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Individual and regional factors associated with suicidal ideation among Korean elderly: a multilevel analysis of the Korea Community Health Survey

천병철|Sang Hee Jeong
한국역학회 (Korean Society of Epidemiology)|2019.01|Epidemiology and Health|제41권 |pp. 1-8|DOI 10.4178/epih.e2019022

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키워드

Suicidal ideationAgedMultilevel analysisSocioeconomic factorsKorea Community Health Survey

초록

OBJECTIVES: This study aimed to identify the individual and regional characteristics that influence suicidal ideation among the Korean elderly population. METHODS: Using data collected from the 2013 Korea Community Health Survey, a multilevel analysis was performed to establish an understanding of individual behavioral patterns and regional influences on suicidal ideation. RESULTS: Among the 77,407 individuals sampled, 11,236 (14.5%) elderly people over 60 years of age experienced suicidal ideation. Among individual factors, age, frequency of communication with friends, religious activity, social activity, leisure activity, trust in neighbors, subjective stress level, depressive symptoms, and subjective health status were significantly associated with suicidal ideation. The results showed that the lower the regional deprivation level, the higher the suicidal ideation odds ratio. In terms of regional size, the most significant effects were found in rural areas. CONCLUSIONS: This study suggested that suicidal ideation in the elderly is associated with community factors, such as the regional deprivation index, as well as personal factors.

Abstract

OBJECTIVES: This study aimed to identify the individual and regional characteristics that influence suicidal ideation among the Korean elderly population. METHODS: Using data collected from the 2013 Korea Community Health Survey, a multilevel analysis was performed to establish an understanding of individual behavioral patterns and regional influences on suicidal ideation. RESULTS: Among the 77,407 individuals sampled, 11,236 (14.5%) elderly people over 60 years of age experienced suicidal ideation. Among individual factors, age, frequency of communication with friends, religious activity, social activity, leisure activity, trust in neighbors, subjective stress level, depressive symptoms, and subjective health status were significantly associated with suicidal ideation. The results showed that the lower the regional deprivation level, the higher the suicidal ideation odds ratio. In terms of regional size, the most significant effects were found in rural areas. CONCLUSIONS: This study suggested that suicidal ideation in the elderly is associated with community factors, such as the regional deprivation index, as well as personal factors.

참고문헌 (29)

