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중장년층의 독거, 직업유무와 정신건강: 제7기 국민건강영양조사 (2016-2018)

Living alone, employment status, and psychological symptoms among middle-aged: The seventh Korea National Health and Nutrition Examination Survey (KNHANES VII, 2016-2018)

보건교육건강증진학회지 2020년 37권 3호 p.1 ~ 13
노종현, 오윤상, 김광현, 이채연, 장준영, 치동휘, 권호장, 이용한, 최경화,
소속 상세정보
노종현 ( Noh Jong-Hyun ) - Dankook University College of Medicine
오윤상 ( Oh Yoon-Sang ) - Dankook University College of Medicine
김광현 ( Kim Kwang-Hyun ) - Dankook University College of Medicine
이채연 ( Lee Chae-Yeon ) - Dankook University College of Medicine
장준영 ( Jang Jun-Young ) - Dankook University College of Medicine
치동휘 ( Choi Dong-Whi ) - Dankook University College of Medicine
권호장 ( Kwon Ho-Jang ) - Dankook University College of Medicine Department of Preventive Medicine
이용한 ( Lee Yong-Han ) - Dankook University College of Medicine Department of Preventive Medicine
최경화 ( Choi Kyung-Hwa ) - Dankook University College of Medicine Department of Preventive Medicine

Abstract


Objectives: This study aims to evaluate the difference in psychological symptoms between middle-aged whether or not to live alone according to employment status.

Methods: Subjects were 6,910 people, aged 40 to 59 years, who participated in the Seventh Korea National Health and Nutrition Examination Survey (2016-2018). Depressive symptoms were assessed using the Patient Health Questionnaire-9. Experience with psychiatric counseling, stress awareness, and suicidal risks?such as suicidal ideation or suicide attempts?were assessed via questionnaire. Participants were assessed through a questionnaire for whether or not to live alone, employment status, and several confounding factors. Survey logistic regression analysis was performed to evaluate the association between living alone, employment status, and psychological factors.

Results: The weighted prevalence (%) of stress awareness, depressive symptoms, suicidal risk, and experience with psychiatric counseling were 26.3, 3.8, 2.0, and 2.6, respectively. Compared to people not living alone and who were also employed, odds ratios for suicidal risk and depressive symptoms were 3.02 (95% confidence interval [CI]: 1.52-6.01) and 4.03 (95% CI: 1.70-9.57), respectively, in those who lived alone and were unemployed.

Conclusion: Living alone might be a risk factor for mental health?such as suicidal risks and depressive symptoms?in the Korean middle-aged population, especially among those also unemployed.

키워드

social Isolation; unemployment; mental health; middle-aged

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