Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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The Association between Hopelessness, Social Support and Community Integration and Depression among Elderly Living Alone

독거노인의 우울감과 무망감, 사회적지지 그리고 마을의 통합감과의 관련성

  • Kim, Hyun ok (Department of Preventive Medicine, College of Medicine, Institute of Health Science, Gyeongsang National University) ;
  • Choi, Yeun Soon (Department of Preventive Medicine, College of Medicine, Institute of Health Science, Gyeongsang National University) ;
  • Lee, Jin Hyang (Department of Social Welfare, Koje College) ;
  • Seo, Ae-Rim (Department of Preventive Medicine, College of Medicine, Institute of Health Science, Gyeongsang National University) ;
  • Park, Ki Soo (Department of Preventive Medicine, College of Medicine, Institute of Health Science, Gyeongsang National University)
  • 김현옥 (경상대학교 의과대학 건강과학연구원 및 예방의학교실) ;
  • 최연순 (경상대학교 의과대학 건강과학연구원 및 예방의학교실) ;
  • 이진향 (거제대학교 사회복지학과) ;
  • 서애림 (경상대학교 의과대학 건강과학연구원 및 예방의학교실) ;
  • 박기수 (경상대학교 의과대학 건강과학연구원 및 예방의학교실)
  • Received : 2016.11.24
  • Accepted : 2016.12.31
  • Published : 2016.12.31
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Abstract

Objectives: This study was performed to investigate the association between hopelessness, social support and community integration, and depression. Methods: We analyzed data from a questionnaire administered to subjects aged 65 years or older living alone for a 2015 community mental health project in Gyeongnam S city. We used a correlation analysis and a hierarchical regression analysis to identify factors that affect depression. Results: When controlling for socio-demographic factors, hopelessness and community integration had significant effects on depression. That is, the higher the hopelessness (B=0.768, p<.001) and the lower the community integration (B=-0.163, p=.012), the higher the depression in elderly living alone. Conclusions: There is a need for approaches at both the individual and social levels that consider and improve measures to prevent and reduce depression. Moreover, it is especially necessary to enhance community integration.

최근 문제가 되고 있는 독거노인들의 자살을 예방하기 위해서는 우울감을 줄이는 방안이 필요하며, 이를 위해서는 우울감에 영향을 미치는 요인을 파악하는 연구가 필요하다. 연구 대상자는 일개 보건소에서 지역사회에 거주하고 있는 독거노인의 우울감 실태조사를 위해 200명을 임의로 뽑은 뒤 조사원이 직접 일대일 면접 조사되었다. 우울감을 종속변수로 하여 독립변수로는 인구사회학적 특징 그리고 무망감, 사회적 지지, 마을의 통합감 등을 포함하였다. 대상자들의 우울점수는 15.8점이었으며, 정상인 14점미만은 38.0%로 적고 21점을 초과하는 군이 26.5%로 높았다. 인구사회학적 변수를 통제한 뒤 무망감과 마을의 통합감이 유의하게 우울감과 관련이 있었다. 결론적으로 독거노인들의 우울감은 희망이 없다고 느끼는 마음과 거주하고 있는 마을에서 통합감 을 느끼지 못할 때 우울감이 높았다.

Keywords

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