- The Trajectory of Depressive Symptoms Across Years of Community Care Utilization Among Older Adults: A 14-Year Follow-up Study Using the ‘Korean Welfare Panel Survey’
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Il-Ho Kim, Cheong-Seok Kim, Min-Hyeok Jeong
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J Prev Med Public Health. 2023;56(6):495-503. Published online October 6, 2023
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DOI: https://doi.org/10.3961/jpmph.23.022
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Abstract
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While older adults using community care services are known to be vulnerable for depression, community care utilization (CCU) may help to improve the mental health of these elderly. To date, however, it is much less clear how CCU affects depressive symptoms in the elderly population. This study focuses on the trajectory of depressive symptoms across years of CCU among older adults in Korea.
Methods Using the 2006-2019 Korean Welfare Panel Survey, this study is focused on elderly born in 1940 or earlier and selected 3281 persons for baseline interviews in 2006. This consisted of 35 800 person-year observations during a period of 14 years. Panel data analysis were employed to construct years of CCU.
Results After controlling for covariates, linear term of years using community care was negatively associated with depressive symptoms, but a quadratic term was positively significant. The trajectory of depressive symptoms across the years of CCU follows a U-shaped curve. Older adults in the first year of using community care reported the highest level of depressive symptoms. However, a significant and steady decrease in depressive symptoms was observed during the following 9 years of CCU, which then gradually increased. The level of depressive symptoms at the 14th year of using community care remains significantly lower than the level at the outset of its utilization.
Conclusions This finding implies that CCU could be beneficial for improving mental health among older adults.
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Summary
Korean summary
한국복지패널조사(2006-2019년)를 활용하여 지역사회 돌봄서비스의 이용기간(14년 간)에 따른 우울변화궤적을 분석하였다. 분석결과, 지난 14년간 돌봄서비스 이용기간에 따른 우울증상의 궤적은 U자형을 따랐다. 즉 노인은 돌봄서비스를 이용한 첫 해에 가장 높은 우울 수준을 보고하였으며, 이후 9년간 지속적으로 감소하였다가, 점차 증가하는 추세를 보였다.
Key Message
Using the 2006-2019 Korean Welfare Panel Survey, this study focuses on the trajectory of depressive symptoms across years of CCU among older adults in Korea. The trajectory of depressive symptoms across the years of CCU follows a U-shaped curve. Older adults in the first year of using community care reported the highest level of depressive symptoms. However, a significant and steady decrease in depressive symptoms was observed during the following 9 years of CCU, which then gradually increased.
- “Leisure Life Satisfaction:” Will It Have a Beneficial Impact on Depression Among Older Adults in Community Care Settings in Korea?
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Il-Ho Kim, Cheong-Seok Kim
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J Prev Med Public Health. 2022;55(4):398-406. Published online July 7, 2022
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DOI: https://doi.org/10.3961/jpmph.22.160
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3,306
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Abstract
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While the risk of depression is expected to substantially increase among older adults receiving community care, leisure life satisfaction can be regarded as a key component in enhancing the mental health of those receiving community care. However, it is not yet known whether community care utilization increases the risk of depression, or what role is played by leisure life satisfaction in these settings. This study investigated the relationship between community care utilization and depression, as well as the main effect and the moderating role of leisure life satisfaction on the link between community care utilization and depression among older adults.
Methods This study, using the 2019 Korean Welfare Panel Survey, conducted multiple regression analysis on data from 4494 elderly people aged 65 years or older.
Results After controlling for potential covariates, older community care recipients were more likely to report symptoms of depression than those who did not receive community care. Meanwhile, leisure life satisfaction was negatively associated with depression in older adults. The test for interaction between community care utilization and leisure life satisfaction revealed that leisure life satisfaction significantly attenuated the link between depression and community care utilization.
Conclusions The findings of this study imply that leisure life satisfaction could play a meaningful role in improving the mental health of older adults receiving community care. Welfare policies affecting older adults should consider leisure life satisfaction as an important resource for reducing depression in community care settings.
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Korean summary
본 연구는 2019년 한국복지패널조사의 4,494명의 노인들을 대상으로 돌봄노인의 우울 수준과 여가생활 만족의 조절효과를 검증하였다. 연구결과, 돌봄노인의 우울증상이 일반노인에 비하여 유의하게 높았다(p<0.001). 반면 여가생활 만족은 돌봄서비스 이용노인의 우울 증상을 조절하는 효과가 있었다. 이 연구의 결과는 여가생활 만족이 돌봄노인의 정신건강을 향상시키는데 의미 있는 역할을 할 수 있다는 것을 암시한다.
