경제적 불안정과 중년 남성의 정신건강
Economic Insecurity and Mental Health in the Middle-aged Men
1
조회
0
다운로드
21
인용
0
참고문헌
키워드
초록
경제적 불안정과 이에 따라 발생하는 경제적 필요와 경제적 자원의 불일치는 개인의 정신건강에 부정적 영향을 줄 가능성이 매우 높다. 한국 사회에서 중년 남성들은 일반적으로 생계부양의 책임을 지고 있으나 상당한 경제적 불안정에 노출되어 있다. 본 연구에서는 경제적 불안정을 세 단계로 구분하여 정의하였고, 한국복지패널조사(Korea WElfare Panel Study) 3차-10차 자료를 이용한 다수준패널분석을 통해 한국 중년 남성들에 대한 경제적 불안정의 영향을 확인하였다. 분석 결과, 분산으로 측정된 소득 변동성 지표를 제외한 모든 변수가 우울에 통계적으로 유의미한 영향을 주었다. 자살생각에 대한 분석에서는 소득만족도만이 유의미한 영향을 나타내었다. 경제적 불안정의 다양한 지표들의 영향력이 확인되었으므로, 소득 외에 경제적 불안정과 관련된 다른 요인들도 정신건강에 위험요인으로 작용할 수 있음을 알 수 있다. 본 연구는 경제적 불안정의 건강 영향을 추정하였는데, 소득 수준이 아닌 변동성이나 소득에 대한 주관적 인식 등이 특히 정신건강에 부정적인 영향을 줄 수 있음을 밝힌 초기 연구로서 중요한 의의를 지닌다.
Abstract
Economic insecurity and resultant inconsistency in economic needs and economic resources are likely to have a negative effect on one's mental health. Middle-aged men in Korean society are generally responsible for supporting a living but are exposed to considerable economic instability. The study defined economic insecurity in three stages and analyzed the impact of those indicators for mental health of Korea's middle-aged men using the data from KoWEPS 3rd - 10th wave. The analysis shows that all variables other than income volatility B(income dispersion for whole period) have a statistically significant effect on the depression. In the analysis on suicidal thoughts, only income satisfaction had significant effects. Having identified the impact of the various indicators of economic instability, it can be recognized that other factors related to economic insecurity besides income may pose a risk to mental health. The results of this study estimated the health effects of economic insecurity, suggesting that the variability of income, not the income level, or subjective perception·emotional responses about one’s economic status may have a negative impact on mental health.
참고문헌 (66)
- 퇴직은 52세... 10명 중 9명은 월 평균 연금 25만 4000원, "중앙일보, 2015.05.06", 2015
- 김동엽, "스마트에이징: 60세? 65세?... 먼저 중년 일자리부터 만들자", 주간동아 856, 동아일보사, 60~62 (2012)
- 김미곤, "한국복지패널(Koweps)의 개요 및 장점", 보건복지포럼, 158, pp.5~12 (2009), 한국보건사회연구원
- 김성일, "그가 아닌 우리들의 죽음 – 자살의 사회적 의미와 원인", 문화과학, 74, pp.40~58, 문화과학사
- 김재원, "경제적 불안정과 노후소득보장정책이 정신건강에 미치는 영향 – 중·고령층 연령집단을 중심으로", 박사, pp.2017
- 김재원, "기혼임금근로여성의 민간의료보험가입: 배우자의 고용형태별 차이", 한국사회정책, 22(2), pp.227~247 (2015), 한국사회정책학회[DOI]
- 중년 지칭 용어 들쭉날쭉한 정부 부처들, "브릿지경제, 2014.09.30", 2014
- 이순아, "물질적 결핍과 노인의 정신건강에 대한 종단연구", 사회복지정책, 43(2), pp.277~304 (2016), 한국사회복지정책학회[DOI]
- 이원진, "국민기초생활보장제도 수급지위 변화와 우울의 관계", 한국사회복지학, 62(4), pp.249~274 (2010), 한국사회복지학회[DOI]
- 이진석, "5060 퇴직자 절반, 노후자금으로 大卒자녀 부양", 조선일보, 2017.03.22, ~ (2017)
- 장효진, "한국의 사회적 위험관리와 가구의 소득변동성", 사회보장연구, 31(1), pp.205~231 (2015), 한국사회보장학회
- 2015년 가계금융·복지조사, "통계청", ~ (2015)
- 피용익, "정년연장이요? ‘쉰세대’에겐 먼나라 얘기죠", 이데일리, 2015.08.17, ~ (2015)
- 2014 노인실태조사보고서, "한국보건사회연구원", ~ (2015)
- 허만세, "노인 자살위험군 선별을 위한 CES-D의 임계치 개발 - 농촌노인을 중심으로", 정신건강과 사회복지, 44(2), pp.59~85 (2016), 한국정신건강사회복지학회
- 허만세, "한국어판 축약형 CES-D 척도의 측정불변성 검증", 정신건강과 사회복지, 43(2), pp.313~339 (2015), 한국정신건강사회복지학회
- Anderson, C. J., "Workers, worries and welfare states: social protection and job insecurity in 15 OECD countries", European Journal of Political Research, 46, pp.211~235 (2007)
