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노인의 일상생활에서의 차별 경험과 사회적 고립이 우울에 미치는 영향

Influence of Discrimination Experience in Daily Life and Social Isolation on Depression of Older Adults

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본 연구는 노인의 차별 경험과 사회적 고립이 우울에 미치는 영향을 확인하기 위해서 수행되었다. 자료분석을 위해서 2017 노인실태조사 자료를 이차자료로 이용하였다. 대상자는 65세 이상 노인 중 대표성 있는 표본이었으며, 10,041명의 자료를 분석하였다. 차별 경험과 사회적 고립이 우울에 미치는 영향을 확인하기 위하여 위계적 로지스틱 회귀분석을 이용하였다. 일반적 특성, 건강관련 특성을 투입한 모델 1에 차별 경험을 추가한 결과, 차별 경험을 한 경우에서 우울할 가능성이 1.95(1.60-2.36)배 높았다. 모델 2에 사회적 고립을 추가로 투입한 결과, 차별 경험을 한 경우에서 우울할 가능성이 1.89(1.55-2.30)배 높았으며, 가깝게 지내는 친구·이웃·지인이 1명 감소할수록 우울할 가능성은 1.14배 증가하였다. 또한, 가족과 친구·이웃·지인에게 고립된 경우에서 우울할 가능성이 3.90배 증가하였다. 노인 우울 감소를 위해서는 노인 차별 경험을 줄이기 위한 사회적 노력이 필요하다. 또한, 사회적 관계망을 유지하거나 형성해주는 것은 차별 경험을 한 노인의 우울 수준을 낮추는데 기여할 것이다.

Abstract

This study was conducted to identify the influence of the discrimination experienced in daily life and social isolation on depression among older adults living in the community. This study was a secondary analysis of the data of 2017 Living Profiles of Older Adults Survey. The participants was a representative sample among the older adults 65 years and older. Data from 10,041 older adults were analyzed for this study. Hierarchical logistic regression analyses were used. When the discrimination experiences was added in model 1, the likelihood of being depressed was 1.95(1.60-2.36) times higher for those who experienced discrimination comparing with those who didn’t experienced discrimination. When the social isolation was added in model 2, the likelihood of being depressed was 1.89(1.55-2.30) times higher in those who experienced discrimination. In addition, as the number of close friends, neighbors, and acquaintances decreased by one, the likelihood of being depressed increased by 1.14 times. Those who were isolated from family, friends, neighbors and acquaintances were 3.90 times more likely to be depressed. Therefore, social efforts are needed to reduce the experience of discrimination. Maintaining a social network or creating a new network will contribute to lowering the level of depression in older adults who have experienced discrimination.

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