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Citations
Citations to this article as recorded by
- Leisure and Happiness of the Elderly: A Machine Learning Approach
Eui-Jae Kim, Hyun-Wook Kang, Seong-Man Park Sustainability.2024; 16(7): 2730. CrossRef - The association between self-rated health, number of family members, and cognitive function in community-dwelling older adults: Mediating role of depression
Suyeong Bae, Yumi Ju, Sanghun Nam, Yeonju Jin, Sura Kang, Jeh-Kwang Ryu, Ickpyo Hong, Ali B. Mahmoud PLOS ONE.2024; 19(7): e0306907. CrossRef - Social engagement and subjective health among older adults in South Korea: Evidence from the Korean Longitudinal Study of Aging (2006–2018)
Bo Zhao, Ji Eon Kim, Jiyoung Moon, Eun Woo Nam SSM - Population Health.2023; 21: 101341. CrossRef - Do the various leisure forms have equal effects on mental health? A longitudinal analysis of self-selected leisure activities
Junyi Bian, Zubing Xiang Frontiers in Public Health.2023;[Epub] CrossRef - Development of a prediction model for the depression level of the elderly in low-income households: using decision trees, logistic regression, neural networks, and random forest
Kyu-Min Kim, Jae-Hak Kim, Hyun-Sill Rhee, Bo-Young Youn Scientific Reports.2023;[Epub] CrossRef - The Trajectory of Depressive Symptoms Across Years of Community Care Utilization Among Older Adults: A 14-Year Follow-up Study Using the ‘Korean Welfare Panel Survey’
Il-Ho Kim, Cheong-Seok Kim, Min-Hyeok Jeong Journal of Preventive Medicine and Public Health.2023; 56(6): 495. CrossRef
- Is Job Insecurity Worse for Mental Health Than Having a Part-time Job in Canada?
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Il-Ho Kim, Cyu-Chul Choi, Karen Urbanoski, Jungwee Park, Jiman Kim
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J Prev Med Public Health. 2021;54(2):110-118. Published online January 11, 2021
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DOI: https://doi.org/10.3961/jpmph.20.179
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Abstract
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A growing number of people depend on flexible employment, characterized by outsider employment status and perceived job insecurity. This study investigated whether there was a synergistic effect of employment status (full-time vs. part-time) and perceived job insecurity on major depressive disorder.
Methods Data were derived from the 2012 Canadian Community Health Survey-Mental Health of 12 640 of Canada’s labor force population, aged 20 to 74. By combining employment status with perceived job insecurity, we formed four employment categories: fulltime secure, full-time insecure, part-time secure, and part-time insecure.
Results Results showed no synergistic health effect between employment status and perceived job insecurity. Regardless of employment status (full-time vs. part-time), insecure employment was significantly associated with a high risk of major depressive disorder. Analysis of the interaction between gender and four flexible employment status showed a gender-contingent effect on this link in only full-time insecure category. Men workers with full-time insecure jobs were more likely to experience major depressive disorders than their women counterparts.
Conclusions This study’s findings imply that perceived job insecurity may be a critical factor for developing major depressive disorder, in both men and women workers.
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Korean summary
본 연구는 CCHS-MH (2012) 자료를 이용하여 비정규직과 주관적 고용불안정성이 우울장애에 미치는 시너지 효과를 분석하였다. 연구결과 비정규직 여부와 무관하게, 주관적 고용불안정성은 우울장애와의 연관성이 유의하게 높았다. 특히 정규직 여성보다 정규직 남성에서 주관적 고용불안정성과 우울장애의 연관성이 유의하게 높았다. 이 연구결과는 비정규직 여부보다 주관적 고용불안정성이 주요우울장애에 더 큰 영향요인임을 제시하고 있다.
