Annals of Occupational and Environmental Medicine

Sun Wung Lee

6 Articles

The Relationship between Job Stress and Musculoskeletal Symptoms in Migrant Workers: Min Heui Jo, Kyoo Sang Kim, Sun Wung Lee, Tae Gyun Kim, Hyang Woo Ryu, Mi Young Lee, Yong Lim Won; Korean Journal of Occupational and Environmental Medicine 2009;21(4):378-387. Published online December 31, 2009; DOI: https://doi.org/10.35371/kjoem.2009.21.4.378

OBJECTIVE: To investigate the musculoskeletal symptoms of migrant workers. We focused on the relationship between job stress and musculoskeletal symptoms.
METHOD
A questionnaire was administered to 502 migrant workers who visited NGO migrant worker centers located in Gyung-gi province. A structured, self-reported questionnaire was administered to participants in order to capture the following information: sociodemographics, health factors including past medical history, work related characteristics, job stress, and musculoskeletal symptoms. The job stress questionnaires were used according to KOSS-26 and musculoskeletal symptoms were measured using KOSHA Code H-30-2003. We used multiple logistic regression analysis to assess the relationship between risk factors which included job stress, and musculoskeletal symptoms.
RESULTS
The prevalence rate of musculoskeletal symptoms in survey subjects was 35.1%. Other than job stress factors, past medical history was the only factor that had a statistical relationship to musculoskeletal symptoms (P<0.01). In the domains of job stress, physical environment (OR 1.62, 95% CI: 1.03~2.54), job demand (OR 2.43, 95% CI: 1.46~4.03), job insecurity (OR 1.59, 95% CI: 1.03~2.47), occupational climate (OR 2.30, 95% CI: 1.27~4.19) were most likely experience musculoskeletal symptoms.
CONCLUSION
The job stress factor appeared to correlate more with musculoskeletal symptoms than with sociodemographics or other factors. Hence, in order to prevent migrant worker's musculoskeletal symptoms, we believe that intervention in job stress (physical environment, job demand, job insecurity, occupational climate) is necessary.

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Occupational Characteristics and Health Status of Vietnamese Male Migrant Workers in the Republic of Korea
Ohwi Kwon, Ji-Hun Song, Jeong-Ok Kong, Seong-Won Ma, Young Shin Lee, Joonho Ahn
Safety and Health at Work.2023; 14(3): 267. CrossRef
Barriers to Performing Stretching Exercises Among Korean‐Chinese Female Migrant Workers in Korea
Hyeonkyeong Lee, JoEllen Wilbur, Duckhee Chae, Kyongeun Lee, Meenhye Lee
Public Health Nursing.2015; 32(2): 112. CrossRef
Job Stress and Musculoskeletal Disorder in Seoul City's School Foodservice Employees
Saerom Lee, KyooSang Kim, Eun-A Kim, Jihye Kim, Dohyung Kim
Korean Journal of Occupational Health Nursing.2014; 23(4): 245. CrossRef
Experiences of Middle-aged Korean-Chinese Female Migrant Workers in Korea: With Focus on Risk Factors in Work-related Musculoskeletal Diseases
Hyeonkyeong Lee, Duckhee Chae, Kyongeun Lee, Meenhye Lee
Journal of Korean Academy of Community Health Nursing.2013; 24(2): 185. 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
Application of Community-Based Participatory Research Principles
Hyeonkyeong Lee, Duckhee Chae, Kyongeun Lee, Meenhye Lee
Workplace Health & Safety.2012; 60(7): 313. CrossRef
Application of Community-Based Participatory Research Principles: Preventing Work-Related Musculoskeletal Disorders Among Female Korean–Chinese Migrant Workers in Korea
Hyeonkyeong Lee, Duckhee Chae, Kyongeun Lee, Meenhye Lee
Workplace Health & Safety.2012; 60(7): 313. CrossRef
Relationship between occupational stress and musculoskeletal symptoms of upper extremities among dental hygienists
So-Young Lee, Hyo-Jin Ko, Byeng-Chul Yu
Journal of Korean society of Dental Hygiene.2012; 12(5): 897. CrossRef
Related Factors to Musculoskeletal Discomfort Symptoms on Some Middle·High school Teachers
Jae-Yoon Lee, Byeong-Yeon Moon, Youn-Hong Jeong, Hyun-Kyung Woo
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(1): 264. CrossRef
Musculoskeletal Disorder Symptoms and Related Factors among Male Workers in Small-scale Manufacturing Industries
Seung-Hyun Lee, Ju-Yeon Lee, Young-Chae Cho
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(9): 4025. CrossRef
Job stress and musculoskeletal diseases
Dong Mug Kang, Young Ki Kim, Jong Eun Kim
Journal of the Korean Medical Association.2011; 54(8): 851. CrossRef

