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<article xml:lang="KO" article-type="research-article">

<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Korean J Health Promot</journal-id>
<journal-id journal-id-type="publisher-id">KJHP</journal-id>
<journal-title-group>
<journal-title>Korean Journal of Health Promotion</journal-title>
</journal-title-group>
<issn pub-type="ppub">2234-2141</issn>
<issn pub-type="epub">2093-5676</issn>
<publisher>
<publisher-name>Korean Society for Health Promotion and Disease Prevention</publisher-name>
</publisher>
</journal-meta>

<article-meta>
<article-id pub-id-type="doi">10.15384/kjhp.2019.19.1.32</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Depressive Symptoms and Sociodemographic Risk Factors among Chronic Disease Inpatients at University Medical Centers</article-title>
</title-group>

<contrib-group>

<contrib contrib-type="author">
<name>
<surname>Choi</surname>
<given-names>Gyong-Ae</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Choi</surname>
<given-names>Hyun-Jung</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author" corresp="yes">
<name>
<surname>Park</surname>
<given-names>So-Young</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>

</contrib-group>

<aff id="A1"><label>1</label>Department of Social Work, Hallym University Kangnam Sacred Heart Hospital, Seoul, <country>Korea</country>.</aff>
<aff id="A2"><label>2</label>Ewha Institute for Age Integration Research, Ewha Womans University, Seoul, <country>Korea</country>.</aff>

<author-notes>
<corresp>
Corresponding author: So-Young Park, PhD. Ewha Institute for Age Integration Research, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Korea. Tel: +82-2-3277-2235, Fax: +82-2-3277-2783, <email>syp279@gmail.com</email></corresp>
</author-notes>

<pub-date pub-type="ppub">
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>19</volume>
<issue>1</issue>
<fpage>32</fpage>
<lpage>38</lpage>

<history>
<date date-type="received">
<day>16</day>
<month>10</month>
<year>2018</year>
</date>
<date date-type="rev-recd">
<day>17</day>
<month>01</month>
<year>2019</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>01</month>
<year>2019</year>
</date>
</history>

<permissions>
<copyright-statement>Copyright &#x00A9; 2019 Korean Society for Health Promotion and Disease Prevention</copyright-statement>
<copyright-year>2019</copyright-year>
<copyright-holder>Korean Society for Health Promotion and Disease Prevention</copyright-holder>
<license license-type="open-access" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>

<abstract>
<sec>
<title>Background</title>
<p>The purpose of this study was to examine the prevalence of and the sociodemographic risk factors for depressive symptoms among inpatients with chronic diseases who completed the Patient Health Questionnaire-9 (PHQ-9) conducted by a social work department at university medical centers.</p>
</sec>
<sec>
<title>Methods</title>
<p>In 2015, PHQ-9 data were collected from six medical centers affiliated with Hallym University Medical Center. The sample comprised 517 inpatients aged 18 years or over with chronic diseases. Descriptive statistics, chi-square test, simple logistic regression, and multiple logistic regression were used for data analyses.</p>
</sec>
<sec>
<title>Results</title>
<p>The prevalence of depressive symptoms among inpatients with chronic diseases was 31.7 percent. The results of the simple and multiple logistic regressions showed that the single/widowed/divorced/separated group was at higher risk for depressive symptoms than married inpatients. Having a religion or being unemployed also increased the risk of depressive symptoms among the respondents.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Findings of this study emphasize the importance of systematic depressive symptom management for inpatients with chronic diseases.</p>
</sec>
</abstract>

<kwd-group>
<kwd>Patient Health Questionnaire-9</kwd>
<kwd>Depression</kwd>
<kwd>Prevalence</kwd>
<kwd>Risk factors</kwd>
</kwd-group>

<funding-group>

<award-group>
<funding-source country="KR">
<institution-wrap>
<institution>National Research Foundation of Korea</institution>
<institution-id institution-id-type="CrossRef">https://doi.org/10.13039/501100003725</institution-id>
</institution-wrap>
</funding-source>
<award-id>NRF-2018S1A5B5A02032658</award-id>
</award-group>

</funding-group>

</article-meta>
</front>

<back>

<fn-group>
<fn fn-type="supported-by">
  <p>This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2018S1A5B5A02032658).</p>
</fn>
</fn-group>

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<floats-group>

<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption>
  <title>Prevalence of depressive symptoms</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjhp-19-32-i001"></graphic>
<table-wrap-foot>
<fn>
  <p>Abbreviation: PHQ-9, Patient Health Questionnaire-9.</p>
  <p>Values are presented as number (%).</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption>
  <title>Proportions (%) of the PHQ-9 categories by sociodemographic characteristics among Korean adult inpatients</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjhp-19-32-i002"></graphic>
<table-wrap-foot>
<fn>
  <p>Abbreviation: PHQ-9, Patient Health Questionnaire-9.</p>
  <p>Values are presented as number (%).</p>
  <p><sup>a</sup><italic>P</italic>&#x003C;0.01.</p>
  <p><sup>b</sup><italic>P</italic>&#x003C;0.05.</p>
  <p><sup>c</sup><italic>P</italic>&#x003C;0.001.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption>
  <title>Simple and multiple logistic regression model for depressive symptoms among Korean adult inpatients</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjhp-19-32-i003"></graphic>
<table-wrap-foot>
<fn>
  <p>Abbreviations: CI, confidence interval; OR, odds ratio.</p>
  <p><sup>a</sup>Disease was excluded from the multiple logistic regression analysis because the sample size of the variable was too small when broken down by this sub-category.</p>
</fn>
</table-wrap-foot>
</table-wrap>

</floats-group>

</article>