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Analysis of factors related to the use of Korean medicine treatment in adult patients with depressed mood: Based on the Korea Health Panel Annual Data 2019

Article information

J Korean Med. 2024;45(3):243-245
Publication date (electronic) : 2024 September 1
doi : https://doi.org/10.13048/jkm.24053.e1
Tae-Hyeon Lee1, Il-Su Park2, Chan-Young Kwon3
1Department of Biomedical Health Science, Dong-eui University Graduate School
2Department of Healthcare Management, Dong-eui University College of Nursing, Healthcare Sciences and Human Ecology
3Department of Oriental Neuropsychiatry, Dong-eui University College of Korean Medicine

Abstract

Objectives

This study analyzed the factors related to outpatient service to Western medicine (WM) and Korean medicine (KM) of Korean adults with depressed mood using data from the 2019 Korea Health Panel Study.

Methods

The general characteristics according to group of 827 individuals, and the factors influencing the use of integrative medicine (IM) medical service were identified using the Chi-square test and binary logistic regression results. The factors were classified based on the Andersen healthcare utilization model. The results of regression analysis were presented as odds ratio (OR) and 95% confidence interval (CI).

Results

Among the individuals of the study, 658 (79.6%) were in the WM group and 169 (20.4%) were in the IM group. In the WM group and the IM group, the presence of suicidal ideation was common at 37.7% and 43.2%, respectively. As a result of regression analysis, the living in Busan/Daegu/Ulsan/Gyeongsang compared to living in Seoul/Gyeonggi/Incheon [OR = 0.522 (95% CI = 0.328 to 0.830)], and presence of musculoskeletal [OR = 1.686 (95% CI = 1.071 to 2.653)] and mood disorders [OR = 1.737 (95% CI = 1.106 to 2.726)] were the most influential factors on the use of IM medical service.

Conclusions

This study is the first in Korea to analyze the patterns of medical institution use and factors used in KM treatment among adults with depressed mood. The results of this study provide preliminary evidence for the contribution of KM to national mental health in the context of depression.

Keywords: Korean medicine; Depression; Depressed mood; Pain; Korea Health Panel Annual Data

J Korean Med. 2024;45(2):83-95

http://dx.doi.org/10.13048/jkm.24026

In the article cited above, the wrong tables were inserted.(‘Table 2’ and ‘Table 3’) The corrected tables are as following.

Factors associated with the use of integrative medicine.

Characteristics of Western medicine and integrative medicine treatments for individuals with depressed mood.

Article information Continued

Table 2

Factors associated with the use of integrative medicine.

