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Original Article
Correlation between depressive symptoms and subjective mastication ability and ability to pronunciation among Korean elderly
Min Sun Park, Kyung-Gyun Hwang, Bo Youl Choi
Epidemiol Health. 2016;38:e2016035.   Published online July 25, 2016
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AbstractAbstract AbstractSummary PDFSupplementary Material
The present study examines the relationship between depressive symptoms and subjective chewing and pronunciation ability in Korean seniors. Our goal is to provide the data required to develop appropriate oral health interventions programs for seniors.
The Center for Epidemiologic Studies-Depression Scale (CES-D) is widely used depressive symptoms assessment. A Korean version was used for the 2009 Community Health Survey, which was consulted to extract the present study’s participants comprising 50,694 Korean seniors (males, 20,582; females, 30,112) aged ≥65 years. Those with a CES-D score ≥16 were rated ‘depressed.’ SAS version 9.3 was used for the data analysis.
Prevalence of depressive symptoms increased as the participants socioeconomic status decreased, number of health issues increased, health behavior worsened, and chewing and pronunciation discomfort increased. Males with chewing difficulties were found to have 1.45 times (95% confidence interval [CI], 1.29 to 1.63) greater risk of depressive symptoms than those without, while males with pronunciation discomfort were found to have 1.97 times greater risk of depressive symptoms than those without (95% CI, 1.76 to 2.20). Females with chewing difficulty were found to have 1.50 times (95% CI, 1.39 to 1.61) greater risk of depressive symptoms than those without, and females with pronunciation discomfort were found to have 1.55 times greater risk of depressive symptoms than those without (95% CI, 1.44 to 1.67).
Intervention programs designed to help with oral health management and alleviate depressive symptoms in seniors are urgently needed. As the prevalence of depressive symptoms may vary geographically, research examining potential variance at city, district, and town levels would be beneficial.
Korean summary
The Center for Epidemiologic Studies-Depression Scale(CES-D)을 번역하여 조사된 2009년 지역사회건강조사 원시자료를 이용하여 전국 노인의 구강 보건 관리와 우울증상 관리를 중재하는 프로그램의 개발 및 접근에 있어 기초 자료를 제공하고자 하였다. 한국 노인의 주관적 구강저작능력과 발음능력상태와 우울증상은 인구 사회학적 특성, 건강수준 및 건강행태 관련 요인에 유의한 차이가 있었으며, 이에 따른 체계적이고 지속할 수 있는 중재프로그램의 기획 및 적용이 필요할 것으로 생각된다.


Citations to this article as recorded by  
  • Association Between Changes in Oral Health-Related Quality of Life and Depressive Symptoms in the Korean Elderly Population
    Kyoung Eun Park, Hooyeon Lee, Young Dae Kwon, Sukil Kim
    International Journal of Public Health.2023;[Epub]     CrossRef
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    Tianjiao Xin, Fangfang Hu, Lingzhong Xu, Fanlei Kong, Haifeng Yang, Lei Li, Afei Qin, Binghong Bao, Chiqi Chen, Jing Lan
    Oral Diseases.2023;[Epub]     CrossRef
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  • Oral health‐related quality of life is associated with the prevalence and development of depressive symptoms in older Japanese individuals: The Ohasama Study
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    Gerodontology.2022; 39(2): 204.     CrossRef
  • Association between subjective oral dysfunction and locomotive syndrome in community-dwelling older adults
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