Relationship of depression, chronic disease, self-rated health, and gender with health care utilization among community-living elderly

Journal of Affective Disorders
Kyu-Man HanYong-Ku Kim

Abstract

We investigated the interactive effects of depressive symptoms and chronic diseases on health care utilization among elderly people and explored the potential moderating effect of gender and the mediating effect of self-rated health (SRH) on the association between depressive symptoms and health care utilization. We analyzed data from 5223 people aged 60 years or older living in the community from the Korea Welfare Panel Study in 2015. Depressive symptoms were measured using an 11-item version of the Center for Epidemiologic Studies Depression (CES-D-11) Scale and morbidity within 28 disease categories was assessed. Health care utilization was evaluated as the number of outpatient visits (OV), number of hospitalizations (NH), and number of days spent in the hospital (DH) during past year. Hierarchical moderated regression analyses were applied to investigate the interactive effects. We also adopted the mediation analysis method by Hayes and Preacher. A significant interactive effect of CES-D-11 score and chronic disease on OV was found. A positive correlation between CES-D-11 score and OV was only observed in those with chronic disease. Gender had a moderating effect on the association of depression symptoms with OV, NH, and DH...Continue Reading

Citations

Mar 19, 2020·Journal of Racial and Ethnic Health Disparities·Shervin AssariMohsen Bazargan
Oct 5, 2020·ESC Heart Failure·Sara HadzibegovicMarkus S Anker
Dec 21, 2019·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Courtney A PolenickHelen C Kales
Oct 8, 2020·International Journal of Environmental Research and Public Health·Arnau CarreñoJosep Lloret
Jun 4, 2021·Issues in Mental Health Nursing·Elliane IraniJaclene A Zauszniewski
Nov 29, 2020·Journal of the American Medical Directors Association·Simone ReppermundJulian N Trollor
Oct 14, 2021·Health & Social Care in the Community·Mark Stephan FelixWeiyun Jin
Jan 14, 2022·Aging Clinical and Experimental Research·Félix Bermejo-ParejaJulián Benito-León

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Diseases

Autoimmune diseases occur as a result of an attack by the immune system on the body’s own tissues resulting in damage and dysfunction. There are different types of autoimmune diseases, in which there is a complex and unknown interaction between genetics and the environment. Discover the latest research on autoimmune diseases here.