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Impacts of Remaining Single above the Mean Marriage Age on Mental Disorders and Suicidality: a Nationwide Study in Korea

Journal of Korean Medical Science 2020년 35권 37호 p.319 ~ 319
이지민, 김혜림, 우정민, 장성만, 홍진표, 이동우, 함봉진, 조성진, 박종익, 전홍진, 성수정, 박지은, 김병수,
소속 상세정보
이지민 ( Lee Ji-Min ) - Kyungpook National University Hospital Department of Psychiatry
김혜림 ( Kim Hye-Rim ) - Kyungpook National University Hospital Department of Psychiatry
우정민 ( Woo Jung-Min ) - Kyungpook National University Hospital Department of Psychiatry
장성만 ( Chang Sung-Man ) - Kyungpook National University Hospital Department of Psychiatry
홍진표 ( Hong Jin-Pyo ) - Sungkyunkwan University School of Medicine Department of Psychiatry
이동우 ( Lee Dong-Woo ) - Inje University College of Medicine Department of Psychiatry
함봉진 ( Hahm Bong-Jin ) - Seoul National University College of Medicine Department of Psychiatry
조성진 ( Cho Seong-Jin ) - Gachon University College of Medicine Department of Psychiatry
박종익 ( Park Jong-Ik ) - Kangwon National University School of Medicine Department of Psychiatry
전홍진 ( Jeon Hong-Jin ) - Sungkyunkwan University School of Medicine Department of Psychiatry
성수정 ( Seong Su-Jeong ) - Kangdong Sacred Heart Hospital Department of Psychiatry
박지은 ( Park Jee-Eun ) - Seoul National University College of Medicine Department of Psychiatry
김병수 ( Kim Byung-Soo ) - Kyungpook National University School of Medicine Department of Psychiatry

Abstract


Background: This study investigated the impact of getting older than the mean marriage age on mental disorders and suicidality among never-married people.

Methods: We performed an epidemiological survey, a nationwide study of mental disorders, in 2016. In this study, a multi-stage cluster sampling was adopted. The Korean version of the Composite International Diagnostic Interview was conducted with 5,102 respondents aged 18 years or above. The associations between never-married status, mental disorders, and suicidality were explored according to whether the mean age of first marriage (men = 32.8 years; women = 30.1 years) had passed.

Results: Never-married status over the mean marriage age was associated with agoraphobia, obsessive?compulsive disorder, mood disorders, and major depressive disorder after adjusting for sociodemographic factors. Respondents with never-married status above the mean marriage age were associated with suicide attempts (adjusted odds ratio [aOR], 3.21; 95% confidence interval [CI], 1.36?7.60) after controlling for sociodemographic factors and lifetime prevalence of mental disorders, while respondents with never-married status under the mean marriage age were not. Moreover, in respondents with never-married status, getting older than the mean marriage age was associated with suicidal ideations (aOR, 1.49; 95% CI, 1.04?2.15) and suicide attempts (aOR, 3.38; 95% CI, 1.46?7.84) after controlling for sociodemographic factors and lifetime prevalence of mental disorders.

Conclusion: Never-married status above the mean first marriage age was associated with mental disorders and suicidality. These findings suggest the need for a national strategy to develop an environment where people with never-married status do not suffer even if their marriage is delayed.

키워드

Marriage; Single Person; Mental Disorders; Suicide; Cross-sectional Studies

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