The Effect of Stress and Depression on Unmet Medical Needs

Park, Eun Hee; Park, Sohee; Oh, Daniel H.; Cho, Eun

doi:10.24304/kjcp.2017.27.1.44

Cited by 14 publications

(14 citation statements)

References 33 publications

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“…This study found that depression, perceived stress, and poor perceived health status were associated with a significantly higher likelihood of unmet healthcare needs. This is consistent with the results of previous studies [32,33], indicating that unmet healthcare needs are more common in adults over 19 years of age, including the elderly, who have depression, stress, and poor perceived health status. It has been reported that stress reduces or eliminates individuals' will to use medical services, causing frustration and resulting in unmet healthcare needs [34].…”

Section: Discussionsupporting

confidence: 92%

Factors affecting unmet healthcare needs of low-income overweight and obese women in Korea: analysis of the Korean National Health and Nutrition Examination Survey 2017

Nho

Park

2021

Korean J Women Health Nurs

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The purpose of this study was to explore unmet healthcare needs among low-income overweight and obese women and to identify the factors affecting unmet healthcare needs. Methods: The study was a secondary analysis of data from the 2017 Korea National Health and Nutrition Examination Survey. A final sample of 388 out of 8,127 participants was analyzed using complex descriptive statistics, the chi-square test, the independent t-test, and logistic regression. Results: The mean age of the participants was 66.51±1.05 years. Unmet healthcare needs were experienced by 19.4% of low-income overweight and obese women. Women with depression, stress, and poor self-reported health status were significantly more likely than their counterparts to experience unmet healthcare needs. Poor self-reported health status was confirmed to be related to unmet health needs in low-income overweight and obese women (odds ratio, 2.65; p=.011). Conclusion:The study provides the novel insight that the unmet healthcare needs of low-income overweight and obese women were influenced by self-reported health status. Healthcare providers should make efforts to develop strategies to reduce unmet healthcare needs among low-income overweight and obese women, who constitute a vulnerable population.

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Section: Discussionsupporting

confidence: 92%

Factors affecting unmet healthcare needs of low-income overweight and obese women in Korea: analysis of the Korean National Health and Nutrition Examination Survey 2017

Nho

Park

2021

Korean J Women Health Nurs

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“…As for education level, past research has found it to be associated with health behaviors and attitudes [11,32]. It is possible that the experience of unmet medical needs was more common among participants with lower education levels and those who were unmarried because they put less focus on health management [15,33].…”

Section: Discussionmentioning

confidence: 99%

Factors Underlying Unmet Medical Needs: A Cross-Sectional Study

Yoon

Jung

Dongsu

et al. 2019

IJERPH

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Unmet medical needs refer to the state where a patient’s medical care or service is insufficient, inadequate, or lacking. Numerous factors influence unmet medical needs. We used a multi-pronged approach to explore the factors influencing unmet medical needs in the Korean health care system according to Anderson’s Behavioral Model of Health Services Use. To this end, we used data from 11,378 adults over 19 years old in the 2016 Korea Health Panel Survey and performed multiple logistic regression analyses. The odds of experiencing unmet medical needs were significantly greater among older participants (odds ratio (OR) = 2.51, 95% confidence interval (CI) = 1.78–3.56); low-income participants (OR = 1.41, 95% CI = 1.14–1.75); non-workers (OR = 1.24, 95% CI = 1.06–1.46); those who had received non-covered treatment (OR = 1.24, 95% CI = 1.08–1.42); those who did not regularly exercise (OR = 1.23, 95% CI = 1.02–1.48); and those experiencing pain (OR = 2.29, 95% CI = 1.97–2.66), worse self-rated health status (OR = 2.29, 95% CI = 1.89–2.79), and severe depression (OR = 2.46, 95% CI = 1.39–4.35). About one in ten Korean citizens (11.60%) have unmet medical service needs. Policies that strengthen coverage for physically and economically vulnerable groups are needed.

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“…Similarly, the literature [ 7 , 26 , 36 , 37 , 38 ] has reported that a relevant variable for unmet healthcare needs is perceived health status—a need factor—that is often discussed with negative mental conditions. Negatively perceived health has been interpreted as increasing pain, stress, and depression [ 39 , 40 ], which, in turn, leads to unmet healthcare needs [ 41 ]. In this regard, integrated care for both psychological problems and physical health has been proposed as a way to reduce unmet healthcare needs [ 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Unmet Healthcare Needs in Adolescents and Associated Factors: Data from the Seventh Korea National Health and Nutrition Examination Survey (2016–2018)

Park

2021

IJERPH

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Adolescent health is considered the basis of adult health, and the unmet healthcare needs in adolescents are an important issue to be solved. This study, therefore, aimed to explore the prevalence of unmet healthcare needs, and examine its associated factors among adolescents in Korea based on Andersen’s Behavioral Model of Health Services, using data from the Seventh Korea National Health and Nutrition Examination Survey (2016 to 2018). This survey’s data source comprised 12- to 18-year-old adolescents, of which 1425 provided information on their unmet healthcare needs, as well as their predisposing, enabling, and need factors. For statistical analysis, SPSS version 25.0 was used. Descriptive analyses were performed to assess each variable, whereas multiple logistic regression was used to determine the associated factors. The overall prevalence of unmet healthcare needs was 5.5%. The factors that had statistically significant relationships with adolescents’ unmet healthcare needs were: age; stress perceptions; housing types; and perceived health status. Unlike previous studies that presented related factors on vulnerable groups, this study’s results presented unmet healthcare needs and related factors for all Korean adolescents using a national survey dataset. Hence, its findings could provide feedback on current policies, and guide future studies.

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The Effect of Stress and Depression on Unmet Medical Needs

Cited by 14 publications

References 33 publications

Factors affecting unmet healthcare needs of low-income overweight and obese women in Korea: analysis of the Korean National Health and Nutrition Examination Survey 2017

Factors affecting unmet healthcare needs of low-income overweight and obese women in Korea: analysis of the Korean National Health and Nutrition Examination Survey 2017

Factors Underlying Unmet Medical Needs: A Cross-Sectional Study

Prevalence of Unmet Healthcare Needs in Adolescents and Associated Factors: Data from the Seventh Korea National Health and Nutrition Examination Survey (2016–2018)

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