COVID-19 팬데믹 기간의 소득 변화와 소득 수준이우울에 미치는 영향: 성별에 따른 차이 분석
The Effects of Income Change and Income Level on Depressive Symptoms during the COVID-19 Pandemic: An Examination of Gender Differences
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초록
본 연구는 COVID-19 확산 이후의 소득 변화와 소득 수준이 우울에 영향을 미치는 과정에서 성별의 조절효과를 검증하고자 하였다. 참가자는 온라인 조사업체를 통하여 모집한 성인 634명(Mage=44.18, SDage=13.88, 여성 313명)이었다. COVID-19 이후의 소득 변화는 7점 척도로 측정하였고(1=“50% 이상 상승,” 4=“변화 없음,” 7=“50% 이상 하락”), 소득 수준은 지난 6개월 동안의 월평균 소득을 단답형으로 응답하도록 하였다. 또한, 한국판 CES-D로 최근 일주일 동안 경험한 우울 수준을 측정하였다. 선형회귀분석 결과, 팬데믹 이전에 비해 부정적인 방향으로의 소득 변화가 클수록 우울이 높게 나타났으며, 소득 수준은 우울을 유의하게 예측하지 않았다. PROCESS Macro를 활용한 조절효과 분석에서는 소득 변화와 소득 수준이 각각 성별과 상호작용하여 우울을 예측하였다. 구체적으로, 소득 변화가 우울을 예측하는 결과는 남성에게서만 유의한 반면, 소득 수준이 우울을 예측하는 결과는 여성에게서만 유의하였다. 본 연구는 소득 관련 지표가 팬데믹 기간의 우울에 미치는 영향이 성별에 따라 차별적임을 확인하고, 우울에의 효과적이고 효율적인 개입을 위한 기초지식을 제공한다는 함의를 지닌다. 마지막으로 본 연구의 한계점과 후속연구를 제언하였다.
Abstract
This study aimed to examine the effect of the income change and income level during the COVID-19 pandemic on individuals’ depression, and to test how those associations may differ by gender. Participants consisted of 634 adults(Mage=44.18, SDage=13.88, 313 females) recruited through an online research company. Participants completed a set of questionnaires that measured income change, average monthly income for the past six months, and the Korean version of CES-D. The results indicated that decreases in income, but not levels of income, significantly predicted levels of depression. Furthermore, both income change and income level interacted with gender to predict depression. Specifically, income change predicted depression only for males, while income level predicted depression only for females. These findings suggest that the effects of income-related indicators on depression during the pandemic may differ by gender. The study also offers practical implications by proposing gender as a potential factor to consider in early identification and intervention to prevent depression during the pandemic.
참고문헌 (90)
- 코로나19 대응과 노동자 건강권 보장, "김명희", 사회공공연구원, ~, pp.사회공공연구원 이슈페이퍼. 2020(04) (2020)
- 김범규, "장애인의 취업상태 변화에 따른 일상생활만족도에 미치는 영향 요인 연구: 가구균등화 소득 3분위를 중심으로", 장애와 고용, 24(3), pp.67~98 (2014), 한국장애인고용공단 고용개발원[DOI]
- 김영미, "남성의 성역할태도에 영향을 미치는 구조적 요인에 대한 다층분석: 26개 국가 비교", 사회과학연구, 32(2), pp.271~299 (2016), 사회과학연구소[DOI]
- 김준기, "기혼여성의 일-가정 양립에 영향을 미치는 요인 분석: 사회적 지원의 효과를 중심으로", 행정논총, 50(4), pp.251~280 (2012), 한국행정연구소
- 김태완, "코로나 시대의 소득불균형 심화와 정책적 대응", 보건복지포럼, 2020(12), pp.20~33 (2020)
- 백광열, "한국의 가족주의와 가족 관념: ‘사회결합’론의 관점", 한국사회학, 52(4), pp.115~159 (2018), 한국사회학회
- "한시 생계지원 신청하세요!" (2021)[URL]
- 서남규, "소득수준 판단 근거로서 건강보험료 분위의 적정성에 관한 연구", 한국사회정책, 28(1), pp.265~288 (2021), 한국사회정책학회[DOI]
- 우성범, "한국 남성의 남자다움은 무엇인가?: 남성성에 대한 개념도 연구", 한국심리학회지: 문화 및 사회문제, 25(3), pp.203~229 (2019), 한국문화및사회문제심리학회[DOI]
- 이미정, "코로나 19와 젠더폭력 : 가정폭력 현황과 대응", 여성가족패널브리프, 61, pp.1~8 (2020)
- 이영훈, "일부 도시 지역사회 노인의 우울증 유병률 및 관련 요인", 농촌의학.지역보건, 33(3), pp.303~315 (2008), 한국농촌의학.지역보건학회
- 가구소득에 대한 코로나바이러스감염증-19의 영향과 정책과제, "이현주", 한국보건사회연구원, ~ (2020)
- 전겸구, "통합적 한국판CES-D 개발", 한국심리학회지 : 건강, 6(1), pp.59~76 (2001)
- 코로나19의 여성 노동위기 현황과 정책과제, "전기택", 한국여성정책연구원, ~, pp.한국여성정책연구원, (58) (2020)
- 정은희, "한국사회 우울과 소득의 종단적상호관계 : 사회 원인가설과 선택가설 검증을 중심으로", 박사, pp.2015
- 정지수, "코로나19 위기에 따른 국내외가계부채 변화 및 과제", 자본시장포커스, 2021(9) (2021)
- 조설애, "워킹맘의 일-가족 갈등이 우울에 미치는 영향: 남편의 민주적 자녀 양육으로 조절된 결혼 만족도의 매개 효과", 한국심리학회지: 문화 및 사회문제, 26(4), pp.435~456 (2020), 한국문화및사회문제심리학회[DOI]
- 주은수, "도시 저소득 계층의 저축실태 및 결정요인에 관한 탐색적 연구- 자산형성지원정책의 도입과 관련하여 -", 서울도시연구, 9(2), pp.1~17 (2008), 서울연구원[DOI]
- 최수찬, "직장보육시설을 이용하는 여성근로자들의 일-가정양립갈등과 생활만족 간의 관계: 직무디스트레스의 역할", 한국콘텐츠학회 논문지, 15(8), pp.293~303 (2015), 한국콘텐츠학회[DOI]
- 코로나19 확산과 가계지출 변화, "한국노동연구원", 한국노동연구원, ~ (2020)
