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Original Article
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Relationship between shark meat intake and blood mercury concentration in Korean adolescents
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Jeong A Chang, Jeong Woo Park, Joon SaKong
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Ann Occup Environ Med 2026;38:e28. Published online July 13, 2026
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DOI: https://doi.org/10.35371/aoem.2026.38.e28
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Abstract
Abstract in Korean
PDF Supplementary Material
- Background
Mercury exposure through seafood consumption poses health risks, yet limited research has examined shark meat—a large predatory fish still consumed in Korea—and its association with blood mercury levels in adolescents.
Methods This cross-sectional study used data from the 3rd Korean National Environmental Health Survey (KNEHS). Multiple linear and logistic regression analyses were performed to assess the association between shark meat intake and blood mercury levels and to estimate the odds ratios for exceeding the reference blood mercury level, adjusting for potential confounders.
Results Of the 912 participants, 50 (5.5%) were identified as shark meat consumption group. Shark meat consumption was associated with higher blood mercury concentrations (β = 0.41; 95% confidence interval [CI]: 0.23–0.59), with the highest levels observed among those who consumed shark meat within the past 30 days (β = 1.19; 95% CI: 0.30–2.08), those who preferred shark meat (β = 0.67; 95% CI: 0.26–1.08), and those with higher annual intake (β = 0.71; 95% CI: 0.00–1.43). Shark meat consumers had substantially higher odds of exceeding the blood mercury reference level (≥5.8 μg/L; odds ratio: 35.84; 95% CI: 3.39–378.84), with an estimated attributable risk of 97.2% (95% CI: 70.5%–99.7%) and a population attributable risk of 65.7% (95% CI: 11.6%–95.4%). Of the estimated 25,740 (95% range: 11,905–54,913) adolescents aged 12–17 years potentially exceeding this threshold, approximately 16,911 (95% CI: 2,986–24,556) cases may be attributable to shark meat consumption, though these estimates should be interpreted cautiously given the wide confidence intervals.
Conclusions Shark meat consumption was associated with elevated blood mercury levels in Korean adolescents. Targeted education on its potential health risks is needed to reduce unintended exposure, while maintaining the nutritional benefits of fish consumption.
- 한국 청소년에서 상어고기 섭취와 혈중 수은 농도 간의 관련성
배경 수은의 유해성으로 인해 해산물 섭취와 혈중 수은 농도 간의 관련성을 평가한 연구들이 다수 수행되어 왔다. 그러나 국내에서 여전히 섭취되고 있는 대형 포식어종인 상어고기에 초점을 맞춘 연구는 제한적이다. 이에 본 연구는 한국 청소년에서 상어고기 섭취와 혈중 수은 농도 간의 관련성을 평가하고자 하였다.
방법 본 단면연구는 제3기 국민환경보건조사 자료를 활용하였다. 상어고기 섭취와 혈중 수은 농도 간의 관련성을 평가하기 위해 다중 선형회귀분석 및 로지스틱 회귀분석을 수행하였으며, 잠재적 교란변수를 보정한 상태에서 기준 혈중 수은 농도 초과에 대한 교차비를 산출하였다.
결과 총 912명 중 50명(5.5%)이 상어고기 섭취군으로 분류되었다. 상어고기 섭취는 혈중 수은 농도의 증가와 유의하게 관련되어 있었으며 (β = 0.41, 95% 신뢰구간: 0.23–0.59), 최근 30일 이내 섭취군 (β = 1.19, 95% 신뢰구간: 0.30–2.08), 상어고기 선호군 (β = 0.67, 95% 신뢰구간: 0.26–1.08), 연간 섭취빈도가 높은 군(연3-6회) (β = 0.71, 95% 신뢰구간: 0.00–1.43)에서 더 높은 혈중 수은 농도가 관찰되었다. 상어고기 섭취군은 혈중 수은 기준치(≥5.8 µg/L)를 초과할 교차비가 높은 경향을 보였으며(aOR = 35.84, 95% CI: 3.39–378.84), 추정 귀속위험도는 97.2% (95% CI: 70.5–99.7%), 인구 귀속위험도는 65.7% (95% CI: 11.6–95.4%)였다. 이 기준치를 초과하는 것으로 추정된 국내 12–17세 청소년 약 25,740명 (95% range: 11,905–54,913명) 중 16,911명 (95% CI: 2,986–24,556명)이 상어고기 섭취와 관련될 가능성이 있으나, 신뢰구간이 넓어 이 추정치는 신중하게 해석할 필요가 있다.