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The Relationship between Job Stress and Depressive Symptoms in Migrant Workers in Kyung-gi Province in Korea: Sun Wung Lee, Kyoo Sang Kim, Tae Gyun Kim, Hyang Woo Ryu, Mi Young Lee, Yong Lim Won, Yoon Hee Song; Korean Journal of Occupational and Environmental Medicine 2009;21(1):76-86. Published online March 31, 2009; DOI: https://doi.org/10.35371/kjoem.2009.21.1.76

Abstract PDF

OBJECTIVES
To investigate the mental health status of migrant workers. We focused on the relationship between depressive symptoms and job stress. METHEOD: A questionnaire was administered to 488 migrant workers who visited NGO migrant worker centers located in Kyung-gi province. A structured, self-reported questionnaire was used to assess each responder's sociodemographics, work related characteristics, health behaviors, past medical history, job stress and depression symptoms. The job stress questionnaire was used according to KOSS-26 and depression symptoms were measured using CES-D, which was translated into Korean. We used multiple logistic regression analysis to assess the relationship between risk factors included job stress and depression symptoms.
RESULTS
The prevalence of depression symptoms in survey subjects was 25.2%, but the prevalence of non-Chinese nationalities and illegal workers were 32.1% and 32.8%, respectively. Adjusting for confounding factors, job stress (OR 2.55, 95% CI=1.30-4.99) had a statistical meaningful relationship with depression symptoms. Among job stress domains, physical environment (OR 2.97, 95% CI=1.59-5.53), job demand (OR 2.33, 95% CI=1.26-4.32) and occupational climate(OR 3.10, CI=1.49-6.48) were most likely to experience depression symptoms.
CONCLUSIONS
The prevalence of depressive symptoms among the study subjects was similar to the prevalence among the general population in Korea, but higher than that among the Korean workers. In particular, the prevalence among non-Chinese and illegal workers was higher. However, the job stress factor appeared to have a more direct correlation with depressive symptoms than the sociodemographic factors of nationality or residential status. Hence, in order to prevent depressive symptoms of the migrant workers, we believe that intervention on job stress is necessary.

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Prevalence of cardiovascular risk factors among Asian migrant workers in South Korea
Pratibha Bhandari, Mohammad-Reza Malekpour
PLOS ONE.2023; 18(7): e0288375. CrossRef
Occupational stress changes and new-onset depression among male Korean manufacturing workers
Jiho Kim, Hwan-Cheol Kim, Minsun Kim, Seong-Cheol Yang, Shin-Goo Park, Jong-Han Leem, Dong-Wook Lee
Annals of Occupational and Environmental Medicine.2023;[Epub] CrossRef
Affecting Factors on Sleep Quality in Foreign Workers
Soojeong Kim, Min Kyung Kim, Inkyoung Lee, Kyoung Won Cho
Journal of Health Informatics and Statistics.2022; 47(2): 139. CrossRef
Effects of changes in occupational stress on the depressive symptoms of Korean workers in a large company: a longitudinal survey
Jaehyuk Jung, Inchul Jeong, Kyung-Jong Lee, Guyeon Won, Jae Bum Park
Annals of Occupational and Environmental Medicine.2018;[Epub] CrossRef
Acculturation Stress and Health Promotion Behaviors of the Korean Chinese Elderly Immigrants Living in Korea
Xianglan Jin, Misoon Song
Perspectives in Nursing Science.2016; 13(2): 70. CrossRef
Moderating Effect of Stress Coping Strategies on the Relationship between a National Statistics Office Workers' Occupational Stress and Mental Health
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
Journal of Korean Neuropsychiatric Association.2015; 54(4): 587. CrossRef
Acculturative Stress, Work‐related Psychosocial Factors and Depression in Korean‐Chinese Migrant Workers in Korea
Hyeonkyeong Lee, Hyunmi Ahn, Arlene Miller, Chang Gi Park, Sun Jung Kim
Journal of Occupational Health.2012; 54(3): 206. CrossRef

