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J Health Info Stat > Volume 49(2); 2024 > Article
J Health Info Stat 2024;49(2):132-141.
Published online: May 31, 2024.
DOI: https://doi.org/10.21032/jhis.2024.49.2.132

코로나19 발생에 따른 우울증 위험요인의 변화: 65세 이상 노인을 대상으로
최용연1, 박상신2
1서울시립대학교 도시보건대학원 석사과정생
2서울시립대학교 도시보건대학원 교수
Change in Risk Factors for Depression among The Elderly Due to the COVID-19 Outbreak
Yongyeon Choi1, Sangshin Park2
1Graduate Student, Graduate School of Urban Public Health, University of Seoul, Seoul, Korea
2Professor, Graduate School of Urban Public Health, University of Seoul, Seoul, Korea
Corresponding author:  Sangshin Park,Tel: +82-2-6490-6758, Email: spark@uos.ac.kr
Received: March 20, 2024; Revised: April 23, 2024   Accepted: May 31, 2024.
ABSTRACT
Objectives:
This study aimed to investigate changes in risk factors for depression among the elderly due to the Coronavirus disease-2019 (COVID-19) outbreak.
Methods:
We analyzed data from individuals aged ≥ 65 years who participated in both the 7th (2018) and 8th (2020) waves of the Korean Longitudinal Study of Aging (KLoSA). Depression is defined as a Center for Epidemiologic Studies Depression Scale (CES-D10) score ≥ 4. We conducted multivariable logistic regression analyses to assess risk factors for depression across periods before and after the outbreak of COVID-19. For the multivariable analysis, we included variables that showed a p-value < 0.2 in the univariable analysis and applied a stepwise selection method.
Results:
A total of 3,857 elderly individuals were included in the analysis. Regardless of the COVID-19 outbreak, factors such as economically inactive status, a lower frequency of social interactions, worsening subjective health status, and difficulties in performing instrumental activities of daily living were identified as risk factors for depression. Before the COVID-19 outbreak, residing in urban areas was not a significant risk factor for depression, but it emerged as a significant risk factor after the outbreak (p = 0.009). In contrast, living alone was a significant risk factor for depression before the COVID-19 outbreak (p < 0.001), but this association was not significant after the outbreak.
Conclusions:
After the COVID-19 outbreak, residing in urban areas emerged as a new risk factor for depression, while living alone, previously a significant risk factor, was no longer associated with depression in the elderly.
Key words: Elderly, Depression, Mental health, COVID-19
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