Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
권호 표지
DOI QR코드

DOI QR Code

The Association of Trust, Social Participation with Self-Rated Health Status - Mediating Effect of Depression -

신뢰, 사회활동 참여와 지각된 건강수준과의 관련성 - 우울감의 매개효과 -

  • Lee, Jin Hyang (Department of Preventive Medicine and Institute of Health Sciences, School of Medicine, Gyeongsang National University) ;
  • Park, Ki-Soo (Department of Preventive Medicine and Institute of Health Sciences, School of Medicine, Gyeongsang National University) ;
  • Jeon, Hye Ji (Department of Preventive Medicine and Institute of Health Sciences, School of Medicine, Gyeongsang National University) ;
  • Yang, Hyun Su (Department of Preventive Medicine and Institute of Health Sciences, School of Medicine, Gyeongsang National University) ;
  • Kim, Bokyoung (Department of Preventive Medicine and Institute of Health Sciences, School of Medicine, Gyeongsang National University) ;
  • Choe, Sung Pil Michael (Department of Emergency Medicine, College of Medicine, CHA University, Gumi CHA Hospital)
  • 이진향 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 박기수 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 전혜지 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 양현수 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 김보경 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 최마이클승필 (차의과학대학교 구미차병원 응급의학과)
  • Received : 2013.10.07
  • Accepted : 2013.12.23
  • Published : 2013.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study was performed to investigate the relationship between individual-level social capital and depression. And, we assessed if depressive symptom mediates the relationship between social capital and self-rated health status. Methods: Data from the 2011 Community Health Survey were analyzed for this study. We used chi-square tests and analyzed a four step approach in which several regression analyses were conducted and significance of the coefficients was examined at each step. Results: In men, the results of controlling mediating factor (depression): social participation was not significantly associated with self-rated health status(p=0.082), the finding supports that social participation was fully mediated by depression. In women, the relationship between social capital(trust, social participation) and self-rated health status was partially mediated by depression. Conclusions: In order to increase self rated health status, not only improvement in trust and social participation are needed but effort to reduce depression must be combined.

본 연구는 개인수준의 사회적 자본(신뢰, 사회적 참여)이 우울감을 매개로 하여 지각된 건강수준에 영향을 주는지에 대해 파악하기 위해 수행되었다. 연구대상자는 2011년 지역사회건강조사 대상자 중 7,962명으로, 분석은 남녀로 층화하고 인구학적 특징, 건강행태와 주요 만성질환 이환여부를 보정하여 실시하였다. 남자의 경우 사회적 자본인 신뢰와 사회적 참여는 우울감에 통계적으로 유의하였고, 우울감 또한 지각된 건강수준에 유의한 영향력을 보였다. 신뢰는 지각된 건강수준에는 통계적으로 유의한 영향의 없는 반면, 사회적 참여는 지각된 건강수준에 유의한 영향을 미쳤다. 더구나 사회적 참여는 우울감을 통제한 후에는 지각된 건강수준에 대한 영향력이 완전히 사라져 사회적 참여는 우울감을 통해서만이 지각된 건강수준에 영향을 미치는 완전매개효과를 보였다. 여자의 경우, 신뢰와 사회적 참여는 우울감이 부분 매개하면서 지각된 건강수준에 영향을 미치고 있었다. 신뢰와 사회적 참여라는 사회적 자본은 우울에 영향을 미치고 우울감은 지각된 건강수준에 영향을 미치므로 지역주민들의 사회적 자본 수준을 높임으로서 우울을 감소시킬 수 있는 방안을 마련해야 할 것이다. 특히 남자의 경우 우울감이 사회적 참여와 지각된 건강수준 사이에서 완전매개 역할을 함으로 더욱 더 우울감을 낮추기 위한 전략이 필요하다.