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Citations
Citations to this article as recorded by
- The effect of entrepreneurial intentions on depression: the mediating role of job insecurity and moderating roles of person vocation fit, and entrepreneurial leadership in the longitudinal study
Sobia Shabeer Kybernetes.2023;[Epub] CrossRef - Biological Assessment of Potential Exposure to Occupational Substances in Current Semiconductor Workers with at Least 5 Years of Employment
Kyungsik Kim, Ho Kyung Sung, Jieun Jang, Chang-Mo Kang, Kwan Lee, Sue K. Park International Journal of Environmental Research and Public Health.2022; 19(14): 8737. CrossRef
- Microbusinesses and Occupational Stress: Emotional Demands, Job Resources, and Depression Among Korean Immigrant Microbusiness Owners in Toronto, Canada
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Il-Ho Kim, Samuel Noh, Cyu-Chul Choi, Kwame McKenzie
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J Prev Med Public Health. 2019;52(5):299-307. Published online August 16, 2019
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DOI: https://doi.org/10.3961/jpmph.19.134
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5,220
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Abstract
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- Objectives
While occupational stress has long been a central focus of psychological research, few studies have investigated how immigrant microbusiness owners (MBOs) respond to their unusually demanding occupation, or how their unresolved occupational stress manifests in psychological distress. Based on the job demands-resources model, this study compared MBOs to employees with regard to the relationships among emotional demands, job resources, and depressive symptoms.
Methods Data were derived from a cross-sectional survey of 1288 Korean immigrant workers (MBOs, professionals, office workers, and manual workers) aged 30 to 70, living in Toronto and surrounding areas. Face-to-face interviews were conducted between March 2013 and November 2013.
Results Among the four occupational groups, MBOs appeared to endure the greatest level of emotional demands, while reporting relatively lower levels of job satisfaction and job security; but MBOs reported the greatest job autonomy. The effect of emotional demands on depressive symptoms was greater for MBOs than for professionals. However, an inspection of stress-resource interactions indicated that though MBOs enjoyed the greatest autonomy, the protective effects of job satisfaction and security on the psychological risk of emotional demands appeared to be more pronounced for MBOs than for any of the employee groups.
Conclusions One in two Korean immigrants choose self-employment, most typically in family-owned microbusinesses that involve emotionally taxing dealings with clients and suppliers. However, the benefits of job satisfaction and security may protect MBOs from the adverse mental health effects of job stress.
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Korean summary
이 연구는 고용직(전문직, 사무직, 육체직)에 비교하여 영세사업자의 감정노동이 우울 수준에 미치는 영향과 직무자원(직업자율성, 직업만족도, 직업안정성)의 조절효과를 분석하였다. 연구결과 영세사업자가 전문직에 비하여 감정노동이 우울감에 미치는 영향이 유의하게 높았다. 또한 전문직에 비하여 영세사업자에서 직업만족도와 직업안정성이 감정노동의 우울 영향을 유의하게 감소시켰으나, 직업자율성은 큰 영향을 미치지 않았다.
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- Upgrading of IOT Big Data Governance Scheme in Microenterprise Governance
Dewen Liu, Jian Wang, Kalidoss Rajakani Wireless Communications and Mobile Computing.2022; 2022: 1. CrossRef - Prevalence and factors associated with anxiety and depressive symptoms among patients hospitalized with hematological malignancies after chimeric antigen receptor T-cell (CAR-T) therapy: A cross-sectional study
Hongyuan Dai, Shuya Xu, Jing Han, Zhenyu Li, Jiang Cao, Tingyu Hu, Hongxia Li, Jing Wei, Xue Dou, Fang Zhou, Junnian Zheng Journal of Affective Disorders.2021; 286: 33. CrossRef - Objective Job Demands of Oneself and One’s Partner, and Depressive Symptoms. Evidence from a Nationally Representative Longitudinal Study
Benedikt Kretzler, Hans-Helmut König, André Hajek International Journal of Environmental Research and Public Health.2021; 18(23): 12688. CrossRef
- Trends in Gender-based Health Inequality in a Transitional Society: A Historical Analysis of South Korea
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Heeran Chun, Sung-Il Cho, Young-Ho Khang, Minah Kang, Il-Ho Kim
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J Prev Med Public Health. 2012;45(2):113-121. Published online March 31, 2012
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DOI: https://doi.org/10.3961/jpmph.2012.45.2.113
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10,066
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Abstract
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- Objectives
This study examined the trends in gender disparity in the self-rated health of people aged 25 to 64 in South Korea, a rapidly changing society, with specific attention to socio-structural inequality. MethodsRepresentative sample data were obtained from six successive, nationwide Social Statistics Surveys of the Korean National Statistical Office performed during 1992 to 2010. ResultsThe results showed a convergent trend in poor self-rated health between genders since 1992, with a sharper decline in gender disparity observed in younger adults (aged 25 to 44) than in older adults (aged 45 to 64). The diminishing gender gap seemed to be attributable to an increase in women's educational attainment levels and to their higher status in the labor market. ConclusionsThe study indicated the importance of equitable social opportunities for both genders for understanding the historical trends in the gender gap in the self-reported health data from South Korea.
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Citations
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