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Sei Jin Chang 31 Articles
The Relationship of Physical and Psychosocial Risk Factors to Work-related Musculoskeletal Upper Extremity Symptoms amongst Male Automobile Manufacturing Workers
Ki Hyun Lee, Jin Ha Yoon, Sung Kyung Kim, In Jung Cho, Sung Soo Oh, Sung Hoon Kim, Sei Jin Chang, Bong Suk Cha, Sang Baek Koh
Korean Journal of Occupational and Environmental Medicine 2012;24(1):72-85.   Published online March 31, 2012
DOI: https://doi.org/10.35371/kjoem.2012.24.1.72
AbstractAbstract PDF
OBJECTIVES
The objective of this study was to determine the relationship of physical and psychosocial risk factors to work-related musculoskeletal upper extremity symptoms amongst automobile manufacturing workers.
METHODS
The cross-sectional study was conducted using male automobile manufacturing workers in order to examine the relationship of physical and psychosocial risk factors to work-related musculoskeletal upper extremity symptoms. A total of 1,793 male workers were asked to complete a self-administered questionnaire. The questionnaire consisted of questions regarding general characteristics, health related behaviors, work-related characteristics, job stress, ergonomic risk factors, and the presence of musculoskeletal symptoms (neck, shoulder, arm, and hand). Work-related musculoskeletal symptoms were evaluated using the National Institute of Occupational Safety and Health (NIOSH) surveillance criteria. In order to measure the physical risk factors, the American National Standard Institute (ANSI) Z-365 Quick checklist was incorporated into the questionnaire. Job stressors were measured using the Korean Occupational Stress Scale (KOSS). A binary logistic regression analysis was performed that examined the relationship of physical and psychosocial risk factors to musculoskeletal symptoms.
RESULTS
The result showed that the physical and psychosocial risk factors were associated with musculoskeletal upper extremity symptoms. The workers with high physical risk factors reported more musculoskeletal symptoms than those having low physical risk factors (OR: 2.37, 95% CI: 1.56~3.62). The workers with high job stress were more likely to have an increased risk of musculoskeletal upper extremity symptom compared to those with normal job stress (OR: 2.65, 95% CI: 2.03~3.47). A significant relationship between the combined effects of physical and psychosocial risk factors on musculoskeletal upper extremity symptoms was also found. The workers exposed to high physical risk factors, high job stress, and long working hours were more likely to report musculoskeletal symptoms than those having low physical risk factors, normal job stress and moderate working hours(OR: 2.37, 95% CI: 1.56~3.62).
CONCLUSIONS
The results suggest that some physical and psychosocial risk factors increase the risk of work-related musculoskeletal upper extremity symptoms amongst automobile manufacturing workers. In order to prevent or reduce musculoskeletal disorders amongst automobile manufacturing workers, it is strongly recommended to manage the physical psychosocial risks occurring in the workplace.

Citations

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  • The moderating effect of work-related musculoskeletal disorders in relation to occupational stress and health-related quality of life of construction workers: a cross-sectional research
    Soo Jeong, Byoung-Hee Lee
    BMC Musculoskeletal Disorders.2024;[Epub]     CrossRef
  • Prevalence and Risk Factors of Work-Related Upper Extremity Disorders among University Teaching Staff in Ethiopia, 2021: An Institution-Based Cross-Sectional Study
    Amensisa Hailu Tesfaye, Tesfaye Hambisa Mekonnen, Mekuriaw Alemayehu, Giziew Abere, Redha Taiar
    Pain Research and Management.2022; 2022: 1.     CrossRef
  • Effect of an Active Tailored Exercise Program on Pain and Oswestry Disability Index in Automobile Manufacturing Workers with Musculoskeletal Symptoms of the Low Back
    Won-Ho Kim
    Journal of The Korean Society of Physical Medicine.2019; 14(3): 109.     CrossRef
  • Characteristics of Muscle Strength and Posture among Automobile Parts Manufacturing Workers and the Necessity of the Musculoskeletal Injury Prevention Program
    Il-Ho Kwon, Won-Seob Shin
    Journal of The Korean Society of Physical Medicine.2019; 14(4): 173.     CrossRef
  • Factors Influencing Musculoskeletal Symptoms in Military Personnel during Basic Combat Training
    Jeong Min Yi, Gwang Suk Kim
    Journal of Korean Academy of Nursing.2016; 46(4): 523.     CrossRef
  • Associations between Job Stress and Work-related Musculoskeletal Symptoms in Street Sanitation Workers
    Hye-Jin Kim, Kyung-Ja June, Gyeyoung Shin, Jina Choo
    Journal of Korean Academy of Community Health Nursing.2013; 24(3): 314.     CrossRef
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Suicide Trend of Standardized Mortality Ratio and Age Standardized Proportion Mortality Ratio According to Occupational Groups in Korea: 1993-2007
Jin Ha Yoon, Ki Hyun Lee, Kyu Yeon Hahn, Sei Jin Chang, Bong Suk Cha, Seong Ho Min, Kyung Suk Lee, Hye Seon Chae, Aeyong Eom, Sang Baek Koh
Korean Journal of Occupational and Environmental Medicine 2011;23(2):173-182.   Published online June 30, 2011
DOI: https://doi.org/10.35371/kjoem.2011.23.2.173
AbstractAbstract PDF
OBJECTIVES
A number of studies on the trends of socioeconomic differences in suicide mortality have indicated that these inequality gaps have widened over time and highlight that certain occupations have more suicide risk than others. However suicide rates according to occupation based socioeconomic position have not been frequently studied in Korea. The purpose of this study is to report trends and inequality of suicide according to occupation based social class during 1993-2007 in Korea and to identify occupations with significantly high standardized mortality ratios (SMRs) and proportional mortality ratios (PMRs) for both men and women.
METHODS
Korean census records for the years 1995, 2000, and 2005 were linked with the cause of death records from Korean National Statistical Office (KNSO) for the periods 1993-1997, 1998-2003, and 2004-2007 respectively. This data was used to calculate age adjusted proportional mortality ratios (PMRs) and standardized mortality ratios (SMRs) for both men and women aged 25~54 years according to five occupation based socioeconomic positions.
RESULTS
Among men, the agricultural-fishery-forestry group had the greatest suicide rate (SMR: 341) with a high PMR (113) and the manual labor group showed the highest PMR (118), while the managers-professional occupation group showed the lowest sPMR (78) and SMR (21). Among women, the agricultural-fishery group had the highest score in SMR (316) and PMR (130), and the technical-artificer group showed the lowest sPMR (71) and SMR (27). The inequality gaps in the suicide mortality rate according to occupation had widened during 1998-2002, but showed a recovery trend plot after 2003.
CONCLUSIONS
Although the occupation based socioeconomic inequalities show a recovery trend after 2003, the excess inequality from suicide remains as high as it was prior to the 2002 year in some occupational groups. The results of the current study indicate that the manual and agricultural-fishery-forestry groups were high risk groups of suicide.

