Journal of Preventive Medicine and Public Health

Original Article

Factors Influencing Suicidal Ideation According to the Deprivation Indices of Different Regions in Korea: Yun-Young Kim, Hyung-Joo Park; J Prev Med Public Health. 2023;56(1):88-94. Published online January 31, 2023; DOI: https://doi.org/10.3961/jpmph.22.356

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Objectives
This study examined how deprivation differed by region and the effect those differences had on suicidal ideation among the local population.
Methods
Data collected over 10 years (2012-2021) in the Korea Welfare Panel Study were organized into 3 categories: metropolitan, city, and rural. A panel analysis was conducted on the impact of deprivation indices, socio-demographic characteristics, and life satisfaction on suicidal ideation in each category.
Results
Income, divorce status, family relationship satisfaction, and medical deprivation had a significant impact on suicidal ideation in metropolitan areas, whereas these variables did not have significant effects in rural areas. In other words, income, family, and medical support were more impactful in city areas.
Conclusions
Although the deprivation index was higher in rural areas than in city areas due to an aging population and reduced income levels, the mental health of rural residents was found to be generally better than that of city residents. The possibility that this is related to the strength of relationships within the respective communities should be considered in light of recent discussions on relational welfare.

Summary

Korean summary
본 연구는 지역별 박탈수준을 살펴보고 각 지역에서 5개 박탈영역이 자살 생각에 미치는 영향을 조사하였다. 연구결과, 고령화와 소득수준 감소로 농촌지역이 도시지역보다 박탈지수가 높았지만 농촌지역 주민의 자살생각은 도시지역보다 낮은 것으로 나타났다. 이는 최근 관계적 복지에 관한 논의에 비추어 각 지역사회 내의 관계강화와 관련이 있을 가능성을 고려해야 한다.

Citations

Citations to this article as recorded by

Factors of Capital on Depression in Older Adulthood: A Comparison of Urban and Rural Regions in Korea
MinYoung Bae, YunYoung Kim, Ijin Hong
Healthcare.2023; 11(21): 2850. CrossRef

English Abstract

Development of Composite Deprivation Index for Korea: The Correlation with Standardized Mortality Ratio.: Hosung Shin, Suehyung Lee, Jang Min Chu; J Prev Med Public Health. 2009;42(6):392-402.; DOI: https://doi.org/10.3961/jpmph.2009.42.6.392

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Abstract PDF

OBJECTIVES
The aims of this paper were to develop the composite deprivation index (CDI) for the sub-district (Eup-Myen-Dong) levels based on the theory of social exclusion and to explore the relationship between the CDI and the standardized mortality ratio (SMR). METHODS: The paper calculated the age adjusted SMR and we included five dimensions of social exclusion for CDI; unemployment, poverty, housing, labor and social network. The proxy variables of the five dimensions were the proportion of unemployed males, the percent of recipients receiving National Basic Livelihood Security Act benefits, the proportion of households under the minimum housing standard, the proportion of people with a low social class and the proportion of single-parent household. All the variables were standardized using geometric transformation and then we summed up them for a single index. The paper utilized the 2004-2006 National Death Registry data, the 2003-2006 national residents' registration data, the 2005 Population Census data and the 2005-2006 means-tested benefit recipients' data. RESULTS: The figures were 115.6, 105.8 and 105.1 for the CDI of metropolitan areas (big cities), middle size cities and rural areas, respectively. The distributional variation of the CDI was the highest in metropolitan areas (8.9 - 353.7) and the lowest was in the rural areas (26.8 - 209.7). The extent and relative differences of deprivation increased with urbanization. Compared to the Townsend and Carstairs index, the CDI better represented the characteristics of rural deprivation. The correlation with the SMR was statistically significant and the direction of the CDI effects on the SMR was in accordance with that of the previous studies. CONCLUSIONS: The study findings indicated mortality inequalities due to the difference in the CDI. Despite the attempt to improve deprivation measures, further research is warranted for the consensus development of a deprivation index.

Summary

Citations

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