Participating in Different Activities and Their Association with Mental Health Problems in the Working Disabled Population in Korea

Abstract

Background: There are a large number of people suffering from disabilities and this number is rapidly rising. People with disabilities experience various hardships and are more vulnerable to mental health problems. Participating in different types of activities (e.g., leisure, social, etc.) has been shown to ameliorate people's mental health problems such as stress and depression. The aim of this study was to assess the effects of leisure and social activities on the mental well-being of the working disabled population in Korea. Methods: A total of 1521 disabled people aged between 15 and 64 were included in the study. The degree of participation in leisure (i.e., weekends or weekdays) and social activities, as well as stress and depressive symptoms, were measured using single-item questions. The association between participation in different activities (i.e., leisure and social) and mental health (i.e., stress and depression) was analyzed using a generalized estimating equation (GEE) model. Results: In the fully adjusted model, participation in leisure activities was associated with the level of stress, and less leisure participation was significantly associated with higher odds of stress. For example, in the "2 or fewer hours" group (odds ratio [OR] = 1.461, 95% confidence interval [CI] = 1.193-1.789) with the "5 h or more" group used as the reference for weekdays and the "5-9 h" group (OR = 1.223, 95% CI = 1.007-1.486) with the "10 h or more" group used as the reference for weekends. In terms of participation in social activities, increased participation was associated with lower levels of depression. For example, in the "Very much" group (OR = 0.314, 95% CI = 0.156-0.633) compared to the "Not at all" group. Conclusions: Participation in different activities was associated with better mental health outcomes in the working disabled population in Korea.