The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
권호 표지
DOI QR코드

DOI QR Code

Experiences of Depressive Symptom and Suicidal Thinking between the Elderly Living Alone and the Elderly Couples

독거노인과 부부노인의 우울감 및 자살생각 경험

  • 한삼성 (대구한의대학교 보건학부) ;
  • 강성욱 (대구한의대학교 보건학부) ;
  • 정성화 (대구한의대학교 보건학부)
  • Received : 2012.07.12
  • Accepted : 2012.08.17
  • Published : 2012.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

The aim of this study was to examine the spouse effects on depressive symptom and suicidal thinking among the elderly aged 65 and over in Korea. The subjects selected from the database of the Fourth Korea National Health and Nutrition Examination Survey(KNHANES IV) conducted by Korea Centers for Disease Control and Prevention from 2007 to 2009. Those who were female, older, lower educated, or poorer were more likely to live alone than their counterparts respectively. The elderly living alone experienced depressive symptom as 2.0 times(OR=2.004, 95% CI=1.433, 2.803) as, and suicidal thinking as 1.6 times(OR=1.567, 95% CI=1.111, 2.211) as the elderly couples did, adjusting for socio-economic factor, health status factors, and health behaviors factors. As for the male subgroup, the elderly living alone experienced depressive symptom as 4.0 times(OR=3.997, 95% CI=2.066, 7.732) as, and suicidal thinking as 3.2 times(OR=3.181, 95% CI=1.535, 6.592) as the elderly couples did. On the other hands, there was no significant difference in depressive symptoms and suicidal thinking between the female elderly living alone and couples. The authors suggested policy interventions to promote the mental health of the male elderly living alone.

