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Original Article
Telecommuting during the COVID-19: the role of job demand and control on health outcomes
Seung-Woo Ryoo, Jin-Young Min, Seok-Yoon Son, Baek-Yong Choi, Juho Choi, Kyoung-Bok Min
Ann Occup Environ Med 2024;36:e14.   Published online June 14, 2024
DOI: https://doi.org/10.35371/aoem.2024.36.e14
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
Background

The coronavirus disease 2019 (COVID-19) pandemic drastically modified the occupational system wherein telecommuting has risen as the major form of work. Few studies have incorporated Karasek’s job demand-control (JDC) model into explaining the health effects of telecommuting. This study aimed to investigate the health risk in South Korean telecommuters during the pandemic, and its distribution according to the job stress-related factors.

Methods

A nationwide population-based cross-sectional study of South Korean laborers was conducted, utilizing the 6th Korean Working Conditions Survey (2020–2021). Following the previously described concept of telecommuting, 14,478 white-collar employees were eligible study participants. Telecommuting, job demand, job control, and various health indicators were measured by the responses to the survey. Participants were stratified into 4 job profiles classified by the JDC model. We conducted multiple logistic regression analyses between telecommuting and health-related outcomes to estimate the odds ratio (OR) with a 95% confidence interval (CI).

Results

One hundred forty-six low-strain, 223 active, 69 passive, and 148 high-strain workers were screened as telecommuters. Compared to office workers, telecommuters had a higher proportion in high job control groups. Subgroup analysis demonstrated different relationships between telecommuting and health, where only active telecommuters showed a higher prevalence of depression (OR: 1.980, 95% CI: 1.126–3.481), and high-strain telecommuters were affected in most outcomes including insomnia (OR: 2.555, 95% CI: 1.473–4.433), musculoskeletal pain (OR: 2.786, 95% CI: 1.719–4.517), headache/eye strain (OR: 3.074, 95% CI: 1.992–4.745) and presenteeism (OR: 1.932, 95% CI: 1.193–3.131).

Conclusions

This study revealed significantly increased odds of multiple health outcomes among South Korean telecommuters during the COVID-19 pandemic era. High-strain job holders were prominently susceptible to the negative health impacts of telecommuting. Occupational health management towards telecommuters should approach mitigating high job demand and low job control.

코로나19 시기 재택근무: 건강 결과에 대한 직무 요구와 직무 재량의 역할
목적
코로나19 팬데믹으로 인해 재택근무는 직무 체계에서 주요한 업무 형태로 떠올랐다. 재택근무가 노동자의 건강에 미치는 영향을 설명하는데 있어 직무 요구-재량 모델을 도입한 연구가 부족하다. 본 연구는 팬데믹 기간 동안 한국 재택근무자들의 건강 위험과 상기 직무 스트레스 관련 요인에 따른 분포를 조사하는 것을 목표로 했다.
방법
본 연구는 제6차 근로환경조사(2020~2021년)를 활용하여 한국 노동자에 대한 전국 인구 기반 횡단면 연구를 실시했다. 이전 연구에서 확립한 재택근무 개념에 따라 14,478명의 화이트 칼라 피고용인 노동자들을 적격집단으로 선정했다. 설문조사 응답 결과를 토대로 재택근무, 직무 요구, 직무 재량 및 다양한 건강 지표를 측정했다. 연구대상자들을 직무 요구-재량 모델에 따라 분류된 네 가지 직무 유형으로 구분하였고, 다중 로지스틱 회귀분석을 시행하여 재택근무 여부에 따른 건강 변수의 오즈비(OR)와 95% 신뢰구간(CI)을 측정하였다.
결과
저-긴장 노동자 146명, 능동적 노동자 223명, 수동적 노동자 69명, 고-긴장 노동자148명이 재택근무자로 분류되었다. 통근근무자와 비교했을 때, 재택근무자들은 직무 재량이 높은 군에서 그 비중이 높았다. 층화분석 결과 재택근무와 건강 사이의 연관성은 군별로 상이하였는데, 오직 능동적 재택근무자들만이 통근근무자들보다 높은 우울증 유병률을 보였고 (OR 1.980, 95% CI 1.126-3.481) 고-긴장 재택근무자들이 가장 많은 결과 변수에서 유의한 오즈비를 보였다; 불면증 (OR 2.555, 95% CI 1.473-4.433), 근골격계 통증 (OR 2.786, 95% CI 1.719-4.517), 두통/안구 피로 (OR 3.074, 95% CI 1.992-4.745), 상병 시 근무 (OR 1.932, 95% CI 1.193-3.131).
결론
본 연구에 따르면 코로나19 팬데믹 기간 동안 한국 재택근무자들에서 다수의 건강 문제가 발생할 오즈가 유의하게 증가하였다. 그중 고-긴장 업무에 종사하는 노동자들은 재택근무가 건강에 미치는 부정적인 영향에 가장 취약하였다. 따라서 재택근무자들에 대한 산업보건 관리는 높은 직무 요구와 낮은 직무 재량을 완화하는 방향으로 접근해야 할 것이다.
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Original Article
Association between lone work and self-rated health status: using the 5th Korean Working Conditions Survey
Eunseun Han, Ui-Jin Kim, Yongho Lee, Sanghyuk Lee, Seunghon Ham, Wanhyung Lee, Won-Jun Choi, Seong-Kyu Kang
Ann Occup Environ Med 2023;35:e29.   Published online July 31, 2023
DOI: https://doi.org/10.35371/aoem.2023.35.e29
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background

Lone workers are generally defined as individuals who work alone without supervision, including self-employed people. While lone workers are considered a vulnerable group in some countries, there is a lack of research on their health status in domestic studies. Globally, the number of lone workers has been increasing, and this trend has been further accelerated since the coronavirus disease 2019 (COVID-19) pandemic with the rise of remote work.