Keywords

References

  1. World Health Organization. Solid determinants of health: the solid fact. Available from http://www.euro.who.int/__data/assets/pdf_file/0005/98438/e81384.pdf
  2. De Silva MJ, Huttly SR, Harpham T, Kenward MG. Social capital and mental health : A comparative analysis of four low income countries Soc Sci Med 2007;64:5-20 https://doi.org/10.1016/j.socscimed.2006.08.044
  3. Veenstra G. Location, location, location: contextual and compositional health effects of social capital in british Columbia, Canada. Soc Sci Med 2005;60(9):2059-2071 https://doi.org/10.1016/j.socscimed.2004.08.064
  4. Kawachi I, Berkman LF. Social ties and mental health. J Urban Health 2001;78(3):458-467 https://doi.org/10.1093/jurban/78.3.458
  5. Luthans F, Luthans KW, Luthans BC. Positive psychological capital: beyond human and social capital. Business Horizons 2004;47(1):45-50
  6. Kim YH, Kim SS. A examination of the effects of social capital on children's depression. Korean Journal of Social Welfare Studies 2008;26:103-127 (Korean)
  7. Rho BI, Kwak HK. A study on the effect of neighborhood-level contextual characteristics on mental health of community residents. Health Medical Sociology. 2005;17:5-31 (Korean)
  8. Lee JH, Park KS, Kim RB, Kim BJ, Chun JH. The influence of individual-level social capital on depression. J Agric Med Community Health 2011;36(2):73-68 (Korean) https://doi.org/10.5393/JAMCH.2011.36.2.073
  9. Wang H, Schlesinger M, Wang H, Hsiao WC. The flip-side of social capital : The distinctive influences of trust and mistrust on health in rural china. Soc Sci Med 2009;68:133-142 https://doi.org/10.1016/j.socscimed.2008.09.038
  10. Yip W, Subramanian SV, Mitchell AD, Lee DT, Wang J, Kawachi I. Does social capital enhance health and well-being? Evidence from rural china. Soc Sci Med 2007;64(1):35-49 https://doi.org/10.1016/j.socscimed.2006.08.027
  11. Han B. Depressive symptoms and self-rated health in community-dwelling older adults: a longitudinal study. J Am Geriatr Soc 2002;50(9):1549-1556 https://doi.org/10.1046/j.1532-5415.2002.50411.x
  12. Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 1997;38(1):21-37. https://doi.org/10.2307/2955359
  13. Rutledge T, Linke SE, Johnson BD, Bittner V, Krantz DS, Whittaker KS et al. Self-rated versus objective health indicators as predictors of major cardiovascular events: the NHLBI-sponsored Women's Ischemia Syndrome Evaluation. Psychosom Med.2010;72(6):549-55. https://doi.org/10.1097/PSY.0b013e3181dc0259
  14. Khang YH, Kim HR. Self-rated health and mortality: gender- and age-specific contributions of explanatory factors in South Korea. Int J Public Health 2010;55(4):279-289. https://doi.org/10.1007/s00038-010-0121-z
  15. Gunasekara FI, Carter K, Blakely T. Change in income and change in self-rated health: Systematic review of studies using repeated measures to control for confounding bias. Soc Sci Med 2011;72(2);193-201. https://doi.org/10.1016/j.socscimed.2010.10.029
  16. Chun H, Khang YH, Kim IH, Cho SI. Explaining gender differences in ill-health in South Korea: The roles of sociostructural, psychosocial, and behavioral factors. Soc Sci Med 2008;67(6):988-1001. https://doi.org/10.1016/j.socscimed.2008.05.034
  17. Cho MJ, Kim KH. Diagnostic validity of the CES-D(Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc 1993;32(3):381-399 (Korean)
  18. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic and statistical considerations. J Pers Soc Psychol 1986;51(6):1173-1182 https://doi.org/10.1037/0022-3514.51.6.1173
  19. Park CG, Park KS, Kang YS. Job Stress, Job Satisfaction, and Organizational Commitment of Customized Home Health Care Nurse. J Agric Med Community Health 2013;38(1):39-48 (Korean) https://doi.org/10.5393/JAMCH.2013.38.1.039
  20. Ruo B, Bertenthal D, Sen S, Bittner V, Ireland CC, Hlatky MA. Self-rated health among women with coronary disease: depression is as important as recent cardiovascular events. Am Heart J 2006;152(5):921-927
  21. Kim RB, Park KS, Lee JH, Kim BJ, Chun JH. Factors Related to Depression Symptom and the Influence of Depression Symptom on Self-rated Health Status, Outpatient Health Service Utilization and Quality of Life. Korean Society Health Education and Promotion 2011;28(1):81-92 (Korean)
  22. Gweon HS. The effect of social participation on the life satisfaction of the elderly-focusing on the mediating effects of depression and self-reported health. Journal of Korean Association of Human Ecology 2009;18(5):996-1008 (Korean) https://doi.org/10.5934/KJHE.2009.18.5.995
  23. Stafford M, Cummins S, Macintyre S, Ellaway A, Marmot M. Gender differences in the associations between health and neighbourhood environment. Soc Sci Med. 2005;60(8):1681-92 https://doi.org/10.1016/j.socscimed.2004.08.028
  24. Sirven N, Debrand T. Social participation and healthy ageing: An international comparison using SHARE data. Soc Sci Med 2008;67:2017-2026 https://doi.org/10.1016/j.socscimed.2008.09.056
  25. Drug O, Thoresen CE, McMahon K. Volunteerism and mortality among community dwelling elderly. J Health Psychol 2009;4(3):301-316
  26. Kim D, KawachiI I. A multilevel analysis of key forms of community- and individual-level social capital as predictors of self-rated health in the United States. J Urban Health. 2006;83:813-826 https://doi.org/10.1007/s11524-006-9082-1
  27. Snelgrove JW, Pikhart H, Stafford M. A multilevel analysis of social capital and self-rated health: Evidence from the British Household Panel Survey. Soc Sci Med 2009;68:1993-2001 https://doi.org/10.1016/j.socscimed.2009.03.011

Cited by

  1. Physical disability, perceived dependence and depression in women with osteoarthritis vol.40, pp.4, 2015, https://doi.org/10.5393/JAMCH.2015.40.4.221
  2. Mediating effects of subjective health rates on the relationship between stress and life satisfaction of the persons with mental illness vol.32, pp.1, 2015, https://doi.org/10.14367/kjhep.2015.32.1.23