Journal of Preventive Medicine and Public Health

Original Articles

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

A Comparative Study on Medical Utilization between Urban and Rural Korea.: Kyungshik Joo, Hanjoong Kim, Sunhee Lee, Hyeyoung Min; Korean J Prev Med. 1996;29(2):311-330.

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Abstract PDF: This study was designed to compare the level of medical utilization between the urban and rural areas of Korea and to explain the differences between the two regions. Data from the National Health Interview survey performed by the korean Institute of Health & social Affairs in 1992 were used for this study utilizing a sample size of 21,841 people. The level of medical utilization such as the number of physician visits and the number of hospital admissions was compared between the regions with ANOVA. Various determinants for medical use were also compared by univariate analysis. Statistical models which included enabling factors, predisposing factors, need factors and region were constructed for bivariate analysis in order to further elucidate the level of medical utilization. The results were as follows: 1. There was greater medical use, both in terms of physician visits and inpatient care in the rural areas in spite of insufficient health resources. The particular reasons for higher medical utilization in rural areas were attributed to a higher number of initial physician visits as well as a longer the length of stay per hospital admission. Therefore, indicators representing the degree of met need (utilization/need) showed no significant difference between rural and urban areas in spite of the fact that the medical need is larger in rural areas. 2. Use of public health facilities received a significant portion of physician visits in the rural area. The government's effort to enhance primary health care through health centers, health subcenters and the nurse practitioner's post in rural areas has contributed to the increase of access to medical care in the rural areas. 3. There were some differences in the socio-demographic characteristics between two regions; There were more elderly people over the age of 65; unstable marital status, less education and lower incomes also characterized the rural areas. Therefore, among rural people, there were more predisposing factors for medical use. Additionally, need factors such as poor self-reported health status and high morbidity level were also high in the rural area. 4. In contrast it was learned that, the supply of health resources was mostly concentrated in the urban areas except for public health facilities. Therefore, geographical access to medical care was lower in the rural area both in terms travel time and travel cost. 5. The coefficient of the region variable was insignificant in the regression model which controlled the supply factor only However, utilization was significantly higher in urban areas if the model included predisposing factors and need factors in addition to the supply factor. The results were interpreted as rural people have greater medical needs.; Summary

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