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Association between Healthcare Utilization and Depression in Korean Women with Cardiovascular Conditions

Se Jin Park1, Jung Won Jang1,2, Ah Young Kim1

  • 1Department of Research Planning, Mental Health Research Institute, National Center for Mental Health, Seoul, Republic of Korea.

Psychiatry Investigation
|December 7, 2017
PubMed

Insights

Depression is linked to higher rates of coronary artery disease (CAD) and cardiovascular risk factors (CVRs) in Korean women. Depressed women also showed lower healthcare service use, highlighting a need for integrated screening.

Area of Science:

  • Cardiovascular Health
  • Mental Health Research
  • Public Health

Background:

  • Depression is a significant public health concern.
  • Coronary artery disease (CAD) and cardiovascular risk factors (CVRs) represent a major health burden.
  • The interplay between mental health and cardiovascular health requires further investigation, particularly in specific populations.

Purpose of the Study:

  • To investigate the association between depression and the prevalence of CAD and CVRs in Korean women.
  • To determine if depression is linked to healthcare service nonutilization among women with CAD or CVRs.

Main Methods:

  • A cross-sectional study utilizing data from 26,335 Korean women (aged 19+) from the Korean National Health and Nutrition Examination Survey (2007-2014).
  • Statistical analysis to examine associations between a prior depression diagnosis, CAD, CVRs, and healthcare service utilization.

Main Results:

  • Women with depression exhibited a greater prevalence of CAD and CVRs, including obesity, hypertension, dyslipidemia, and metabolic syndrome.
  • Depression was significantly associated with lower utilization of healthcare services in women with most identified CVRs.

Conclusions:

  • The high comorbidity of depression with CAD and CVRs necessitates proactive management.
  • Low health service utilization in depressed patients with cardiovascular conditions underscores a critical gap in care.
  • Routine screening for common CVRs (obesity, hypertension, dyslipidemia) in mental health settings for patients with depression is recommended.
Abstract

Keywords:
Cardiovascular risk factorsCoronary artery diseaseDepressionHealthcare utilization

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