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중고령 부부의 주관적 건강궤적 잠재계층이 결혼만족에 미치는 영향

The Effects of Latent Classes of Subjective Health Trajectories on Marital Satisfaction among Mid- and Old-Aged Couples

전혜정|송시영|최봄이
한국가족학회 (The Korean Family Studies Association)|2019.09|가족과 문화 (Family and Culture)|제31권 제3호|pp. 80-109|DOI 10.21478/family.31.3.201909.003

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참고문헌

키워드

결혼만족Seemingly Unrelated RegressionMarital Satisfaction건강궤적Latent Growth Class Analysis중고령 부부잠재성장계층분석(LGCALatent Growth Class Analysis)표면상 무관회귀분석(SURSeemingly Unrelated Regression)Mid- and Old- Aged CouplesSubjective Health Trajectory
주제분류사회과학일반

초록

본 연구는 한국고령화패널(Korean Longitudinal Study of Ageing: KLoSA)의 1차(2006년)-6차(2016년) 자료를 사용하여 중고령 부부의 주관적 건강궤적에 따른 잠재계층을 탐색하고, 아내와 남편의 주관적 건강 하위계층이 본인과 배우자의 결혼만족에 미치는 영향을 살펴보았다. 이를 위해 두 단계에 걸친 분석을 진행하였다. 첫째, 잠재성장계층분석(LGCA, Latent Growth Class Analysis)을 수행하여 6개차년도의 주관적 건강궤적을 4가지 하위 집단으로 분류하였으며, 각 하위 집단을 고수준 유지(38%), 악화(28%), 저수준 개선(16%), 저수준 유지(18%) 집단으로 명명하였다. 둘째, 표면상 무관회귀분석(SUR, Seemingly Unrelated Regression)을 통해 주관적 건강궤적의 잠재계층이 자신과 배우자의 결혼만족에 미치는 자기효과와 상대방효과를 분석하였다. 표면상 무관회귀모형 분석 결과 아내와 남편의 건강궤적 하위집단이 결혼만족에 미치는 자기효과와 상대방효과가 일부 유의하였다. 아내는 고수준 유지 집단을 참조집단으로 하였을 때 자신의 건강궤적이 악화, 저수준 유지일 때 자신의 결혼만족이 유의하게 낮았다. 또한 아내는 남편의 주관적 건강이 고수준 유지인 집단과 비교하여 악화, 저수준 유지 집단에 포함될 때 자신의 결혼만족이 낮았다. 남편의 결혼만족 역시 자신과 아내의 건강변화 하위궤적의 영향을 받았다. 남편은 자신과 부인의 건강 하위궤적이 저수준 유지에 포함될 때 고수준 유지집단에 비하여 결혼만족이 유의하게 낮았다. 본 연구 결과는 장기간에 걸친 건강변화의 방향성과 누적효과가 자신과 배우자의 결혼의 질에 영향을 미친다는 생애과정이론 및 부부 간 상호의존성을 뒷받침한다. 또한 본 연구의 결과는 배우자에 대한 상호의존성 및 자기효과･상대방효과에 대해 보다 다각적인 연구가 필요함을 시사한다.

Abstract

The aim of this study is to explore the latent classes of subjective health trajectory among mid- and old-aged couples and to examine whether these latent classes have actor and partner effects on couple’s marital satisfaction. Two stages of analyses were conducted using the first (2006) to the sixth (2016) waves from KLoSA (Korean Longitudinal Study of Ageing). First, subjective health of six consecutive waves was classified into four classes by latent growth class analysis (LGCA), and each class was named as following: a high maintenance group (38%), reduction group (28%), low-start-mild-increase group (16%), and low maintenance group (18%). Second, seemingly unrelated regression (SUR) model was performed to analyze the actor effects (the effects of an individual latent classes of subjective health trajectory on the marital satisfaction of oneself) and the partner effects (the effects of individual latent classes of subjective health trajectory on the spouses’ marital satisfaction). The results showed some actor and partner effects are significant. First, actor effects of health trajectory on marital satisfaction were found in both wives’ and husbands’ model. With the high maintenance group as reference group, wives had significantly lower marital satisfaction when their subjective health trajectory was decreasing or maintaining lower status. And husbands had significantly lower marital satisfaction when their subjective health was maintaining lower status. Also wives’ marital satisfaction was lower when their spouses’ subjective health was decreasing or remaining lower status compared to high maintenance group. And husbands’ marital satisfaction was lower when their spouses’ subjective health was remaining lower status compared to high maintenance group. The results of this study support the life-course theory and marital interdependence that long-term trajectories of health of individuals and their spouses affect marital satisfaction of oneselves and their spouses. This suggests that more advanced studies are needed to consider interdependencies among couples.

