Korean J Fam Pract.  2021 Dec;11(6):449-456. 10.21215/kjfp.2021.11.6.449.

Association between Osteoporosis and Mental Health Status in Postmenopausal Women: The Korea National Health and Nutrition Examination Survey (2016 and 2018)

• Pang DD
• Yoon YS
• Yang YJ
• Lee ES
• Lee JH
• Seo YB
• Kang BR
• Kook H
• Kwon HJ
• Nam H

• KMID: 2523468
• DOI: http://doi.org/10.21215/kjfp.2021.11.6.449

Abstract

Background
This study aimed to examine the association between osteoporosis and mental health status in Korean postmenopausal women.
Methods
We analyzed data from the Korea National Health and Nutrition Examination Survey 2016 and 2018 and enrolled a total of 3,134 postmenopausal women. In the health questionnaire, participants who answered that they currently have osteoporosis were defined as the osteoporosis group. Mental health status data were obtained from a self-report questionnaire that assessed depression, subjective health status, stress perception, and suicide plans. Logistic regression analysis was performed to identify the association between osteoporosis and mental health status.
Results
The group whose subjective health status was “bad” had a significantly higher odds ratio for osteoporosis than the group whose subjective health status was “good” (2.26 [95% confidence interval, 1.59–3.21]). Compared with the healthy group, the group with depression showed a significantly higher odds ratio for osteoporosis (1.44 [95% confidence interval, 1.03–2.02]). We also determined that osteoporosis was significantly associated with age, educational level, and alcohol intake. Conversely, stress perception and suicide plans were not significantly associated with osteoporosis in Korean postmenopausal women.
Conclusion
In Korean postmenopausal women, subjective health status and depression were significantly associated with osteoporosis.

Keyword

Osteoporosis; Postmenopause; Depression; Subjective Health; Stress; Suicidal Plans