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韩国的社会经济地位与晚年心理健康

Socioeconomic Status and Later-life Mental Health in South Korea.

机构信息

Associate Professor, Department of Business Administration, College of Business & Economics, Gachon University, Seongnam, South Korea.

Assistant Professor, Department of Healthcare Management, College of Social Science, Gachon University, Seongnam, South Korea.

出版信息

Am J Health Behav. 2020 Mar 1;44(2):200-213. doi: 10.5993/AJHB.44.2.8.

Abstract

In this study, we examined the potential influence of childhood and adult socioeconomic status (SES) on probable depression, suicide ideation, and self-esteem among men (N = 2938) and women (N = 4319) aged 50 years and older in South Korea. Our data came from the 2018 Korea Welfare Panel Study. Probable depression was defined as a score ≥16 on the modified Center for Epidemiologic Studies Depression Scale. We assessed suicide ideation with a single item. We assessed self-esteem with the Korean version of the Rosenberg Self-Esteem Scale. The results of multiple regression analyses showed that childhood economic status was rarely associated with mental health. However, current income consistently was associated with all outcomes in both sexes. Unemployment also had important health implications, especially for suicide ideation in men. Notably, the potential influence of income and employment status appeared to outweigh that of education, but not for self-esteem. Childhood economic status, but not adult SES, may have little implication for late-life mental health in present-day South Korea, which has gone through dramatic social and economic changes over the last half century. We discuss the socioeconomic implications of these findings.

摘要

在这项研究中,我们考察了童年和成年社会经济地位(SES)对韩国 50 岁及以上男性(N=2938)和女性(N=4319)中可能出现的抑郁、自杀意念和自尊的潜在影响。我们的数据来自于 2018 年韩国福利面板研究。可能出现的抑郁被定义为改良的流行病学研究中心抑郁量表得分≥16。我们用单一项目评估自杀意念。我们用罗森伯格自尊量表的韩国版本评估自尊。多回归分析的结果表明,童年经济状况与心理健康很少有关。然而,目前的收入在两性中始终与所有结果有关。失业对健康也有重要影响,特别是对男性的自杀意念。值得注意的是,收入和就业状况的潜在影响似乎大于教育,但对自尊则不然。在过去的半个世纪中,韩国经历了巨大的社会和经济变革,如今童年经济状况而非成年 SES 对晚年心理健康的影响可能很小。我们讨论了这些发现的社会经济意义。

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