Hong Ji-Min, Shin Woo-Young, Cho Soo Hyun, Kim Jung-Ha
Department of Family Medicine, Chung-Ang University Medical Center, Chung-Ang University College of Medicine, Seoul, 06973, Republic of Korea.
Department of Family medicine, Chung-ang university college of medicine, Chung-ang university Gwangmyeong Hospital, Gwangmyeong, 14353, Gyeonggi-do, Republic of Korea.
BMC Womens Health. 2025 Mar 5;25(1):99. doi: 10.1186/s12905-025-03637-y.
Perceived health status (PHS) can be influenced by mental health. A negative correlation between high levels of depression and self-evaluation of health has been reported, but research focusing on depression as a risk factor for poor PHS has been limited in Asia. This study aimed to analyse the association between depression and PHS in Korean adult women and explore the degree of depression's association on poor PHS.
We conducted a cross-sectional study for adult women in Korea using data from the Korean National Health and Nutrition Examination Survey from 2014, 2016, 2018, 2020 and 2022. Depression was assessed using the nine-item Patient Health Questionnaire, and PHS was evaluated through a self-report questionnaire. Multivariate logistic regression analyses were used to identify the association between depression and PHS after adjusting for various covariates.
A total of 15,082 Korean adult women were included. A significant inverse relationship was found between depression and PHS across all adjusted models, with an odds ratio of 3.18 (95% confidence interval 2.37-4.27; P < 0.01). Poor PHS had a stronger association with depression than with chronic diseases such as hypertension, diabetes, and dyslipidemia.
Depression was strongly associated with poor PHS among Korean adult women. These findings highlight the importance of the implementation of mental health policies and programs to improve PHS. Future longitudinal studies are required to further validate these findings and explore causal relationships.
感知健康状况（PHS）会受到心理健康的影响。已有报道称高水平的抑郁与健康自评之间存在负相关，但在亚洲，将抑郁作为PHS不佳的风险因素的研究有限。本研究旨在分析韩国成年女性中抑郁与PHS之间的关联，并探讨抑郁与PHS不佳之间的关联程度。
我们利用2014年、2016年、2018年、2020年和2022年韩国国家健康与营养检查调查的数据，对韩国成年女性进行了一项横断面研究。使用九项患者健康问卷评估抑郁情况，并通过自我报告问卷评估PHS。在调整各种协变量后，采用多变量逻辑回归分析来确定抑郁与PHS之间的关联。
共纳入15082名韩国成年女性。在所有调整模型中，抑郁与PHS之间均发现显著的负相关关系，优势比为3.18（95%置信区间2.37 - 4.27；P < 0.01）。PHS不佳与抑郁的关联比与高血压、糖尿病和血脂异常等慢性疾病的关联更强。
在韩国成年女性中，抑郁与PHS不佳密切相关。这些发现凸显了实施心理健康政策和项目以改善PHS的重要性。未来需要进行纵向研究以进一步验证这些发现并探索因果关系。
