Annals of Occupational and Environmental Medicine

Volume 15 (1); March 2003

Case Report

Exfoliative Dermatitis and Toxic Hepatitis Associated with Occupational Exposure to Trichloroethylene: Hong Jae Chae, Seong Kwan Lee, Kang Jin Lee, Jong Youl Kim, Seung Chul Lee, Dong Hyeon Shin, Jai Dong Moon; Korean Journal of Occupational and Environmental Medicine 2003;15(1):111-117. Published online March 31, 2003; DOI: https://doi.org/10.35371/kjoem.2003.15.1.111

A 28-year-old male began working as a degreaser. The solvent used in the degreasing operation was trichloroethylene. Over the next month the man experienced fever, chills, and an erythematous skin rash and itching. At that time he had a marked elevation in his liver enzyme, with cholestasis. Over the next few days the rash persisted then peeled. There was an elevation of Ig E, and a positive patch test reaction to trichloroethylene. His dermatitis and hepatitis were considered to be mediated by a hypersensitivity mechanism.

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A case report of toxic hepatitis caused by chloroform in automotive parts manufacturer coating process
Jong Hyun Hwang, Jung Il Kim
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Trichloroethylene Hypersensitivity Syndrome: Should Be Considered When Diagnosing DRESS Syndrome
Young Joong Kang, Jihye Lee, Jungho Ahn, Soonwoo Park, Mu Young Shin, Hye Won Lee
Journal of Korean Medical Science.2018;[Epub] CrossRef
Late-onset trichloroethylene-induced hypersensitivity syndrome after intermittent exposure to low-dose trichloroethylene
Seung Yun Lee, Se Hwan Oh, Hyuck Jae Choi, Woo Young Choi, Jee Young Han, Hong-Lyeol Lee, Cheol-Woo Kim
Allergy, Asthma & Respiratory Disease.2016; 4(2): 145. CrossRef
Follow-up assessment of two cases of trichloroethylene hypersensitivity syndrome: A case report
Yong-Shun Huang, Han-Lin Huang, Qi-Feng Wu, Li-Hua Xia, Ming Huang, Xin-Xiang Qiu, Shan-Yu Zhou
Experimental and Therapeutic Medicine.2016; 12(2): 895. CrossRef
Trichloroethylene Hypersensitivity Syndrome Is Potentially Mediated through Its Metabolite Chloral Hydrate
Yongshun Huang, Lihua Xia, Qifeng Wu, Zifang Zeng, Zhenlie Huang, Shanyu Zhou, Jiachun Jin, Hanlin Huang, Edda Fiebiger
PLOS ONE.2015; 10(5): e0127101. CrossRef
Severe acute hepatitis in a printing company worker: A case study
Shoji Kubo, Koichi Matsuzaki, Toshihito Seki, Masahiko Ohsawa, Shinji Kumagai, Ginji Endo
Journal of Occupational Health.2015; 57(1): 87. CrossRef
Trichloroethylene Hypersensitivity Syndrome: A Disease of Fatal Outcome
Hyun Gul Jung, Hyung Hun Kim, Bong Gun Song, Eun Jin Kim
Yonsei Medical Journal.2012; 53(1): 231. CrossRef
Hypersensitivity syndrome due to trichloroethylene exposure: A severe generalized skin reaction resembling drug‐induced hypersensitivity syndrome
Hideaki WATANABE
The Journal of Dermatology.2011; 38(3): 229. CrossRef
Occupational Skin Diseases in Korea
Yeon-Soon Ahn, Min-Gi Kim
Journal of Korean Medical Science.2010; 25(Suppl): S46. CrossRef
Occupational Hepatic Disorders in Korea
Hyoung Ryoul Kim, Tae Woo Kim
Journal of Korean Medical Science.2010; 25(Suppl): S36. CrossRef
Occupational trichloroethylene exposure as a cause of idiosyncratic generalized skin disorders and accompanying hepatitis similar to drug hypersensitivities
Michihiro Kamijima, Naomi Hisanaga, Hailan Wang, Tamie Nakajima
International Archives of Occupational and Environmental Health.2007; 80(5): 357. CrossRef

