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이나빈(Nabin Lee),이송은(Songeun Lee),유선영(Seonyoung Yoo),전경선(Kyoungsun Jeon),심민영(Minyoung Sim),이정현(Jung Hyun Lee) 위기관리 이론과 실천 2020 Crisisonomy Vol.16 No.3
본 연구는 재난심리지원 서비스의 재원에 대한 국민들의 인식을 살펴보고, 개인부담과 조세 등 특정재원 선호에 영향을 미치는 변인을 확인하는 것을 목표로 한다. 이를 위해 연령별, 성별, 지역별할당을 적용하여 수집된 2928명의 데이터를 분석하였다. 우선 ‘특정재원 선호 없음’, ‘개인부담 선호’, ‘조세 선호’로 집단 구분 후 교차분석과 다중 로지스틱회귀분석을 실시하여 각 집단에서 연구변인들의 예측력을 확인하였다. 그 결과, ‘특정재원 선호 없음’에 비해 ‘개인부담 선호’집단을 유의하게 예측하는 변인은 성별, 연령, 심리회복에 필요한 기간 인식, 국가의 심리지원 중요성 인식, 서비스 이용에 대한 사회적 낙인이었다. 반면 ‘특정재원 선호 없음’에 비해 ‘조세 선호’집단을 유의하게예측하는 변인은 학력, 경제적 만족도, 정신건강 문제에 대한 외적귀인, 심리회복에 필요한 기간인식, 국가의 심리지원 중요성 인식, 서비스 이용에 대한 자기 및 사회적 낙인이었다. This study examined the factors influencing preferences for financial resources for post-disaster mental health services, such as out-of-pocket payment and tax burden. The data were collected from 2,928 individuals in South Korea who were classified into three groups according to their preference for financial resources: out-of-pocket payment, tax-based financing, or no preference. A logistic regression was performed to assess the predictive power of each variable in each group. The significant psychosocial factors influencing preference for out-of-pocket payment, compared to the no-preference group, included the perception of the time to recover from post-disaster mental health problems, the perception of importance of national support, and public stigma of seeking mental health services. On the other hands, external attribution for mental illness, the perception of the time to recover from post-disaster mental health problems, the perception of importance of national support, and self and public stigma of seeking mental health services significantly predicted the group who preferred tax-based financing.
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이송은(Song-Eun Lee),이나빈(Nabin Lee),유선영(Seonyoung Yoo),박도원(Dowon Park),전경선(Kyoungsun Jeon),황태연(Tae-Yeon Hwang),이정현(Jung Hyun Lee) 대한신경정신의학회 2021 신경정신의학 Vol.60 No.1
Objectives This study examined post-disaster mental health problems and related public perception of disaster-related mental health services. The differences of these perceptions according to the disaster experience and disaster type were also investigated. Methods Data were collected via telephone and online surveys, and information from 2928 respondents was analyzed. The participants were allocated across age, sex, and residence area. Results Those who had experienced disasters showed a more negative perception of post-disaster mental health services than those who had not. While natural disaster survivors most often reported financial problems as secondary stressors after a disaster, social disaster survivors were more likely to report mental health problems. Regarding national mental health support for disaster, disaster-experiencing respondents more often tended to prefer mental health services than non-disaster-experiencing respondents. Conclusion The current study can help understand the public perception of disaster-related mental health and the needs of mental health services. These findings could suggest directions and grounds for policies of a national support system for disaster-related mental health.
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