Keywords

References

  1. 통계청(2011), 고령자 통계, 통계청.
  2. 정경희(2011), 노년기 가족의 변화전망과 정책과제, 보건복지포럼, Vol.175;35-44.
  3. K. Szanto, A. Gildengers, B.H. Mulsant, G. Brown, G.S. Alexopoulos, C.F. Reynolds 3rd(2002), Identification of suicidal ideation and prevention of suicidal behaviour in the elderly, Drugs & Aging, Vol.19(1);11-24. https://doi.org/10.2165/00002512-200219010-00002
  4. B. Steunenberg, A.T. Beekman, D.J. Deeg, A.J. Kerkhof(2006), Personality and the onset of depression in late life, Journal of Affective Disorders, Vol.92(2-3);243-251. https://doi.org/10.1016/j.jad.2006.02.003
  5. 김영주(2009), 남녀별 독거노인과 동거노인의 건강 습관, 스트레스, 우울, 자살생각 비교, 기본간호학회지, Vol.16(3);333-344.
  6. 전경숙, 이효영(2011), 결혼상태가 우울 및 자살생각에 미치는 영향: 연령별 성별 차이를 중심으로, 보건의료산업학회지, Vol.5(3);179-190.
  7. 최령, 문현주, 황병덕(2010), 만성질환이 노인들의 스트레스인지, 우울증상 경험 및 자살생각에 미치는 영향, 보건의료산업학회지, Vol.4(2);73-84.
  8. 서홍란, 김희년(2010), 요보호여성독거노인의 심리적 안녕감에 영향을 미치는 요인, 정신보건과 사회사업, Vol.35;176-202.
  9. 권중돈, 김유진, 엄태영(2011), 노인돌봄서비스 이용 독거노인의 자살생각에 영향을 미치는 요인에 관한 연구: 자살시도경험과 음주행위와의 관계를 중심으로, 노인복지연구, Vol.51;297-320.
  10. 양순미, 홍숙자(2003), 농촌노인의 독거, 가구형태가 심리적 고독감에 미치는 영향, 한국가정관리학회지, Vol.21(6);129-139.
  11. 성미혜, 임영미, 주경숙(2011), 여성 독거노인의 사회적 지지와 외로움, 한국보건간호학회지, Vol.25(1);95-106.
  12. 유광수, 박현선(2003), 독거노인과 가족동거노인의 건강상태에 관한 비교 연구, 한국노년학, Vol.23(4);163-179.
  13. 질병관리본부(2010), 국민건강영양조사 원시자료 이용지침서: 제4기(2007-2009), 질병관리본부.
  14. 김진구(2011), 가족형태가 노인의 건강행위에 미치는 영향, 노인복지연구, Vol.51;.35-55.
  15. 양옥경, 주소희(2011), 독거노인 자살사고에 영향을 미치는 요인에 관한 탐색적 연구, 정신보건과 사회사업, Vol.37(4);321-347.
  16. 정경희(2011), 독거노인의 생활실태 및 정책과제, 보건.복지 Issue & Focus, Vol.72;1-8.
  17. 김현경, 고성희, 정승희(2010), 노인의 자살생각과 위험요인, 한국보건간호학회지, Vol.24(1);82-92.
  18. 한혜경, 이유리(2009), 독거노인의 정신건강 수준과 영향요인, 한국노년학, Vol.29(3);805-822.
  19. 이봉재, 오윤진(2008), 가구형태에 따른 노인의 자살생각 관련요인에 관한 연구, 대한가정학회지, Vol.46(10);49-57.
  20. R.H. Coombs(1991), Marital status and personal well-being: A literature review, Family Relations, Vol.40(1);97-102. https://doi.org/10.2307/585665
  21. 이선애(2005), 가족유형에 따른 사회생활.사회적 지위 및 경제적 상황에 대한 분석, 한국가족복지학, Vol.10(3);147-169.
  22. S.N. Jang, I. Kawachi, J. Chang, K. Boo, H.G. Shin, H. Lee, S.I. Cho(2009), Marital status, gender, and depression: Analysis of the baseline survey of the Korean Longitudinal Study of Ageing (KLoSA), Social Science & Medicine, Vol.69(11);1608-1615. https://doi.org/10.1016/j.socscimed.2009.09.007
  23. 박재규, 이정림(2011), 한국 성인 남녀의 우울증 변화에 영향을 미치는 요인 분석, 보건과 사회과학, Vol.29;99-128.
  24. 김희경, 이현주, 박순미(2010), 여성독거노인의 삶의 질 영향요인, 한국노년학, Vol.30(2);279-292.
  25. 이종화(2005), 여성독거노인의 우울과 자아존중감 및 건강증진행위, 정신간호학회지, Vol.14(2);109-118.

