Journal of Korean Academy of Nursing

Original Articles

Differences in Factors Associated with Depressive Symptoms between Urban and Rural Female Adolescents in Korea: Gyuyoung Lee, Ok Kyung Ham, Bo Gyeong Lee, Abuan Micah Kim; J Korean Acad Nurs 2018;48(4):475-484. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.4.475

Abstract Purpose

To examine the prevalence of depressive symptoms and differentiate factors associated with them in urban and rural areas by applying the Ecological Models of Health Behavior.

Methods

We employed a cross-sectional design and convenience sample of 460 female adolescents. The instruments included the Adolescent Mental-Health Problem-Behavior Questionnaire (AMPQ-II) and the Beck Depression Inventory (BDI).

Results

Depressive symptoms were confirmed in 15.7% of urban adolescents and 22.9% of rural adolescents (p<.05). In the urban group, perception of health and stress associated with school performance were significantly associated with depressive symptoms. In the rural group, aca-demic/internet related problems and rule violations were significantly associated with depressive symptoms (p<.05). General life happiness, worry/ anxiety, and mood/suicidal ideation were common factors in both urban and rural areas (p<.05).

Conclusion

Multiple factors were associated with depressive symptoms, and those significant factors differed between urban and rural female youths. Accordingly, tailored approaches are required considering urban and rural differences. The approaches should include intrapersonal, interpersonal, and organizational levels of interventions.

Citations

Citations to this article as recorded by

Rural Suicide: A Systematic Review and Recommendations
Tyler R. Pritchard, Jennifer L. Buckle, Kristel Thomassin, Stephen P. Lewis
Clinical Psychological Science.2025; 13(1): 3. CrossRef
Urban-Rural Differences in the Prevalence of Depressive Symptoms in Korean Adults
Ji-An Jeong, Sun A Kim, Jung Ho Yang, Min-Ho Shin
Chonnam Medical Journal.2023; 59(2): 128. CrossRef
Urbanicity and depression: A global meta-analysis
Colin Xu, Lucille Miao, Devon Turner, Robert DeRubeis
Journal of Affective Disorders.2023; 340: 299. CrossRef
Short Video-Based Mental Health Intervention for Depressive Symptoms in Junior High School Students: A Cluster Randomized Controlled Trial
Yuting Yang, Hao Wang, Wen Sha, Xiaoqin Guo, Wei Deng, Jingyi Wang, Chaowei Fu
Psychology Research and Behavior Management.2023; Volume 16: 4169. CrossRef
Association between mental health and executive dysfunction and the moderating effect of urban–rural subpopulation in general adolescents from Shangrao, China: a population-based cross-sectional study
Qingmin Lin, Cody Abbey, Yunting Zhang, Guanghai Wang, Jinkui Lu, Sarah-Eve Dill, Qi Jiang, M K Singh, Xinshu She, Huan Wang, Scott Rozelle, Fan Jiang
BMJ Open.2022; 12(8): e060270. CrossRef
Measuring Happiness in Adolescent Samples: A Systematic Review
Justė Lukoševičiūtė, Gita Argustaitė-Zailskienė, Kastytis Šmigelskas
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Effects of Life Skill Training on the School Violence Attitudes and Behavior Among Elementary School Children
Jae Yeon Lee, Ok Kyung Ham, Hyun Soo Oh, Eun Jin Lee, Young Ko, Bongjeong Kim
The Journal of School Nursing.2022; 38(4): 336. CrossRef
Factors Affecting Obesity in Urban and Rural Adolescents: Demographic, Socioeconomic Characteristics, Health Behavior and Health Education
Gyu-Young Lee, Youn-Joo Um
International Journal of Environmental Research and Public Health.2021; 18(5): 2405. CrossRef
Sociodemographic characteristics associated with adolescent depression in urban and rural areas of Hubei province: a cross-sectional analysis
Guo Li, Junhua Mei, Jing You, Jinfeng Miao, Xiaoyan Song, Wenzhe Sun, Yan Lan, Xiuli Qiu, Zhou Zhu
BMC Psychiatry.2019;[Epub] CrossRef