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  • Health and Mortality in Korean Healthcare Workers
    Yoonhee Shin, Ui Jeong Kim, Hye Ah Lee, Eun Jeong Choi, Hyun Jin Park, Hyeong Sik Ahn, Hyesook Park
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • Suicide Trends over Time by Occupation in Korea and Their Relationship to Economic Downturns
    Jin-Ha Yoon, Sun Jae Jung, Jaesung Choi, Mo-Yeol Kang
    International Journal of Environmental Research and Public Health.2019; 16(11): 2007.     CrossRef
  • Suppressing emotion and engaging with complaining customers at work related to experience of depression and anxiety symptoms: a nationwide cross-sectional study
    Jin-Ha YOON, Mo-Yeol KANG, Dayee JEUNG, Sei-Jin CHANG
    INDUSTRIAL HEALTH.2017; 55(3): 265.     CrossRef
  • Does High Emotional Demand with Low Job Control Relate to Suicidal Ideation among Service and Sales Workers in Korea?
    Jin-Ha Yoon, Dayee Jeung, Sei-Jin Chang
    Journal of Korean Medical Science.2016; 31(7): 1042.     CrossRef
  • Oral Health and Occupational Status among Korean Adults
    Bo-Mi Shin, Soo-Myoung Bae, Sang-Hee Yoo, Sun-Jung Shin
    Journal of dental hygiene science.2016; 16(3): 225.     CrossRef
  • Relationship between Long Working Hours and Suicidal Thoughts: Nationwide Data from the 4th and 5th Korean National Health and Nutrition Examination Survey
    Jin-Ha Yoon, Pil Kyun Jung, Jaehoon Roh, Hongdeok Seok, Jong-Uk Won, Kenji Hashimoto
    PLOS ONE.2015; 10(6): e0129142.     CrossRef
  • The association between concealing emotions at work and medical utilization in Korea
    Hongdeok Seok, Jin-Ha Yoon, Wanhyung Lee, June-Hee Lee, Pil Kyun Jung, Inah Kim, Jong-Uk Won, Jaehoon Roh
    Annals of Occupational and Environmental Medicine.2014;[Epub]     CrossRef
  • Suicide rates among working-age adults in South Korea before and after the 2008 economic crisis
    Chee Hon Chan, Eric D Caine, Sungeun You, King Wa Fu, Shu Sen Chang, Paul Siu Fai Yip
    Journal of Epidemiology and Community Health.2014; 68(3): 246.     CrossRef
  • Investigating the Time Lag Effect between Economic Recession and Suicide Rates in Agriculture, Fisheries, and Forestry Workers in Korea
    Jin-Ha Yoon, Washington Junger, Boo-Wook Kim, Young-Joo Kim, Sang-Baek Koh
    Safety and Health at Work.2012; 3(4): 294.     CrossRef
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Job Stress and Self-perceived Fatigue in Korean Farmers
Ki Hyun Lee, Sang Baek Koh, Dongmug Kang, Jin Joo Chung, Hyoung Ryoul Kim, In Ah Kim, Kyung Suk Lee, Sook Jung Hyun, Kang Myoung Lee, Jin Ha Yoon, Sung Kyung Kim, In Jung Cho, Jung Kyu Choi, Sung Soo Oh, Bong Suk Cha, Sei Jin Chang
Korean Journal of Occupational and Environmental Medicine 2011;23(2):213-224.   Published online June 30, 2011
DOI: https://doi.org/10.35371/kjoem.2011.23.2.213
AbstractAbstract PDF
OBJECTIVES
A growing body of research has documented that job stress has a pivotal role in developing adverse health outcomes. However, little is known about the relationship between farmers' job stress and health outcomes. This study was undertaken to identify the relationship between job stress and self-perceived fatigue in Korean farmers.
METHODS
A total of 526 Korean farmers were asked to participate in this study. A self-administered questionnaire was used to assess the participants' general characteristics, job stress and self-perceived fatigue. Job stress was measured using a forty-eight item Farm Stressor Inventory (FSI), and the self-perceived fatigue was estimated by Multidimensional Fatigue Scale (MFS). Binary logistic regression analysis was conducted to examine the relationship between job stress and self-perceived fatigue.
RESULTS
The result showed that job stress was associated with self-perceived fatigue. For the farmers with high job stress, the risk of self-perceived fatigue was more likely to increase compared to those with low job stress. For males, labor intensity (OR, 3.88; 95% CI, 1.91~7.89), job environment (OR, 2.45; 95% CI, 1.22~4.93), social support (OR, 2.10; 95% CI, 1.07~4.13), social isolation (OR, 2.45; 95% CI, 1.15~5.60), financial problems (OR, 3.25; 95% CI, 1.53~6.91), uncertainty (OR, 2.48; 95% CI, 1.30~4.75) and health problems (OR, 5.77; 95% CI, 2.46~13.53) were associated with self-perceived fatigue. For females, job environment (OR, 2.23; 95% CI, 1.22~4.08), social isolation (OR, 2.08; 95% CI, 1.05-4.15), physical environment & weather condition (OR, 2.61; 95% CI, 1.33~5.12), financial problems (OR, 2.87; 95% CI, 1.55~5.32), uncertainty (OR, 3.65; 95% CI, 1.95~6.83) and health problems (OR, 3.38; 95% CI, 1.57~7.27) were associated with self-perceived fatigue.
CONCLUSIONS
This result suggests that farmers' job stress plays a role in the development of fatigue, and job stressors related to fatigue are slightly different according to gender.

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  • Association Between Ergonomic Burden Assessed Using 20-Item Agricultural Work-Related Ergonomic Risk Questionnaire and Shoulder, Low Back, and Leg Pain in Korean Farmers
    Sora Baek, Jintae Park, Eun Kyoung Kang, Gowun Kim, Hyocher Kim, Hee-Won Park
    Journal of Agromedicine.2023; 28(3): 532.     CrossRef
  • Analysis of Brain Stress in Response to Temperature Changes under Agricultural Work Using Electroencephalogram Measurement
    Seok-Joon Hwang, Ju-Seok Nam
    Agriculture.2023; 13(9): 1801.     CrossRef
  • A Study on the Factors Influencing Farmers’ Work-Life Balance and Social Support on Job Stress
    Jung Shin Choi, Choi Yoon Ji, Chae Hye Sung, Kim Ga Hee
    The Korean Journal of Community Living Science.2022; 33(4): 717.     CrossRef
  • Analysis of stress, musculoskeletal disorders, and fatigue among broadcasting actors
    Moon-Hee Park, Ham-Gyum Kim, Hae-Kag Lee
    Journal of Physical Therapy Science.2016; 28(11): 3047.     CrossRef
  • Farmers’ Cohort for Agricultural Work-Related Musculoskeletal Disorders (FARM) Study: Study Design, Methods, and Baseline Characteristics of Enrolled Subjects
    Hannae Jo, Sora Baek, Hee-won Park, Sang-Ah Lee, Jiyoung Moon, Jae E. Yang, Ki Sung Kim, Jee Yong Kim, Eun Kyoung Kang
    Journal of Epidemiology.2016; 26(1): 50.     CrossRef
  • Relationship between Job Stress and Fatigue Symptoms among Manufacturing Male Workers
    Hu-Yeon Lee, Jong-Tae Baek, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(7): 543.     CrossRef
  • Examining the Relationship between Exercise and Psychological Stress among the Rural Population
    Jung-Woo Oh, Hyun-Jin Kwon, Sang-Hwa Lee, Jung-Jun Lim, Bo-Youl Choi, Mi-Kyung Kim, Yeon-Soo Kim
    The Korean Journal of Sports Medicine.2015; 33(2): 126.     CrossRef
  • The Effects of Job Characteristics on Smoking and Mediating Effects of Job Stress among Older Workers
    Sungeun Lee
    Korean Journal of Health Education and Promotion.2014; 31(3): 51.     CrossRef
  • Work-related hazards among farmers
    Soon Chan Kwon, Soo-Jin Lee, Mihye Jeong
    Journal of the Korean Medical Association.2012; 55(11): 1046.     CrossRef
  • The Relation Between the Occupational Stress and Fatigue Level of Neonatal Nurses
    Eun-A Park, Jeong-Eon Park
    Korean Journal of Occupational Health Nursing.2011; 20(3): 261.     CrossRef
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The Relationship between Hospital Departments and Risk of Developing Tuberculosis among Nurses Working at a University Hospitalin Korea: Retrospective Cohort Study
Jin Ha Yoon, Sung Soo Oh, Ki Hyun Lee, Sung Kyung Kim, Je Ho Oh, Chung Se Won, Sei Jin Chang, Bong Suk Cha, Ae Yong Eom, Sang Baek Koh
Korean Journal of Occupational and Environmental Medicine 2011;23(1):64-70.   Published online March 31, 2011
DOI: https://doi.org/10.35371/kjoem.2011.23.1.64
AbstractAbstract PDF
OBJECTIVES
To investigate the occurring characteristics of pulmonary tuberculosis (TB) among nurses working at a university hospital in Korea.
METHODS
A retrospective cohort study was conducted using medical records from a university hospital. A total of 351 nurses without any pulmonary disease were enrolled during 2000~2007, and were followed up until October 2010. To compare with the incidence of TB between occupational subgroups, workplaces were divided into high and low TB-exposure risk departments. For statistical analysis, the relative risks for TB incidences between departments were estimated using Cox proportional hazards models and mean incidences were estimated with person-time years.
RESULTS
Seven cases of TB were observed during 2001 person-years. Five and two cases were observed in the high and low TB-exposure risk departments, respectively. The relative risk of TB infection in the high TB-exposure risk departments were 6.52 (95% CI, 1.26~33.60) compared to that in the low TB-exposure risk department. The mean incidence of TB in the total nurses was 0.350% per person-year.
CONCLUSIONS
According to the concept of occupational and environmental medicine, high TB-exposure risk departments were more likely to be at increased risk of tuberculosis.

