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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Elderly Caregiving and Health : Analysis of the mediate effect of social network and Satisfaction

노년기 수발 경험에 따른 건강 변화 : 사회적 관계망과 만족도의 매개효과 분석

  • 이서연 (서울대학교 생활과학대학)
  • Received : 2017.09.28
  • Accepted : 2017.10.13
  • Published : 2017.10.31
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Abstract

This study aimed to examine the changes in the health status, social network and satisfaction of caregivers as a result of caregiving using a structural equation model. As a result, it was found that caregiving increased the level of depression and decreased the subjective health status in both men and women. The social network and satisfaction were found to differ according to gender. For the women caregivers, caregiving affected their subjective health status and depression. In the case of the men caregivers, the total effect of caregiving on their subjective health was 1.087(p<.05), while the indirect effect was 0.546(p<.05). Also, caregiving affected the subjective health status of the male caregivers through the functional family network as a mediating factor(0.42, p<.01). The results suggest the necessity to take these gender differences into consideration when discussing the health of caregivers. Also, the functional family network needs to be strengthened to prevent the deterioration of the health status of male caregivers.

본 연구는 수발 경험에 따른 수발자의 건강상태 변화를 살펴보고, 수발 경험이 수발자의 건강에 미치는 영향에 대해 사회적 관계망과 만족도가 매개변수로서 어떻게 작용하는지를 검증하는데 목적이 있다. 소기의 목적을 달성하기 위해 고령화연구패널자료를 활용하여 구조방정식모형을 활용하여 분석을 시도하였다. 분석 결과 수발 이후 남녀 모두 우울감이 증가하고 주관적 건강상태나 낮아졌다. 사회적 관계망과 만족도 변화 양상에는 성별에 따른 차이가 있는 것으로 나타났다. 여성의 경우 수발이 주관적 건강상태와 우울감에 영향을 미쳤으며, 매개효과는 발견되지 않았다. 남성의 경우 수발 경험이 우울감에 미치는 총 효과는 1.087(p<.05), 간접효과는 0.546(p<.05)이었으며, 직접효과는 유의미하지 않은 것으로 나타났다. 남성의 수발 경험은 기능적 가족망의 감소(0.42, p<.01)를 완전매개로 주관적 건강상태에 영향을 미쳤다. 이러한 연구 결과를 통해 수발 이후 수발자들의 건강 취약성이 확인되었다. 또한, 수발자의 건강과 이를 매개하는 요인을 탐색하는 데 있어 성별에 따라 그 양상이 따르게 나타나는 것으로 나타났다. 특히 남녀 모두 기능적 가족망이 유의미하게 감소하였음에도 남성에게서만 기능적 가족망의 매개효과가 확인되어 남성의 기능적 가족망 강화의 필요성을 제기하였다.

Keywords

References

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