결론 상어고기 섭취는 한국 청소년의 혈중 수은 농도 증가와 관련이 있었다. 수산물 섭취의 영양학적 이점을 유지하면서도 의도하지 않은 수은 노출을 줄이기 위해, 상어고기 섭취의 잠재적 건강위험에 대한 교육이 필요하다.
Brief Communication
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Workers' opinions on working time regulations: results from the 5th Korean Work, Sleep, and Health Study (KWSHS)
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Jeong Woo Park, Seong-Sik Cho, Mo-Yeol Kang, Min Choi, Jongwoo Lee
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Ann Occup Environ Med 2026;38:e32. Published online July 21, 2026
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DOI: https://doi.org/10.35371/aoem.2026.38.e32
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Abstract
Abstract in Korean
PDF Supplementary Material
- Despite ongoing policy debates on working time reform, public perspectives on specific regulatory measures among Korean workers remain underexplored. This study analyzed data from the 5th Wave of the Korean Work, Sleep, and Health Study (KWSHS), an online survey conducted in September 2024 among 5,783 working adults aged 19–70. Participants reported their opinions on six working time regulatory measures: A majority of respondents supported all five proposed regulatory measures. Support was highest for introducing a daily working hours cap (72.1% agree or strongly agree), followed by regulating non-essential night work (63.2%), restricting weekend work for large supermarkets (60.7%), extending the cap to small companies (60.1%), and introducing the weekly cap for exempt industries (52.8%). Findings suggest broad support for strengthening working-time regulations, though results should be interpreted considering the sample’s higher proportion of office workers.
- 노동시간 규제에 대한 노동자의 여론: 5차 한국 직업·수면·건강 연구(KWSHS)의 부가조사 결과
배경 한국의 노동 시간은 감소 추세를 보이고 있으나, OECD 국가 중에서 아직 여전히 노동시간은 긴 편이다. 노동시간 단축에 관한 논의가 지속되고 있음에도 불구하고, 구체적인 노동시간 규제 조치에 대한 한국 노동자의 의견은 충분히 조사되지 않았다.
방법 이 연구는 전국 규모의 한국 직업·수면·건강 연구(KWSHS) 5차 조사 자료를 분석하였으며, 해당 조사는 2024년 9월 온라인 플랫폼을 통해 시행되었다. 만 19~70세의 취업 성인 5,783명이 포함되었으며, 현행 주간 노동시간 상한제(52시간 상한제)에 대한 의견과 소규모 사업장 및 특례 업종에 대한 규제 확대, 일일 노동시간 상한제 도입, 비필수 야간노동 규제, 대형마트 주말 영업 제한 등 다섯 가지 노동시간 규제 조치에 대한 의견을 조사하였다.
결과 응답자 중 다수가 제안된 5가지 노동시간 규제 조치 모두에 찬성하였다. 찬성 비율이 가장 높은 항목은 일일 노동시간 상한제 도입(72.1% 찬성 또는 매우 찬성)이었으며, 이어서 비필수 야간 노동 규제(63.2%), 소규모 사업장 노동시간 규제 적용 확대(60.1%), 대형마트 주말 영업 제한(60.7%), 특례 업종에도 노동시간 상한제 도입(52.8%) 순이었다. 현행 주간 최대 노동시간(52시간)에 대해서는 응답자의 34.7%가 단축을 선호했으며, 36.5%는 현행 유지를 원했다.