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The Relationship between Occupational Stress and Burnout among Occupational Therapists
Jin Ju Kim, Jae Hoon Roh, Jong Uk Won, Sin Young Lee, Sei Jin Chang
Korean Journal of Occupational and Environmental Medicine 2010;22(3):173-182.   Published online September 30, 2010
DOI: https://doi.org/10.35371/kjoem.2010.22.3.173
AbstractAbstract PDF
OBJECTIVE: A growing body of research has documented that occupational stress is associated with workers' adverse health outcomes such as mental distress, depression and burnout. This study was performed to identify the relationship between occupational stress and burnout among occupational therapists in Korea.
METHODS
A total of 226 occupational therapists registered in the Korean Association of Occupational Therapist participated in the study. A self-administered questionnaire was used to assess demographics, subjective health status, work-related factors, occupational stress and burnout. Burnout was measured by Maslach Burnout Inventory (MBI). Occupational stressors were assessed using 26-items of the Korean Occupational Stress Scale (KOSS-26(R)). This scale consists of items targeting at physical environment, job demand, insufficient job control, interpersonal conflict, job insecurity, lack of reward, organizational system and occupational climate. Simple and multiple regression analyses were performed to investigate the relationship between 8 occupational stressors and burnout, separately. SAS 9.1 version was used for the analyses, and a P<0.05 was considered significant.
RESULTS
The results show that all occupational stressors were associated with burnout after adjustment for control variables. Occupational stressors accounted for from 14.39% (p<0.001, organizational system) to 33.21% (p<0.001, occupational climate) of the variance in burnout.
CONCLUSION
These results suggest that occupational stress might play a significant role in increasing the risk of burnout among occupational therapists.

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    Eun-Young Park, Claudia Hilton
    Occupational Therapy International.2021; 2021: 1.     CrossRef
  • The Influencing Factors of Gender Differences on Mental Burdens in Young Physiotherapists and Occupational Therapist
    Su-Jin Lee, Sang In Jung, Myung-Gwan Kim, Eunhee Park, Ae-Ryoung Kim, Chul Hyun Kim, Jong-Moon Hwang, Tae-Du Jung
    International Journal of Environmental Research and Public Health.2021; 18(6): 2858.     CrossRef
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    Bilge Kalanlar, Duygu Akçay, İlkay Karabay
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  • Effects of Self-Efficacy and Job Stress on Organizational Commitment among Clinical Dental Hygienists
    Kyeong-Jin Lee, Young-im Kim
    Journal of Dental Hygiene Science.2019; 19(1): 60.     CrossRef
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    Sang Min Lee, Hye Kyung Moon, Hyang Ok Oh, Eun Kyung Choi, Kyung Mi Woo, Ji Hyun Lee
    Korean Journal of Occupational Health Nursing.2016; 25(1): 9.     CrossRef
  • The Correlation Between Self-Esteem of Occupational Therapists and Their Empathy With Others
    Sung-Ho Park, Moon-Young Chang
    Journal of Korean Society of Occupational Therapy.2014; 22(1): 15.     CrossRef
  • The Relationship between Job-stress and Psychological-exhaustion of Counselors at Multicultural Family Support Center
    Kuk-Jin Seon
    Journal of the Korea Society of Computer and Information.2013; 18(7): 157.     CrossRef
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    Chung Mee Ko
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The Effectiveness of an Intervention Program for Subway Operators for Symptoms of Post-traumatic Stress Disorder After the Persons Had Fallen Under a Train
Suk Kyong Choi, Kang Sook Lee, Seon Young Lee, Jae Hee Yu, A Rum Hong, Jeong Ho Chae, Sei Jin Chang
Korean Journal of Occupational and Environmental Medicine 2010;22(1):29-36.   Published online March 31, 2010
DOI: https://doi.org/10.35371/kjoem.2010.22.1.29
AbstractAbstract PDF
OBJECTIVE: The aims of this study were to evaluate the level of job stress in subway workers and to determine the main factors that aggravated their PTSD(Post-Traumatic Stress Disorder) symptom, which were due to having fallen under a train, and to verify the effectiveness of the intervention program.
METHODS
The questionnaires utilized in the survey were composed of the Korean Occupational Stress Scale (the short form, 24 items), the depression scale, the coping scale II, the PTSD scale and the life style, health status and occupational properties. The intervention program for PTSD symptoms was executed for 18 subway operators who had experienced deadly accidents in their service from June 2004 to May 2006. The intervention programs included exercise, meditation and deep breathing for 8 weeks and a written message was sent twice per week.
RESULTS
Compared with pre-intervention, the post-intervention group showed significantly lower scores for the KOSS, depressive symptom and the PTSD.
CONCLUSION
This study showed the intervention program was effective to lower the job stress, the PTSD symptoms and depressive symptoms, and to improve the coping skills. It was suggested that the mental health promotion program should be implemented for subway workers to prevent occupational mental diseases.

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  • A Systematic Review of Workplace Interventions for the Mental Health of Workers
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    Yun-Sik CHO, Jae-Bum PARK, Soojeong KIM, Kyungjong LEE
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    Ji Young Song, Kyoung-Sook Jeong, Kyeong-sook Choi, Min-gi Kim, Yeon-Soon Ahn
    Workplace Health & Safety.2018; 66(8): 393.     CrossRef
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Job Stress as a Risk Factor for Occupational Injuries Among Employees of Small and Medium-sized Companies
Dal Young Jung, Jong Uk Won, Shin Goo Park, Sei Jin Chang, Hwan Cheol Kim
Korean Journal of Occupational and Environmental Medicine 2010;22(1):37-47.   Published online March 31, 2010
DOI: https://doi.org/10.35371/kjoem.2010.22.1.37
AbstractAbstract PDF
OBJECTIVES
This study was conducted to investigate the association between job stress and occupational injury among Korean employees.
METHODS
The data was obtained from a work-stress survey that was administered to employees of small and medium-sized companies in Incheon, Korea. A four-month prospective follow-up study was conducted (the baseline study was conducted from September 2006 to October 2006, and the follow-up study was done from March 2007 to April 2007). A total of 1,241 participants (774 males and 467 females) were included in the analysis. A structured self-reported questionnaire was used to assess each respondent's sociodemographics, work related factors, job stress, and occupational injury. Job stress was measured using 24 items (7 sub-scales) of the Short Form of the Korean Occupational Stress Scale (KOSS-SF). Occupational injuries were assessed by self-report during the follow-up period. We estimated the relation of job stress to occupational injury using logistic regression analyses.
RESULTS
A total of 199 employees (16.0%) had suffered at least one occupational injury during the previous 4-months. After adjustment for confounding variables, the logistic regression analyses indicated that the groups with high stress as related to 'Job demand' (OR=2.23, 95% CI=1.61-3.08), 'Organizational system' (OR=1.63, 95% CI=1.19-2.23), 'Lack of reward' (OR=1.42, 95% CI=1.03-1.95) and 'Occupational climate' (OR=1.55, 95% CI=1.13-2.13) were more likely to experience occupational injury than the other groups.
CONCLUSIONS
Our results tend to suggest that job stress is associated with occupational injury. The importance of job stress should be acknowledged and stress management programs need to be started to minimize the occupational injury caused by job stress.

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    Yoo-Mi Chae, Jeong-bae Rhie, Sook Lee
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  • Factors Associated with Work-Related Injuries of Nurses in Small and Medium Sized Hospitals
    Jee In Hwang, Eun Jeong Hwang
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The Association of Occupational Stress with Self-perceived Fatigue in White Collar Employees
Kyoung Tae Cha, Il Whoi Kim, Sang Baek Koh, Sook Jung Hyun, Jun Ho Park, Jong Ku Park, Bong Suk Cha, Sei Jin Chang
Korean Journal of Occupational and Environmental Medicine 2008;20(3):182-192.   Published online September 30, 2008
DOI: https://doi.org/10.35371/kjoem.2008.20.3.182
AbstractAbstract PDF
BACKGROUND
& OBJECTIVES: A growing body of research has documented that occupational stress is closely associated with increased risk of fatigue. This study was conducted in an effort to assess the relationship of occupational stress to self-perceived fatigue among Korean white collar employees.
METHODS
Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project, 2002-2004). Among them, a total of 4,502 white collar employees were recruited. A structured questionnaire was employed to evaluate the participants' sociodemographics, job-related factors, health-related behaviors, occupational stress, and self-perceived fatigue. Occupational stress and self-perceived fatigue were assessed using the Korean Occupational Stress Scale-Short form (KOSS-SF) and the Multidimensional Fatigue Scale (MFS), respectively.
RESULTS
In logistic regression analyses, occupational stress was associated with an increased risk of fatigue, and some domains of occupational stress had different effects on fatigue by gender (job demand, job insecurity, and lack of reward for men, job demand, lack of reward, and discomfort in occupational climate for women), which indicates that occupational stress may perform a slightly different role in increasing the risk of fatigue by gender.
CONCLUSION
The results of this study suggest that occupational stress is a determinant predictor of selfperceived fatigue. Thus, a stress management program for the reduction of occupational stress, and the promotion of white collar worker's health and quality of life is strongly recommended. Some limitations of this study and considerations for future studies were also discussed.

