Effects of Income Level on the Association Between Hypertension and Depression: 2010-2017 Korea National Health and Nutrition Examination Survey
Objectives This study analyzed the associations of hypertension (HTN) with symptoms and diagnosis of depression by income level among Korean adults. Methods This study was based on the 2010-2017 Korea National Health and Nutrition Examination Survey data; a total of 29 425 adults (aged 20 years or o...
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Format: | Article |
Language: | English |
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Korean Society for Preventive Medicine
2020-11-01
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Series: | Journal of Preventive Medicine and Public Health |
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Online Access: | http://www.jpmph.org/upload/pdf/jpmph-20-337.pdf |
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author | San Kang Hyeon Chang Kim |
author_facet | San Kang Hyeon Chang Kim |
author_sort | San Kang |
collection | DOAJ |
description | Objectives This study analyzed the associations of hypertension (HTN) with symptoms and diagnosis of depression by income level among Korean adults. Methods This study was based on the 2010-2017 Korea National Health and Nutrition Examination Survey data; a total of 29 425 adults (aged 20 years or older) were analyzed. HTN was defined as a systolic blood pressure ≥140 mmHg, diastolic blood pressure ≥90 mmHg, or use of hypertensive medications. Depression symptoms were evaluated based on a questionnaire about depression-related symptoms. A depression diagnosis was defined based on questionnaire responses indicating that a participant had been diagnosed with depression. Household income was divided into higher or lower income ranges based on the median income of the participants. Multiple logistic regression analyses were performed to assess the associations between HTN and depression symptoms/diagnosis in the higher-income and lower-income groups. Results In the higher-income group, the odds ratio (OR) for the association between HTN and depression symptoms was 1.15 (95% confidence interval [CI], 0.97 to 1.37), and the OR for the association between HTN and depression diagnosis was 1.41 (95% CI, 1.13 to 1.76). In the lower-income group, the OR for the association between HTN and depression symptoms was 1.18 (95% CI, 1.04 to 1.34), whereas the OR for the association between HTN and depression diagnosis was 0.82 (95% CI, 0.70 to 0.97). Conclusions The associations of HTN with symptoms and diagnosis of depression differed by income level. |
first_indexed | 2024-12-19T08:30:36Z |
format | Article |
id | doaj.art-2877dad15b9c44ce804c0f2c45f62732 |
institution | Directory Open Access Journal |
issn | 1975-8375 2233-4521 |
language | English |
last_indexed | 2024-12-19T08:30:36Z |
publishDate | 2020-11-01 |
publisher | Korean Society for Preventive Medicine |
record_format | Article |
series | Journal of Preventive Medicine and Public Health |
spelling | doaj.art-2877dad15b9c44ce804c0f2c45f627322022-12-21T20:29:11ZengKorean Society for Preventive MedicineJournal of Preventive Medicine and Public Health1975-83752233-45212020-11-0153643944610.3961/jpmph.20.3372115Effects of Income Level on the Association Between Hypertension and Depression: 2010-2017 Korea National Health and Nutrition Examination SurveySan Kang0Hyeon Chang Kim1 Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, KoreaObjectives This study analyzed the associations of hypertension (HTN) with symptoms and diagnosis of depression by income level among Korean adults. Methods This study was based on the 2010-2017 Korea National Health and Nutrition Examination Survey data; a total of 29 425 adults (aged 20 years or older) were analyzed. HTN was defined as a systolic blood pressure ≥140 mmHg, diastolic blood pressure ≥90 mmHg, or use of hypertensive medications. Depression symptoms were evaluated based on a questionnaire about depression-related symptoms. A depression diagnosis was defined based on questionnaire responses indicating that a participant had been diagnosed with depression. Household income was divided into higher or lower income ranges based on the median income of the participants. Multiple logistic regression analyses were performed to assess the associations between HTN and depression symptoms/diagnosis in the higher-income and lower-income groups. Results In the higher-income group, the odds ratio (OR) for the association between HTN and depression symptoms was 1.15 (95% confidence interval [CI], 0.97 to 1.37), and the OR for the association between HTN and depression diagnosis was 1.41 (95% CI, 1.13 to 1.76). In the lower-income group, the OR for the association between HTN and depression symptoms was 1.18 (95% CI, 1.04 to 1.34), whereas the OR for the association between HTN and depression diagnosis was 0.82 (95% CI, 0.70 to 0.97). Conclusions The associations of HTN with symptoms and diagnosis of depression differed by income level.http://www.jpmph.org/upload/pdf/jpmph-20-337.pdfhypertensiondepressionincomesocial class |
spellingShingle | San Kang Hyeon Chang Kim Effects of Income Level on the Association Between Hypertension and Depression: 2010-2017 Korea National Health and Nutrition Examination Survey Journal of Preventive Medicine and Public Health hypertension depression income social class |
title | Effects of Income Level on the Association Between Hypertension and Depression: 2010-2017 Korea National Health and Nutrition Examination Survey |
title_full | Effects of Income Level on the Association Between Hypertension and Depression: 2010-2017 Korea National Health and Nutrition Examination Survey |
title_fullStr | Effects of Income Level on the Association Between Hypertension and Depression: 2010-2017 Korea National Health and Nutrition Examination Survey |
title_full_unstemmed | Effects of Income Level on the Association Between Hypertension and Depression: 2010-2017 Korea National Health and Nutrition Examination Survey |
title_short | Effects of Income Level on the Association Between Hypertension and Depression: 2010-2017 Korea National Health and Nutrition Examination Survey |
title_sort | effects of income level on the association between hypertension and depression 2010 2017 korea national health and nutrition examination survey |
topic | hypertension depression income social class |
url | http://www.jpmph.org/upload/pdf/jpmph-20-337.pdf |
work_keys_str_mv | AT sankang effectsofincomelevelontheassociationbetweenhypertensionanddepression20102017koreanationalhealthandnutritionexaminationsurvey AT hyeonchangkim effectsofincomelevelontheassociationbetweenhypertensionanddepression20102017koreanationalhealthandnutritionexaminationsurvey |