Independent variables Model 1 Model 2 Model 3
OR 95%L
LCI		 95%U
LCI		 OR 95%L
LCI		 95%U
LCI		 OR 95%L
LCI		 95%U
LCI
Predisposing factors Age (ref: 65+) 19–29 .417 (.069) .162 1.071 .354* (.037) .133 .938 .441 (.118) .158 1.232
30–49 .842 (.545) .483 1.468 .682 (.206) .377 1.235 .814 (.550) .416 1.595
50–64 .779 (.283) .494 1.228 .684 (.127) .419 1.115 .823 (.466) .488 1.389
Sex Men .846 (.405) .571 1.254 .815 (.316) .546 1.216 .929 (.730) .611 1.412
Education level (ref: college above) Elementary school or below .967 (.911) .535 1.747 1.148 (.666) .613 2.150 .966 (.917) .502 1.858
Middle or high school .598* (.040) .366 .976 .682 (.144) .408 1.139 .637 (.100) .372 1.091
Region (ref: Seoul/Gyeonggi/Incheon) Gangwon .509 (.552) .055 4.702 .540 (.582) .060 4.834 .389 (.352) .054 2.833
Daejeon/Chungcheong/Sejong .943 (.826) .565 1.574 .936 (.805) .554 1.582 .925 (.773) .546 1.567
Gwangju/Jeolla/Jeju .632 (.071) .384 1.040 .602* (.048) .364 .996 .612 (.064) .364 1.029
Busan/Daegu/Ulsan/Gyeongsang .532** (.005) .344 .824 .542** (.007) .347 .845 .522** (.006) .328 .830
Enabling factors Total income (ref: 4th percentile) 1st percentile 1.596 (.119) .887 2.871 1.736 (.067) .963 3.130
2nd percentile 1.433 (.196) .830 2.473 1.589 (.099) .917 2.755
3rd percentile .985 (.951) .610 1.591 .993 (.978) .606 1.626
Employment status active 1.229 (.299) .832 1.815 1.215 (.361) .800 1.845
Health insurance type (ref: medical aid or others) employee or local 1.090 (.785) .587 2.027 1.714 (.136) .844 3.483
Need factors Disability presence 1.726 (.068) .961 3.098
Self-assessed health (ref: poor) good .864 (.496) .567 1.316
fair .743 (.358) .395 1.400
Perceived stress (ref: rarely) Very much 1.025 (.950) .471 2.233
Much 1.226 (.594) .580 2.592
A little 1.699 (.207) .746 3.868
Anxiety Presence .722 (.108) .485 1.074
Suicidal ideation Presence 1.277 (.198) .880 1.853
Pain/discomfort (ref: absence) very much 1.343 (.196) .858 2.102
much .540 (.299) .169 1.726
Cancer presence 1.400 (.332) .709 2.763
Cardio-cerebrovascular presence .812 (.348) .525 1.255
Endocrine presence .916 (.695) .592 1.418
Liver presence .292 (.226) .040 2.139
Musculoskeletal presence 1.686* (.024) 1.071 2.653
Respiratory presence .586 (.323) .203 1.692
Dementia presence 1.797 (.345) .533 6.064
Mood disorders presence 1.737* (.016) 1.106 2.726
Renal presence .403 (.433) .041 3.909

Note.

*

, p<.05;

**

, p<.01;

***

, p<.001.

Abbreviations. LLCI, lower limit confidence interval; OR, odds ratio; ULCI, upper limit confidence interval.

Table 3

Characteristics of Western medicine and integrative medicine treatments for individuals with depressed mood.

Variables WM group (658 individuals, 14722 WM sessions) IM group (169 individuals, 5036 WM sessions) X2 (p-value)
Compared to WM group		 IM group (169 individuals, 2030 KM sessions)
Mean treatment sessions per individual 22.37 29.80 NA 12.01
Reason of treatment Disease treatment or examination (diagnosis) 13878 (94.3%) 4713 (93.6%) 3.130 (0.077) 1914 (94.3%)
Rehabilitation and palliative care 127 (0.9%) 21 (0.4%) 10.024** (0.002) 9 (0.4%)
Accident or poisoning 404 (2.7%) 159 (3.2%) 2.313 (0.128) 7 (0.3%)
Preventive care 116 (0.8%) 36 (0.7%) 0.263 (0.608) 74 (3.6%)
Other 197 (1.3%) 107 (2.1%) 15.325*** (0.000) 26 (1.3%)
Main diagnosis Cancer 322 (2.3%) 105 (2.3%) 0.043 (0.836) Not investigated.
Cardio-cerebrovascular 2351 (17.1%) 653 (14.2%) 20.630*** (0.000) 35 (1.9%)
Endocrine 605 (4.4%) 160 (3.5%) 7.172** (0.007) Not investigated.
Liver 74 (0.5%) 0 (0%) 24.793*** (0.000) Not investigated.
Musculoskeletal 3693 (26.8%) 1388 (30.2%) 19.757*** (0.000) 1596 (84.6%)
Respiratory 1478 (10.7%) 428 (9.3%) 7.459** (0.006) Not investigated.
Dementia 94 (0.7%) 23 (0.5%) 1.805 (0.179) 0 (0%)
Mood disorders 992 (7.2%) 309 (6.7%) 1.203 (0.273) Not investigated.
Renal 572 (4.2%) 8 (0.2%) 178.428*** (0.000) Not investigated.
Others 3589 (26.1%) 1521 (33.1%) 84.961*** (0.000) 256 (13.6%)

Note.

*

, p<.05;

**

, p<.01;

***

, p<.001.

Abbreviations. IM, integrative medicine; KM, Korean medicine; NA, not applicable; WM, Western medicine.