결론 결론: 5차 KWSHS 조사 참여자들은 노동시간 규제 강화를 대체로 지지하고 있었다. 이러한 연구 결과는 근로시간 규제에 관한 정책적 논의에 참고 자료로 활용되기를 기대한다. 하지만 사무직의 비율이 다소 높은 표본이라는 조사의 제한점이 고려되어야 할 것이다.
Research Article
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Association between employment status and sickness presenteeism among Korean employees: a cross-sectional study
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Jeong Woo Park, Seong Sik Cho, JongWoo Lee, Jonghyun Hwang, Jung Il Kim, Byoung Gwon Kim, Young Seoub Hong
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Ann Occup Environ Med 2020;32:e17. Published online June 12, 2020
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DOI: https://doi.org/10.35371/aoem.2020.32.e17
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Abstract
PDF
- Background
Sickness presenteeism (SP) indicates “going to work while being ill.” The importance of SP has only recently been investigated, and the association between SP and employment status has been inconsistent across studies. Therefore, we conducted this study to explore the association between SP and employment status by using presenteeism propensity (PP), which can reflect the individual decision-making process. MethodsThe study population included employees participating in the 5th Korean Working Condition Survey. We analyzed data of only employees with at least one health event, which was calculated as the sum of SP and sickness absenteeism days. Employment status was grouped into 3 categories: stable employment, unstable employment (contract period ≥ 1 year), and unstable employment (contract period < 1 year). Survey-weighted logistic regression analysis was conducted to assess the association between employment status and PP (dichotomized as “≤ 0.5” and “> 0.5”). ResultsUnstable employees (contract period ≥ 1 year) had higher odds of PP than stable employees (odds ratio [OR]: 1.23, 95% confidence interval [CI]: 1.03–1.47), whereas unstable employees (contract period < 1 year) had lower odds of PP than stable employees (OR: 0.82, 95% CI: 0.71–0.96). ConclusionsEmployment status was associated with SP. Given the negative health impact of SP, social efforts, such as paid sick leave, are required to reduce SP and enhance the health status of unstable workers.
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Citations
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Research Article
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A study of relationship between blood mercury concentration and hypertension in residents living in old mine fields and related factors
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Jeong Woo Kim, Byoung Gwon Kim, Jeong Woo Park, Jong Woo Yi, Jung Il Kim, Young Seoub Hong
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Ann Occup Environ Med 2019;31:e6. Published online May 30, 2019
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DOI: https://doi.org/10.35371/aoem.2019.31.e6
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Abstract
PDF
- Background
In Korea, around the abandoned metal mines, heavy metals are being accumulating in the cultivated areas. Among exposed heavy metals, mercury is known to harm for cardiovascular system known to affect blood pressure. So, we studied the relationship between blood mercury level and hypertension in residents around abandoned metal mines. MethodsFrom 2008 to 2011, we surveyed 7,055 residents in provinces affected by abandoned metal mines and collected data from 6 Hospitals. We conducted a personal questionnaire interview survey with residents on the basis of household questionnaires, sex, age, household income, smoking, and drinking items. Multiple logistic regression analysis was performed to investigate the association between blood mercury level and hypertension. ResultsWe compared residents with low and high groups based on blood mercury level 5.8 μg/L, and higher group was significantly higher risk of hypertension than lower group (odds ratio [OR]: 1.277; 95% confidence interval [CI]: 1.135–1.436), also in adjusted model, higher group was significantly higher risk of hypertension than lower group (OR: 1.276; 95% CI: 1.117–1.457). ConclusionsThis study showed a significant correlation between mercury and hypertension in residents around abandoned metal mines. Therefore, we should continuously monitor people who are higher than the standard value and the hypertensive patients.
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