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The Association among Exposure of Bisphenol A, Genetic Polymorphism of Metabolic Enzyme and Urinary Metabolite
Sang Baek Koh, Jun Ho Park, Su Song Yun, Sung Su Oh, Sei Jin Chang, Sun Haeng Choi, Bong Suk Cha
Korean Journal of Occupational and Environmental Medicine 2008;20(2):112-118.   Published online June 30, 2008
DOI: https://doi.org/10.35371/kjoem.2008.20.2.112
AbstractAbstract PDF
OBJECTIVES
To examine bisphenol A (BPA) exposure with subjects in the manufacturing industry and to determine its correlation with metabolites according to genetic polymorphism of metabolic enzymes.
METHODS
The study subjects comprised 104 workers in the manufacturing industry, 64 and 40 in the exposed and control groups, respectively. The questionnaire variablesincluded age, use of protective equipment, smoking habit and alcohol intake. Their urine samples were collected in the afternoon and urinary BPA concentration was measured by revising with the urinary creatinine concentration. The genetic polymorphism of the metabolic enzymes was examined by using restriction fragment length polymorphism (RFLP) after extracting DNA from leucocytes.
RESULTS
The minimum and maximum BPA level of the exposed group during working time was 34.22 and 221.20 ng/mg, respectively. The urinary BPA concentration was significantly higher in the exposed groups than in the control group. There was no significant difference in the urinary BPA level according to genetic polymorphism of CYP1A1 and CYP2E1, but UGT1A6 showed a significant difference. In multiple regression analysis on the urinary and airborne BPA levels, UGT1A6, use of protective equipments and workplaces were significant variables.
CONCLUSIONS
The urinary BPA concentration was affected by the levels to which workers were exposed during their working time and was considered to be metabolized by UGT1A6.

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    Seon‐Kyung Park, Heon‐Jun Lee, Eugene Song, Yerin Jung, Hyun Jung Yoo, Jeong‐Eun Oh, Hyeong‐Moo Shin, Jung‐Hwan Kwon
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Relationship between Job Stress and Turnover of Registered Nurses in a University Hospital
Eun Hee Lee, Sei Jin Chang, Hyun Ok Kim, Jaehoon Roh, Eun Jung Park, Jong Uk Won
Korean Journal of Occupational and Environmental Medicine 2007;19(2):93-104.   Published online June 30, 2007
DOI: https://doi.org/10.35371/kjoem.2007.19.2.93
AbstractAbstract PDF
OBJECTIVES
This study was performed to investigate the relationship between job stress and the type of turnover of registered nurses in a university hospital.
METHODS
A total of 553 registered nurses who left the hospital between 1994 and 2005 were surveyed, and aninterview record and self-administered questionnaire completed at the time of the turnover were used to assess the relationship. Job stress was categorized into four sub-scales (factor I: insufficient work authority and lack of autonomy, factor II: work overload and time urgency, factor III: interpersonal conflict and communication problems, and factor IV: role strain and ambiguity) using factor analysis. The type of turnover was classified into two categories: voluntary and involuntary. SPSS (version 11.0) was used for the statistical analyses.
RESULTS
The direct cause of the turnover was getting a new job, and the nurses in the voluntary turnover group were younger and less experienced than those in the involuntary turnover group. The discriminant analysis findings indicated that the determinant factors affecting the type of turnover were marital status, factor I (insufficient work authority and lack of autonomy), factor II (work overload and time urgency), educational background, and the intention to get a new job. Meanwhile, the voluntary turnover was associated with marital status (single), insufficient work authority and lack of autonomy, high educational background, the intention to get a new job, and low work overload and time urgency.
CONCLUSIONS
Job stress played a crucial role in the turnover of the registered nurses, and some job stressors such as insufficient work authority and lack of autonomy, work overload and time urgency were more related to the type of turnover. These results confirm the necessity for a management program or job redesign to eliminate or reduce job stressors which lead to turnover such as insufficient work authority, lack of autonomy, work overload and time urgency. Furthermore, greater opportunities need to be provided for developing their careers. Finally, further research is required to elucidate the specific job stressors affecting the turnover of registered nurses.

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Occupational Stress in Relation to Cerebrovascular and Cardiovascular Disease: Longitudinal Analysis from the NSDSOS Project
Chang Kook Hwang, Sang Baek Koh, Sei Jin Chang, Chong Yon Park, Bong Suk Cha, Sook Jung Hyun, Jun Ho Park, Kang Myoung Lee, Kyoung Tae Cha, Woo Jin Park, Hyung Joon Jhun
Korean Journal of Occupational and Environmental Medicine 2007;19(2):105-114.   Published online June 30, 2007
DOI: https://doi.org/10.35371/kjoem.2007.19.2.105
AbstractAbstract PDF
OBJECTIVES
This prospective study was performed to investigate the association between occupational stress and the development of cerebrovascular and cardiovascular diseases.
METHODS
A total of 8,429 employees were selected from a nationwide sample, proportional to both the Korean Standard Industrial Classification and the Korean Standard Occupational Classification. A structured self-reported questionnaire was used to access the demographic and socioeconomic characteristics, health behavior and work related characteristics. 43-items of the full version of Korean Occupational Stress Scale (KOSS) were used to access the participants occupational stress. New cases of hospitalization due to cerebrovascular and cardiovascular diseases were evaluated using medical utilization files received from the National Health Insurance Corporation for the period of March 2004 to December 2005. A logistic regression analysis was performed to investigate the association between occupational stress and cerebrovascular and cardiovascular diseases.
RESULTS
43 new cases of hospitalization due to cerebrovascular and cardiovascular diseases were found. According to the results of the logistic regression analysis, job stressors were related with circulatory diseases after adjustment for gender, age, number of workers, employment type, shift work, smoking, alcohol intake, and regular exercise. Of the 8 subscales, insufficient job control (Adj. RR 2.802; 95% CI 1.038-7.564) and occupational climate (Adj. RR 2.365; 95% CI 1.087~5.143) were significantly associated with cerebrovascular and cardiovascular diseases. However, no significant relationships were found between the 6 KOSS subscales and cerebrovascular and cardiovascular diseases.
CONCLUSIONS
Despite the short-term follow-up of about two years, the KOSS subscales of insufficient job control and occupational climate were significantly associated with cerebrovascular and cardiovascular diseases.

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The Effect of Job Stress on Umemployment
Yun Kyung Chung, Hyoung Ryoul Kim, So Yong Park, Jung Yeon Hong, Sang Baek Koh, Sei Jin Chang
Korean Journal of Occupational and Environmental Medicine 2007;19(2):115-124.   Published online June 30, 2007
DOI: https://doi.org/10.35371/kjoem.2007.19.2.115
AbstractAbstract PDF
OBJECTIVES
This study estimated the relationship between job stress and unemployment through a 2-year follow-up study in the KOSS cohort.
METHODS
We established the KOSS cohort in 2004. Among this cohort, we selected 5680 persons with complete KOSS scores and resident registration numbers. We investigated the state of unemployment using unemployment insurance data from Jan. 2005 to Oct. 2006. Multiple logistic regression analysis was performed to evaluate the relationship between job stress and unemployment. We also adjusted for age, education, marital status, experience of medical visiting, and size of enterprise.
RESULTS
Insufficient job control, interpersonal conflict, job insecurity, occupational system, and lack of reward were related to unemployment for men, while only lack of reward was an unemployment risk factor for women.
CONCLUSIONS
Insufficient job control, interpersonal conflict, job insecurity, occupational system, and lack of reward were found to be risk factors for male unemployment. Efforts should be made to reduce these job stressors as risk factors.