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Original Articles

Surveillance of Work-related Diseases in Kumi: Seong Ah Kim, Jin Seok Kim, Hae Ree Jeon, Sang Jae Jung, Sang Woo Kim, Chae Yong Lee, Jung O Ham, Jay Young Yoo, Tae Sung Choi, Ha Bong Goo, Min Hwan Cho, Kuck Hyun Woo; Korean Journal of Occupational and Environmental Medicine 2003;15(1):95-110. Published online March 31, 2003; DOI: https://doi.org/10.35371/kjoem.2003.15.1.95

Abstract PDF

OBJECTIVES
Area-based occupational disease surveillance in Kumi (KODS) was used to collect data on occupational diseases. The data was used to estimate the magnitude of the diseases, to analyze for their characteristics, and to find links for their intervention and prevention.
METHODS
Since January 2001, occupational physicians and nurses in Occupational Health Service (OHS)have reported six major occupational diseases; occupational musculoskeletal disorders of the upper extremities(MSDUE), occupational dermatoses, toxic hepatitis, occupational asthma (OA), hand-arm vibration syndrome(HAVS), and occupational cancer. For the respective diseases, a reporting sheet and operational diagnostic criteria were developed by the KODS. An analysis of the KODS data, collected over a certain period, was compared with data from the Korea Labor Workers Corporation (KLWC) and the Specific Health Examination (SHE), and the incidence rates of the diseases estimated.
RESULTS
Between Jan 2001 and Apr 2002, 287 cases of the six major occupational disease were reported. Of these, there were 132 (46.0%), 100 (34.8%), 34 (11.8%), 16 (5.6%), and 5 (1.7%), cases of MSDUE, occupational dermatoses, toxic hepatitis, OA, and HAVS, respectively. But, there were no cases of occupational cancer. 33 (11.5%) of the incidence were reported via the OHS, 206 (71.7%) from health checkups, and the other 48(16.8%) from other routes. The synthetic fibers and electronic components manufacturing industries accounted for the greatest number of reported cases. With respect to occupation, the greatest numbers of incidence were reported from the elementary occupations, textile workers, assemblers, and cooks and food services worker, in that order. Of the MSDUE cases, carpal tunnel syndrome and epicondylitis were the two most common diseases. Most of the occupational dermatoses were due to contact dermatitis, with organic solvents (59%), nickel (6%), and epoxy resin (5%) accounting for the majority of these cases. All cases of toxic hepatitis were induced by dimethylformamide or dimethylacetamide, which were reported by a unique monitoring system. During same period, there were no cases claimed by workers to the KLWC, and only three cases from SHE, were identified. Using data from workers' number and surveillance, the annual incidences of MSDUE, dermatoses, hepatitis, OA, and HAVS, per 100,000 workers were 63.6, 48.2, 17.9, 7.7, and 2.4, respectively.
CONCLUSIONS
These results show that an area-based surveillance system can be very effective for the collection of data on work-related diseases, at least in Kumi.

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Distribution of age, gender, and occupation among individuals with carpal tunnel syndrome based on the National Health Insurance data and National Employment Insurance data
Il-Ho Lee, Young-Ki Kim, Dong-Mug Kang, Se-Yeong Kim, In-Ah Kim, Eun-Mi Kim
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Work-relatedness of lung cancer by smoking and histologic type in Korea
Young-Il Lee, Sang-Gil Lee, Dong-Mug Kang, Jong-Eun Kim, Young-Ki Kim, Jong-Han Leem, Hwan-Cheol Kim
Annals of Occupational and Environmental Medicine.2014;[Epub] CrossRef
Clinical Outcomes of Occupational Exposure to N,N-Dimethylformamide: Perspectives from Experimental Toxicology
Tae Hyun Kim, Sang Geon Kim
Safety and Health at Work.2011; 2(2): 97. CrossRef
Occupational Skin Diseases in Korea
Yeon-Soon Ahn, Min-Gi Kim
Journal of Korean Medical Science.2010; 25(Suppl): S46. CrossRef
Occupational Hepatic Disorders in Korea
Hyoung Ryoul Kim, Tae Woo Kim
Journal of Korean Medical Science.2010; 25(Suppl): S36. CrossRef
Incidence of dimethylacetamide induced hepatic injury among new employees in a cohort of elastane fibre workers
C-Y Lee, S-J Jung, S-A Kim, K-S Park, B-G Ha
Occupational and Environmental Medicine.2006; 63(10): 688. CrossRef

