Korean Journal of Social Welfare (한국사회복지학)

Korean Academy of Social Welfare (한국사회복지학회)
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Indebtedness and Mental Health - Focusing on Depressive Symptoms and Suicidal Ideation -

가계부채가 정신건강에 미치는 영향 - 우울감과 자살생각을 중심으로 -

  • Received : 2016.12.24
  • Accepted : 2017.03.03
  • Published : 2017.05.31
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Abstract

This study examined the impact of indebtedness on depressive symptoms and suicidal ideation. The data came from the 4th to 10th waves of the Korea Welfare Panel Study, collected from 2009 to 2015. Analyses were conducted using logistic regression for longitudinal data that combines the fixed effects and random effects approaches. The results show that a high level of indebtedness substantially increased the risk of depressive symptoms. The household leverage ratio-the ratio of total household debt to disposable personal income-of 400% or higher increased the odds of probable depression by 50% compared with the ratio under 100%. When the percentage of personal income that goes toward paying debt is 30% or higher, the odds of probable depression went up by 66% than when the percentage of debt payment of disposal income is under 10%. The findings suggest that debt relief agencies and their programs need to incorporate means to identify and address emotional stress related to the excessive debt. This study also contributed to enriching the literature on social determinants of health by demonstrating that indebtedness is an important socioeconomic characteristic affecting individuals' mental health.

본 연구는 국내의 가계부채 규모가 지속적으로 증가하고 가계의 재정건전성은 약화되는 상황에서 높은 가계부채 수준이 정신건강, 구체적으로 우울감 및 자살생각에 미치는 영향을 살펴보았다. 이를 위해 한국복지패널 4~10차(2009~2015년 조사) 자료를 사용하였고, 패널확률효과모형과 패널고정효과 모형을 결합한 하이브리드 방법을 적용하여 인과관계를 종단분석하였다. 연구결과는 높은 가계부채 수준이 우울감의 위험을 상당히 높임을 보여주었다. 가처분소득 대비 총부채액 비율이 400%를 넘는 경우 그 비율이 100% 미만인 경우보다 우울감의 위험이 1.5배 높아졌고, 가처분소득 대비 부채상환액 비율이 30%를 넘는 경우 10% 미만일 때보다 우울감의 위험이 1.66배 상승하였다. 이 연구는 경제적 측면뿐만 아니라 비경제적 측면까지 고려한 신용회복 지원제도의 마련과 함께 과중채무자에 대한 정신건강 서비스 연계의 필요성을 시사한다. 또한 부채수준이 정신건강에 영향을 미치는 중요한 사회경제적 요인임을 확인하여 건강결정요인에 관한 이론을 풍부히 하는데 기여하였다.

Keywords

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