Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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A research on the Relationship between the Socio-economic Factors of the Regions and Suicidal Ideation of the Elderly -By utilizing the multi-level analyses-

지역의 사회·경제적 요인과 노인의 자살생각 간의 관련성 연구 -다수준 분석을 활용하여-

  • Choi, Kwang-Soo (Department Of Health Service Management, Woosuk University)
  • 최광수 (우석대학교 보건의료경영학과)
  • Received : 2016.08.31
  • Accepted : 2016.11.10
  • Published : 2016.11.30
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Abstract

This research empirically analyzes, from an ecological perspective, whether socio-economic factors of the regions in which the elderly live have any actual influence on thoughts of suicide on the part of the elderly. Microscopic data either included outliers in part of the variables, including income and other variables of that type, from among source data from investigations into actual conditions of the elderly in 2014. Regarding macroscopic data, the indices that represent social and economic situations in each region, which were provided by KOSIS, were selected. Regarding the method of analysis, hierarchical or multi-level analysis models were applied by considering special hierarchical characteristics and heterogeneity at the personal and regional levels. The analyses showed that the following had statistically significant influences: 1. the cost-of-living index and the national basic supply and demand rate of the region; 2. the extent of natural disaster damage; and 3. the number of leisure and welfare facilities for the elderly, compared to the elderly population. Based on the results, proposals are made for systematic and practical endeavors in the community.

본 연구는 생태학적 관점에서 노인이 생활하고 있는 지역의 경제 사회적 요인이 노인의 자살생각에 실제 영향을 미치는지 실증적으로 분석한 것이다. 분석 자료는 미시와 거시 데이터로 구분하여 미시 데이터는 "2014년도 노인실태조사" 10,248사례가 분석에 사용되었다. 거시데이터는 국가통계포털(KOSIS)에서 제공되는 각 지역별 사회적, 경제적 상황을 나타내는 지표들을 선별, 16개 시도의 2014년도 지역별 경제수준과 자연재해 및 보건과 노인의 여가, 복지 수준을 나타내는 6개 지표가 활용되었다. 분석방법은 분석단위가 개인차원과 지역차원의 2수준 이상의 위계적 특성과 이질성을 고려하여 위계적(다층) 분석 모형(Hierarchical or multi-level analysis model)을 적용하였다. 분석 결과, 노인의 자살생각 여부에는 지역의 생활물가지수와 국가기초수급률, 자연재해피해규모, 그리고 노인인구 대비 노인 대상의 여가 및 복지시설 수가 통계적으로 유의미한 영향을 미치는 것으로 분석되었다. 이상의 분석 결과들을 기반으로 지역사회에서는 자살생각을 증가시키는 주요 요인들을 주목하여 지역차원의 예방과 관리할 수 있는 시스템을 갖추고 노력이 강구 되어야 한다.

Keywords

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