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    Danbee Kang, Ka Ryeong Bae, Ho Young Kim, Yeojin Ahn, Nayeon Kim, Youngmog Shim, Tae Sung Sohn, Woo Yong Lee, Ji Hyun Baek, Sun-Seog Kweon, Juhee Cho
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    Yuran Jeong, Bo-Hyun Yoon, Eun-Joo Oh, Je-Heon Song, Soo-Hee Park, Haran Jung, Moon-Doo Kim, Man-Ki Baek, Eun-Rak Son, Ja-Young Jung
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Developing an Occupational Stress Scale for Korean Employees
Sei Jin Chang, Sang Baek Koh, Dongmug Kang, Seong Ah Kim, Myung Geun Kang, Chul Gab Lee, Jin Joo Chung, Jung Jin Cho, Mia Son, Chang Ho Chae, Jung Won Kim, Jung Il Kim, Hyeong Su Kim, Sang Chul Roh, Jae Beom Park, Jong Min Woo, Soo Young Kim, Jeong Youn Kim, Mina Ha, Jungsun Park, Kyung Yong Rhee, Hyoung Ryoul Kim, Jeong Ok Kong, In Ah Kim, Jeong Soo Kim, Jun Ho Park, Sook Jung Huyun, Dong Kook Son
Korean Journal of Occupational and Environmental Medicine 2005;17(4):297-317.   Published online December 31, 2005
DOI: https://doi.org/10.35371/kjoem.2005.17.4.297
AbstractAbstract PDF
BACKGROUND
AND PURPOSES: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and METHODS: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002- 2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Fortythree items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories.
RESULTS
We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented.
CONCLUSION
The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

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Fatigue as a Predictor of Medical Utilization, Occupational Accident and Sickness Absence
Sei Jin Chang, Sang Baek Koh, Dongmug Kang, Seong Ah Kim, Jin Joo Chung, Chul Gab Lee, Myung Geun Kang, Sook Jung Hyun, Jung Jin Cho, Bong Suk Cha, Jong Ku Park
Korean Journal of Occupational and Environmental Medicine 2005;17(4):318-332.   Published online December 31, 2005
DOI: https://doi.org/10.35371/kjoem.2005.17.4.318
AbstractAbstract PDF
OBJECTIVES
This study examined the relationship of fatigue to medical utilization, occupational accident and sickness absence. Subjects and METHODS: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project, 2002~2004). A total of 30,146 employees categorized within the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were recruited. A structured-questionnaire was used to assess the participants' sociodemographics, job-related factors, health-related behaviors, personality trait, self-perceived fatigue (MFS) and the frequency of medical utilization, occupational accident and sickness absence. Data on medical utilization and occupational accident were confirmed from company health records. Chi-square test and logistic regression analysis were used to elucidate the relationship of self-perceived fatigue to medical utilization, occupational accident and sickness absence.
RESULTS
In logistic regression analyses, self-perceived fatigue was associated with medical utilization (outpatient), occupational accident and sickness absence although the strength of the associations was higher in the blue collar workers except for medical utilization. For medical utilization, the white collar workers' adjusted odds ratios of outpatient utilization for workers scoring in the third quartile and the highest quartile, compared to workers scoring in the lowest quartile were 1.50 (95% CI: 1.20-1.87) and 2.16 (95% CI: 1.69-2.75), respectively. The blue collar workers' adjusted odds ratios of outpatient utilization for workers scoring in the second (OR: 1.23, 95% CI: 1.06-1.43), third (OR: 1.42, 95% CI: 1.22- 1.66) and highest quartile (OR: 1.83, 95% CI: 1.55-2.17), respectively, compared to workers scoring in the lowest quartile were statistically significant. However, no associations were found between fatigue and inpatient utilization for either the white or blue collar workers. The blue collar workers' adjusted odds ratios of being injured for workers scoring in the second, third and highest quartile were 1.41 (95% CI: 1.00-2.00), 1.57 (95% CI: 1.10-2.22) and 2.41 (95% CI: 1.69-3.44), respectively, compared to those scoring in the lowest quartile, but, those of the white collar workers were not significant. There was more likely to an increased risk of sickness absence in workers scoring in the second, third and highest quartile compared to those scoring in the lowest quartile in both white and blue collar workers, but the magnitudes of risk were higher in the blue collar workers than the white collars workers.
CONCLUSION
This result suggests that fatigue is a determinant predictor of medical utilization, occupational accident and sickness absence, and that the pattern of risks for the three outcomes differs according to the occupational type. Some limitations of this study and considerations for future study were also discussed.

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Occupational Stress and Risk Factors for Cardiovascular Diseases
Sang Baek Koh, Sei Jin Chang, Jong Ku Park, Jun Ho Park, Dong Koog Son, Sook Jung Hyun, Bong Suk Cha
Korean Journal of Occupational and Environmental Medicine 2005;17(3):186-198.   Published online September 30, 2005
DOI: https://doi.org/10.35371/kjoem.2005.17.3.186
AbstractAbstract PDF
OBJECTIVES
The aim of this study was to elucidate the relationship between occupational stress and risk factors for cardiovascular diseases.
METHOD
The study subjects were 169 male workers aged over 40 who were employed in the shipbuilding industry. A self-reported questionnaire was used to assess the respondents' sociodemographics and occupational stress. Eight domains of occupational stress according to the Korean Occupational Stress Scale (KOSS) were used. We included blood pressure, lipid level (total cholesterol, triglyceride, HDL cholesterol), coagulation factors, pulse wave velocity and heart rate variability as possible cardiovascular risk factors.
RESULT
In multiple regression analyses, job demand was associated with triglyceride level, pulse wave velocity and heart rate variability. Interpersonal conflict was related to total cholesterol. Job insecurity was related to heart rate variability. Organizational system was associated with blood pressure, total cholesterol, pulse wave velocity and heart rate variability. Lack of rewards was related to systolic blood pressure and pulse wave velocity.
CONCLUSIONS
These results indicate that occupational stress is associated with cardiovascular risk factors.

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Analysis of the role of social support on job stress and psychosocial stress in automobile factory workers using Structural Equation Model
Dong Hee Koh, Sun Sil Han, Hyoung Ryoul Kim, Sei Jin Chang, Sun Haeng Choi, Jong Uk Won, Jae Hoon Roh
Korean Journal of Occupational and Environmental Medicine 2005;17(2):79-84.   Published online June 30, 2005
DOI: https://doi.org/10.35371/kjoem.2005.17.2.79
AbstractAbstract PDF
OBJECTIVES
Social support was previously regarded as acting only a stress modifier, but many recent studies have found a direct effect on stress. The purpose of this study is to evaluate the role of social support on job stress and psychosocial stress to determine whether it acts via direct effect or indirect effect.
METHODS
This study was performed in May 2003. The study population consisted of 425 male workers in an automobile factory in Korea. Data were collected with structured self-administered questionnaires. We used JCQ(Job Contents Questionnaires) to measure job stress and social support, and PWI-SF(Psychosocial Well-being Index-Short Form) to measure stress outcome. We analysed the relationships using Structural Equation Modeling software AMOS4.
RESULTS
It was found that social support acts both as a direct stressor and an indirect stressor via job stress. However the direct effect was double the indirect effect.
CONCLUSIONS
The direct effect of social support on stress was the more major. Therefore social support is an independent stressor rather than a stress modifier in automobile factory workers.

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    Minji Kim, Yangha Kim
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Analysis of the effect of job stress on occupational low back pain among shipyard workers using survival analysis
Dong Hee Koh, Hyung Ryoul Kim, Sei Jin Chang, Sang Baek Koh, Sung Kyu Kang, Jong Uk Won, Jae Hoon Roh
Korean Journal of Occupational and Environmental Medicine 2005;17(2):95-103.   Published online June 30, 2005
DOI: https://doi.org/10.35371/kjoem.2005.17.2.95
AbstractAbstract PDF
OBJECTIVES
Occupational low back pain is a major cause of morbidity and the increases of medical and industrial costs. Efforts to control occupational low back pain have been largely unsuccessful, and further understanding of the risks including the psychological factors is needed. This retrospective study was designed to identify the effect of job stress on occupational low back pain among shipyard workers.
METHODS
The study group consisted of 976 male workers who were working at a Korean shipyard. A structured self-reported questionnaire was used to assess the participants' physical work factors, job stress and general characteristics. Job stress was measured using Karasek's JCQ(Job Content Questionnaire). Occupational low back pain was identified according to the NIOSH symptom survey criteria. Physical work factors were assessed using the Quick Exposure Check. Since the work duration can affect the relationship of physical work factors and job stress to occupational low back pain, we analyzed this association by dividing workers into two groups by work duration: 1) all workers, and 2) less than 5 years. Cox's proportional hazard model was used to elucidate the relationship of job stress with occupational low back pain in these two groups. Data were analysed with SAS 8.1.
RESULTS
In the all workers group, job demand, bending or twisting of the back, and carrying heavy materials were associated with an increased the risk of occupational low back pain. In the workers with less than 5 years work experience, people with high job demand were more likely to experience occupational low back pain than those with low job demand.
CONCLUSIONS
These RESULTS suggest that job stress as well as physical work factors can raise the risk of occupational low back pain. Especially, in the workers with less than 5 years work duration, job stress played a more crucial effect on the occurrence of occupational low back pain than physical work factors did.