- Adler, N. E., "Relationship of subjective and objective social status with psychological and physiological functioning : Preliminary data in healthy, White women", Health Psychology, 19(6), pp.586~ (2000)
- 남미희, "우울증, 자살 그리고 한국사회", 대한의사협회지, 54(4), pp.358~361 (2011), 대한의사협회
- Aihara, H., "An ecological study of the relations between the recent high suicide rates and economic and demographic factors in Japan", Journal of Epidemiology, 13(1), pp.56~61 (2003)
- Anderson, M., "Developing a sustainable exit strategy for COVID-19 : health, economic and public policy implications", Journal of the Royal Society of Medicine, 113(5), pp.176~178 (2020)
- 박용천, "COVID-19, 한국에서의 심리적 영향: 예비 연구", Korean Journal of Clinical Psychology, 39(4), pp.355~367 (2020), 한국임상심리학회[DOI]
- Bockting, C. L., "A lifetime approach to major depressive disorder : the contributions of psychological interventions in preventing relapse and recurrence", Clinical psychology review, 41, pp.16~26 (2015)
- Boes, S., "The effect of income on general life satisfaction and dissatisfaction", Social Indicators Research, 95(1), pp.111~ (2010)
- Borio, C., "The Covid-19 economic crisis : Dangerously unique", Business Economics, 55(4), pp.181~190 (2020)
- Cho, M. J., "Diagnostic validity of the CES-D(Korean version)in the assessment of DSM-Ⅲ-R major depression", Journal of Korean Neuropsychiatric Association, 32(3), pp.381~397 (1993)
- Connor, J., "Health risks and outcomes that disproportionately affect women during the Covid-19 pandemic : A review", Social Science &Medicine, 266, pp.113364~ (2020)
- Davies, S. E., "A gendered human rights analysis of Ebola and Zika : locating gender in global health emergencies", International Affairs, 92(5), pp.1041~1060 (2016)
- Dercon, S., "Income risk, coping strategies, and safety nets", The World Bank Research Observer, 17(2), pp.141~166 (2002)
- Ding, X., "Peer education intervention on adolescents’ anxiety, depression, and sleep disorder during the COVID-19pandemic", Psychiatria Danubina, 32(3-4), pp.527~535 (2020)
- Dobson, K. S., "Risk factors in depression" (2011), Elsevier
- Economou, M., "Major depression in the era of economic crisis : a replication of a cross-sectional study across Greece", Journal of Affective Disorders, 145(3), pp.308~314 (2013)
- Ehlert, M., "Buffering income loss due to unemployment : Family and welfare state influences on income after job loss in the United States and western Germany", Social science research, 41(4), pp.843~860 (2012)
- Eibner, C., "Does relative deprivation predict the need for mental health services", Journal of Mental Health Policy and Economics, 7(4), pp.167~175 (2004)
- Ettman, C. K., "Prevalence of depression symptoms in US adults before and during the COVID-19pandemic", JAMA network open, 3(9), pp.e2019686~e2019686 (2020)
- Firdaus, G., "Increasing rate of psychological distress in urban households : how does income matter", Community Mental Health Journal, 54(5), pp.641~648 (2018)
- Go, D. S., "A comparison of disease burden and the government budget for mental health in Korea", Journal of Mental Health, pp.1~8 (2020)
- Goldman, M. L., "Mental health policy in the era of COVID-19", Psychiatric Services, 71(11), pp.1158~1162 (2020)
- Gössling, S., "Pandemics, tourism and global change : a rapid assessment of COVID-19", Journal of Sustainable Tourism, 29(1), pp.1~20 (2020)
- Gudmundsdottir, D. G., "The impact of economic crisis on happiness", Social Indicators Research, 110(3), pp.1083~1101 (2013)
- Haar, J. M., "Outcomes of work-life balance on job satisfaction, life satisfaction and mental health : A study across seven cultures", Journal of Vocational Behavior, 85(3), pp.361~373 (2014)
