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Mental disorders among workers in the healthcare industry: 2014 national health insurance data
Min-Seok Kim, Taeshik Kim, Dongwook Lee, Ji-hoo Yook, Yun-Chul Hong, Seung-Yup Lee, Jin-Ha Yoon, Mo-Yeol Kang
Ann Occup Environ Med 2018;30:31.   Published online May 3, 2018
DOI: https://doi.org/10.1186/s40557-018-0244-x
AbstractAbstract PDFPubReaderePub
Background

Numerous studies have shown that healthcare professionals are exposed to psychological distress. However, since most of these studies assessed psychological distress using self-reporting questionnaires, the magnitude of the problem is largely unknown. We evaluated the risks of mood disorders, anxiety disorders, sleep disorders, and any psychiatric disorders in workers in healthcare industry using Korea National Health Insurance (NHI) claims data from 2014, which are based on actual diagnoses instead of self-evaluation.

Methods

We used Korea 2014 NHI claims data and classified employees as workers in the healthcare industry, based on companies in the NHI database that were registered with hospitals, clinics, public healthcare, and other medical services. To estimate the standardized prevalence of the selected mental health disorders, we calculated the prevalence of diseases in each age group and sex using the age distribution of the Korea population. To compare the risk of selected mental disorders among workers in the healthcare industry with those in other industries, we considered age, sex, and income quartile characteristics and conducted propensity scored matching.

Results

In the matching study, workers in healthcare industry had higher odds ratios for mood disorders (1.13, 95% CI: 1.11–1.15), anxiety disorders (1.15, 95% CI: 1.13–1.17), sleep disorders (2.21, 95% CI: 2.18–2.24), and any psychiatric disorders (1.44, 95% CI: 1.43–1.46) than the reference group did. Among workers in healthcare industry, females had higher prevalence of psychiatric disorders than males, but the odds ratios for psychiatric disorders, compared to the reference group, were higher in male workers in healthcare industry than in females.

Conclusions

The prevalence of mood disorders, anxiety disorders, sleep disorders, and all psychiatric disorders for workers in the healthcare industry was higher than that of other Korean workers. The strikingly high prevalence of sleep disorders could be related to the frequent night-shifts in these professions. The high prevalence of mental health problems among workers in healthcare industry is alarming and requires prompt action to protect the health of the “protectors.”


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Computer use at work is associated with self-reported depressive and anxiety disorder
Taeshik Kim, Mo-Yeol Kang, Min-sang Yoo, Dongwook Lee, Yun-Chul Hong
Ann Occup Environ Med 2016;28:57.   Published online October 13, 2016
DOI: https://doi.org/10.1186/s40557-016-0146-8
AbstractAbstract PDFPubReaderePub
Background

With the development of technology, extensive use of computers in the workplace is prevalent and increases efficiency. However, computer users are facing new harmful working conditions with high workloads and longer hours. This study aimed to investigate the association between computer use at work and self-reported depressive and anxiety disorder (DAD) in a nationally representative sample of South Korean workers.

Methods

This cross-sectional study was based on the third Korean Working Conditions Survey (2011), and 48,850 workers were analyzed. Information about computer use and DAD was obtained from a self-administered questionnaire. We investigated the relation between computer use at work and DAD using logistic regression.

Results

The 12-month prevalence of DAD in computer-using workers was 1.46 %. After adjustment for socio-demographic factors, the odds ratio for DAD was higher in workers using computers more than 75 % of their workday (OR 1.69, 95 % CI 1.30−2.20) than in workers using computers less than 50 % of their shift. After stratifying by working hours, computer use for over 75 % of the work time was significantly associated with increased odds of DAD in 20–39, 41–50, 51–60, and over 60 working hours per week. After stratifying by occupation, education, and job status, computer use for more than 75 % of the work time was related with higher odds of DAD in sales and service workers, those with high school and college education, and those who were self-employed and employers.

Conclusions

A high proportion of computer use at work may be associated with depressive and anxiety disorder. This finding suggests the necessity of a work guideline to help the workers suffering from high computer use at work.

Electronic supplementary material

The online version of this article (doi:10.1186/s40557-016-0146-8) contains supplementary material, which is available to authorized users.


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The association between perceived discrimination and depression/anxiety disorders among Korean workers: analysis of the third Korean Working Conditions Survey
Sang Hyun Lee, Hee Sung Lee, Guang Hwi Kim, June-Hee Lee, Kyung-Jae Lee, Joo Ja Kim
Ann Occup Environ Med 2016;28:32.   Published online August 2, 2016
DOI: https://doi.org/10.1186/s40557-016-0121-4
AbstractAbstract PDFPubReaderePub
Background

Discrimination is a long-standing social problem, and interest in the health effects of discrimination has been increasing. Unfortunately, Korean workers experience various types and combinations of discrimination. This study aimed to examine the association between perceived discrimination and depression/anxiety disorders among Korean workers.

Methods

Data from 33,530 paid workers were extracted from the third Korean Working Conditions Survey. The data included general characteristics, occupational characteristics, perceived discrimination, and depression/anxiety disorders. To examine the relationship between perceived discrimination and depression/anxiety disorders, multiple logistic regression analysis was used to evaluate depression/anxiety disorders as the dependent variable and perceived discrimination as the independent variable, after adjusting for relevant general and occupational characteristics.

Results

After adjusting for the relevant general and occupational characteristics, we observed that male and female workers who had experienced perceived discrimination exhibited a significantly higher likelihood of having depression/anxiety disorders. The odds ratios among male and female workers were 3.25 (95 % confidence interval: 2.45–4.32) and 4.56 (95 % confidence interval: 3.45–6.03), respectively.

Conclusions

Perceived discrimination was significantly related to depression or anxiety disorders among Korean workers. The risk of depression or anxiety was higher among female workers, compared to male workers.


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