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    Adela Reig-Botella, Miguel Clemente, Sarah Detaille, Annet H. de Lange, Jaime López-Golpe
    International Journal of Environmental Research and Public Health.2022; 19(8): 4849.     CrossRef
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Relationship between Job Stress and Pulse Wave Velocity as a Cardiovascular Risk Factor
Jung Ok Kong, Sang Baek Koh, Sei Jin Chang, Bong Suk Cha, Ho Keun Chung, Hong Ryul Choi, Kyung Hee Jung-Choi, Soon Ja Jeon
Korean Journal of Occupational and Environmental Medicine 2004;16(4):450-458.   Published online December 31, 2004
DOI: https://doi.org/10.35371/kjoem.2004.16.4.450
AbstractAbstract PDF
OBJECTIVE: The objective of this study was to elucidate the relationship between job stress and pulse wave velocity (PWV) as a cardiovascular risk factor.
METHOD
The study design was cross-sectional, and a total of 234 industrial workers were recruited. A structured-questionnaire was used to assess the general characteristics and job characteristics (work demand, decision latitude) using a modified Karasek model. Cuffs were applied to the extremities and a microphone for phonocardiography was placed at the second intercostal space at the margin of the sternum. The subjects rested in a supine position for 5 min, and PWV was measured using a VP-1000(Colin Waveform analyzer).
RESULTS
There were significant correlations between blood pressure, glucose, total cholesterol, coagulation factor and PWV. The group with low decision latitude and high decision latitude showed higher levels of PWV, but the differences were not significan. The PWV (left) was significantly higher in the high strain group than in the lower strain group. After adjustment for age and cardiovascular risk factors, job strain was still associated with PWV.
CONCLUSION
These result suggest that the high strain group among workers is related to an increased risk of PWV as a marker of atherosclerosis.

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Job Stress, Heart Rate Variability and Metabolic Syndrome
Sei Jin Chang, Sang Baek Koh, Hong Ryul Choi, Jong Min Woo, Bong Suk Cha, Jong Ku Park, Yong Hee Chen, Ho Keun Chung
Korean Journal of Occupational and Environmental Medicine 2004;16(1):70-81.   Published online March 31, 2004
DOI: https://doi.org/10.35371/kjoem.2004.16.1.70
AbstractAbstract PDF
OBJECTIVE: A growing body of literature has documented that job stress is associated with the development of cardiovascular disease. Nevertheless, the pathophysiological mechanism of this association remains unclear. Therefore, we tried to elucidate the relationship between job stress, heart rate variability and metabolic syndrome.
METHOD
The study design was cross-sectional, and 169 industrial workers were recruited. A structured-questionnaire was used to assess the general characteristics and job characteristics (work demand, decision latitude). Heart rate variability (HRV) was recorded using SA-2000 (medi-core). HRV was assessed by time-domain and by frequency-domain analyses. Time domain analysis was performed for SDNN (Standard Deviation of NN interval), and spectral analysis for low-frequency (LF), high-frequency (HF) and total frequency power. Metabolic syndrome was defined on the basis of clustering of risk factors, when three or more of the following cardiovascular risk factors were included in the fifth quintile: glucose, systolic blood pressure, HDL-cholesterol (bottom quintile), triglyceride and waist-hip ratio.
RESULTS
The results showed that job characteristics were not associated with cardiovascular risk factors. The high strain group had a less favorable cardiovascular risk profile with higher levels of blood pressure, glucose, homocysteine, and clotting factor than the lower strain group (low strain+passive+active group), but the difference was not statistically significant. The SDNN of HRV was significantly lower in the high strain group than in the low strain group. The prevalence of metabolic syndrome in the low strain, passive, active and high strain groups was 9.7%, 13.9%, 14.9% and 23.8%, respectively. In the high strain group, the metabolic syndrome was significantly related to a decreased SDNN. However, we could not find a significant association in LF/HF ratio.
CONCLUSION
This result suggests that decreased HRV does not play a role in the development of disease; however, it can induce cardiovascular abnormalities or dysfunctions related to the onset of heart disease among high risk groups.

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Job Characteristics and Psychosocial Distress of Atypical Workers
Sang Baek Koh, Mia Son, Jung Ok Kong, Chul Gab Lee, Sei Jin Chang, Bong Suk Cha
Korean Journal of Occupational and Environmental Medicine 2004;16(1):103-113.   Published online March 31, 2004
DOI: https://doi.org/10.35371/kjoem.2004.16.1.103
AbstractAbstract PDF
OBJECTIVE: This study was conducted to compare the job characteristics (work demand, decision latitude, and job insecurity) and psychosocial stress levels of typical workers in the parent firm, to those of atypical workers in subcontracted firms. In addition the risk factors for psychosocial stress of atypical workers are evaluated.
METHOD
The study design was cross-sectional, and 1,713 shipbuilding workers (681; typical workers, 1,032; atypical workers) were recruited. A structured-questionnaire was used to assess the general characteristics, job characteristics and psychosocial stress levels. We used the chi-square test for univariate and multiple regression analyses.
RESULTS
In univariate analyses, there were significant differences in smoking, hobby, insufficient sleeping, work hours per week, quitting, unemployment, job demand, job decision latitude and job insecurity. The job strain was significantly higher in the atypical workers than in the typical workers. The proportion of iso-strain groups was significantly greater in the atypical workers than typical workers. Using psychosocial stress as the dependent variable, multiple regression models were estimated. After adjustment for sociodemographic factors, unemployment, quitting, employment type, job demand, job decision latitude and job insecurity were all found to be significantly associated with psychosocial stress.
CONCLUSION
This result suggests that the psychosocial stress of atypical workers is related to job characteristics such as job insecurity and labor flexibility.

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A Study on the Relationship between Emotional Labor and Depressive Symptoms among Korean Industrial Service Employees
Soo Youn Kim, Sei Jin Chang, Hyoung Ryoul Kim, Jae Hoon Roh
Korean Journal of Occupational and Environmental Medicine 2002;14(3):227-235.   Published online September 30, 2002
DOI: https://doi.org/10.35371/kjoem.2002.14.3.227
AbstractAbstract PDF
OBJECTIVES
This study was designed to identify the relationship between emotional labor and depressive symptoms among Korean industrial service employees.
METHODS
The case group consisted of 331 employees who were performing emotional labor at department stores, hotels, and family restaurants in Seoul. The control group in this study consisted of 150 employees (90 officers in Seoul and 60 manufacturing workers in Incheon) who were not expected to perform emotional labor. A structured questionnaire was used to estimate each participants level of emotional labor, general characteristics, job content, job satisfaction, and any depressive symptoms. The measurements for emotional labor were performed only on the case group and not the control group.
RESULTS
While the mean values of job satisfaction, job insecurity, and the level of depressive symptoms of the employees who were working in the area of emotional labor were higher than the others, the mean values of job demand, and job control in the same group were lower than those who were not performing emotional labor. Overall, it was found that performing emotional labor and having high levels of job insecurity were related to increased depressive symptoms, and conversely, job satisfaction played a role in reducing depressive symptoms. Similarly, in the sub-sample of the emotional labor group, high levels of job insecurity, and performing high degrees of emotional labor, and low job satisfaction were associated with depressive symptoms.
CONCLUSIONS
These results suggest that performing emotional labor is related to an increase in depressive symptoms. In other words, involuntary emotional expression and low job satisfaction in the workplace may influence the level of depressive symptoms in workers. It is, therefore, imperative that further research be undertaken, which considers the importance of emotional labor, and its adverse effect on the mental health of service workers.

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Job instability of Labor Market and Preplacement Health Examination: the Case of Hearing Loss
Sang Baek Koh, Kyoo Sang Kim, Sei Jin Chang, Bong Suk Cha, Jong Ku Park, Dong Mug Kang, Jai Young Kim, Soo Keun Kim, Hong Ryul Choi
Korean Journal of Occupational and Environmental Medicine 2002;14(1):57-68.   Published online March 31, 2002
DOI: https://doi.org/10.35371/kjoem.2002.14.1.57
AbstractAbstract PDF
OBJECTIVES
This study examines the problem of the preplacement health examination in terms of hearing loss case, where workers have been experiencing job instability in the labor market.
METHODS
In order to measure the 2-year job retention rate of employees in 79 shipbuilding subcontracted companies in Kyongnam province, we utilized the same methods as those used by Neumark et al(1999), and Bernhardt et al(1999). We surveyed 79 heath and safety personnel from the companies with a questionnaire to evaluate the present status of the preplacement health examination. We reviewed the preplacement health certificates(result of audiometric hearing thresholds) of 1,818 recruits issued by Daewoo hospital from January 1 to June 30, 2001.
RESULTS
The job retention rate was 40.3 %(male 38.53 %, female 52.01 %). Of the 79 health and safety personnel of companies, 44(55.7 %) perceived the preplacement health examination as a tool for the selection of recruits, 3(3.8 %) as a procedure for job fitting and 31(39.2 %) as both. Most of them were against the acceptance of recruits with hearing loss, spinal disease and hepatitis. Among the 1,818 workers who underwent the preplacement health examination, 530(29.1 %) were examined after employment, but 1,096(60.3 %) were examined before employment. The number with previous job experience was 1,591(87.5 %). In the audiometric hearing threshold results, the prevalence of hearing loss was positively correlated with age. There was a significant difference in the prevalence of hearing loss depending on previous job and number of quitting at 4,000 Hz.
CONCLUSIONS
The comparison of 2-year job retention rates before and after the Korean economic crisis of 1997 suggests that job stability has been aggravated especially for cohorts of long tenure, irregular job, and old age. This evidence shows that previous job and age play a role in determining worker employment based on perceived results from the preplacement health examination. This result suggests that a pre-employment health examination be substituted for the preplacement health examination based on the essential job functions and reasonable accommodation. Because it has little relevance in a wide range of employment and minor health problems, the results of this examination should not debar applicants from employment.

