Key result
Comorbid depression in women with CV conditions is linked to ~35% greater healthcare nonutilization.
Why the study?
Is depression associated with a higher prevalence of coronary artery disease, cardiovascular risk factors, and nonutilization of healthcare services in Korean women?
Cross-Sectional (n=26,335)
Is depression associated with a higher prevalence of coronary artery disease, cardiovascular risk factors, and nonutilization of healthcare services in Korean women?
Depression in Korean women is associated with a higher prevalence of cardiovascular risk factors and coronary artery disease, as well as a higher likelihood of nonutilization of healthcare services.
Answers are grounded in this paper and cite their sources.
May signal need to address mental health barriers to care in women with CVD; hypothesis-generating and requires prospective confirmation.
OBJECTIVE: This study aimed to examine the associations between depression and both coronary artery disease (CAD) and cardiovascular risk factors (CVRs) in Korean women. Furthermore, this study sought to determine whether depression was associated with use of healthcare services in women with CAD or CVRs. METHODS: This cross-sectional study was conducted on 26,335 women who were aged 19 years or older, and who participated in the Korean National Health and Nutrition Examination Survey (2007-2014). Associations of prior diagnosis of depression with CAD and CVRs and with nonutilization of healthcare services were investigated. RESULTS: Women with depression had a higher prevalence of CAD and CVRs including obesity, hypertension, dyslipidemia, and metabolic syndrome than those without depression. In addition, depression was significantly associated with nonutilization of healthcare services in women with most CVRs. CONCLUSION: Considering the high rate of comorbid depression with CAD or CVRs and the low lvels of health service utilization in depressed patients, screening for common CVRs, such as obesity, hypertension, and dyslipidemia, should be provided for patients with depression in mental health care settings.
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Park et al. (2017) conducted a cross-sectional in Cardiovascular conditions (CAD and CVRs) (n=26,335). Depression vs. Without depression was evaluated on Non-utilization of healthcare services in women with cardiovascular conditions (AOR 1.35, 95% CI 1.13-1.62, p=0.0002). Comorbid depression in Korean women with cardiovascular conditions was significantly associated with increased nonutilization of healthcare services (AOR 1.35).
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