  1. 임미영, "노인자살시도자들의 자살시도 전 경험", Journal of Korean Academy of Nursing, 41(1), pp.61~71 (2011), 한국간호과학회
  2. Uncapher H, "Hopelessness and suicidal ideation in older adults", Gerontologist, 38, pp.62~70 (1998)
  3. 이상주, "한국 노인 자살생각 변인에 관한 메타분석", Journal of The Korean Data Analysis Society, 18(2), pp.1023~1033 (2016), 한국자료분석학회
  4. Yen YC, "Suicidal ideation and associated factors among community-dwelling elders in Taiwan", Psychiatry Clin Neurosci, 59, pp.365~371 (2005)
  5. 이정은, "노인의 자살생각에 영향을 미치는 요인군에 대한 메타분석", 한국노년학, 37(3), pp.601~616 (2017), 한국노년학회
  6. Handley TE, "Predictors of suicidal ideation in older people : a decision tree analysis", Am J Geriatr Psychiatry, 22, pp.1325~1335 (2014)
  7. 최광수, "지역의 사회경제적 요인과 주민건강의 관련성에 대한 다수준 분석", 한국자치행정학보, 30(3), pp.403~425 (2016), 한국자치행정학회[DOI]
  8. 신상수, "자살생각에 영향을 미치는 요인에 관한 다수준 분석", 비판사회정책, (45), pp.230~266 (2014), 비판과 대안을 위한 사회복지학회[DOI]
  9. Robert SA, "Community-level socioeconomic status effects on adult health", J Health Soc Behav, 39, pp.18~37 (1998)
  10. 김윤희, "지역특성이 취약집단 건강에 미치는 영향 분석", 한국인구학, 31(1), pp.1~26 (2008), 한국인구학회[DOI]
  11. Kang SJ, "Multilevel models", pp.111~118 (2016), Hakjisa
  12. "Sample selection"[URL]
  13. 문영희, "거주지역별 노인의 자살생각과 관련요인- 도시와 농촌의 비교 -", 한국보건간호학회지, 27(3), pp.551~563 (2013), 한국보건간호학회
  14. 윤태호, "지역 간 건강 불평등의 현황과 정책과제", 비판사회정책, (30), pp.49~77 (2010), 비판과 대안을 위한 사회복지학회[DOI]
  15. "Financial autonomy of local governments"[URL]
  16. 이지혜, "다수준 로지스틱 모형을 이용한 흡연 여부에 미치는 영향 분석", 응용통계연구, 27(1), pp.89~102 (2014), 한국통계학회
  17. Noguchi M, "Social capital and suicidal ideation in community-dwelling older residents : a multilevel analysis of 10, 094 subjects in Japan", Am J Geriatr Psychiatry, 25, pp.37~47 (2017)
  18. 이종욱, "노인의 죽음에 대한 수용적 태도가 삶의 만족도에 미치는 영향:사회적 지지의 매개효과를 중심으로", 한국의료윤리학회지, 19(2), pp.225~243 (2016), 한국의료윤리학회[DOI]
  19. 이묘숙, "노인의 사회참여활동은 사회적 고립과 자살생각 간의 관계를 매개하는가?", 정신건강과 사회복지, 40(3), pp.231~259 (2012), 한국정신건강사회복지학회
  20. 한삼성, "노인의 자살생각 결정요인에 관한 연구", 보건사회연구, 29(1), pp.164~181 (2009), 한국보건사회연구원[DOI]
  21. 김민주, "노인의 자살 생각에 영향을 미치는 요인: 한국복지패널 제8차 조사 자료를 중심으로", Journal of The Korean Data Analysis Society, 16(5), pp.2725~2737 (2014), 한국자료분석학회
  22. Lee HY, "High-class statistical analysis—theory and practice", pp.443~448 (2012), Beommusa
  23. 송태민, "다층모형을 통한 금연성공에 영향을 미치는 요인 분석", 보건교육건강증진학회지, 30(1), pp.53~64 (2013), 한국보건교육건강증진학회
  24. 신상수, "자살생각과 도시화율의 연관성에 관한다수준 분석: 2013년 지역사회건강조사를 기반으로", 비판사회정책, (55), pp.187~218 (2017), 비판과 대안을 위한 사회복지학회[DOI]
  25. 송태민, "앤더슨 행동모형을 이용한 노년기 외래의료서비스 이용에 대한 스트레스 취약요인의 매개효과 분석", 보건사회연구, 33(1), pp.547~576 (2013), 한국보건사회연구원[DOI]
  26. Skapinakis P, "Mental health inequalities in Wales, UK : multi-level investigation of the effect of area deprivation", Br J Psychiatry, 186, pp.417~422 (2005)
  27. "Development of rotation survey method for Community Health Survey" (2010)[URL]
  28. Bertolote JM, "Suicide attempts, plans, and ideation in culturally diverse sites : the WHO SUPRE-MISS community survey", Psychol Med, 35, pp.1457~1465 (2005)
  29. 김영택, "지역사회건강조사의 조사 기획과 수행", 대한의사협회지, 55(1), pp.74~83 (2012), 대한의사협회

관련 논문AI추천

Gender difference in socioeconomic factors affecting suicidal ideation and suicidal attempts among community-dwelling elderly: based on the Korea Community Health Survey정진영한국역학회 · Epidemiology and Health2020 · 제42권 지역사회 노인의 자살생각 영향요인: 2017년 노인실태조사의 독거노인과 동거노인 비교조명선한국보건교육건강증진학회 · 보건교육건강증진학회지2019 · 제36권 제2호우리나라 노인의 자살생각에 영향을 미치는 요인에 관한 연구손신영보건의료산업학회 · 보건의료산업학회지2014 · 제8권 제2호Factors Influencing Suicidal Ideation According to the Deprivation Indices of Different Regions in KoreaHyung-Joo Park, Yun-Young Kim대한예방의학회 · 예방의학회지2023 · 제56권 제1호노인의 자살사고에 영향을 미치는 신체적, 정신적, 사회적 위험 요인김동현, 이강욱, 이중서, 최미지대한신경정신의학회 · 신경정신의학2015 · 제54권 제4호Factors That Affect Suicidal Attempt Risk Among Korean Elderly Adults: A Path AnalysisHyemin Jung, Jinsuk Lee, Jongheon Park, Junsoo Ro대한예방의학회 · 예방의학회지2015 · 제48권 제1호

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