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음주노인의 주관적 건강인식이 우울 변화 궤적에 미치는 영향

Influence of elderly drinkers' subjective health perception on the change in the trajectory of depression

  • 투고 : 2016.07.13
  • 심사 : 2016.10.07
  • 발행 : 2016.10.31

초록

본 연구는 음주노인의 종단자료를 사용하여 주관적 건강인식의 변화가 우울 변화 궤적에 미치는 영향을 분석한 서술조사 연구이다. 본 연구는 고령화연구패널조사 1차(2006), 2차(2008), 3차(2010), 4차(2012) 자료를 모두 통합하여 균형패널를 구축하였으며, 최종 분석대상자는 네 시점 모두에서 응답한 음주노인 총 543명의 자료를 분석하였다. 연구방법으로는 기술통계와 변인들 간의 관계성을 검증하기 위하여 잠재성장모형을 이용하였다. 그 결과 첫째, 주관적 건강인식의 초기값이 우울수준 초기값에 미치는 영향이 부적(-)인 관계로 통계적으로 유의미하였다. 둘째, 한 주관적 건강인식 초기값이 우울의 변화율에 미치는 영향은 정적(+)인 관계가 있는 것으로 나타났으며, 초기 주관적 건강인식이 높은 음주노인은 우울 수준 변화율도 높다는 것을 의미하나 통계적으로 유의미하지 않았다. 셋째, 주관적 건강인식 변화율이 우울 변화율에 미치는 영향은 부적(-)인 관계가 있는 것으로 나타나 통계적으로 유미한 결과를 보였다. 즉 주관적 건강인식 변화율이 높을수록 우울의 변화율이 낮은 것으로 나타나, 주관적 건강인식의 증가속도가 빨라지면 음주노인의 우울은 증가속도가 느려진다고 할 수 있다. 이상을 토대로 지역사회에서 노인의 음주예방과 건강을 위한 프로그램을 개발하여 우울증과 자살을 예방하는 실효성 있는 정책과 시행이 요구된다.

This study intends to examine how the subjective health perception of drinkers influences the depression trajectory change by using longitudinal data for elderly drinkers. This study has set up a balanced panel by combining the results from "Aging study panel research" conducted in the year 2006 (1st), 2008 (2nd), 2010 (3rd), 2012 (4th). A total of 543 elderly drinkers, who have responded to each research have been selected as targets for the final analysis. In the analyses, descriptive statistics and Latent Growth Modeling were conducted to examine the causal relationship between the observed and latent variables. The results are as follows: First, it was found that there was a negative correlation-with statistical significance-between the initial value of subjective health perception and the initial status of depression symptom. Second, there was a positive correlation between the initial value of subjective health perception and the changes of depression symptom. This indicates that elderly drinkers with high health perception usually have high degree of depression change; however, this does not mean it was statistically significant. Third, there was a statistically significant correlation between subjective health perception change and depression symptom change. It was found that the depression change level would be low if the subjective health perception change level was high. Thus, we can assume that the depression symptoms of elderly drinker c would slow down if the subjective health perception level increases.

키워드

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