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Effects of socio-ecological factors on mental health of the residents in a single room occupancy (Jjok-bang) of South Korea

사회생태적 모델을 적용한 쪽방 주민의 정신건강 영향요인 분석

  • Heo, Hyun-Hee (BK21PLUS Program in Embodiment: Health-Society Interaction, Department of Public Health Sciences, Graduate School, Korea University) ;
  • Che, Xian Hua (BK21PLUS Program in Embodiment: Health-Society Interaction, Department of Public Health Sciences, Graduate School, Korea University) ;
  • Chung, Haejoo (School of Health Policy and Management, College of Health Science, Korea University) ;
  • Kim, Jin Sung (BK21PLUS Program in Embodiment: Health-Society Interaction, Department of Public Health Sciences, Graduate School, Korea University) ;
  • Jo, Minjin (BK21PLUS Program in Embodiment: Health-Society Interaction, Department of Public Health Sciences, Graduate School, Korea University) ;
  • Moon, Daseul (BK21PLUS Program in Embodiment: Health-Society Interaction, Department of Public Health Sciences, Graduate School, Korea University) ;
  • Cha, Sujin (BK21PLUS Program in Embodiment: Health-Society Interaction, Department of Public Health Sciences, Graduate School, Korea University) ;
  • Yu, Sarah (BK21PLUS Program in Embodiment: Health-Society Interaction, Department of Public Health Sciences, Graduate School, Korea University)
  • 허현희 (고려대학교 대학원 보건과학과 BK21PLUS 인간생명-사회과학 상호작용 융합사업단) ;
  • 차선화 (고려대학교 대학원 보건과학과 BK21PLUS 인간생명-사회과학 상호작용 융합사업단) ;
  • 정혜주 (고려대학교 보건과학대학 보건정책관리학부) ;
  • 김진성 (고려대학교 대학원 보건과학과 BK21PLUS 인간생명-사회과학 상호작용 융합사업단) ;
  • 조민진 (고려대학교 대학원 보건과학과 BK21PLUS 인간생명-사회과학 상호작용 융합사업단) ;
  • 문다슬 (고려대학교 대학원 보건과학과 BK21PLUS 인간생명-사회과학 상호작용 융합사업단) ;
  • 차수진 (고려대학교 대학원 보건과학과 BK21PLUS 인간생명-사회과학 상호작용 융합사업단) ;
  • 유사라 (고려대학교 대학원 보건과학과 BK21PLUS 인간생명-사회과학 상호작용 융합사업단)
  • Received : 2015.05.01
  • Accepted : 2015.06.18
  • Published : 2015.06.30

Abstract

Objectives: Residents of a single room occupancy (Jjok-bang) in Seoul are at high risk of having mental health issues. The majority of residents live in single households with past traumatic experiences including self-deprivation and social exclusion. This study was to investigate the association between mental health and socio-ecological factors at the intrapersonal and community levels. Methods: We conducted face-to-face surveys in Dongja-dong Jjok-bang area in June, 2014. Of 78 participants, 76% were male and the mean age was 60 years (SD=11.53). A multiple regression was used to analyze the association among depression, a sense of well-being, socio-ecological factors, and perceived empowerment and community solidarity. Results: Perceived empowerment (${\beta}=0.83$; 95% CI=0.40, 1.26) and community solidarity (${\beta}=0.52$; 95% CI=0.04, 1.01) were positively associated with a sense of well-being. Participants with empowerment (${\beta}=-2.55$; 95% CI=-4.86, -0.23) and those with community solidarity (${\beta}=-2.36$; 95% CI=-4.94, 0.21) were negatively associated with being depressed. Conclusion: Mental health of the residents in Jjok-bang was more influenced by empowerment and community solidarity than socio-demographic factors. It is necessary to improve public health infrastructures that can enable the residents to enhance empowerment and community solidarity utilizing socio-ecological perspectives.

Keywords

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