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Cognitive Impairment, Behavioral Problems, and Mental Health in Institutionalized Korean Elders -An Eligibility Issue for Care Settings-: Hyun-Sil Kim, Young-Mi Jung, Hung-Sa Lee; J Korean Acad Nurs 2009;39(5):741-750. Published online October 31, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.5.741

Abstract PDF

Purpose

The purpose of this study was to identify the prevalence of cognitive impairment, behavioral problems, and the state of mental health for elderly Korean people who have been institutionalized.

Methods

A cross-sectional, nation-wide survey was performed using an anonymous questionnaire. The participants in this study were 2,521 institutionalized elderly Korean people. A proportional stratified random sampling method was employed.

Results

1) Elders admitted to subacute hospitals and long term care (LTC) facilities showed a higher level of cognitive impairment compared to elders admitted to acute care hospitals. 2) Elders confined in LTC facilities showed a higher level of behavioral problems compared to elders in acute or subacute hospitals. 3) Elders admitted to subacute hospitals and LTC facilities showed more serious mental health problems, such as depression or suicidal ideation, compared to elders in acute care hospitals.

Conclusion

The results of this study indicate that the severity of cognitive-behavioral or mental health problems do not match well with type of care setting. Therefore, health personnel working with elderly people should be provided guidance on detection and management of cognitive-behavioral and mental health problems. The necessity of a decision support system for eligibility and placement in long-term care is also discussed.

Citations

Citations to this article as recorded by

Longitudinal trends in schizophrenia among older adults: a 12-year analysis of prevalence and healthcare utilization in South Korea
Jung Su Park, Sangwan Kim, Jeong Pil Choi, Mi-Sook Kim, Yu Sang Lee, Eun-Jeong Joo, Yong Sik Kim, Joongyub Lee, Se Hyun Kim
Schizophrenia.2025;[Epub] CrossRef
Prevalence of Suicidal Behaviors in Residents of Long-Term Care Facilities: A Systematic Review and Meta-Analysis
Syeda Beenish Bareeqa, Syeda Sana Samar, Yasir Masood, Mustafa M. Husain
OMEGA - Journal of Death and Dying.2023;[Epub] CrossRef
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Maria Cecília de Souza Minayo, Ana Elisa Bastos Figueiredo, Raimunda Matilde do Nascimento Mangas
Ciência & Saúde Coletiva.2019; 24(4): 1393. CrossRef
Life experiences of elderly people with suicide ideation at the long‐term care hospitals in South Korea
Ok Sun Kim, Sohyune R. Sok
International Journal of Nursing Practice.2017;[Epub] CrossRef
Predictive Factors associated with Death of Elderly in Nursing Homes
Kiwol Sung
Asian Nursing Research.2014; 8(2): 143. CrossRef
The Influences of Swallowing Function on Swallowing-Quality of Life and Activity of Daily Living of Inpatients in Geriatric Hospital
Ji-Young Baek, Keun-Bae Oh
The Korean Journal of Health Service Management.2013; 7(1): 167. CrossRef
The Long-term Care Utilization of the Elderly with Dementia, Stroke, and Multimorbidity in Korea
Boyoung Jeon, Soonman Kwon, Hongsoo Kim
Health Policy and Management.2013; 23(1): 90. CrossRef
Development and Evaluation of a Dysphagia Assessment Tool and an Intervention Program for the Elderly in the Long-Term Care Facilities
Chi-Young Kim, Young-Mi Lee, Eun-Ho Ha
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(2): 685. CrossRef
Cognitive Function and Activity of Daily Living of Older Adults Using Long-term Care Service
Hyun-Sook Chang, Hung Sa Lee
Korean Journal of Health Policy and Administration.2012; 22(4): 522. CrossRef

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