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Association of Social Exclusion on Depression in Middle and Older Elderly: Focusing on Gender Differences

사회적 배제와 중·고령 노인 우울의 연관성: 성별 차이를 중심으로

  • Lee, Yejin (Department of Healthcare Management, Eulji University) ;
  • Noh, Young-min (Department of Healthcare Management, Eulji University) ;
  • Kim, Jin-uk (Department of Healthcare Management, Eulji University) ;
  • Ha, Yeong-eun (Department of Healthcare Management, Eulji University) ;
  • Lee, Ju Hyun (National Institute of Dementia) ;
  • Noh, Jin-Won (Department of Healthcare Management, Eulji University)
  • 이예진 (을지대학교 의료경영학과) ;
  • 노영민 (을지대학교 의료경영학과) ;
  • 김진욱 (을지대학교 의료경영학과) ;
  • 하영은 (을지대학교 의료경영학과) ;
  • 이주현 (중앙치매센터) ;
  • 노진원 (을지대학교 의료경영학과)
  • Received : 2018.12.31
  • Accepted : 2019.02.20
  • Published : 2019.02.28

Abstract

The purpose of this study is to redefine 7 social exclusion factors and to derive association between social exclusion factors and depression of middle and older elderly, focused on gender differences. The elderly aged over 50 years old were extracted from the data of the Korean Longitudinal Study of Ageing (KLoSA) in 2016. The data was analyzed by descriptive analysis, chi-squared test, and binary logistic regression analysis, using SAS 9.4. As a result, the elderly who were excluded from labor, residence, health, and relationship were found to be associated to depression. In addition, male with resident exclusion were associated with depression compared to non-excluded. Therefore, it is necessary to improve the local community programs in which elderly people can participate in labor and cultural activity. It is necessary to improve labor and culture exclusion by increasing the participation opportunities of various cultural programs. In addition, it is needed to establish specific guidelines for eliminating the social exclusion of overall elderly.

본 연구는 중 고령 노인의 우울과 연관이 높은 사회적 배제 요인 7가지를 새롭게 정의하고, 각 사회적 배제 요인과 노인의 우울의 연관성을 성별 차이를 중심으로 도출하는 것을 목적으로 한다. 이에 고령화연구패널조사(KLoSA) 6차년도(2016년) 자료 중 50세 이상 중 고령 노인을 추출하여 분석에 활용하였다. 자료의 분석은 SAS 9.4를 이용하여 기술분석, 카이제곱검정 및 이분형 로지스틱 회귀분석을 수행하였다. 그 결과, 노동, 주거, 건강, 관계가 배제된 노인이 우울과 연관이 있는 것으로 나타났다. 또한 남성은 주거 배제된 노인이 그렇지 않은 노인보다 우울과 연관이 있는 것으로 나타나 우울 연관 요인에서 성별 차이가 확인되었다. 이에 사회적 배제가 높게 나타난 요인인 노동과 문화에 대해 노인이 참여할 수 있는 지역 사회 프로그램 개선이 필요하며, 다양한 문화 프로그램의 참여 기회를 높여 노동과 문화 배제 해소를 통해 우울을 개선해야 한다. 또한 전반적인 노인의 사회적 배제 해소를 위한 구체적 지침의 마련이 필요하다.

Keywords

Table 1. Definition and status of 7 social exclusion factors

DJTJBT_2019_v17n2_293_t0001.png 이미지

Table 2. General chracteristics of subjects

DJTJBT_2019_v17n2_293_t0002.png 이미지

Table 3. The effect of social exclusion on depression in middle and older elderly

DJTJBT_2019_v17n2_293_t0003.png 이미지

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