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Job Stress and Organizational Effectiveness of Dental Technicians: Nam Gyu Park, Young Joon Seo, Nam Soo Park, Ki Nam Jin; Korean Journal of Occupational and Environmental Medicine 2003;15(1):84-94. Published online March 31, 2003; DOI: https://doi.org/10.35371/kjoem.2003.15.1.84

Abstract PDF

OBJECTIVES
To investigate the relationship between job stress and the variables associated with the organizational effectiveness of dental technicians.
METHODS
The job stresses were divided into the following six components; somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, and hostility. The organi-zational effectiveness variables in this study included job satisfaction, occupational commitment, organizational commitment and intent to leave. The sample used in this study consisted of 248 dental technicians working in hospitals and dental laboratories. The data were collected with self-administered questionnaires between March 16 and April 29 in 2002, and the results analyzed with ANOVA and multiple regression analysis.
RESULTS
Firstly, job stress of dental technicians was found to be significantly different in relation to the number of workers at the workplace and the working hours. The level of job stress was the highest when the number of workers were more than 10, or when the daily working hours were over 12. Secondly, of the six variables of job stress, five variables of somatization, interpersonal sensitivity, depression, anxiety, and hostility were found to have significant negative correlations with job satisfaction. Thirdly, all six job stress variables were found to have significant negative correlations with the occupational and organizational commitments of the dental technicians. Finally, depression was the only job stress variable found to have a significant effect on the dental technicians' intent to leave.
CONCLUSIONS
The results of this study indicate that personal and organizational efforts are very important to improve the organizational effectiveness in reducing work related stress. Organizational support, especially for managing the depression of dental technicians is recommended.

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Effect of dental technicians’ perception of professionalism on self-development and professionalism improvement activities
Hye-Eun Lee
Journal of Korean Acedemy of Dental Technology.2021; 43(3): 117. CrossRef
Retirement and old age preparation of dental technicians -Targeting the metropolitan area dental technicians-
Su-Min Cho, Hae-Chan Lee, Jong-Kwon Jung, Dong-Hyeon Yu, Jong-Sun Lee, Jung-Soo Lee, Eun-Jeong Bae, Ji-Hwan Kim
Journal of Korean Acedemy of Dental Technology.2016; 38(4): 315. CrossRef
A Study on the Job Stress of Opticians
Hae-Young Hwang, Hyun-Mok Kim, In-Soo Kim, Jeong-Sik Son
Journal of Korean Ophthalmic Optics Society.2013; 18(1): 1. CrossRef
Relationship Between Job Stress and Turnover Intention Among Nurses in University Hospitals
Hyun-Ran Shin, Young-Chae Cho
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(8): 3958. CrossRef
Assessment of Job Stressors for Dental Technicians in Ulsan City
Young-Ho Hong, Hae-Kyoung Kim, Hae-Young Hwang, Sang-Jun Choi
Journal of Korean Acedemy of Dental Technology.2012; 34(4): 403. CrossRef

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Cerebrovascular, and Other Health Effects, Due to the Exposure of Ex-Workers to Carbon Disulfide in the Maunfacture of Rayon: Joo Ja Kim, Kyung Jae Lee, Hyun Sook Hong, Dae Ho Kim; Korean Journal of Occupational and Environmental Medicine 2003;15(1):72-83. Published online March 31, 2003; DOI: https://doi.org/10.35371/kjoem.2003.15.1.72

