Division of Cancer Prevention, National Cancer Control Institute, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang, Republic of Korea.
Department of Preventive Medicine, College of Medicine, Chung-Ang University, 84, Heuk-seok dong, Dong-jak gu, Seoul, Republic of Korea.
BMC Public Health. 2024 Mar 14;24(1):805. doi: 10.1186/s12889-024-18283-6.
COVID-19 has created tensions across different sectors of the society, but the impact has been unequal. Vulnerable people have been most affected, especially those with insecure employment and who have experienced economic hardships due to unemployment and lost wages. The combination of social change and economic hardships due to the pandemic increases the risk of poor mental health. Some countries have utilized financial assistance to alleviate economic hardships caused by COVID-19, and in South Korea, the central and local governments have implemented COVID-19 financial assistance. This study analysed the impact of financial assistance on mental health associated with working status during the COVID-19 pandemic in South Korea.
The participants of this study were randomly selected from residents of Gyeonggi-do after being proportionally allocated by resident registration population status. A total of 1,000 adult males and females aged 19 years or older in Gyeonggi-do who received financial assistance from the central and local governments were selected. A retrospective pre-post-study design was applied, and mental health surveys including the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder 7-item scale (GAD-7) were applied.
The results show that depression scores averaged 5.5 and anxiety scores averaged 4.4 before COVID-19 Financial Assistance. It is similar to the national average of 5.1 and 4.5 respectively at that time. After the assistance, depression scores dropped to 4.5, and anxiety scores dropped to 3.2. Before the assistance, depression and anxiety were higher among temporary day labourers with less job security, and they showed the most significant improvement in mental health. For full-time workers, there was no significant change in anxiety or depression after receiving the assistance.
Financial assistance can provide material resources and also positively affect mental health. In particular, it had a greater impact on the relatively vulnerable groups, such as those in unstable employment.
COVID-19 给社会的不同部门造成了紧张局势,但影响并不均衡。弱势群体受到的影响最大,特别是那些就业不稳定且因失业和工资损失而经历经济困难的人。社会变革和大流行带来的经济困难相结合,增加了心理健康状况不佳的风险。一些国家利用财政援助来减轻 COVID-19 带来的经济困难,韩国中央和地方政府也实施了 COVID-19 财政援助。本研究分析了韩国 COVID-19 大流行期间财政援助对与工作状况相关的心理健康的影响。
本研究的参与者是在按居民登记人口状况按比例分配后,从京畿道的居民中随机抽取的。共选取京畿道 1000 名年龄在 19 岁及以上、从中央和地方政府获得财政援助的成年男性和女性。采用回顾性前后研究设计,应用包括患者健康问卷-9(PHQ-9)、广泛性焦虑障碍 7 项量表(GAD-7)在内的心理健康调查。
结果显示,COVID-19 财政援助前,抑郁评分平均为 5.5,焦虑评分平均为 4.4。与当时全国平均水平 5.1 和 4.5 相似。援助后,抑郁评分降至 4.5,焦虑评分降至 3.2。援助前,临时工就业不稳定,工作保障较低,抑郁和焦虑程度较高,心理健康改善最为明显。对于全职员工,接受援助后焦虑或抑郁没有明显变化。
财政援助可以提供物质资源,也可以对心理健康产生积极影响。特别是对那些相对脆弱的群体,如就业不稳定的群体,影响更大。