- Hayes, A. F., "Introduction to mediation, moderation, and conditional process analysis: A regression-based approach" (2013), Guilford Press
- Hertz-Palmor, N., "Association among income loss, financial strain and depressive symptoms during COVID-19 : evidence from two longitudinal studies", Journal of Affective Disorders, 291, pp.1~8 (2021)
- Hilton, J. M., "Loss and depression in cohabiting and noncohabiting custodial single parents", The Family Journal, 14(1), pp.28~40 (2006)
- Hoebel, J., "Social inequalities and depressive symptoms in adults : the role of objective and subjective socioeconomic status", PloS one, 12(1), pp.e0169764~ (2017)
- Hounkpatin, H. O., "Comparing indices of relative deprivation using behavioural evidence", Social Science & Medicine, 259, pp.112914~ (2020)
- Jenkins, R., "Debt, income and mental disorder in the general population", Psychological Medicine, 38(10), pp.1485~1493 (2008)
- Jiang, L., "The Social Psychology of Inequality", pp.53~65 (2019)
- Kaplan, G. A., "Socioeconomic determinants of psychological well-being : the role of income, income change, and income sources during the course of 29 years", Annals of epidemiology, 18(7), pp.531~537 (2008)
- Kessler, R. C., "Sex differences in vulnerability to undesirable life events", American Sociological Review, pp.620~631 (1984)
- 김여진, "Changes in Income Position and On-set of Depressive Symptom among Adults in South Korea", 한국사회학, 50(3), pp.67~88 (2016), 한국사회학회
- Kimhi, S., "Resilience and demographic characteristics predicting distress during the COVID-19 crisis", Social Science & Medicine, 265, pp.113389~ (2020)
- Lalive, R., "Approval of equal rights and gender differences in well-being", Journal of Population Economics, 23(3), pp.933~962 (2010)
- Lee, H. S., "Deterioration of mental health despite successful control of the COVID-19 pandemic in South Korea", Psychiatry Research, 295, pp.113570~ (2021)
- Li, T. W., "Social capital, income loss, and psychobehavioral responses amid COVID-19 : a population-based analysis", International Journal of Environmental Research and Public Health, 17(23), pp.8888~ (2020)
- Lorant, V., "Depression and socio-economic risk factors : 7-year longitudinal population study", The British Journal of Psychiatry, 190(4), pp.293~298 (2007)
- Marchand, A., "Gendered depression : vulnerability or exposure to work and family stressors?", Social Science & Medicine, 166, pp.160~168 (2016)
- McKibbin, W., "Economics in the Time of COVID-19", pp.45~ (2020)
- Mishra, S., "Personal relative deprivation and risk : An examination of individual differences in personality, attitudes, and behavioral outcomes", Personality and Individual Differences, 90, pp.22~26 (2016)
- Moon, C., "Social value orientation and endorsement of horizontal and vertical individualism and collectivism : An exploratory study comparing individuals from North America and South Korea", Frontiers in Psychology, 9, pp.2262~ (2018)
- Muntaner, C., "Socioeconomic position and major mental disorders", Epidemiologic Reviews, 26(1), pp.53~62 (2004)
- Nobles, J., "Subjective socioeconomic status and health : relationships reconsidered", Social Science & Medicine, 82, pp.58~66 (2013)
- Orpana, H. M., "Income and psychological distress : The role of the social environment", Health Reports, 20(1), pp.21~ (2009)
- Prause, J., "Income volatility and psychological depression", American Journal of Community Psychology, 43(1), pp.57~70 (2009)
- Qian, Y., "Who loses income during the COVID-19 outbreak? Evidence from China", Research in Social Stratification and Mobility, 68, pp.100522~ (2020)
- Radloff, L. S., "The CES-D scale : A self-report depression scale for research in the general population", Applied Psychological Measurement, 1(3), pp.385~401 (1977)
