Exploring the non-linear relationship between alcohol consumption and depression in an elderly population in Gangneung: the Gangneung Health Study.

Exploring the non-linear relationship between alcohol consumption and depression in an elderly population in Gangneung: the Gangneung Health Study.
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DOI:
10.3349/ymj.2015.56.2.418
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发表时间:
2015-03
影响因子:
2.4
通讯作者:
Park WS
Park WS
中科院分区:
医学4区
文献类型:
--
作者:
Kim SA;Kim E;Morris RG;Park WS

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本研究的目的是探讨韩国老年人饮酒与抑郁之间的 J 形关系。横截面数据取自 60 岁及以上个体的社区样本 (n=1819)。受访者完成了酒精使用障碍强化测试 (AUDIT) 和韩国贝克抑郁量表。使用回归方法,评估饮酒作为非线性效应与性别、婚姻状况、运动、吸烟、年龄、教育和身心健康的关系。研究发现,审计总分具有线性和二次效应,与样本受访者中较高的抑郁评分显着相关。研究结果支持饮酒与抑郁之间存在 J 形关系,其中戒酒者和酗酒者患抑郁症的风险较高。这项研究证实了韩国老年人饮酒与抑郁之间存在 J 形(即曲线)关系,类似于西方样本研究中经常发现的情况。因此,本研究的结果意味着 J 形关系假说对于非西方社会样本和不同文化背景的适用性。
The purpose of this study was to examine a J-shaped relationship between alcohol consumption and depression among the elderly in South Korea. Cross-section data were drawn from a community-based sample of individuals 60 years of age and older (n=1819). Respondents completed the Alcohol Use Disorders Intensification Test (AUDIT) and the Korean Beck Depression Inventory. Using a regression approach, the effect of alcohol consumption as a non-linear effect was assessed in relation to gender, marital status, exercise, smoking, age, education, and physical and mental health. AUDIT total score were found to exert linear and quadratic effects that were significantly associated with higher depression scores among sample respondents. The results lend support to a J-shaped relationship between alcohol use and depression, wherein abstainers and problem drinkers were at a higher risk of depression. This study confirms a J-shaped (i.e., curvilinear) relationship between alcohol consumption and depression among elderly South Koreans, similar to that frequently found in studies of Western-based samples. The findings of this study, therefore, imply the applicability of the J-shaped relationship hypothesis for non-Western society samples and within different cultural contexts.
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