Ko Min Jung, Lee Eun Young, Kim Kirang
Office of Health Services Research, National Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.
Institute for Health and Society, Hanyang University, Seoul, Korea. ; Department of Preventive Medicine, College of Medicine, Hanyang University, Seoul, Korea.
J Korean Med Sci. 2014 Sep;29(9):1287-92. doi: 10.3346/jkms.2014.29.9.1287. Epub 2014 Sep 2.
This study explored the relationship of the subjective socioeconomic position (SEP) as well as the objective SEP with the rate of suicide attempts in 74,186 adolescents from the 2012 Korea Youth Risk Behavior Web-based Survey (KYRBS). The SEP was measured by the Family Affluence Scale (FAS) and the self-rated household economic status. The low perceived SEP for either the high or low FAS score was related to the elevated likelihood of suicide attempts in both genders. As compared with the adolescents in both the high level of perceived SEP and FAS score after adjusting for other confounding factors, the middle school students were more likely to attempt suicide in both low level of perceived SEP and FAS score (OR, 1.81; 95% CI, 1.18-2.78 for boys, OR, 1.46; 95% CI, 1.13-1.90 for girls). The high school students were more likely to attempt suicide in the low perceived SEP and high FAS score (OR, 1.44; 95% CI, 1.14-1.81 for boys, OR, 1.29; 95% CI, 1.07-1.56 for girls). In conclusion, the relationship of subjective SEP is important in suicide attempts as much as objective SEP and far more important in the high school students.
本研究通过2012年韩国青少年风险行为网络调查(KYRBS),对74186名青少年的主观社会经济地位(SEP)、客观SEP与自杀未遂率之间的关系进行了探究。SEP通过家庭富裕量表(FAS)和自评家庭经济状况来衡量。无论FAS得分高低,较低的主观SEP都与两性自杀未遂可能性的增加有关。在调整其他混杂因素后,与主观SEP和FAS得分均处于高水平的青少年相比,主观SEP和FAS得分均处于低水平的中学生自杀未遂的可能性更大(男孩的OR为1.81;95%CI为1.18 - 2.78,女孩的OR为1.46;95%CI为1.13 - 1.90)。主观SEP处于低水平且FAS得分高的高中生自杀未遂的可能性更大(男孩的OR为1.44;95%CI为1.14 - 1.81,女孩的OR为1.29;95%CI为1.07 - 1.56)。总之,主观SEP与自杀未遂之间的关系和客观SEP同样重要,在高中生中甚至更为重要。