Cited by

  1. Health-Related Quality of Life and Its Affecting Factors among the Aged in one Korean Community vol.7, pp.4, 2013, https://doi.org/10.12811/kshsm.2013.7.4.167
  2. Effects of Family Support on Depression among Married Working Women vol.9, pp.2, 2015, https://doi.org/10.12811/kshsm.2015.9.2.069
  3. Regional Suicide Mortality Rate in Korea vol.7, pp.3, 2013, https://doi.org/10.12811/kshsm.2013.7.3.287
  4. Effects of Social Support on Depression Among Middle and Old-Aged People vol.8, pp.2, 2014, https://doi.org/10.12811/kshsm.2014.8.2.197
  5. The problem group? Psychological wellbeing of unmarried people living alone in the Republic of Korea vol.32, 2015, https://doi.org/10.4054/DemRes.2015.32.47
  6. Family Type and Health Behaviors in Elderly : Korean National Health and Nutrition Examination Survey (KNHANES), 2010-2012 vol.8, pp.4, 2014, https://doi.org/10.12811/kshsm.2014.8.4.199
  7. Physical, Psychological, and Social Risk Factors Affecting Suicidal Ideation among the Elderly vol.54, pp.4, 2015, https://doi.org/10.4306/jknpa.2015.54.4.459
  8. Factors Affecting Suicidal Ideation of the Low-income Elderly Living Alone vol.25, pp.3, 2014, https://doi.org/10.12799/jkachn.2014.25.3.180
  9. Effects of Oral Health Behavior and Status of Elderly People in Korea on Mental Health and Quality of Life vol.8, pp.4, 2014, https://doi.org/10.12811/kshsm.2014.8.4.175
  10. An Association between Spouse Satisfaction and Depressive Symptom among the Middle-aged and Elderly Couples vol.7, pp.1, 2013, https://doi.org/10.12811/kshsm.2013.7.1.059
  11. A Comparative Study on the Process of Hospital Visits according to the Characteristics of the Elderly Visiting to Emergency Medical Centers vol.8, pp.1, 2014, https://doi.org/10.12811/kshsm.2014.8.1.027
  12. Effects of the Social Network Structure on Suicidal Thoughts of Elderly Single and Couple Households in Korea: Supportive and Conflictual Networks vol.25, pp.4, 2014, https://doi.org/10.7856/kjcls.2014.25.4.511
  13. Factors Influencing Suicide Ideation Among Older Korean Adults Living Alone vol.17, pp.3, 2015, https://doi.org/10.1097/NJH.0000000000000143
  14. Factors associated with Suicidal Ideation by Age Group among Korean Adults: Using the Fifth Korea National Health and Nutrition Examination Survey(KNHANES V, 2012) vol.31, pp.2, 2014, https://doi.org/10.14367/kjhep.2014.31.2.1
  15. Gender Difference in Factors Related to Depression in Vulnerable Elderly vol.8, pp.3, 2014, https://doi.org/10.12811/kshsm.2014.8.3.169
  16. Effect of Dentures Wearers’ Denture Satisfaction and Behavioral Characteristics on their Happiness vol.11, pp.4, 2017, https://doi.org/10.12811/kshsm.2017.11.4.157
  17. 농촌거주 여성독거노인의 우울성향에 영향을 미치는 변인에 관한 연구 - 도시여성독거노인과의 비교를 중심으로 - vol.24, pp.6, 2012, https://doi.org/10.5934/kjhe.2015.24.6.811
  18. 경북지역 일개 응급의료센터 노인환자의 내원관련 특성과 의료이용 분석 vol.10, pp.4, 2012, https://doi.org/10.12811/kshsm.2016.10.4.051
  19. 노년시기별 단독거주 노인의 심리적 복지감 예측 요인과 정책적 함의 vol.35, pp.1, 2012, https://doi.org/10.7466/jkhma.2017.35.1.1
  20. Effects of Depressive Symptom and Health Status on Several Factors that Affect Suicidal Ideation among the Elderly Living Alone in Rural Area: The Fully Mediating Effect of Depressive Symptom vol.17, pp.3, 2012, https://doi.org/10.15384/kjhp.2017.17.3.193
  21. A Study on Community Participation Process of Elderly Men Living Alone vol.29, pp.4, 2017, https://doi.org/10.21478/family.29.4.201712.003
  22. The Effects of Health-Related Factors and Social Networks on Depressive Symptoms in Elderly Men and Women: Focusing on the Moderating Effects of Gender vol.38, pp.1, 2018, https://doi.org/10.15709/hswr.2018.38.1.154
  23. The Effects of Social Exclusion on Depression of the Rural Elderly : With a Focus on Comparing Single and Couple Households vol.29, pp.4, 2018, https://doi.org/10.7856/kjcls.2018.29.4.553
  24. A Study on Factors Related to the Suicide Risk of Elderly People who Live Alone in an Urban-rural Complex Area vol.20, pp.3, 2019, https://doi.org/10.9728/dcs.2019.20.3.663
  25. Factors Protecting against Suicidal Ideation in South Korean Community-Dwelling Older Adults: A Systematic Literature Review vol.62, pp.3, 2012, https://doi.org/10.1080/01634372.2018.1557310
  26. Comparative Analysis of Health Behaviors, Health Status, and Medical Needs among One-Person and Multi-Person Household Groups: Focused on the Ageing Population of 60 or More vol.42, pp.1, 2012, https://doi.org/10.4082/kjfm.20.0014
  27. 장애인과 비장애인 독거노인의 자살생각 영향요인 분석 vol.22, pp.3, 2012, https://doi.org/10.35133/kssche.20210831.06