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The Status and Characteristics of Industrial Accidents for Migrant Workers in Korea Compared with Native Workers: Sun Wung Lee, Kyoo Sang Kim, Tae Woo Kim; Korean Journal of Occupational and Environmental Medicine 2008;20(4):351-361. Published online December 31, 2008; DOI: https://doi.org/10.35371/kjoem.2008.20.4.351

Abstract PDF

OBJECTIVES
To analyze the status and characteristics of the industrial accidents of migrant workers with comparison to those of native workers.
METHODS
The industrial accident rate of migrant workers was estimated by the annual number of industrial accidents divided by the total number of annual labor population multiplied by the annual admission rate of industrial accident insurance. The characteristics of industrial accidents for total migrant workers were assessed and compared with those of total native workers (from 2004 to 2006). In addition, we compared the industrial accidental characteristics of the 7,210 native workers and the 458 migrant workers employed in the Incheon area who received compensation from the industrial accident insurance in 2006.
RESULTS
In 2004, 2005 and 2006, the total annual industrial accident rates of the migrant workers were 0.93%, 0.90%, and 1.06%, the injury accident rates were 0.90%, 0.86%, and 1.00%, the number of injury deaths per 10,000 persons were 2.29, 2.22, and 2.39, and the disease rates were 0.011%, 0.014%, and 0.027%, respectively. As for the cause of injury, rolled/jammed and cutting-type injuries were more prevalent in the migrant workers. With the standardization of job category, industry size and work tenure, the rolled/jammed-type injury was still significantly more prevalent in the migrant workers.
CONCLUSIONS
Even considering the exclusion of the possible missing numbers of the submission of industrial accident cases, and the numbers of workplaces not registered for industrial accident insurance, the publicized statistics confirm the higher industrial accident rate of migrant workers compared to ative workers. Especially, the injury death rate was 2.2 times higher for migrant workers than for native workers in 2006. In addition, the remarkably lower occupational disease rate of the migrant workers compared to that of the native workers, suggested that numerous cases of disease were not reported. Finally, the lack of communication and former education that usually lead to the most prevalent injury type, i.e., the rolled/jammed type, supported our conclusion that the migrant workers were in need of more education regarding workplace safety.

