The Association between New-Onset Depressive Symptoms and Participating in Medical Check-Ups among Elderly Individuals

Heejoo Park, Juho Sim (), Juyeon Oh, Jongmin Lee, Chorom Lee, Yangwook Kim, Byungyoon Yun () and Jin-ha Yoon
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Heejoo Park: Department of Business Administration and Data Science, CHA University, 120 Haeryong-ro, Donggyo-dong, Pocheon-si 11160, Korea
Juho Sim: Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Korea
Juyeon Oh: Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Korea
Jongmin Lee: Department of Occupational Health, Graduate School of Public Health, Yonsei University, Seoul 03722, Korea
Chorom Lee: Department of Preventive Medicine, Yonsei University College of Medicine, Seoul 03722, Korea
Yangwook Kim: Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Korea
Byungyoon Yun: Department of Preventive Medicine, Yonsei University College of Medicine, Seoul 03722, Korea
Jin-ha Yoon: Department of Preventive Medicine, Yonsei University College of Medicine, Seoul 03722, Korea

IJERPH, 2022, vol. 19, issue 18, 1-11

Abstract: The association between adherence to medical check-ups and new-onset depressive symptoms, after adjusting for comprehensive risk factors such as social characteristics, remains unclear. This study aimed to assess the association between mental health and participating in medical check-ups. The survey data of participants aged 60 to 89 were recruited from the seventh Korean Longitudinal Study on Aging. The primary outcome was new-onset depressive symptoms within 2 years measured using the Center for Epidemiologic Studies Depression Scale. Participating in medical check-ups was defined as undergoing biennial medical check-ups. Multivariable logistic regression was performed to estimate adjusted odds ratios (ORs) and 95% confidence intervals (CIs) with consideration of a 2-year time lag. Among 4255 participants, the prevalence of new-onset depressive symptoms was 7.36% ( n = 313). The prevalence of non-participation in medical check-ups was 11.96% ( n = 509). The adjusted OR of new-onset depressive symptoms by non-participation in medical check-ups was 1.65 [95% CI 1.22–2.24; p = 0.001] after adjusting for various demographic, behavioral, occupational, and social participation characteristics. Our findings demonstrated a significant inverse relationship between participation in medical check-ups and new-onset depressive symptoms. It is necessary to monitor and manage depressive symptoms in vulnerable elderly individuals who do not participate in medical check-ups.

Keywords: depressive symptoms; medical check-up; elderly; socioeconomic status (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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