이해종1, 조경숙2,3, 윤장호2,4, 박현숙5

1연세대학교 보건과학대학 보건행정학과, 2오레곤주립대학교 보건대학 보건정책과, 3보건복지부, 4오레곤주립대학교 응용경제대학원, 5대전대학교 경영대학 병원경영학과

Background: We compared factors associated with self‐reported depression and, in particular, diagnosis and
treatment of depressive symptoms in Korean adults.
Methods: The sample included 13,306 adults aged 19 years or older from the 2010 and 2011 Korea National
Health and Nutrition Examination Survey (KNHANES Ⅴ). Data were applied to the χ 2 test and multivariate logistic
regression analysis.
Results: The following characteristics of individuals are significantly associated with self-reported depression:
female (vs. male, OR [odds ratio]=3.35), ages 50-59 years (vs. 60+, OR=1.45), economic status (low vs. high,
OR=1.35; middle-low vs. high OR=1.29), unemployed (vs. employed, OR=1.23), education (elementary vs.
college, OR=1.18; middle school vs. college, OR=1.27; vs. high school vs. college, OR=1.18), current smoking (vs.
no, OR=1.19), high-risk alcohol consumption (vs. no, OR=1.18), perceived health (good vs. very good/excellent,
OR=1.156; poor/fair vs. very good/excellent, OR=2.65), chronic disease (vs. no, OR=1.26), activity limitation due
to health problems (vs. no, OR=1.74), and being in a sickbed during the past month (vs. not in a sickbed, OR=1.69).
Living in a metropolitan area (vs. rural, OR=1.40) is significantly associated with greater odds of being diagnosed
with depression. The odds of being treated for depression are lower for female (vs. male, OR=0.53). Greater odds
of being treated for depression was seen for those with chronic conditions (vs. no, OR=1.73) and activity limitation
due to health problems (vs. no, OR=2.05), as well as, those in a sickbed (vs. not, OR=1.88).
Conclusions: Applying our findings, policy makers should address the lower rates of depression diagnosed in
non-metropolitan areas to reduce regional variations, and also promote treatment in females.
Korean J Health Promot 2014;14(1):9-16
Keywords: Depression, Diagnosis, Treatment