지역의 자살률 차이와 관련된 구성적 요인과 상황적 요인

초록

Objectives: Rural-urban differences in suicide have been observed in many settings. However, there has been little research addressingwhat factors can explain these differences. The purpose of this study was to analyze which compositional factors and contextual factorsin local areas might be related to local suicide. Methods: The study design was cross-sectional. The data for 251 primary local governmentson their age-standardized suicide mortality and their predefined indicators of compositional factors and contextual factors were obtainedfrom Korean Statistical Information Service as of year 2010. Bivariate analysis including one-way ANOVA and chi-square test were usedto identify the differences in local features by area type. Seven poisson regression models for each of total, males, and females wereused to analyze which compositional and contextual factors were related to suicide. Results: There were differences in suicide betweengu and goon in total, male, and female groups. For total, compositional factors including divorce and smoking rate, and contextual factorsincluding financial independency, water and waterwaste coverage, and number of wastewater discharge factories were found to explainthe urban-rural differences. Conclusions: This study provided some evidence that contextual factors at the local level as well ascompositional factors are useful for predicting local suicide mortality.

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