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.
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).
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.
方法:我们使用了国家健康信息数据库(NHID)的数据,该数据库在2015-16年和2017-18年接受了健康检查的1,292,618名参与者。我们将饮酒分为四组:持续高,增加,减少,和非消费者。我们从2019年到2021年跟踪了参与者,并确定了新的抑郁症发作。我们根据饮酒组和社会经济状况计算了抑郁症的调整比值比(aOR)和95%置信区间(CI)。
结果:在所有饮酒群体中,医疗援助受益人患抑郁症的风险高于国民健康保险受益人。在连续的高消费者中观察到最高的风险(AOR,2.31;95%CI,1.36-3.93),其次是增加(AOR,1.51;95%CI,1.17-1.94),减少(AOR,1.48;95%CI,1.18-1.84),和非消费者(AOR,1.37;95%CI,1.22-1.54)。
结论:过去的社会经济状况和饮酒方式与抑郁症的风险相关。公共卫生干预措施应同时考虑这两个因素,以减少与酒精有关的抑郁症和健康不平等。