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Migrant well-being and undocumented status in South Korea: a cross-sectional assessment of physical, psychological, social well-being, and health behaviors
Sun Yeop Lee, Woong-Han Kim, Jongho Heo
International Journal for Equity in Health.2024;[Epub] CrossRef
Vulnerable Factors Affecting Urinary N-Methylformamide Concentration among Migrant Workers in Manufacturing Industries in Comparison with Native Workers in the Republic of Korea (2012–2019)
Kyung-Eun Lee, Kayoung Park, Dong Joon Park, Sungkyun Park
International Journal of Environmental Research and Public Health.2022; 19(20): 13450. CrossRef
Characteristics of forklift accidents in korean industrial sites
Kwan Woo Kim
Work.2021; 68(3): 679. CrossRef
Perceived Risk Factors for Suicide among Nepalese Migrant Workers in South Korea
Madhu Sudhan Atteraya, Nasser B. Ebrahim, Shreejana Gnawali
International Journal of Environmental Research and Public Health.2021; 18(12): 6368. CrossRef
A Study of the Development of Alcohol Use Disorder in Muslim Immigrant Workers in Korea
Sun Kyung Kang, Ji Hyun Ro, Seungnam Shin
Journal of Social Service Research.2020; 46(2): 187. CrossRef
Factors Affecting Unmet Healthcare Needs of Working Married Immigrant Women in South Korea
Jinseon Yi, Insook Lee
Journal of Korean Academy of Community Health Nursing.2018; 29(1): 41. CrossRef
Human resource factors associated with workplace safety and health education of small manufacturing businesses in Korea
Kyoung-Ok Park
Journal of Occupational Health.2018; 60(1): 94. CrossRef
Multiple Risk Factors for Work-Related Injuries and Illnesses in Korean-Chinese Migrant Workers
Hyeonkyeong Lee, Duckhee Chae, Kwan Hyung Yi, Soye Im, Sung Hye Cho
Workplace Health & Safety.2015; 63(1): 18. CrossRef
Effects of a 12 week self‐managed stretching program among Korean–Chinese female migrant workers in Korea: A randomized trial
Hyeonkyeong Lee, Duckhee Chae, JoEllen Wilbur, Arlene Miller, Kyongeun Lee, Hwaeun Jin
Japan Journal of Nursing Science.2014; 11(2): 121. CrossRef
A basic research on risk control measure for reducing the fishermen's occupational accident in offshore and coastal fishing vessel
Wook-Sung Kim, Young-Bok Cho, Seok-Jae Kim, Kyong-Jin Ryu, Yoo-Won Lee
Journal of the Korean society of Fisheries Technology.2014; 50(4): 614. CrossRef
Experiences of Middle-aged Korean-Chinese Female Migrant Workers in Korea: With Focus on Risk Factors in Work-related Musculoskeletal Diseases
Hyeonkyeong Lee, Duckhee Chae, Kyongeun Lee, Meenhye Lee
Journal of Korean Academy of Community Health Nursing.2013; 24(2): 185. CrossRef
The Prevalence of Chronic Diseases among Migrants in Korea According to Their Length of Stay and Residential Status
Choong-Hyung Lee, Jae-Moon Yun, Jong-Soo Han, Sang-Min Park, Young-Su Park, Seung-Kwon Hong
Korean Journal of Family Medicine.2012; 33(1): 34. CrossRef
Application of Community-Based Participatory Research Principles
Hyeonkyeong Lee, Duckhee Chae, Kyongeun Lee, Meenhye Lee
Workplace Health & Safety.2012; 60(7): 313. CrossRef
I never expected to be a disabled person in another country: the stories of migrant workers with acquired disabilities in Korea
Kyung Mee Kim
Disability & Society.2011; 26(5): 553. CrossRef
Prevalence of Low Back Symptom and Impact of Job Stress among Working Women as Clinical Nurses in University Hospitals
Kyung-Jae Lee, Joo Ja Kim, Jeung-Im Kim
Korean Journal of Women Health Nursing.2011; 17(5): 484. CrossRef
Psychosocial Factors and Work-related Musculoskeletal Disorders among Southeastern Asian Female Workers Living in Korea
Hyeonkyeong Lee, Hyunmi Ahn, Chang Gi Park, Sun Jung Kim, Sun Hye Moon
Safety and Health at Work.2011; 2(2): 183. CrossRef
A Comparison of Blood Lead Levels between Migrant and Native Lead Workers Before and After Implementation of a New Employment Permit System for Migrant Workers
Nam-Soo KIM, Byung-Kook LEE
Industrial Health.2011; 49(2): 235. CrossRef

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The Health Status Including Biologic Exposure Indices of Migrant Workers: Based on 2005 Special Health Examination Data: Yoon Hee Song, Kyoo Sang Kim, Sun Wung Lee, Sun Haeng Choi; Korean Journal of Occupational and Environmental Medicine 2008;20(2):63-73. Published online June 30, 2008; DOI: https://doi.org/10.35371/kjoem.2008.20.2.63

