PDF(Pubmed)
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.
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.
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.
摘要：
目的：研究韩国医疗援助受益人和国民健康保险受益人过去饮酒模式与抑郁风险之间的关系。
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。
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。