참고문헌 (70)

  1. 고기동, "우리나라 노인에서 건강 위험 행동과 정신 건강과의 연관성: 고령화 연구 패널(KLoSA)", Annals of geriatric medicine and research, 16(2), pp.66~73 (2012), 대한노인병학회[DOI]
  2. 권태연, "주관적 건강상태의 변화 궤적과 영향 요인: 생애주기별 차이를 중심으로", 현상과 인식, 35(4), pp.203~231 (2011), 한국인문사회과학회
  3. 김진현, "노후 빈곤이 주관적 건강상태에 미치는 영향: 건강행태와 사회적 지지의 매개된 조절효과 분석", 한국노년학, 31(3), pp.463~478 (2011), 한국노년학회
  4. 김호정, "중.장년기 주관적 건강 상태의 변화궤적 유형에 관한 연구: 잠재계층성장분석(LCGA)를 이용한 종단연구", 석사, pp.2019
  5. 金惠卿, "老年期 夫婦關係에 따른 結婚滿足度 硏究", 석사, 가정관리학, pp.1996
  6. 민인식, "STATA 고급 패널데이터 분석" (2012), 지필미디어
  7. 염지혜, "중․노년기 건강의 변화가 배우자의 부부관계 만족도 변화에 미치는 영향: 성별 차이를 중심으로", 노인복지연구, 73(1), pp.31~57 (2018), 한국노인복지학회[DOI]
  8. 정순둘, "세대별 부양의식 및 성역할인식 유형", 한국가족복지학, 17(2), pp.5~23 (2012), 한국아동가족복지학회[DOI]
  9. 조은주, "가족과 통치: 인구는 어떻게 정치의 문제가 되었나", pp.173~118 (2018), 창비
  10. 주수산나, "부모기 전이 부부의 부부갈등이 결혼만족도의 변화에 미치는 영향", 가족과 문화, 28(3), pp.60~87 (2016), 한국가족학회[DOI]
  11. "2019년 고령화 연구패널 이용자 가이드" (2019), 한국고용정보원[URL]
  12. Acitelli, L. K., "Gender differences in the link between marital support and satisfaction in older couples", Journal of Personality and Social Psychology, 67(4), pp.688~698 (1994)
  13. Allen, S. M., "Gender differences in spousal caregiving and unmet need for care", Journal of Gerontology, 49(4), pp.S187~S195 (1994)
  14. Antonucci, T. C., "Handbook of aging and the family", pp.1995, Greenwood Press
  15. Banks, J. A. Muriel, "Attrition and health in ageing studies: evidence from ELSA and HRS", Longitudinal and Life Course Studies, 2(2) (2011), Bristol University Press[DOI]
  16. Berlin, K. S., "An introduction to latent variable mixture modeling(part 2) : Longitudinal latent class growth analysis and growth mixture models", Journal of Pediatric Psychology, 39(2), pp.188~203 (2013)
  17. Bookwala, J, "Spouse health status, depressed affect, and resilience in mid and late life : A longitudinal study", Developmental Psychology, 50(4), pp.1241~1249 (2014)
  18. Booth, A., "Declining health and marital quality", Journal of Marriage and the Family, 56(1), pp.218~223 (1994)
  19. Bradbury, T. N., "Research on the nature and determinants of marital satisfaction : A decade in review", Journal of Marriage and Family, 62(4), pp.964~980 (2000)
  20. Broadwell, S. D., "Family support and cardiovascular responses in married couples during conflict and other interactions", International Journal of Behavioral Medicine, 6(1), pp.40~63 (1999)
  21. Carr, D. V., "Happy marriage, happy life? Marital quality and subjective well‐being in later life", Journal of Marriage and Family, 76(5), pp.930~948 (2014)
  22. Carstensen, L. L, "Social and emotional patterns in adulthood : Support for socioemotional selectivity theory", Psychology and Aging, 7(3), pp.331~338 (1992)
  23. Celeux, G., "An entropy criterion for assessing the number of clusters in a mixture model", Journal of Classification, 13(2), pp.195~212 (1996)
  24. Chang-Quan, H., "Health status and risk for depression among the elderly: A meta-analysis of published literature", Age and Ageing, 39(1), pp.23~30 (2009)
  25. Chen, J. H., "Gender differences in the effects of bereavement-related psychological distress in health outcomes", Psychological Medicine, 29(2), pp.367~380 (1999)
  26. Schoenborn, C. A., "Marital status and health, United States 1999-2002. U.S.: Division of Health Interview Statistics", ~ (2004)
  27. Cook, W. L., "The actor–partner interdependence model : A model of bidirectional effects in developmental studies", International Journal of Behavioral Development, 29(2), pp.101~109 (2005)
  28. Drigotas, S. M., "Level of commitment, mutuality of commitment, and couple well‐being", Personal Relationships, 6(3), pp.389~409 (1999)