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Factors Affecting Dyspnea in Retired Coal Miners in Korea
Yong Hee Cheon, Sei Jin Chang, Bong Suk Cha
Korean Journal of Occupational and Environmental Medicine 2001;13(3):286-295.   Published online September 30, 2001
DOI: https://doi.org/10.35371/kjoem.2001.13.3.286
AbstractAbstract PDF
OBJECTIVES
This study was done to examine the risk factors for the dyspnea of retired coal miners in Korea.
METHODS
Eight hundred and sixteen male workers who took the health examination for retired coal miners in the T hospital were recruited, in this study and their health examination records were employed to assess the risk factors for dyspnea. Both univariate and multiple logistic regression analyses were used to estimate the relationship between known risk factors and the presence of dyspnea.
RESULTS
Variables in the univariate analysis, which showed a significant relationship with dyspnea were age(>or=60 years) (OR : 2.20, 95% CI : 1.63-3.00), work duration(>or=2 0 years) (OR : 1.67, 95% CI : 1.24-2.25), profusion of small opacity(>or=1/0) (OR : 1.81. 95% CI : 1.30-2.51), large opacity(>or=A) (OR : 2.19, 95% CI : 1.30-3.70), and the ratio of the distance between the start of the first division of the right and left main pulmonary arteries divided by the transverse diameter of the thorax (cor pulmonale index)(>or=0 . 3 6 ) (OR : 2.37, 95% CI : 1.77-3.17). The multivariate analysis using logistic regression analysis showed age(>or=60 years)(OR : 1.69, 95% CI : 1.28-2.21), smoking amount(>or=1 filters/day) (OR : 1.61, 95% CI : 1.06-2.45), no experience of having quit smoking (OR : 1.40 95% CI : 1.06-1.84), and the cor pulmonale index(>or=0.36)(OR : 1.75, 95% CI : 1.34-2.29) were associated with an increased risk for dyspnea.
CONCLUSIONS
These results suggests that the cor pulmonale index is the most significant risk factor in predicting dyspnea in retired coal miners. In addition, this study also revealed that workers aged 60 years or more or smokers were more likely to experience dyspnea as compared to those aged 60 years or less and nonsmokers.

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The Health Status Assessment of Subcontracted Workers
Hong Ryul Choi, Sang Baek Koh, Sei Jin Chang, Bong Suk Cha, Hyoung June Im, Sang Yun Lee, Jai Young Kim, Dong Mug Kang, Soo Hun Cho
Korean Journal of Occupational and Environmental Medicine 2001;13(1):18-30.   Published online March 31, 2001
DOI: https://doi.org/10.35371/kjoem.2001.13.1.18
AbstractAbstract PDF
OBJECTIVES
The strategy for the labor flexibility through subcontracted labor have brought a negative effect on the lives of the workers, such as the increase of the unstable employment. This study was conducted to analyze the relationship between the employment of subcontracted firms and the health status of them, and to find out some problems which have been caused in the process of health evaluation and the characteristics of social exclusion.
METHODS
We reviewed the periodical health examination and preemployment health examination in order to compare health status of the subcontracted workers with those of the parent firm workers. The SF-36 questionnaire was administered to assess the self-perceived health status.
RESULTS
The result shows that compared to the working duration of the parent firm workers, those of the subcontracted workers were shorter, and the job transfer rate was higher. In the periodical health examination, the prevalence of occupational and general disease was higher in the parent firm(10%) than in the subcontracted firms(6%). Preemployment health examination plays an important role in worker's health management. Among 6,260 workers who received preemployment health examination, the prevalence of disease was 37.9%. Mean scores of health status measured by SF-36 were lower in the subcontracted firm than in the parent firm.
CONCLUSIONS
Due to social exclusion of the subcontracted workers from the periodical health examination, there is a possibility that the periodical health examination have the healthy worker effect. These results suggests that the preemployment health examination could be a more appropriate indicator which is able to assess the health status of the subcontracted workers than the periodical health examination.

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Incidence and Risk Factors for Occupational Low Back Pain Among Shipyard Workers
Sang Baek Koh, Hyong Sik Kim, Hong Ryul Choi, Ji Hee Kim, In Hyok Song, Jun Han Park, Jong Ku Park, Sei Jin Chang, Bong Seok Cha
Korean Journal of Occupational and Environmental Medicine 2000;12(1):1-11.   Published online March 31, 2000
DOI: https://doi.org/10.35371/kjoem.2000.12.1.1
AbstractAbstract PDF
OBJECTIVES
This study was conducted to estimate the incidence rate, and to identify the risk factors for the occupational low back pain among shipyard workers.
METHODS
The study subjects consisted of 9,784 workers who were employed in a ship-building industry(excluded workers who had a history of low pack pain before 1995 or did not take periodic health examination in 1995). The cases were 220 people who experienced back pain from January 1, 1996 to December 31, 1998. To assess risk factors for occupational low back pain, Cox propotional hazard model was used.
RESULTS
During the recent three years from 1996 to 1998, the incidence rate per 1,000 persons was 7. 8 in 1996, 8. 8 in 1997, and 3. 1 in 1998. The main causes of work-related low back pain were sprain, strain and disc herniation. Lifting was the most common cause of back pain(35. 3%), and carrying(10.2%) and pulling(8.0%) were followed. In Cox proportional harzard model, independent risk factors for back pain were body mass index(R.R.; 1.54, 959o C.I.: 1.06-2.25), shift work(R.R.; 1.65, 95% C.I.: 1.19-2.28), and lifting heavy material(R.R. ; 3.95, 95% C.I: 2.29-6.82).
CONCLUSIONS
This study suggests that the risk factors of back pain in shipyard workers were body mass index, shift work and lifting.

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    Hak Young Rhee, Jae Hwan Cho, Jong Min Seok, Taek Sang Cho, Woo Jin Jeon, Jin Gu Lee, Sung Kyu Kim
    Archives of Environmental & Occupational Health.2015; 70(4): 177.     CrossRef
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    Seung-Hyun Lee, Young-Chae Cho
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Hepatic Effect of Simultaneous Exposure to Nickel and Cadmium in Rats
Bong Suk Cha, Seungjun Wang, Sei Jin Chang
Korean Journal of Occupational and Environmental Medicine 2000;12(1):111-118.   Published online March 31, 2000
DOI: https://doi.org/10.35371/kjoem.2000.12.1.111
AbstractAbstract PDF
OBJECTIVES
This research was intended to verify hepatic effect of simutaneously combined exposure of nickel chloride and cadmium chloride with IPRL(Isolated Perfused Rat Liver) method.
METHODS
AST(aspartate aminotransferase), ALT(alanine aminotransferase), LDH(lactate dehydrogenase) and perfusion flow rate were used as the indicator of hepatotoxicity and oxygen consumption rate were used as the indicator of viability. 300(+/-50) g weighted rats were allocated randomly to each group (control group, 50 microM 200 microM separately exposure group of NiC1, and CdC1, simultaneously combined exposure group of NiC1 and CdC1) by 5, totally 35. Buffer which got out of liver was sampled and then biochemical indicator of hepatotoxicity was measured. In order to verify difference among groups, two way repeated ANOVA was used. With comparing mean summation of separate exposure group with mean of simultaneous exposure group, possibility that combined effect could be synergistic effect was verified.
RESULTS
AST, ALT, LDH increased in both of separate exposure group and simultaneous exposure group. Perfusion flow rate and oxygen consumption rate decreased but statistically significant difference among groups was not found, In each exposure group, AST, ALT, LDH, oxygen consumption rate of simultaneous exposure group increased more than sum of separate exposure group after any sampling time.
CONCLUSIONS
It was found that simultaneous combined effect could be synergistic effect through the biochemical indicator of hepatotoxicity.

