한국 X세대의 수면의 질과 흡연이 자살생각에 미치는 영향 : 2024년 지역사회건강조사 활용 = Influence of Sleep Quality and Tobacco Product Use on Suicidal Ideation among Korean Generation X Adults: An Analysis Using the 2024 Korea Community Health Survey

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to examine the influence of sleep quality and tobacco product use, including cigarette smoking and heated tobacco product（HTP） use, on suicidal ideation among Korean Generation X adults. Methods: This cross-sectional secondary analysis used data from the 2024 Korea Community Health Survey. The sample included 59,541 adults born between 1965 and 1979. Complex-sample Rao–Scott chi-square tests and survey-weighted hierarchical logistic regression analyses were conducted using IBM SPSS Statistics. Results: The weighted prevalence of suicidal ideation was 6.2%. Significant associated factors included depressive symptoms （OR = 7.53, 95% CI = 6.71–8.46）, higher perceived stress （OR = 2.50, 95% CI = 2.34–2.68）, poor sleep quality （OR = 2.17, 95% CI = 1.96–2.40）, absence of a spouse （OR = 1.45, 95% CI = 1.29–1.64）, and economic inactivity （OR = 1.44, 95% CI = 1.28–1.62; all p 〈 .001）. Larger household size, higher household income, and higher education were associated with lower odds. Cigarette smoking and HTP use were not independently significant in the final model. The final model had a Nagelkerke R² of .314. Conclusion: Poor sleep quality was significantly associated with suicidal ideation. Community-based suicide prevention programs should incorporate assessments of sleep and mental health, with particular attention to socioeconomically vulnerable individuals and those with limited social support. Because of the cross-sectional design, temporality could not be established, and causal inferences could not be made.

목차 (Table of Contents)

• (Abstract)
• Ⅰ. 서 론 1
• 1. 연구의 필요성 1
• 2. 연구 목적 4
• 3. 용어의 정의 5
• Ⅱ. 문헌고찰 7
• 1. X세대의 자살생각 7
• 2. X세대의 자살생각 영향 요인 12
• Ⅲ. 연구 방법 16
• 1. 연구 설계 16
• 2. 연구 대상 16
• 3. 연구 도구 17
• 4. 윤리적 고려 21
• 5. 자료수집방법 21
• 6. 자료분석방법 21
• Ⅳ. 연구 결과 23
• 1. 대상자의 특성 23
• 2. 대상자의 특성에 따른 자살생각 양상 27
• 3. 대상자의 자살생각 영향 요인 32
• Ⅴ. 논의 35
• Ⅵ. 결론 및 제언 40
• REFERENCES 42
• 부록 60