Abstract PDF: OBJECTIVE: The purpose of this study was to evaluate the cerebrovascular and other related health effcets, due to the exposure of ex-workers to carbon disulfide in the manufacture of rayon.
METHODS
The study subjects comprised of 453 workers from the rayon manufacturing industry (387 males, 66 females). They were examined with a brain MRI and for other risk factors related to their occupation, such as age, work department, work duration, duration of work cessation, and blood pressure. Laboratory tests were also performed such as blood sugar, hemoglobin, cholesterol, etc. The cumulative exposure levels were calculated as the mean exposure level, per work department, multiplied by the total work duration in months.
RESULTS
75.1% of the subjects were between the ages of 40 and 59 years. 76.0% of the subjects had worked in high exposure departments (e.g., department of spinning and refining etc). 52.5% of the subjects had worked for more than 10 years, and 63.3% of the subjects had ginven up the work (exposure) more than 10 years earlier. The brain MRI findings were normal, a single lacunar infarct, multiple lacunar infarcts (mostly, on subcortex and white matter), and a hemorrhage in 52.5, 8.6, 36.2 and 2.7% respectively. Multiple lacunar infarcts were not related to the cumulative exposure level but in the female workers only, were significantly related to the increasing level of work duration (p<0.05), and in the male workers only, were related to the increased duration of work cessation and age (p<0.01). Abnormal rates of laboratory tests were higher in the multiple lacunar infarcts subjects with hypertension compared to theose with normal brain MRI findings (p<0.01).
CONCLUSIONS
The multiple lacunar infarcts of the brain seemed not to be related to the cumulative exposure level but to the low exposure departments, duration of work, duration of work cessation, age and hypertension. This was conducted as a health evaluation on workers from the rayon manufacturing industry who had terminated their exposure to carbon disulfide many years earlier.

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E ffect of Nitric Oxide (NO) or Hydrogen Peroxide (H2O2) in the Nickel Induced cytotoxicity in RAW 264.7 Cell: Gyung Jae Oh, Keun Sang Kwon; Korean Journal of Occupational and Environmental Medicine 2003;15(1):61-71. Published online March 31, 2003; DOI: https://doi.org/10.35371/kjoem.2003.15.1.61

Abstract PDF: OBJECTIVES
Nickel (Ni) is present in many industrial working environments and consumer products, and is one of the leading cause of allergic contact dermatitis, which is a typical delayed (type IV) hypersensitivity reaction. However, the mechanism by which nickel causes this pathology is not well known. The contact dermatitis induced by nickel is mediated, primarily, through macrophages. This property was similar to autotoxicity related nitric oxide (NO) production. NO mediated cytotoxicity was dependent on both H2O2 and peroxynitrite (OONO-). The purpose of this study was to elucidate the role of NO/H2O2 in the cytotoxicity induced by nickel. Therefore, this study was designed to examine whether nickel could modulate NO/H2O2 production and how the Ni may affect ATP production, intracellular GSH level, and cell viability.
METHODS
This study was based on the observations of cultures of RAW 264.7 cells, which originated from a tumor in a Balb/c mouse that had been induced by the Abelson murine leukemia virus. RAW 264.7 cells were treated with either Ni, N- onomethyl-L- arginine (NMLA), catalase, and DTT for 24-72 h. The cytotoxicity of the nickel was measured via the cell viability and NO2-, H2O2, GSH, and the mitochondrial function was evaluated by the adenosine triphosphate (ATP) production in the RAW 264.7 cells.
RESULTS
The NO2- synthesis of RAW 264.7 cells increased with the increase in concentrations of Ni up to 50-micrometer, after 24 and 48 h of exposure, but then decreased at concentrations greater than 50-micrometer, and with time periods exceeding 48 h. In contrast, viability of cells and intracellular GSH level decreased in the presence of Ni in a dose and time dependent manner. However, the H2O2 synthesis of RAW 264.7 cells was not changed in the all experimental conditions. The NO2- synthesis of the cells was higher than control, whereas ATP, GSH and viability were lower than control in addition of Ni and the pretreatment of catalase or DTT prior to addition of Ni.
CONCLUSIONS
These results suggest that NO plays an important role in the cytotoxicity of Ni. Cytotoxicity of Ni may exert through modulation of NO production and associate with a decrease in intracellular GSH levels.

