Association between Healthcare Utilization and Depression in Korean Women with Cardiovascular Conditions.
- Author:
Se Jin PARK
1
;
Jung Won JANG
;
Ah Young KIM
;
Seungyeon HONG
;
Boram YUK
;
Ye Won MIN
;
Kyung A PARK
;
Subin PARK
Author Information
- Publication Type:Original Article
- Keywords: Coronary artery disease; Cardiovascular risk factors; Depression; Healthcare utilization
- MeSH: Coronary Artery Disease; Cross-Sectional Studies; Delivery of Health Care*; Depression*; Diagnosis; Dyslipidemias; Female; Health Services; Humans; Hypertension; Mass Screening; Mental Health; Nutrition Surveys; Obesity; Prevalence; Risk Factors
- From:Psychiatry Investigation 2017;14(6):801-807
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: This study aimed to examine the associations between depression and both coronary artery disease (CAD) and cardiovascular risk factors (CVRs) in Korean women. Furthermore, this study sought to determine whether depression was associated with use of healthcare services in women with CAD or CVRs. METHODS: This cross-sectional study was conducted on 26,335 women who were aged 19 years or older, and who participated in the Korean National Health and Nutrition Examination Survey (2007–2014). Associations of prior diagnosis of depression with CAD and CVRs and with nonutilization of healthcare services were investigated. RESULTS: Women with depression had a higher prevalence of CAD and CVRs including obesity, hypertension, dyslipidemia, and metabolic syndrome than those without depression. In addition, depression was significantly associated with nonutilization of healthcare services in women with most CVRs. CONCLUSION: Considering the high rate of comorbid depression with CAD or CVRs and the low lvels of health service utilization in depressed patients, screening for common CVRs, such as obesity, hypertension, and dyslipidemia, should be provided for patients with depression in mental health care settings.