Abstract PDF

OBJECTIVES
To investigate the general health status and severity of exposure to hazardous agents - with a focus on heavy metals - of migrant workers utilizing the 2005 Special Health Examination data.
METHODS
With data from the 2005 Special Health Examination, we examined the biologic exposure indices and several major clinical exam items of 25,086 migrant workers in the whole country in comparison with those of 19,616 native Korean workers in Kyunggi-do province. Of these we chose homogeneous samples from the same 3 health service centers in Kyunggi-do. (native workers:19,616, migrant workers:1,886) to be more precise.
RESULTS
The results from the samples of the 3 centers were as follows. Blood lead (natives: 6.09 microgram/dl migrants: 8.37 microgram/L) and cadmium (natives: 0.29 microgram/dl, migrants: 0.36 microgram/L) were higher in the migrant workers than in the native Korean workers, whereas the biologic exposure indices of organic solvents were higher in the native workers. As for major clinical exam items, the liver battery was worse in the natives with incidence of abnormal AST/ALT level (natives: 8.1/6.8% migrants: 5.7/5.4%, p-value<0.01 for AST). Anemia was more prevalent in the migrant workers (natives: 9.0% migrants: 11.0%, p-value<0.05).
CONCLUSIONS
Migrant workers in Korea are more frequently or more severely exposed to a hazardous working environment containing heavy metals. However, we were not able to explain the results for the exposure indices or organic solvents, and such an explanation will require further study in the future.

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Migrant well-being and undocumented status in South Korea: a cross-sectional assessment of physical, psychological, social well-being, and health behaviors
Sun Yeop Lee, Woong-Han Kim, Jongho Heo
International Journal for Equity in Health.2024;[Epub] CrossRef
Occupational Characteristics and Health Status of Vietnamese Male Migrant Workers in the Republic of Korea
Ohwi Kwon, Ji-Hun Song, Jeong-Ok Kong, Seong-Won Ma, Young Shin Lee, Joonho Ahn
Safety and Health at Work.2023; 14(3): 267. CrossRef
Vulnerable Factors Affecting Urinary N-Methylformamide Concentration among Migrant Workers in Manufacturing Industries in Comparison with Native Workers in the Republic of Korea (2012–2019)
Kyung-Eun Lee, Kayoung Park, Dong Joon Park, Sungkyun Park
International Journal of Environmental Research and Public Health.2022; 19(20): 13450. CrossRef

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Exposure Level of Trichloroethylene in Stevens-Johnson Syndrome Due to Occupational Exposure: 3 Case Reports and a Review of Other Cases: Sun Wung Lee, Eun A Kim, Dae Sung Kim, Dong hee Koh, Seong Kyu Kang, Byung Kyu Kim, Min Ki Kim; Korean Journal of Occupational and Environmental Medicine 2008;20(2):132-146. Published online June 30, 2008; DOI: https://doi.org/10.35371/kjoem.2008.20.2.132

Abstract PDF

BACKGROUND
Trichloroethylene (TCE) has been reported to be related to severe generalized exfoliative dermatitis frequently accompanied by toxic hepatitis. The measurements of environmental exposure were limited in the previous case reports and the reported exposure values were also diverse. We reviewed three cases of Stevens-Johnson syndrome associated with TCE. The work environment was measured by the Korea Occupational Safety and Health Agency (KOSHA) after the cases occurred. From the study results, we intended to clarify the relationship between TCE exposure level and Stevens- Johnson syndrome.
CASE
REPORT: Case 1. A 24-year-old Filipino female worker developed a skin rash 35 days after starting to use TCE for degreasing. The skin rash developed into a bullous eruption and the liver function findings were abnormal. She was diagnosed with Stevens-Johnson syndrome and toxic hepatitis. She died of hepatic failure 39 days after the onset of the first symptom. She had no previous history of taking medicine or viral infection. The work environment measured 22.0 to 32.3 ppm (personal exposure level) with TWA. Case 2. A 47-year-old Korean male worker developed a skin rash, 20 days after starting to use TCE for degreasing. The skin rash developed into a bullous eruption and the liver function findings were abnormal. He was diagnosed with Stevens-Johnson syndrome, toxic hepatitis and sepsis. He died of hepatic failure and sepsis 42 days after the onset of the first symptom. He had no previous history of taking medicine or viral infection. The work environment measured 30.1 ppm (personal exposure level) and 116.5~229.7 ppm (area exposure level close to the degreasing machine) with TWA. Case 3. A 22-yearold Vietnamese female worker developed a skin rash 30 days after starting to use TCE for degreasing. The skin rash developed into a bullous eruption and the liver function findings were abnormal. She was diagnosed with Stevens-Johnson syndrome and toxic hepatitis. Her symptoms improved and she was discharged 37 days after the onset of the first symptom. She had no previous history of taking medicine or viral infection. The work environment measured 107.2 ppm (personal exposure level) with TWA.
DISCUSSION
These three case reports and the previously reported cases indicated that the majority of people susceptible to TCE develops Stevens-Johnson syndrome after high-level TCE exposure (above the TWA occupational exposure limit of 50 ppm). Therefore, work environmental survey and improvements to the TCE degreasing process are essential to prevent high exposure. Furthermore, considering the consistency of the latency period in symptoms and the possibility of sensitization in low-level exposure, we recommend that the first specific health examination also should be conducted 1 month after workers have commenced working.