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Analysis of Sufficient Conditions in Approving Cere b rovascular and Cardiovascular Disease as Occupational Disease: Jong Uk Won, Kook Whan Ha, Jae Suk Song, Jaehoon Roh, Hyung Ryul Kim, Dae Hee Lee, Kang Hee Lee; Korean Journal of Occupational and Environmental Medicine 2003;15(1):52-60. Published online March 31, 2003; DOI: https://doi.org/10.35371/kjoem.2003.15.1.52

Abstract PDF

OBJECTIVES
This study was performed to analyze the factors that affect the decision to approve workers compensation claims for cerebrovascular and cardiovascular diseases and to analyze the worker characteristics.
METHODS
Three hundred, sixty-nine cases were collected based on the workers compensation records of three Seoul and Incheon Regional centers of the Labor Welfare Corporation between 1998 and 1999. They contained the general characteristics, injury information and past medical histories. The x2-test and logistic regression were performed to investigate the factors affecting the approvals. Seventy-two survivors were surveyed by telephone for job stress. Job stress was surveyed in three parts: job demands, decision latitude and personal free time.
RESULTS
Of the cases, 167 obtained approval from the Corporation; the others did not. Regardless of approval, 62% of all subjects had more than one of the cerebral and cardiovascular risk factors. Especially, 53.9% of subjects had hypertension. According to the logistic regression, the fatal cases had a higher approval rate (OR=26.4, CI=9.13-76.22). The cases with working condition change (OR=6.5, CI=3.45-12.07), accidents on worksite (OR=4.9, CI=2.39-10.07), female (OR=4.0, CI=1.21-13.3), accidents at night duty (OR=2.9, CI=.156-5.39), cases occurring on duty (OR=.25, CI=1.34-4.72) and cases without past disease history (OR=1.8, CI=1.02-3.36) also had higher approval rates. Telephone survey found that the approval rate increased with decreasing freedom of personal time schedule. However, the logistic regression revealed that job stress didnt affect the approvals.
CONCLUSION
To prevent cerebrovascular and cardiovascular diseases, the most important aspect is to control hypertension which is the most common risk factor among the victims. Moreover, job stress and over working should be considered in the just approval of the workers compensation claims.

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Compensation for Work-Related Cerebrocardiovascular Diseases
Jong-Uk Won, Inah Kim
Journal of Korean Medical Science.2014; 29(Suppl): S12. CrossRef
Long Working Hours and Work-related Cerebro-cardiovascular Disease in Korea
Yun Kyung CHUNG, Young-jun KWON
Industrial Health.2013; 51(5): 552. CrossRef
An Investigation on the Metabolic Syndromes and Health-Related Risk Factors among Male Workers
Sun-Young Choi, Na-Eun Kang, Sung-Hee Kim
The Korean Journal of Food And Nutrition.2013; 26(4): 975. CrossRef
A Comparison of the Recognition of Overwork-related Cardiovascular Disease in Japan, Korea, and Taiwan
Jungsun PARK, Yangho KIM, Yawen CHENG, Seichi HORIE
INDUSTRIAL HEALTH.2012; 50(1): 17. CrossRef
Work-related Cerebro-Cardiovascular Diseases in Korea
Dae-Seong Kim, Seong-Kyu Kang
Journal of Korean Medical Science.2010; 25(Suppl): S105. CrossRef

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Health Behavior Practices and Needs for Health Promotion Program According to Shift Work Pattern in Subway Workers: Suk Kyong Choi, Kang Sook Lee, Joung Woon Lee, Jung Wan Koo, Chung Yill Park; Korean Journal of Occupational and Environmental Medicine 2003;15(1):37-51. Published online March 31, 2003; DOI: https://doi.org/10.35371/kjoem.2003.15.1.37

