Browse > Article
http://dx.doi.org/10.35133/kssche.20190831.04

Association between period of living alone in a shabby one-room and depression experience  

Kim, Jin-Sung (Tree and Forest Psychology Public Health Institute)
Che, Xianhua (Gangwon Public Health Policy Institute)
Kim, Chang-Soo (Department of Industry Management Engineering, Sungkyul University)
Park, Hee-Jung (Department of Dental Hygiene, Kangwon National University)
Publication Information
The Journal of Korean Society for School & Community Health Education / v.20, no.2, 2019 , pp. 37-51 More about this Journal
Abstract
Purpose: This study aims to substantiate a correlation between the period of living alone in a shabby one-room and a depression experience. Methods: We conducted a cross-sectional study using data from the Korea Homeless Survey carried out by the Korea Institute for Health and Social Affairs in 2016. In the study, the data included 485 survey participants who resided in a single room. The period of single-room occupancy being divided into three groups: less than 1 year, 1 to 4 years, and more than 5 years was considered a primary independent variable. The outcome variable which represented a depression experience was measured by CESD-11(The Center for Epidemiological Studies-Depression Scale). We carried out a Chi-square test and multiple logistic regression to evaluate the association. Results: The rate of depression experienced in this population was 77.5%. Almost 83.9% of the participants were reported as being unable to receive the mental health counselling in the last 12 months. After controlling for covariates, subjects who were living in a single room occupancy for 1-5 years(OR=3.89; 95% CI=1.43-10.56) and more than 5 years(OR=2.71; 95% CI= 1.05-6.95) were found to be more likely to experience depression. Conclusions: The results showed that living alone in a shabby one-room had a high correlation with experiencing depression. We proposed that there is a need to develop a new strategy for mental health promotion program for the poor, vulnerable and deprived population.
Keywords
Depression; Mental health; Period of living alone in a shabby one-room;
Citations & Related Records
연도 인용수 순위
  • Reference
1 김민진. 조현민. (2010). 쪽방지역 주민의 생활실태와 빈곤의 재생산. 사회과학 담론과 정책, 3(2), 183-205.
2 김주희, 유정원, 송인한. (2015). 사회경제적 박탈이 우울에 미치는 영향: 연령의 조절효과 분석. 보건사회연구, 35 (3), 42-70.
3 김진성. (2017). 국민기초생활보장제도 수급자의 수급지속이 자아존중감과 우울감에 미치는 영향: 과부담의료비와 근로참여의 조절된 매개효과[박사학위논문]. 서울: 고려대학교대학원
4 박미진. (2007). 여성노인의 스트레스와 우울의 관계에서 강점과 사회적 지지의 완충효과. 한국심리학회지:여성, 12(2), 197-21.   DOI
5 송은철, 신영전. (2010). 과부담 의료비 지출이 빈곤화 및 빈곤 지속에 미치는 영향. 예방의학회지, 43(5), 423-435.
6 신현욱. (2009). 직업적 사회이동과 정신장애: 사회적 원인 및 사회적 선택 이론의 검증. 장애와 고용, 19(3), 125-153.
7 엄태완. (2008). 빈곤층의 경제적 스트레스와 우울 관계에서 자기효능감과 사회적 지지의 효과. 정신보건과 사회사업, 28, 36-66.
8 유태균, 이선정. (2011). 기초생활보장 수급가구의 탈수급 전.후 의료서비스 이용수준 차이에 관한 연구. 사회보장연구, 27(1), 185-215.
9 이상문. (2008). 빈곤계층의 정신건강에 관한 연구: 3년간의 패널연구 조사를 중심으로. 한국사회학, 42(3), 119-152.
10 이승홍, 배치운, 고효정, 정운진, 고상현. (2016). 거리노숙인의 만성노숙과 연관된 인구사회학적, 임상적 변인. 대한신경정신의학회. 55(4), 386-396.
11 정혜주 외 5인. (2013). 강점중심의 자치적 건강증진 사업을 위한 형성연구에 관한 연구. 한국건강증진개발원.
