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

Authors
  • Lee, Jimin1
  • Kim, Hyerim1
  • Woo, Jungmin1, 2
  • Chang, Sung Man1, 2
  • Hong, Jin Pyo3
  • Lee, Dong Woo4
  • Hahm, Bong Jin5
  • Cho, Seong Jin6
  • Park, Jong Ik7
  • Jeon, Hong Jin3
  • Seong, Su Jeong8
  • Park, Jee Eun5
  • Kim, Byung Soo2, 9
  • 1 Department of Psychiatry, Kyungpook National University Hospital, Daegu, Korea. , (North Korea)
  • 2 Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Korea. , (North Korea)
  • 3 Department of Psychiatry, School of Medicine, Sungkyunkwan University, Seoul, Korea. , (North Korea)
  • 4 Department of Psychiatry, Inje University College of Medicine, Seoul, Korea. , (North Korea)
  • 5 Department of Psychiatry, Seoul National University College of Medicine, Seoul, Korea. , (North Korea)
  • 6 Department of Psychiatry, Gachon University College of Medicine, Incheon, Korea. , (North Korea)
  • 7 Department of Psychiatry, Kangwon National University School of Medicine, Chuncheon, Korea. , (North Korea)
  • 8 Department of Psychiatry, Kangdong Sacred Heart Hospital, Seoul, Korea. , (North Korea)
  • 9 Department of Psychiatry, Kyungpook National University Chilgok Hospital, Daegu, Korea. [email protected] , (North Korea)
Type
Published Article
Journal
Journal of Korean medical science
Publication Date
Sep 21, 2020
Volume
35
Issue
37
Identifiers
DOI: 10.3346/jkms.2020.35.e319
PMID: 32959544
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This study investigated the impact of getting older than the mean marriage age on mental disorders and suicidality among never-married people. 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. 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. 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. © 2020 The Korean Academy of Medical Sciences.

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