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KMID : 0858820150320020039
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Journal of Korean Society for Health Education and Promotion
2015 Volume.32 No. 2 p.39 ~ p.52
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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
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Heo Hyun-Hee
Che Xian-Hua
Chung Hae-Joo
Kim Jin-Sung
Jo Min-Jin
Moon Da-Seul
Cha Su-Jin
Yu Sa-Rah
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Abstract
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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 (β =0.83; 95% CI=0.40, 1.26) and community solidarity (β=0.52; 95% CI=0.04, 1.01) were positively associated with a sense of well-being. Participants with empowerment (β=-2.55; 95% CI=-4.86, -0.23) and those with community solidarity (β=-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.
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KEYWORD
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Mental health, Single room occupancy, Jjok-bang, Socio-ecological model, Social determinants of health
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