초록

본 연구는 당뇨환자의 주관적 건강인식이 자살행동에 미치는 영향에서 우울의 매개효과를 검증하고, 이를 토대로 사회복지적 함의를 제시하는 것을 목적으로 한다. 이를 위해 『2009 지역사회건강조사』조사대상자 중 당뇨병이 있다고 응답한 16,612명의 자료를 토대로 빈도분석과 다항로지스틱 회귀분석, 매개효과 분석을 실시하였다. 그 결과, 조사대상자 중 17.0%가 지난 1년 간 자살생각 및 시도의 경험이 있었다고 응답하였다. 성별, 연령, 교육수준, 배우자 유무, 연간 가구 소득, 직업 유무를 통제한 상태에서도 주관적 건강인식은 자살생각과 자살시도 여부에 유의미한 영향이 있었으며, 우울은 두 변수의 관계를 매개하는 것으로 확인되었다. 이를 토대로 당뇨환자에 대한 자살 예방 개입의 필요성, 당뇨환자를 위한 접근성 높은 정신건강 서비스의 강화, 당뇨 관리를 위한 개입의 강화 등을 제시하였다.

키워드

당뇨, 자살생각, 주관적 건강인식, 우울

참고문헌(67)open

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