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저소득층이 경험하는 식품미보장과 자살생각의 관계에서 우울과 건강만족도의 매개효과

The mediating roles of depression and health satisfaction in the association between food insecurity and suicidal ideation among low-income households in South Korea

이재경|이래혁
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)|2017.06|보건교육건강증진학회지 (KOREAN JOURNAL OF HEALTH EDUCATION AND PROMOTION)|제34권 제2호|pp. 29-40|DOI 10.14367/kjhep.2017.34.2.29

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참고문헌

키워드

suicidal ideationmediating effectfood insecuritylow-income households
주제분류예방의학/직업환경의학

초록

Objectives: This study aimed to examine the association between experiencing food insecurity and suicidal ideation among low-income households in South Korea, with particular attention to investigating the mediating roles of depression and health satisfaction. Methods: This study used a nationally representative sample from three recent waves of the Korean Welfare Panel Study. The analytic sample of this study was composed of 2,078 low-income households. This study conducted a path analysis to estimate the path model representing the hypothesized set of associations. Results: Overall, this study found that experiencing food insecurity was directly associated with a higher likelihood of having suicidal ideation, with a higher level of depression, and with a lower level of health satisfaction. This study also found partial mediation paths in which food insecurity was associated with suicidal ideation through depression, and food insecurity was associated with depression through health satisfaction; and a full mediation path in which health satisfaction was associated with suicidal ideation through depression. Furthermore, this study found that the direct association of experiencing food insecurity with having suicidal ideation was more pronounced for male-headed households, and that the indirect associations between food insecurity, health satisfaction, depression, and suicidal ideation were more pronounced for non-elderly-headed households. Conclusions: Policy and practice implications to improve living condition among low-income households and to reduce their suicide-related behavior were discussed.

Abstract

Objectives: This study aimed to examine the association between experiencing food insecurity and suicidal ideation among low-income households in South Korea, with particular attention to investigating the mediating roles of depression and health satisfaction. Methods: This study used a nationally representative sample from three recent waves of the Korean Welfare Panel Study. The analytic sample of this study was composed of 2,078 low-income households. This study conducted a path analysis to estimate the path model representing the hypothesized set of associations. Results: Overall, this study found that experiencing food insecurity was directly associated with a higher likelihood of having suicidal ideation, with a higher level of depression, and with a lower level of health satisfaction. This study also found partial mediation paths in which food insecurity was associated with suicidal ideation through depression, and food insecurity was associated with depression through health satisfaction; and a full mediation path in which health satisfaction was associated with suicidal ideation through depression. Furthermore, this study found that the direct association of experiencing food insecurity with having suicidal ideation was more pronounced for male-headed households, and that the indirect associations between food insecurity, health satisfaction, depression, and suicidal ideation were more pronounced for non-elderly-headed households. Conclusions: Policy and practice implications to improve living condition among low-income households and to reduce their suicide-related behavior were discussed.

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