Health Policy Manag.  2017 Jun;27(2):177-185. 10.4332/KJHPA.2017.27.2.177.

An Empirical Study on Factor Associated with Mood Disorders in Elderly: Focusing on the Influence of Community Characteristics

Affiliations
  • 1National Health Insurance Service, Wonju, Korea.
  • 2Department of Public Administration, College of Social Science, Dongguk University, Seoul, Korea. shim@dongguk.edu

Abstract

BACKGROUND
The mental problems of the elderly are at issue as a serious social phenomenon. The purpose of this study is to identify risk factors affecting the mood disorders of the elderly.
METHODS
The subjects were 1,779,236 aged ≥65 and participated in health screening. Dependent variable was mood disorders. Independent variables were consisted of community level (regional deprivation index and healthcare resources) and individual level (sex, age, insurance type, disability, smoking, alcohol, physical activity, body mass index, and healthcare utilization). Multilevel logistic regression was performed.
RESULTS
At the individual level, women, employed insured, severely disabled people, heavy alcohol drinkers, high-intensity physical activity, body mass index, and patients who had chronic disease and severe disease were significantly associated with mood disorders. As the age has increased, it has let increase of mood disorders. At the community level, as the regional deprivation index has increased by 1, mood disorders has been increased by 1.005 times. The intra-class coefficient was 7.04%.
CONCLUSION
We found individual and community level factors are associated with mood disorders. Systematic approach is essential to reduce mood disorders.

Keyword

Mood disorders; Multilevel analysis; Regional health planning; Health services for the aged

MeSH Terms

Aged*
Body Mass Index
Chronic Disease
Delivery of Health Care
Female
Health Services for the Aged
Humans
Insurance
Linear Energy Transfer
Logistic Models
Mass Screening
Mood Disorders*
Motor Activity
Multilevel Analysis
Regional Health Planning
Risk Factors
Smoke
Smoking
Smoke
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