Perception of economic inequality and its association with depressive symptoms and suicide ideation among young adults in South Korea.

IF 3.9 3区 医学 Q1 PSYCHIATRY
BJPsych Open Pub Date : 2025-07-14 DOI:10.1192/bjo.2025.785
Minjae Choi, Joshua Kirabo Sempungu, Joon Hee Han, Mi-Hyui Kim, Eun Hae Lee, Yo Han Lee
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Abstract

Background: Inequality can increase the risk of poor mental health. Objective measures explain the effects of socioeconomic disparities, but individuals may perceive inequality differently.

Aim: We aimed to investigate the association between the perception of economic inequality and depressive symptoms and suicide ideation.

Method: We used data from the Survey of Korean Youths' Lives, a nationally representative cross-sectional study of 14 918 young adults aged 19-34 years in South Korea. Multivariate logistic regression analysis was conducted to assess the association between perceived economic inequalities (i.e. income inequality and inequality of intergenerational mobility) and depressive symptoms/suicide ideation. Additionally, subgroup analyses were performed based on objective and subjective income levels.

Results: Young adults with a high perception of economic inequality were more likely to experience depressive symptoms and suicide ideation. For example, those with a high perception of intergenerational mobility inequality had higher odds of depressive symptoms (odds ratio 1.82, 95% CI 1.49, 2.23) and suicide ideation (odds ratio 1.87, 95% CI 1.35, 2.60). Statistical evidence showed no interaction between the perception of inequalities and income, suggesting that a high perception of inequalities is associated with depressive symptoms and suicidal ideation, regardless of income. Nevertheless, the strongest association with poor mental health was observed in those with high perceived inequality and low income.

Conclusions: This study shows that the way young adults perceive economic inequality could affect their depressive symptoms and suicidal ideation. The findings highlight the importance of reducing these perceptions and addressing economic inequalities to improve mental health.

韩国年轻人对经济不平等的认知及其与抑郁症状和自杀意念的关系
背景:不平等会增加心理健康状况不佳的风险。客观的衡量标准可以解释社会经济差异的影响,但个人对不平等的看法可能不同。目的:探讨经济不平等感知与抑郁症状和自杀意念之间的关系。方法:我们使用的数据来自韩国青年生活调查,这是一项具有全国代表性的横断面研究,涉及韩国14918名年龄在19-34岁的年轻人。进行了多变量逻辑回归分析,以评估感知到的经济不平等(即收入不平等和代际流动不平等)与抑郁症状/自杀意念之间的关联。此外,根据客观和主观收入水平进行亚组分析。结果:对经济不平等的高度感知的年轻人更容易出现抑郁症状和自杀念头。例如,那些认为代际流动性不平等程度高的人出现抑郁症状(优势比1.82,95% CI 1.49, 2.23)和自杀意念(优势比1.87,95% CI 1.35, 2.60)的几率更高。统计证据显示,对不平等的感知与收入之间没有相互作用,这表明,无论收入如何,对不平等的高度感知与抑郁症状和自杀意念有关。然而,在那些被认为高度不平等和收入较低的人群中,与心理健康状况不佳的联系最为密切。结论:本研究表明,年轻人对经济不平等的认知方式可能影响他们的抑郁症状和自杀意念。研究结果强调了减少这些观念和解决经济不平等问题对改善心理健康的重要性。
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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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