Abstract PDF

OBJECTIVES
To determine the health behavior practices and needs for health promotion in shift work pattern in subway workers.
METHODS
Among 789 male subway workers divided into four groups, 191 day time workers, 187 station service men (3 groups, 2 turns), 204 rolling stock inspectors (3 groups, 2 turns) and 207 train operators (8 groups, 5 turns), we surveyed the health behavior and needs for health promotion by questionnaire.
RESULTS
For obesity, blood pressure and total cholesterol, day time workers had the highest levels, while train operators had higher diseases of the liver and stomach than others. The station service men had the highest smoking rate and daily smoking amount. More than 80% of the respondents consumed alcohol, and the drinking amount was highest among the day time workers and the 8/5 shift train operators. Eighty-two percent of the station service men had irregular eating habits and 17.7% did not have any breakfast. In health promotion activities, exercise and restriction of one's favorite(smoking or drinking) were most preferred in the four groups of respondents. The priority of needs and participation for health promotion program was exercise programs, followed by stress management, cancer prevention program, weight control program, anti-smoking campaign, high blood pressure control program, and abstinence/moderation in drinking.
CONCLUSION
As the health behavior practices differed relative to shift work patterns, it was suggested that a comprehensive health promotion program according to shift work pattern should be planned and implemented among subway workers.

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A Qualitative Study of the Awareness and Influencing Factors of the Dietary Habits of the Male and Female Workers' at a Manufacturing Facility in Gwangju
Ji Suk Yim, Young-Ran Heo
Korean Journal of Community Nutrition.2022; 27(1): 12. CrossRef
Mental Health and Quality of Life for Disaster Service Workers in a Province under COVID-19
Ji-Won Na, Chan-Mo Yang, Sang-Yeol Lee, Seung-Ho Jang
Journal of Clinical Medicine.2022; 11(6): 1600. CrossRef
The Relationships among Experiences of Traumatic Events, Post-traumatic Stress and the Needs for Health Promotion Programs of 119 Paramedics
Mi Suk Kang, Young Im Kim, Hyo Geun Geun
Journal of Korean Academy of Community Health Nursing.2017; 28(4): 524. CrossRef
Effects of sleep quality and occupational stress on health-related quality of life among a university's security workers
Gun Woo Park, Su-Jin Goh, Dong Ha Kim, Hye Lim Kim, Jin Kwan Park, Soo-Young Yu, Du Young Jeong, Jin-Hee Chun, Soon-Young Hwang, Sung-Il Cho
Korean Journal of Health Education and Promotion.2015; 32(3): 73. CrossRef
The relationships between dietary behavior and health related factors according to shift work in nurses
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Effect of Nutrition Education on Improving Dietary Attitudes, Food Habits and Food Frequency - Female in Twenties Shift Work in Gyeonggi Area
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Korean Journal of Community Nutrition.2013; 18(1): 55. CrossRef
Health Behaviors by Job Stress Level in Large-Sized Company with Male and Female Workers
Hyunju Park, Hye-Sun Jung
Journal of Korean Academy of Nursing.2010; 40(6): 852. CrossRef

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Effects of the Workers' Recognition of the Restructuring to Their Psychosocial Well-being: Kyong Suk Kim, Kang Sook Lee, Se Hoon Lee; Korean Journal of Occupational and Environmental Medicine 2003;15(1):26-36. Published online March 31, 2003; DOI: https://doi.org/10.35371/kjoem.2003.15.1.26

Abstract PDF

OBJECTIVES
To investigate the effects of recognition on the restructuring of the psychosocial well-being of the workers.
METHODS
302 employees were recruited by a stratified random sampling method, from a company located in Seoul, which undergoing an administrative evaluation, in 2001. Subjects were asked to fill out questionnaire sheet on their recognition of the restructuring, and were questions on their psychosocial well-being. A one-way ANOVA and a multiple regression analysis were used to analyze the data.
RESULTS
For the psychological well-being, the levels of social performance and self-confidence were significantly different relation to age, educational attainment, marital status, insecurity recogni-tion, and competency recognition. According to the result of the multiple regression analysis, the insecurity recognition was found to significantly affect the social performance and self-confidence, depression, sleep disturbance and anx-iety, general well-being and vitality, whereas the competency recognition affected the social perfor-mance and self-confidence, sleep disturbance and anxiety, and overall psychosocial well-being.
CONCLUSION
The insecurity and competency recognitions against the restructuring were found to be the major factors affecting the workers psychosocial well-being. It is suggested that a decreased worker's insecurity recognition of the restructuring, and the competency recognition for the workers psychosocial health needs require promoting.