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Occupational Inhalation Health Risk Assessment of TCE Exposure in the Korean Manufacturing Industry
Sueji Seo, Saemi Shin, Sanghoon Byeon
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Jong Hyun Hwang, Jung Il Kim
Annals of Occupational and Environmental Medicine.2022;[Epub] CrossRef
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Journal of Korean Medical Science.2018;[Epub] CrossRef
Acute Occupational Poisoning in Korea
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Late-onset trichloroethylene-induced hypersensitivity syndrome after intermittent exposure to low-dose trichloroethylene
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Journal of Korean Medical Science.2010; 25(Suppl): S36. CrossRef
Extensive changes to occupational exposure limits in Korea
Jee Yeon Jeong, Sangjun Choi, Young Lim Kho, Pan Gyi Kim
Regulatory Toxicology and Pharmacology.2010; 58(2): 345. CrossRef
Occupational Diseases in Korea
Seong-Kyu Kang, Eun A Kim
Journal of Korean Medical Science.2010; 25(Suppl): S4. CrossRef
Current status of liver diseases in Korea: Toxic and alcoholic liver diseases
Kyung-Ah Kim
The Korean Journal of Hepatology.2009; 15(Suppl 6): S29. CrossRef

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A Case of Hypersensitivity Pneumonitis in a Worker Exposed to Metal Working Fluid: Sun Wung Lee, Dong hee Ko, Ku Won Chin, Dong Uk Park, Jung Tak Lee, Yoon Hee Song, Sang Yoon Lee; Korean Journal of Occupational and Environmental Medicine 2008;20(1):37-45. Published online March 31, 2008; DOI: https://doi.org/10.35371/kjoem.2008.20.1.37

Abstract PDF

INTRODUCTION: There have been no reports of hypersensitivity pneumonitis caused by metal working fluids in Korea, despite their existence in other countries. Here, we report the first such case, along with an assessment of work-relatedness through exposure assessment.
CASE
REPORT: A 64-year old male patient visited the hospital with dyspnea after metal pipe cutting for about a year. He was diagnosed with hypersensitivity pneumonitis from the evidence of specific exposure history, clinical symptoms, and radiologic findings. The air exposure levels of the oil mist, endotoxin, total bacteria and fungus in the work environment was TWA(8-hr) 0.531 mg/m3, 6.33 EU/m3, 100 CFU/m3 and 75 CFU/m3, respectively. The concentrations of the endotoxin, total bacteria and fungus within the metal working fluid was 1.5x10(4) EU/mL, 4.6x10(5) CFU/mL and 1.8x10(5) CFU/mL, respectively.
DISCUSSION
Although the patient did not receive a specific precipitating antibody test, the microbial concentration within the metal working fluid was higher than normal and similar to previous case reports, The oil mist level in the air exceeded the NIOSH REL and ACGIH NIC, and were similar or higher than previous cases. By excluding other causes of hypersensitivity pneumonitis, we concluded that the disease developed from exposure to microbial antigens in the metal working fluid.

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