본문 바로가기
KERD
논문KCI 등재

소득이 산후우울에 미치는 영향에서 사회적 지지의 조절효과: 모성건강불평등을 중심으로

Moderating effect of social support on the impact of income on postpartum depression: Focusing on maternal health inequalities

최인선|이소영
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)|2023.09|보건교육건강증진학회지 (KOREAN JOURNAL OF HEALTH EDUCATION AND PROMOTION)|제40권 제3호|pp. 25-35|DOI 10.14367/kjhep.2023.40.3.25

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

social supportpostpartum depressionhealth inequalitiesmaternal health
주제분류예방의학/직업환경의학

초록

Objectives: This study primarily aimed to determine the level of inequality in maternal health by identifying the effect of income on postpartum depression and examining whether social support is effective in alleviating maternal health inequality. Methods: Multiple regression analysis using a moderating effect model was conducted to analyze data from a nationwide sample of 3,127 pregnant women in Korea using the 2021 Postpartum Care Survey. Results: Income had a significant effect on postpartum depression. “Social support,” including “Experience with social support” and “Family support,” was found to have a statistically significant effect in alleviating maternal health inequalities. Conclusion: This study found that although there may be inequalities in postpartum depression depending on income, maternal health inequalities can be alleviated if sufficient social support is provided. First, to increase family support, postpartum depression must be reduced through spousal education. Second, if support is not available within the family, the expecting mothers should have access to a support system within the community. Third, if social support is provided as a policy target, it can effectively alleviate maternal health inequalities. Fourth, there is a need to strengthen and promote policies with socially supportive characteristics to mitigate disparities in postpartum depression and effectively alleviate maternal health inequalities

Abstract

Objectives: This study primarily aimed to determine the level of inequality in maternal health by identifying the effect of income on postpartum depression and examining whether social support is effective in alleviating maternal health inequality. Methods: Multiple regression analysis using a moderating effect model was conducted to analyze data from a nationwide sample of 3,127 pregnant women in Korea using the 2021 Postpartum Care Survey. Results: Income had a significant effect on postpartum depression. “Social support,” including “Experience with social support” and “Family support,” was found to have a statistically significant effect in alleviating maternal health inequalities. Conclusion: This study found that although there may be inequalities in postpartum depression depending on income, maternal health inequalities can be alleviated if sufficient social support is provided. First, to increase family support, postpartum depression must be reduced through spousal education. Second, if support is not available within the family, the expecting mothers should have access to a support system within the community. Third, if social support is provided as a policy target, it can effectively alleviate maternal health inequalities. Fourth, there is a need to strengthen and promote policies with socially supportive characteristics to mitigate disparities in postpartum depression and effectively alleviate maternal health inequalities

참고문헌 (27)

