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Socioeconomic disparities in alcohol-related depression: a national cohort study of low-income medical aid beneficiaries and national health insurance beneficiaries in Korea.
- Source :
-
BMC public health [BMC Public Health] 2024 Aug 13; Vol. 24 (1), pp. 2189. Date of Electronic Publication: 2024 Aug 13. - Publication Year :
- 2024
-
Abstract
- Objective: To examine the association between patterns of alcohol consumption in the past and the risk of depression among medical aid beneficiaries and National Health Insurance beneficiaries in Korea.<br />Methods: We used data from the National Health Information Database (NHID) of 1,292,618 participants who underwent health checkups in 2015-16 and 2017-18. We categorized alcohol consumption into four groups: continuous high, increased, decreased, and non-consumers. We followed the participants from 2019 to 2021 and identified new episodes of depression. We calculated adjusted odds ratios (aOR) and 95% confidence intervals (CI) for depression by alcohol consumption groups and socioeconomic status.<br />Results: Medical aid beneficiaries had higher risks of depression than National Health Insurance beneficiaries across all alcohol consumption groups. The highest risk was observed among continuous high consumers (aOR, 2.31; 95% CI, 1.36-3.93), followed by increased (aOR, 1.51; 95% CI, 1.17-1.94), decreased (aOR, 1.48; 95% CI, 1.18-1.84), and non-consumers (aOR, 1.37; 95% CI, 1.22-1.54).<br />Conclusions: Socioeconomic status and patterns of alcohol consumption in the past are associated with the risk of depression. Public health interventions should consider both factors to reduce alcohol-related depression and health inequalities.<br /> (© 2024. The Author(s).)
- Subjects :
- Humans
Republic of Korea epidemiology
Male
Female
Middle Aged
Adult
Aged
Cohort Studies
Medical Assistance statistics & numerical data
Socioeconomic Factors
Young Adult
Social Class
Health Status Disparities
Socioeconomic Disparities in Health
Alcohol Drinking epidemiology
Poverty
National Health Programs statistics & numerical data
Depression epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2458
- Volume :
- 24
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC public health
- Publication Type :
- Academic Journal
- Accession number :
- 39134957
- Full Text :
- https://doi.org/10.1186/s12889-024-19665-6