12 보건복지부, (2012). 국민건강통계.
13 보건복지부, (2016). 국민건강통계.
14 손정인, 김슬기, 김정숙, 조승화. (2012). 서울시 동자동 쪽방 주민 건강권 실태조사를 마치며, "쪽방 주민의 건강권을 위해 무엇을 해야 하는가?". 월간 복지동향, (170), 47-54.
15 차선화, 박희정. (2018). 미충족 치과의료 지속현황과 관련요인. 대한구강보건학회지, 42(4), 152-158.
16 허현희 외 6인. (2015). 사회생태적 모델을 적용한 쪽방 주민의 정신건강 영향요인 분석. 보건교육건강증진학회지, 32(2), 39-52.   DOI
17 허현희, 김진성, 차선화, 정혜주. (2016). 도시 빈곤지역 주민의 주변화 건강불평등의 관계에 대한 질적 연구. 보건과 사회과학, 43, 5-32.
18 Faris, R. E. L., & Dunham, H. W. (1939). Mental disorders in urban areas: an ecological study of schizophrenia and other psychoses.
19 Folsom, D. P., Hawthorne, W., Lindamer, L., Gilmer, T., Bailey, A., et al., (2005). Prevalence and risk factors for homelessness and utilization of mental health services among 10,340 patients with serious mental illness in a large public mental health system. American Journal of Psychiatry , 162(2), 370-376.   DOI
20 Franco-Bronson, K. (1996). The Management of treatment resistant depression in the medically ill. Psychiatric Clinics of North America, 19(2), 329-350.   DOI
21 Han, B. (2002). Depressive symptoms and self‐rated health in community‐dwelling older adults: a longitudinal study. Journal of the American Geriatrics Society, 50(9), 1549-1556.   DOI
22 Hudson, C. G. (2005). Socioeconomic status and mental illness: tests of the social causation and selection hypotheses. American journal of Orthopsychiatry, 75(1), 3-18.   DOI
23 Hulme, D., & Shepherd, A. (2003). Conceptualizing chronic poverty. World development, 31(3), 403-423.   DOI
24 Shattell, M. M., Hamilton, D., Starr, S. S., Jenkins, C. J. Hinderliter, N. A. (2008). Mental health service needs of a Latino population: A community-based rticipatory research project. Issues in Mental Health Nursing, 29(4), 351-370.   DOI
25 McDaniel, J. S., Musselman, D. L., Porter, M. R., Reed, D. A., Nemeroff, C. B. (1995). Depression in patients with cancer: diagnosis, biology, and treatment. Archives of general psychiatry, 52(2), 89-99.   DOI
26 Nasser, E. H., & Overholser, J. C. (2005). Recovery from major depression: the role of support from family, friends, and spiritual beliefs. Acta Psychiatrica Scandinavica, 111(2), 125-132.   DOI
27 Roze, M., Vandentorren, S., Melchior, M. (2018). Factors associated with depression among homeless mothers. Results of the ENFAMS survey. Journal of affective disorders, 229, 314-321.   DOI
28 Stein, J. A., Leslie, M. B., Nyamathi, A. (2002). Relative contributions of parent substance use and childhood maltreatment to chronic homelessness, depression, and substance abuse problems among homeless women: Mediating roles of self-esteem and abuse in adulthood. Child abuse & neglect, 26(10), 1011-1027.   DOI
29 Wolf, B. H. (1987). Low-income mothers at risk: Psychological effects of povertyrelated stress [Doctoral dissertation]. Harvard Graduate School of Education.
30 Wong, Y. L. I. (2000). Measurement properties of the Center for Epidemiologic studies-Depression Scale in a homeless population. Psychological assessment, 12(1), 69.   DOI
31 WHO Commission on Social Determinants of Health, &World Health Organization. (2008). Closing the gap in a generation: health equity through action on the social determinants of health: Commission on Social Determinants of Health final report. World Health Organization.