  1. "Approval and coordination of statistical production" (2023)[URL]
  2. 배연욱, "기본심리욕구와 산후우울의 관계: 배우자지지, 결혼만족도의 매개 효과", 한국콘텐츠학회 논문지, 21(3), pp.518~528 (2021), 한국콘텐츠학회[DOI]
  3. Antoine Bommier, "Defining health inequality: why Rawls succeeds where social welfare theory fails", Journal of Health Economics, 21(3), pp.497~513 (2002), Elsevier BV[DOI]
  4. Chen, C. H., "The prevalence and predictors of postpartum depression", Nursing Research, 2(3), pp.263~274 (1994)[DOI]
  5. 조희원, "산후 우울 관련 변인들 간의 관계 구조 모형", 한국심리학회지: 상담 및 심리치료, 25(3), pp.549~573 (2013), 한국상담심리학회
  6. J. L. Cox, "Detection of postnatal depression: Development of the 10-item Edinburgh postnatal depression scale", British Journal of Psychiatry, 150(6), pp.782~786 (1987), Royal College of Psychiatrists[DOI]
  7. Sarah Guy, "Mental Health Literacy and Postpartum Depression: A Qualitative Description of Views of Lower Income Women", Archives of Psychiatric Nursing, 28(4), pp.256~262 (2014), Elsevier BV[DOI]
  8. 정경화, "산욕초기 산모의 스트레스, 사회적 지지와 산후 우울", Journal of The Korean Data Analysis Society, 11(5), pp.2471~2485 (2009), 한국자료분석학회
  9. 정명희, "산욕기 산모의 임신시 정서상태, 분만준비도, 산후 사회적 지지도 및 산후 우울감과의 관계연구", 여성건강간호학회지, 11(1), pp.38~45 (2005), 한국여성건강간호학회
  10. 강민철, "산후우울증 유병률 및 관련요인에 대한 메타연구: 사회적 지지와 양육스트레스를 중심으로", 상담학연구, 13(1), pp.149~168 (2012), 한국상담학회[DOI]
  11. Developing health inequalities report and monitoring the status of health inequalities in Korea, "Kim, D. J.", Korea Institute for Health and Social Affairs, ~ (2014)
  12. Developing health inequalities report and monitoring the status of health inequalities in Korea, "Kim, D. J.", Korea Institute for Health and Social Affairs, ~ (2015)
  13. 김희선, "산후우울증 관리 체계에 대한 고찰", 한국모자보건학회지, 26(2), pp.52~60 (2022), 한국모자보건학회
  14. 김경숙, "자기효능감, 사회적 지지, 피로, 양육스트레스가 산후우울증에 미치는 영향", 한국모자보건학회지, 16(2), pp.195~211 (2012), 한국모자보건학회[DOI]
  15. 권정옥, "건강불평등에 대한 개념분석", 간호행정학회지, 21(1), pp.20~31 (2015), 간호행정학회[DOI]
  16. Patricia Leahy‐Warren, "First‐time mothers: social support, maternal parental self‐efficacy and postnatal depression", Journal of Clinical Nursing, 21(3-4), pp.388~397 (2011), Wiley[DOI]
  17. 이지원, "산욕초기 산모의 산후우울에 자기효능감, 신체상, 가족지지가 미치는 영향", 한국산학기술학회논문지, 16(6), pp.4011~4020 (2015), 한국산학기술학회[DOI]
  18. 2021 Postpartum Care Survey, "Lee, S. Y.", Korea Institute for Health and Social Affairs, ~ (2021)
  19. Lee, S. Y., "Policy implications for promoting postpartum mental health" (2017), Korea Institute for Health and Social Affairs
  20. Lee, Y. S., "Early life health care guideline" (2023), Korea Health Promotion Institute
  21. Aurélie Nakamura, "The role of prenatal social support in social inequalities with regard to maternal postpartum depression according to migrant status", Journal of Affective Disorders, 272, pp.465~473 (2020), Elsevier BV[DOI]
  22. Newport, D. J., "Treatment of postpartum depression : Minimizing infant exposures", Journal of Clinical Psychiatry, 63(suppl 7), pp.31~44 (2002)
  23. The 2021 national family and fertility survey, "Park, J. S.", Korea Institute for Health and social affairs, ~ (2021)
  24. 박민향, "모아애착이 산후우울에 미치는 영향 - 자아존중감을 매개변수로 -", Crisisonomy, 14(3), pp.47~59 (2018), (사)위기관리이론과실천[DOI]
  25. 심희정, "산후우울, 사회적 지지, 모성정체성이 산욕기 산모의 삶의 질에 미치는 영향", 간호와 혁신, 26(1), pp.1~14 (2022), 간호혁신연구소[DOI]
  26. Alison C. Sweeney, "Examining Relationships Between Body Dissatisfaction, Maladaptive Perfectionism, and Postpartum Depression Symptoms", Journal of Obstetric, Gynecologic & Neonatal Nursing, 42(5), pp.551~561 (2013), Elsevier BV[DOI]
  27. 양지운, "배우자지지가 초산모의 산후우울과 자기효능감에 미치는 융합적 효과", 한국융합학회논문지, 9(1), pp.171~180 (2018), 한국융합학회[DOI]

관련 논문AI추천

Association of Social Support and Postpartum Depression According to the Time After Childbirth in South KoreaKim Dong Jun, Kim Seongju, Lee Hooyeon, Lee Mi-Sun대한신경정신의학회 · PSYCHIATRY INVESTIGATION2023 · 제20권 제8호출산 전후 산모의 우울 변화궤적 유형과 양육 스트레스의 관계: 육아지원정책의 조절효과천연미육아정책연구소 · 육아정책연구2024 · 제18권 제3호도시지역 일부 산모들의 산후우울과 사회적 지지와의 관련성양혜경, 조영채, 남궁연옥한국모자보건학회 · 한국모자보건학회지2007 · 제11권 제2호산후우울증 유병률 및 관련요인에 대한 메타연구: 사회적 지지와 양육스트레스를 중심으로강민철, 김동민, 김수임한국상담학회 · 상담학연구2012 · 제13권 제1호자기효능감, 사회적 지지, 피로, 양육스트레스가 산후우울증에 미치는 영향감신, 김경숙, 이원기한국모자보건학회 · 한국모자보건학회지2012 · 제16권 제2호산후 우울 관련 변인들 간의 관계 구조 모형우주영, 조희원한국상담심리학회 · 한국심리학회지: 상담 및 심리치료2013 · 제25권 제3호

이 간행물의 다른 논문 (5건)

소셜 미디어 유형에 따른 건강정보 이용행태가 e-헬스리터러시에 미치는 영향노현승, 손애리pp. 1-12간호사의 디지털 헬스 리터러시, 디지털 헬스 활용도 현황 및 관련 요인김남이, 신지은, 박종욱pp. 13-23Failure of at-risk adolescents to quit smoking according to their organization: Focusing in adolescents on probation손소망, 이강숙pp. 37-47성경험 청소년의 성교육 여부가 피임에 미치는 영향남진영, 차예은pp. 49-56야식섭취 및 수면의 질과 청소년 비만의 관계: 부산시 일개 중학교를 중심으로최은성, 손창우pp. 57-68
원문 보기