulnerable elderly. We conducted a cross-sectional study with 1,709 elderly beneficiaries of the visiting health care program in Seoul. Depression was measured using the Geriatric Depression Scale Short Form Korea Version(GDSSF-K) questionnaire. Depression score was mild level in vulnerable elderly. There was no gender difference in depression level. Factors related to depression differ by gender. In the elderly men, higher depression showed significant correlation with a lower level of health-related quality of life(HRQOL) and self-rated health(SRH). In addition, higher depression was observed for elderly men living alone than for those living with family. These factors explained depression by 23.1%. In the elderly women, higher depression showed significant correlation with a lower level of HRQOL, SRH and a higher dependence of instrumental activities of daily living. In addition, higher depression was observed for elderly women who has fall experience. These factors explained depression by 22.8%. Gender-specific nursing strategies may be required for prevention of depression in vulnerable elderly.

Keywords

References

  1. Statistics Korea(2011), Estimated future population: 2010-2060, http://kosis.kr
  2. K.R. Shin, J.S. Kim(2003), A study on the relationship between stress and depression in elderly women, Journal of Korean Gerontological Nursing, Vol.5(1);29-37.
  3. I. Choi, Y.S. Kim, K.H. Suh(2009), The psychosocial factors affecting suicidal ideation of the elderly, Health and Social Science, Vol.25;33-56.
  4. Statistics Korea(2011), The survey on the actual conditions of older person in Korea, http://kosis.kr
  5. E.Y. Jeon, Y.H. Choi(2010), Factors affecting the health-related quality of life according to age in vulnerable aged men, Journal of Korean Academy of Nursing, Vol.40(3);400-410. https://doi.org/10.4040/jkan.2010.40.3.400
  6. D-S. Park, S-J. Ma, K-E. Choi(2010), Current situation of the rural vulnerable class and policy improvement measures: centered on the elderly living alone and grandparents-grandchildren families, Korea Rural Economic Institute, Research report R612/2010.10, http://library.krei.re.kr/dl_images/001/033/R612.pdf
  7. Q.L. Lim, H.K. Kim, J.S. Ann(2011), Relationship between depression and quality of life in elderly women living alone: The moderating and mediating effects of social support and social activity, The Korean Gerontological Society, Vol.31(1);33-47.
  8. K.H. Jung(1997), Quality of life in elderly women, Health Welfare Forum, Vol.13;43-52. http://www.kihasa.re.kr/html/jsp/publication/periodical/forum/view.jsp?bid=19&aid=51&ano=4
  9. C-G. Kim. S. Park(2012), Gender difference in risk factors for depression in community-dwelling elders, Journal of Korean Academy of Nursing, Vol.42(1);136-147. https://doi.org/10.4040/jkan.2012.42.1.136
  10. H-S. Lee, H-S. Kim, Y-M. Jung(2009), Depression and quality of life in Korean elders, Journal of Korean Academy of Community Health Nursing, Vol.20(1);12-22.
  11. S-S. Han, S-W. Kang, S-H. Jeong(2012), Experiences of depressive symptom and suicidal thinking between the elderly living alone and the elderly couples, The Korean Journal of Health Service Management, Vol.6(3);29-38. https://doi.org/10.12811/kshsm.2012.6.3.029
  12. H-R. Kim(2013), Prevalence and its influencing factors on depression among elderly vulnerable people in urban community, The Korean Journal of Health Service Management, Vol.7(3);275-286. https://doi.org/10.12811/kshsm.2013.7.3.275
  13. S.A. Yang(2012), Factors influencing depression of elderly women in a metropolitan city, Journal of Korean Public Health Nursing, Vol.26(1);158-173. https://doi.org/10.5932/JKPHN.2012.26.1.158
  14. B.S. Kee(1996), A preliminary study for the standardization of geriatric depression scale short form-Korea version, Journal of Korean Neuropsychiatric Association, Vol.35(2);298-307.
  15. K-R. Shin, Y.S. Byeon, Y. Kang, J. Oak(2008), A Study on Physical Symptom, Activity of Daily Living, and Health-Related Quality of Life(HRQoL) in the Community-Dwelling Older Adults, Journal of Korean Academy of Nursing, Vol.38(3);437-444. https://doi.org/10.4040/jkan.2008.38.3.437
  16. C.W. Won, K.Y. Yang, Y.G. Rho, S.Y. Kim, E.J. Lee, J.L. Yoon, K.H. Cho, H.C. Shin, B.R. Cho, J.R. Oh, K.Y. Do, H.S. Lee, Y.S. Lee(2002), The development of Korean activities of daily living and Korean instrumental activities of daily living scale, Journal of Korean Geriatric Society, Vol.6(2);107-120.
  17. J.I. Kim(2013), Levels of health-related quality of life(EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural area, Journal of Korean Academy of Community Health Nursing, Vol.24(1);99-109. https://doi.org/10.12799/jkachn.2013.24.1.99
  18. H.M. Kim, Y.H. Choi(2011), Factors affecting depression in elderly vulnerable people living alone, Journal of Korean Academy of Community Health Nursing, Vol.22(4);355-364. https://doi.org/10.12799/jkachn.2011.22.4.355
  19. H.N. Kim, H.L. Seo(2010), The effects of self-efficacy on the depression of lonely frail elders, Journal of Welfare for the Aged, Vol.48;59-82.
  20. M.R. Borgaonka, E.J. Irvine(2000), Quality of life measurement in gastrointestinal and liver disorder, Gut, Vol.47(3);444-454. https://doi.org/10.1136/gut.47.3.444
  21. H.A. Choi, D.S. Lee, Y.J. Kim(2011), Analysis on depression and suicidal ideation of Korean female adults-by using Korea National Health and Nutrition Examination Survey, Journal of the Korean Data Analysis Society, Vol.13(2);709-720.
  22. J. Smith, M. Borchelt, H. Maier, D. Jopp(2002), Health and well-being in the young old and oldest old, Journal of Social Issues, Vol.58(4);715-732. https://doi.org/10.1111/1540-4560.00286
  23. J.Y. Jung, J.S. Kim, H.J. Choi, K.Y. Lee, T.J. Park(2009), Factors associated with ADL and IADL from the Third Korea National Health and Nutrition Examination Survey(KNHANES III), 2005, Journal of Korean Family Medicine, Vol.30(8);598-609. https://doi.org/10.4082/kjfm.2009.30.8.598
  24. M. Niti, T.P. Ng, E.H. Kua, R.C. Ho, C.H. Tan(2007), Depression and chronic medical illness in Asian older adults: The role of subjective health and functional status, International Journal of Geriatrics Psychiatry, Vol.22(11);1087-1094. https://doi.org/10.1002/gps.1789

Cited by

  1. The Perceived Self-Differentiation of Custodial Grandmother vol.9, pp.3, 2015, https://doi.org/10.12811/kshsm.2015.9.3.233
  2. An Analysis of Community Health by a Gender Specific Subjective Sense of Poverty –Based on the Mediating Effects of Social Networks- vol.8, pp.4, 2014, https://doi.org/10.12811/kshsm.2014.8.4.243
  3. Leisure Activity Types and Depressive Symptoms among Middle-Aged People Living Alone vol.37, pp.2, 2014, https://doi.org/10.15709/hswr.2017.37.2.184
  4. The Effects of Social Exclusion on Depression of the Rural Elderly : With a Focus on Comparing Single and Couple Households vol.29, pp.4, 2018, https://doi.org/10.7856/kjcls.2018.29.4.553