  29. Elder Jr, G. H, "Time, human agency, and social change : Perspective on the life course", Social Psychology Quarterly, 57, pp.4~15 (1994)
  30. Fuhrer, R., "How gender affects patterns of social relations and their impact on health : A comparison of one or multiple sources of support from close persons", Social Science & Medicine, 54(5), pp.811~825 (2002)
  31. Gotlib, I. H., "Depression and marital functioning : An examination of specificity and gender differences", Journal of Abnormal Psychology, 98(1), pp.23~30 (1989)
  32. Gurung, R. A., "Accounting for changes in social support among married older adults : Insights from the MacArthur Studies of Successful Aging", Psychology and Aging, 18(3), pp.487~496 (2003)
  33. Hatfield, E., "Emotional contagion", Current Directions in Psychological Science, 2(3), pp.96~100 (1993)
  34. Hill, K. G., "Early adult outcomes of adolescent binge drinking: Person- and variable-centered analyses of binge drinking trajectories", Alcoholism, Clinical & Experimental Research, 24(6), pp.892~901 (2000)
  35. Hughes, V. A., "Longitudinal muscle strength changes in older adults: influence of muscle mass, physical activity, and health", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(5), pp.B209~B217 (2001)
  36. Ingersoll-Dayton, B., "Separateness and togetherness : Interdependence over the life course in Japanese and American marriages", Journal of Social and Personal Relationships, 13(3), pp.385~398 (1996)
  37. Jung, T., "Recent advances in longitudinal data analysis in social and psychological research : An introduction to latent class growth analysis and growth mixture modeling", Social and Personality Psychology Compass, 2(1), pp.302~331 (2007)
  38. Jung, T., "An introduction to latent class growthanalysis and growth mixture modeling", Social and Personality Psychology Compass, 2(1), pp.302~317 (2008)
  39. Kiecolt-Glaser, J. P., "Slowing of wound healing by psychological stress", The Lancet, 346(8984), pp.1194~1196 (1995)
  40. Klingzell, I. K., "Early childhood trajectories of conduct problems and callous-unemotional traits : The role of fearlessness and psychopathic personality dimensions", Child Psychiatry & Human Development, 47(2), pp.236~247 (2016)
  41. Korporaal, M. M., "Effects of own and spousal disability on loneliness among older adults", Journal of Aging and Health, 20(3), pp.306~325 (2008)
  42. Lang, F. R., "Close emotional relationships in late life : Further support for proactive aging in the social domain", Psychology and Aging, 9(2), pp.315~324 (1994)
  43. Liang, J., "Ethnicity and changing functional health in middle and late life : A person-centered approach", Journals of Gerontology Series B : Psychological Sciences and Social Sciences, 65(4), pp.470~481 (2009)
  44. Lo, Y. N., "Testing the number of components in a normal mixture", Biometrika, 88(3), pp.767~778 (2001)
  45. Lubke, G., "Performance of factor mixture models as a function of model size, covariate effects, and class-specific parameters", Structural Equation Modeling, 14(1), pp.26~47 (2007)
  46. Macmillan, R., "Families in the life course : Interdependency of roles, role configurations, and pathways", Journal of Marriage and Family, 67(4), pp.858~879 (2005)
  47. Mayne, T., "The differential effects of acute marital distress on emotional, physiological and immune functions in maritally distressed men and women", Psychology and Health, 12(2), pp.277~288 (1997)
  48. Miller, R. B., "Marital quality and health over 20 years : A growth curve analysis", Journal of Marriage and Family, 75(3), pp.667~680 (2013)