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Effect of Job Insecurity on Job related Depression and Anxiety: Large- and Small-sized Company Employees
Yeongmi Ha, Hyunju Park
Korean Journal of Occupational Health Nursing.2016; 25(4): 329. CrossRef

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Stress Related Factors of Physically Disabled Workers in Manufacturing Industry: Min Ye Jung, Chung Yill Park, Jung Wan Koo, Young Man Roh; Korean Journal of Occupational and Environmental Medicine 2003;15(1):12-25. Published online March 31, 2003; DOI: https://doi.org/10.35371/kjoem.2003.15.1.12

Abstract PDF

OBJECTIVES
This study was performed to measure the stress level of physically disabled workers, and to investigate the relationship between the stress dimensions and stress inducing factors of physically disabled workers in the Korean manufacturing industry.
METHODS
The sample used in this study consisted of 341 physically disabled workers who had been working at companies in Seoul, Inchon, and Gyung-gi provinces. The Psycho-social Well-being Index (PWI), a modified version of Goldberg's 60-items of General Health Questionnaire (GHS), was used to measure the stress level. The following independent and moderate variables were designed for the same purpose. The independent variables were general and disability characteristics, workplace-related characteristics, and job stressor of the respondents. The other variables included organization-related stressors (social and family support) and person related stressors (needs and values, type A behavior pattern, locus of control and demographics), self-esteem and coping strategy. The collected data were analyzed using SAS version 6.12 program.
RESULTS
Multiple logistic regression analysis showed that the significant variables on the stress level of physically disabled workers were poor self-perceived health status, low self-esteem, absence of regular exercise, physically disabled condition affecting work performance capability, dependent mobility at home, interpersonal conflict, role conflict and A type behavior pattern.
CONCLUSIONS
The results of this study suggest that appropriate health promotion program should be established and provided for reducing the stress of physically disabled workers in the manufacturing industry. In addition, various vocational programs for decreasing interpersonal and role conflicts should be developed.

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So Yeun Jun, Youn Hyang Lee, Eun Kyung Choi
Journal of Korean Academy of Community Health Nursing.2018; 29(2): 143. CrossRef

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Effect of Job Stress and Coping Strategy on Job Satisfaction in a Hospital Works: Mi Hee Nam, Se Hoon Lee; Korean Journal of Occupational and Environmental Medicine 2003;15(1):1-11. Published online March 31, 2003; DOI: https://doi.org/10.35371/kjoem.2003.15.1.1

Abstract PDF

OBJECTIVE: The purpose of this study was to find out the effect of job stress, and the coping strategy of hospital workers on job satisfaction.
METHODS
468 self-administered questionnaires, were obtained from 120 doctors, 194 nurses, 45pharmacists and 109 administrators at a university hospital located in Seoul. The sociodemographic characteristics, personality types, degree of social support, job stresses, coping strategies, and job satisfaction were all assessed from the questionnaires.
RESULTS
The analysis of job stress, according to occupation, showed that the most important job-related stress-inducing factors were: for doctors, role overload, and poor advancement opportunity; for nurses, role overload, and career development and wages; for pharmacists, role overload and lack of recognition from other health professionals; and for administrators, career development and wages, and organizational inefficiency. Job satisfaction had a significant positive correlation with control strategy, and a negative correlation with role ambiguity, career development and wages, personal relationship, role overload, and symptom management strategy. Job satisfaction was significantly influenced by control strategy, occupation, role ambiguity, person with an 'A' type personality and gender, from a multiple regression analysis.
CONCLUSION
The results of this study suggested that to increase the job satisfaction for hospital workers, they need to be encouraged to use control strategies; create a supportive hospital atmospheres for social supports; re-evaluation, structuring and a new job design are all required to reduce role ambiguity.

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