- Bævre, K., "The effects of earlier income variation on mortality: an analysis of norwegian register data", Population Studies, 68(1), pp.81~94 (2014)
- Benito, A., "Does job insecurity affect household consumption?", Oxford Economic Papers, 58(1), pp.157~181 (2006)
- Berkowitz, S. A., "Material need insecurities, control of diabetes mellitus, and use of health care resources results of the measuring economic insecurity in diabetes study", JAMA Internal Medicine, 175(2), pp.257~265 (2015)
- Bilsker, D., "Mental health care and the workplace", The Canadian Journal of Psychiatry, 51(2), pp.61~62 (2006)
- Bluestone, B., "Overworked and underemployed", American Prospect, 31, pp.58~69 (1997)
- Bossert, W., "Measuring economic insecurity", International Economic Review, 54(3), pp.1017~1030 (2013)
- Breiding, M. J., "Economic insecurity and intimate partner and sexual violence victimization", American Journal of Preventive Medicine, 53(4), pp.457~464 (2017)
- Carpenter, J. S., "Psychometrics for two short forms of the center for epidemiologic studies-depression scale", Issues in Mental Health Nursing, 19, pp.481~494 (1998)
- Carroll, C. D., "How does future income affect current consumption?", The Quarterly Journal of Economics, 109(1), pp.111~147 (1994)
- Chang, S., "Was the economic crisis 1997–1998 responsible for rising suicide rates in East", Southeast Asia? A time-trend analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand, 1998, pp.68, 1322~1331
- Cheah, B. C., "Clustering standard errors or modeling multi-level data", pp.2009
- Consumption uncertainty and precautionary saving, "Christelis, D.", DeNederl&scheBank EuroSysteem, ~, pp.DNB Working paper No.496 (2016)
- "multilevel model vs panel analysis"[URL]
- Chou, E. Y., "Economic insecurity increases physical pain", Psychological Science, 27(4), pp.443~454 (2016)
- Corman, H., "Effects of financial insecurity on social interactions", The Journal of Socio-Economics, 41(5), pp.574~583 (2012)
- Financial arrangement within families, "Edwards, M.", National Women’s Advisory Council, ~ (1981)
- Elder, G. H. Jr., "Life course dynamics: Trajectories and transitions, 1968-1980", pp.50~71 (1985), Cornell University Press
- Hamad, R., "The effects of job insecurity on health care utilization: findings from a panel of U.S. workers", Health Services Research, 51(3), pp.1052~1073 (2016)
- Hutter, H., "The Challenge to Friendship in Modernity", pp.131~148 (2013), Taylor & Francise
- "How working mothers contribute to the economic security of american families" (2015)[URL]
- Jeon, H. J., "Unplanned versus planned suicide attempters, precipitants, methods, and an association with mental disorders in a Korea-based community sample", Journal of Affective Disorders, 127(1), pp.274~280 (2010)
- "Is rising obesity a product of income inequality and economic insecurity?" (2012)[URL]
- Impacts of public pensions on elderly depression: evidence from south korea, "Kim, S. J.", International Health Economics Association, ~ (2015)
- Klerman, G. L., "Clinical epidemiology of suicide", The Journal of Clinical Psychiatry, 48, pp.33~38 (1987)
- Kopasker, D., "Economic insecurity as a socioeconomic determinant of mental health", IARIW Conference Dresden (2016)