- Reibling, N., "Depressed during the depression: has the economic crisis affected mental health inequalities in Europe? Findings from the European Social Survey (2014)special module on the determinants of health", The European Journal of Public Health, 27, pp.47~54 (2017)
- Richards, D., "Prevalence and clinical course of depression : a review", Clinical psychology review, 31(7), pp.1117~1125 (2011)
- Rojas-Garcia, A., "Healthcare interventions for depression in low socioeconomic status populations : a systematic review and meta-analysis", Clinical psychology review, 38, pp.65~78 (2015)
- Sakurai, K., "The impact of subjective and objective social status on psychological distress among men and women in Japan", Social Science & Medicine, 70(11), pp.1832~1839 (2010)
- Santiago, C. D., "Coping with family conflict : What’s helpful and what’s not for low-income adolescents", Journal of Child and Family Studies, 18(2), pp.192~ (2009)
- Sareen, J., "Relationship between household income and mental disorders : findings from a population-based longitudinal study", Archives of general psychiatry, 68(4), pp.419~427 (2011)
- Shah, S. M. A., "Prevalence, psychological responses and associated correlates of depression, anxiety and stress in a global population, during the coronavirus disease(COVID-19)pandemic", Community Mental Health Journal, 57(1), pp.101~110 (2021)
- Shaked, D., "Indicators of subjective social status : differential associations across race and sex", SSM-population Health, 2, pp.700~707 (2016)
- Shevlin, M., "Anxiety, depression, traumatic stress and COVID-19-related anxiety in the UK general population during the COVID-19pandemic", BJPsych Open, 6(6) (2020)
- Shin, S. C., "The center for epidemiologic studies-depression scale : its use in Korea", Journal of Korean Neuropsychiatric Association, 30(4), pp.752~767 (1991)
- Smith, J., "Overcoming the ‘tyranny of the urgent’ : integrating gender into disease outbreak preparedness and response", Gender &Development, 27(2), pp.355~369 (2019)
- Takeuchi, M., "Combining egalitarian working lives with traditional attitudes : gender role attitudes in Taiwan, Japan, and Korea", International Journal of Japanese Sociology, 25(1), pp.100~116 (2016)
- Van de Velde, S., "Gender differences in depression in 23European countries. Cross-national variation in the gender gap in depression", Social science &medicine, 71(2), pp.305~313 (2010)
- Van Dorn, A., "COVID-19 exacerbating inequalities in the US", The Lancet, 395(10232), pp.1243~1244 (2020)
- Van Ophem, J., "COVID-19 and consumer financial vulnerability", Central European Review of Economics and Management(CEREM), 4(4), pp.115~132 (2020)
- Venkatesh, A., "Social distancing in covid-19: what are the mental health implications?", BMJ, 369 (2020)
- Wadsworth, M. E., "Working with low-income families : Lessons learned from basic and applied research on coping with poverty-related stress", Journal of Contemporary Psychotherapy, 42(1), pp.17~25 (2012)
- Wampold, B. E., "Evidence-based treatments for depression and anxiety versus treatment-as-usual : a meta-analysis of direct comparisons", Clinical psychology review, 31(8), pp.1304~1312 (2011)
- Whooley, M. A., "Depressive symptoms, unemployment, and loss of income : The CARDIA Study", Archives of Internal Medicine, 162(22), pp.2614~2620 (2002)
- Witteveen, D., "Economic hardship and mental health complaints during COVID-19", Proceedings of the National Academy of Sciences, 117(44), pp.27277~27284 (2020)
- Zang, E., "Objective and subjective socioeconomic status, their discrepancy, and health : evidence from East Asia", Social indicators research, 143(2), pp.765~794 (2019)