  49. Muthe' n, L. K., "Mplus user's guide" (2015), Muthén & Muthén
  50. Muthe'n, B., "Integrating person‐centered and variable‐centered analyses : Growth mixture modeling with latent trajectory classes", Alcoholism : Clinical and Experimental Research, 24(6), pp.882~891 (2000)
  51. Nagin, D. S, "Group-based modelling of development", pp.45~60 (2005), Harvard University Press
  52. Nagin, D. S., "Developmental trajectory groups : Fact or a useful statistical fiction?", Criminology, 43(4), pp.873~903 (2005)
  53. Neff, L. A., "Gender differences in social support : A question of skill or responsiveness?", Journal of Personality and Social Psychology, 88(1), pp.79~90 (2005)
  54. Nylund, K. L. T. Asparouhov., "Deciding on the number of classes in latent class analysis and growth mixture modeling : A Monte Carlo simulation study", Structural Equation Modeling, 14(4), pp.535~569 (2007)
  55. Perrone, K. M., "Factors influencing ratings of marital quality by individuals within dual-career marriages : A conceptual model", Journal of Counseling Psychology, 48(1), pp.3~9 (2001)
  56. Pindyck, R. S., "Econometric Models and Economic Forecasts" (1991), McGraw-Hill
  57. Pinquart, M., "Gender differences in caregiver stressors, social resources, and health: An updated meta-analysis", The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 61(1), pp.33~45 (2006)
  58. Reinecke, J, "Longitudinal analysis of adolescents’ deviant and delinquent behavior", Methodology, 2(3), pp.100~112 (2006)
  59. Robles, T. F., "Marital quality and health : A meta-analytic review", Psychological Bulletin, 140(1), pp.140~ (2014)[DOI]
  60. Saxbe, D., "For better or worse? Coregulation of couples’ cortisol levels and mood states", Journal of Personality and Social Psychology, 98(1), pp.92~103 (2010)
  61. Settersten Jr, R. A., "Relationships in time and the life course: The significance of linked lives", Research in Human Development, 12(3-4), pp.217~223 (2015)
  62. StataCorp., "Stata Statistical Software : Release 15" (2017), StataCorp LLC
  63. Umberson, D., "You make me sick : Marital quality and health over the life course", Journal of Health and Social Behavior, 47(1), pp.1~16 (2006)
  64. Umberson, D. C., "Widowhood and depression : Explaining long-term gender differences in vulnerability", Journal of Health and Social Behavior, 33(1), pp.10~24 (1992)
  65. Yorgason, J. B., "Health, disability, and marital quality : Is the association different for younger versus older cohorts?", Research on Aging, 30(6), pp.623~648 (2008)
  66. Zautra, A. J., "An examination of individual differences in the relationship between interpersonal stress and disease activity among women with rheumatoid arthritis", Arthritis & Rheumatism : Official Journal of the American College of Rheumatology, 11(4), pp.271~279 (1998)
  67. Zhou, E. S., "Marital satisfaction of advanced prostate cancer survivors and their spousal caregivers : The dyadic effects of physical and mental health", Psycho‐Oncology, 20(12), pp.1353~1357 (2011)
  68. Zellner, A, "An efficient method of estimating seemingly unrelated regressions and tests for aggregation bias", Journal of the American Statistical Association, 57, pp.348~368 (1962)
  69. Zick, C. D., "Marital transitions, poverty, and gender differences in mortality", Journal of Marriage and the Family, 53(2), pp.327~336 (1991)
  70. Zivin, K., "The emotional toll of spousal morbidity and mortality", The American journal of geriatric psychiatry, 15(9), pp.772~779 (2007)

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