- Lam, J., "Is insecurity worse for well-being in turbulent times? mental health in context", Society and Mental Health, 4(1), pp.55~73 (2014)
- Lang, I. A., "Income and the mid-life peak in common mental disorder prevalence", Psychological Medicine, 41, pp.1365~1372 (2011)
- Lee, J. S., "Nutritional and health consequences are associated with food insecurity among U.S. elderly persons", The Journal of Nutrition, 131(5), pp.1503~1509 (2001)
- Mughan, A., "Economic insecurity and welfare preferences: a macro-level analysis", Comparative Politics, 39(3), pp.293~310 (2007)
- Ng, K. H., "The global economic crisis: effects on mental health and what can be done", Journal of the Royal Society of Medicine, 106(6), pp.211~214 (2013)
- "National screening for depression" (2014)[URL]
- "Pensions at a glance: income and poverty of older people" (2016)[URL]
- Okonogi, L., "Handbook of psychiatry" (1998), Sogensha
- Economic insecurity, "Osberg, L.", Social Policy Research Centre, University of New South Wales, ~, pp.SPRC Discussioon Papers No.88 (1998)
- 박준혁, "한국의 우울증 역학에 대한 고찰", 대한의사협회지, 54(4), pp.362~369 (2011), 대한의사협회
- 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)
- Reeskens, T., "Hard times and european youth. the effect of economic insecurity on human values, social attitudes and well‐being", International Journal of Psychology, 52(1), pp.19~27 (2017)
- Reichert, A. R., "Self-perceived job insecurity and the demand for medical rehabilitation: does fear of unemployment reduce health care utilization?", Health Economics, 24(1), pp.8~25 (2015)
- Rose, D., "Economic determinants and dietary consequences of food insecurity in the united states", The Journal of Nutrition, 129(2), pp.5175~5205 (1999)
- Sarmiento, I. A., "Family functioning and depression in low-income latino couples", Journals of Marital and Family Therapy, 35(4), pp.432~445 (2009)
- Sattler, E.L.P., "Food insecurity, health, and healthcare utilization among the working poor in the U.S", The FASEB Journal, 30(1) (2016)
- Sawada, Y., "Economic Analysis of Suicide Prevention: Towards Evidence-Based Policy-Making", pp.164~177 (2017), Springer
- Sonnenberg, B., "Dependencies and Mechanisms of Unemployment and Social Involvement: Findings from the Socio-Economic Panel Study(SOEP)", pp.157~ (2013), Springer
- Stephens, M., "Job loss expectations, realizations, and household consumption behavior", Review of Economics and Statistics, 86(1), pp.253~269 (2006)
- Universal declaration of human rights, "UN General", UN General Assembly, ~ (1948)
- Yokoyama, E., "Cut-off point for the 11-item shorter form of the CES-D depression scale", The Nihon University Journal of Medicine, 50(5-6), pp.123~132 (2008)
- Ki-Bong Yoo, "Association between employment status change and depression in Korean adults", BMJ Open, 6(3), pp.e008570~ (2016), BMJ[DOI]
- Hye Jin Yoo, "Lifetime suicidal ideation and attempt in adults with full major depressive disorder versus sustained depressed mood", Journal of Affective Disorders, 203, pp.275~280 (2016), Elsevier BV[DOI]
- Wahlbeck, K., "The Impact of Economic Crises on the Risk of Depression and Suicide: A Literature Review", Hungary: Supporting Documents for the EU Thematic Conference on Preventing Depression and Suicide, pp.1~10 (2009)
