Abstract TMP42: Prevalence, Awareness, Treatment And Associated Factors Of Depression Among Community-dwelling Stroke Survivors In Korea

Abstract

Background and Purpose: Post-stroke depression (PSD), a prevalent complication of stroke, causes poor outcomes. However, little is known about its prevalence and management among community-dwelling stroke survivors. Thus, we investigated the prevalence, awareness, treatment, and associated factors of PSD in a community setting. Methods: A cross-sectional study was performed using representative data from the Korea National Health and Nutrition Surveys 2014, 2016, and 2018. A total of 11,122 participants aged ≥ 40 years were categorized, including 343 stroke survivors and 10,779 non-stroke survivors. We then calculated and compared the prevalence, awareness, and treatment of depression between the two groups. Depression was defined as a score ≥10 in the nine-item Patient Health Questionnaire (PHQ-9). Multivariate logistic regression analyses were performed to examine the predictors of the prevalence, awareness, and treatment of PSD. Results: Depression was significantly more prevalent among stroke survivors than in non-stroke survivors (22.2% vs. 8.5%, respectively), while the differences in the awareness and treatment rates were insignificant. Female sex (adjusted odds ratio [aOR], 4.95; 95% confidence interval [CI], 2.17-11.28), lower-income (aOR 0.66, 95% CI 0.44-0.97), poorer self-rated health status (aOR 0.41, 95% CI 0.21-0.80), and limitation in daily activities (aOR 6.40, 95% CI 3.08-13.31) were independent predictors of PSD (Table 1). However, only 46.8% of patients with PSD were aware of their condition, and only 20.5% were receiving treatment. This trend was generally not affected by patients’ characteristics. Conclusions: Clinicians should more actively screen for and treat depression among stroke survivors.