한국 노인 당뇨병 환자의 정신건강과 관련요인 분석

Abstract

ABSTRACT

Mental Health Status in Elderly with Diabetes in Korea: The Korea National Health and Nutrition Examination Survey(KNHANES) 2010-2011

Kang, Seung-Bum Advisor : Prof. Kim, Jin-Hwa, M.D., Ph.D Department of Medicine, Graduate School of Chosun University

Objectives: Diabetes is one of the most common forms of chronic disease globally. The most country has its increasing trend and, especially its increasing prevalence rate in Asian become one of the great social problems. It is important to detect and improvement of mental health status in elderly with diabetes because it is associated with glucose control and development of diabetic complication. We evaluated mental health status in Korean diabetic elderly and identified independent factors associated mental health status using data of the Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2011.

Methods: The research selected 2,843 diabetic elderly whose data of health condition and mental health exist and ages are older than 65, from the KNHANES 2010-2011. The variables included general characteristics, disease-related characteristics, anthropometric measurements and blood tests, and mental health results. Statistical analyses were carried out using SPSS version 18.0 statstical program. Multiple logistic regression analyses was performed to examinate independent factors associated with mental health status in subjects. A statistical significance level was P < 0.05.

Results: The prevalence of diabetes were 18.2% (518/2,843) in elderly. The prevalence of depression in elderly with diabetes was significantly higher (21.0%) than elderly without diabetes (14.7%), respectively (P = 0.045). Independent factors associated with depression in elderly with diabetes were older age group (75-79 years; odds ratio [95% CI], 2.10 [2.01-3.24], ≥ 80 years; 2.14 [1.02-3.24]), diabetes duration ≥ 10 years (1.34 [1.31-3.62]), and increasing number of comorbid diseases (1; 1.13 [1.01-2.34], ≥ 2; (2.13 [1.03-3.01]).

Conclusions: In Korea, the prevalence of depression in elderly diabetic patients was significantly higher compared to the elderly who do not have diabetes. Older age, longer diabetic duration, and increasing number of comorbid diseases were independent factors associated with depression. In the management of elderly patients with diabetes, diverse set of an individualized approach is required that focus on improving the mental health status. ____________________________ Keywords: Diabetes mellitus, Korean elderly, Mental health status