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Effect of Economic Depression on Psychosocial Distress of Industrial Workers
Bong Suk Cha, Sang Baek Koh, Seung Jun Wang, Sei Jin Chang
Korean Journal of Occupational and Environmental Medicine 1998;10(4):484-492.   Published online December 31, 1998
DOI: https://doi.org/10.35371/kjoem.1998.10.4.484
AbstractAbstract PDF
This study was carried out to assess the effect of economic depression on psychosocial distress, and to assess the relationship between differences of psychosocial distress and job characteristics (job strain), and to find out the effect of social support on psychosocial distress. We measured job characteristics(job demand, job control), and social support(coworker support, supervisor supports) at work by a self-administered questionnaire. Psychosocial distress was measured by PWI(Psychosocial Well-being Index), a 45-item self-administered instrument. Among the 152 respondents, the prevalence of high job strain was 27% (41 persons). The Odds ratio of high job strain was 3.11 (95% CI; 2.12~4.11), and those of passive group and active group were 2.01(95% CI; 0.83~2.76) and 1.80(95% CI; 0.83~2.76), respectively. Our results supported the association between psychosocial distress and job strain. The odds ratio of high strain isolates group (high strain group+low social support) was 3.59 (95% CI; 2.05~5.13), but the odds ratio of high strain collective group was 1.32 (95% CI; 0.23~2.41). Social support at work was modifying factor of the association between psychosocial distress and job strain. Therefore we reviewed the evidence that economic depression was associated with psychosocial distress in this study, and that the strength of the social support was important in maintain health.

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    Bach Xuan Tran, Giang Thu Vu, Kiet Tuan Huy Pham, Quan-Hoang Vuong, Manh-Tung Ho, Thu-Trang Vuong, Hong-Kong T. Nguyen, Cuong Tat Nguyen, Carl A. Latkin, Cyrus S.H. Ho, Roger C.M. Ho
    International Journal of Environmental Research and Public Health.2019; 16(9): 1642.     CrossRef
  • Stressors, coping resources and strategies, and police stress in South Korea
    Merry Morash, Dae-Hoon Kwak, Vincent Hoffman, Chang Hun Lee, Sun Ho Cho, Byongook Moon
    Journal of Criminal Justice.2008; 36(3): 231.     CrossRef
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The Assessment of Worker's Health Status by SF-36
Bong Suk Cha, Sang Baek Koh, Sei Jin Chang, Jong Ku Park, Myung Guen Kang
Korean Journal of Occupational and Environmental Medicine 1998;10(1):9-19.   Published online February 28, 1998
DOI: https://doi.org/10.35371/kjoem.1998.10.1.9
AbstractAbstract PDF
This study was conducted to understand health status by general characteristic, and to find out relationship between social support and worker's health status. Health status was measured using SF-36(Medical Outcome Study Short Form 36), a 36 item self administered Instrument. The finding of this study were as follow; Mean scores of health status by sex were higher in male. The younger worker reported good health on physical functioning and role limitation-physical than did the older worker, but the older worker reported good health on social functioning and mental health. Mean scores of health status were higher in high income and white worker. When the relationship between social support and health status, social functioning, role limitation-emotion, mental health, vitality, general health were significantly related. Therefore we reviewed the evidence that socio-economic condition are associated with health status in this study, and that the strength of the social support was a important to maintain health.

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    Gyeongsil Lee, Jiyoung Park, Seung-Won Oh, Hee-Kyung Joh, Seung-Sik Hwang, Jeehyun Kim, Danbee Park
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Effect of Noise Exposure and Psychosocial Factors on Blood Pressure in Manufacturing Workers
Bong Suk Cha, Sang Baek Koh, Sei Jin Chang, Jung Ku Park, Myung Guen Kang, Sang Yul Koh
Korean Journal of Occupational and Environmental Medicine 1997;9(2):244-257.   Published online June 30, 1997
DOI: https://doi.org/10.35371/kjoem.1997.9.2.244
AbstractAbstract PDF
This study was conducted to assess the effects of noise exposure and psychosocial factor on blood pressure in manufacturing workers. The study subjects are 414 workers (243 males, 171 females) employed at the noisy department. The mean age of low exposed group (<85dB) was 34.65+/-9.53 years, and that of high exposed group (> or =85dB) was 36.37+/-11.15 years. The difference in mean age wart not significant. The mean and distribution of working duration, smoking status, drinking status were not significantly different between two groups. The mean systolic blood pressure of the low exposed groups was 120.01+/-12.06 mmHg, and that of high exposed group wart 126.27+/-13.84 mmHg. The mean diastolic blood pressure of the low exposed and the high exposed group were 77.18+/-10.83 mmHg, and 83.46+/-11.22 mmHg respectively. These differences of blood pressure were statistically significant(p<0.05). The workers in noisy department have significantly less work environmental satisfaction, higher job demand, and higher social support. The mean values of psychosocial distress were higher in the workers of the noisy department, but the difference was not statistically significant. This study was to speculate whether the work environmental satisfaction and social supports modify the association between the noise exposure level and the blood pressure. The results showed that work environmental satisfaction could not modify the association between the blood pressure and the noise exposure. Social support at work did not modify the association. Furthermore, we evaluated the high job strain from a combination of high job demand and low job control at work. Compared to the low strain group, the olds ratio of the high job strain group for hypertension in diastolic blood pressure were statistically significant, but not in systolic blood pressure. Hierarchical multiple regression analysis was used to determine whether the independent variables contributed to explaining the blood pressure. After controlling for possible confounders, we found that the noise exposure level was a correlate of the diastolic blood pressure. But no association between the noise exposure level and the systolic blood pressure. No significant result was found for psychosocial factor.

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  • Relationship Between the Psychosocial Factors and Job Stress Among Clerical Public Officers
    Ho-Jin Park, Sung-Kyeong Park, Young-Chae Cho
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A Study on the Relationship between Subjective Symptoms and Psychosocial Well-being Status of VDT Operators
Bong Suk Cha, Sang Baek Ko, Sei Jin Chang, Chang Sik Park
Korean Journal of Occupational and Environmental Medicine 1996;8(3):403-413.   Published online December 31, 1996
DOI: https://doi.org/10.35371/kjoem.1996.8.3.403
AbstractAbstract PDF
This study was undertaken to identify the relationship between the subjective symptoms and the psychosocial well-being status of VDT operators. The study subjects of this study were 89 female telephone operators in Korea Telecom. The mean age of study subjects was 37.7 (s.d.; 3.1), and 91% of them were the married and 9% were the single. The mean values of psychosocial well-being status by general characteristics were not statistically significant. Of the 89 operators, 98.9% felt musculoskeletal subjective symptoms in shoulder, 91.2% in neck, 89.9% in hand, 89.9% in lowback, 88.9% in arm, 87.8% in back, and 85.6% in leg, respectively. The mean scores of the psychosocial well-being status by three categories of subjective symptoms were significant in shoulder, neck, arm, hand, and leg, but were not significant in back and lowback. Correlations between the subjective symptoms and the psychosocial well-being status were significant in discomfort scale, leg, arm, neck, shoulder, lowback, and hand, but were not significant in back. Multiple regression analysis were used to determine whether the independent variables (age, discomfort, and subjective symptoms) contributed to explaining the psychosocial well-being status. Discomfort and the subjective symptoms in leg were a correlate of the psychosocial well-being status.

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    Kyung Ko, Hee-Soo Kim, Ji-Hea Woo
    Journal of the Ergonomics Society of Korea.2013; 32(3): 273.     CrossRef
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Medical utilization of the Hand Injured Patients among the Industrial Accident Compensation Insured
Bong Suk Cha, Sei Jin Chang, Myung Keyn Lee
Korean Journal of Occupational and Environmental Medicine 1989;1(2):168-179.   Published online November 30, 1989
DOI: https://doi.org/10.35371/kjoem.1989.1.2.168
AbstractAbstract PDF
This study attempts to assess the status of hand injured patients and their medical care utilization among the industrial accident compensation insured. The study subjects were the 8,648 hand injured patients (2,951 inpatients and 5,697 outpatients) who were attended in the medical facilities of Seoul area from January, 1986 to August, 1988. The following results were obtained. 1. About 90% of hand injured patients were male, and about 62% of them were less than 30 years of age. 44.4% of inpatients recieved treatment in general hospital and 42.0% of outpatients in clinic. 2. The highest mean medical cost by facility were 929,000 won of general hospital in inpatient, and 108,000 won of clinic and general hospital in outpatient. 3. The highest mean medical cost by injury were 690,000 won of amputation in inpatient and 126,000 won of fracture in outpatient. 4. The longest mean patient days by facility 25.3 days of general hospital in inpatient and 20.7 days of clinic in outpatient. According to the type of injury, 23.1 days of open wound in inpatient and 23.0 days of fracture in outpatient. 5. The, highest mean medical cost per day by facility was 39,000 won of inpatient and 8,000 won of outpatient in general hospital. According to the type of injury, these were 34,000 won of dislocation and burns in inpatient and 7,000 won of dislocation and burns in outpatient.

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