Methods

The study analyzed data from 44,281 participants, excluding unpaid family workers, soldiers, and those with missing data. Lone workers were defined as individuals who reported having no colleagues with the same job at their current workplace. Self-rated health status was categorized as “good” or “poor.”

Results

This study found a statistically significant higher number of lone workers among women compare to men. The largest occupational category for lone workers was service and sales workers, followed by agriculture and fisheries workers. A majority of non-lone workers reported working 40 hours or less per week, while the majority of lone workers reported working 53 hours or more per week. In addition, lone workers had significantly poorer health status evaluations compared to non-lone workers (odds ratio: 1.297; 95% confidence interval: 1.165–1.444).

Conclusions

Further research is needed to investigate the causal relationship between lone work and health, using data collected after the COVID-19 pandemic.


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Original Article
Relationship between visual display terminal working hours and headache/eyestrain in Korean wage workers during the COVID-19 pandemic: the sixth Korean Working Conditions Survey
Gayoung Kim, Seong-yong Cho, Jinseok Kim, Seongyong Yoon, Jisoo Kang, Si young Kim
Ann Occup Environ Med 2023;35:e8.   Published online May 9, 2023
DOI: https://doi.org/10.35371/aoem.2023.35.e8
AbstractAbstract AbstractAbstract in Korean PDFPubReaderePub
Background

Prolonged use of visual display terminal (VDT) can cause eyestrain, dry eyes, blurred vision, double vision, headache and musculoskeletal symptoms (neck, shoulder, and wrist pain). VDT working hours among workers have greatly increased during the coronavirus disease 2019 (COVID-19) pandemic. Therefore, this study aimed to investigate the relationship between VDT working hours and headache/eyestrain in wage workers using data from the sixth Korean Working Conditions Survey (KWCS) (2020–2021) conducted during the COVID-19 pandemic.

Methods

We analyzed the sixth KWCS data of 28,442 wage workers aged 15 years or older. The headache/eyestrain that occurred in the last year was assessed. The VDT work group included workers who use VDT always, almost always, and three-fourth of the working hours, while the non-VDT work group included workers who use VDT half of the working hours, one-fourth of the working hours, almost never, and never. To analyze the relationship between VDT working hours and headache/eyestrain, the odds ratios (ORs) and 95% confidence interval (CI) were calculated using logistic regression analysis.

Results

Among the non-VDT work group, 14.4% workers experienced headache/eyestrain, whereas 27.5% workers of the VDT work group experienced these symptoms. For headache/eyestrain, the VDT work group showed adjusted OR of 1.94 (95% CI: 1.80–2.09), compared with the non-VDT work group, and the group that always used VDT showed adjusted OR of 2.54 (95% CI: 2.26–2.86), compared with the group that never used VDT.

Conclusions

This study suggests that during the COVID-19 pandemic, as VDT working hours increased, the risk of headache/eyestrain increased for Korean wage workers.

코로나 19 유행 시기의 임금근로자에서 영상표시단말기(VDT) 작업시간과 두통/눈피로의 연관성: 제 6차 근로환경조사(KWCS)
목적
영상표시단말기(VDT)를 장시간 사용하면 눈의 피로, 안구 건조, 시야 흐림, 복시, 두통 및 근골격계 증상(목, 어깨 및 손목 통증)을 유발할 수 있다. 코로나19의 유행 동안 근로자들의 VDT 근로시간이 크게 증가했다. 본 연구는 코로나19 유행 시기에 실시된 제6차 KWCS(2020-2021) 자료를 활용하여 임금근로자의 VDT 근로시간과 두통/눈피로의 연관성을 조사하고자 하였다.
방법
본 연구는 15세 이상 임금근로자 28,442명을 대상으로 제6차 KWCS 자료를 분석하였다. 두통/눈피로는 지난 1년 동안 발생 여부로 확인하였다. 근무시간 내내, 거의 모든 근무시간, 근무시간 3/4 동안 VDT를 사용할 경우 VDT 작업군으로 분류하였고, 근무시간 절반, 근무시간 1/4, 거의 없음, 전혀 사용하지 않는 경우 VDT 비작업군으로 분류하였다. VDT 근무시간과 두통/눈피로의 관계를 분석하기 위해 로지스틱 회귀분석을 이용하여 승산비(OR)와 95% 신뢰구간(CI)을 계산하였다.
결과
본 연구는 15세 이상 임금근로자 28,442명을 대상으로 제6차 KWCS 자료를 분석하였다. 두통/눈피로는 지난 1년 동안 발생 여부로 확인하였다. 근무시간 내내, 거의 모든 근무시간, 근무시간 3/4 동안 VDT를 사용할 경우 VDT 작업군으로 분류하였고, 근무시간 절반, 근무시간 1/4, 거의 없음, 전혀 사용하지 않는 경우 VDT 비작업군으로 분류하였다. VDT 근무시간과 두통/눈피로의 관계를 분석하기 위해 로지스틱 회귀분석을 이용하여 승산비(OR)와 95% 신뢰구간(CI)을 계산하였다.
결론
본 연구는 코로나19 세계적 유행 기간 동안 VDT 근로시간이 증가함에 따라 한국 임금근로자의 두통/눈피로 위험이 증가함을 시사한다.
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Original Article
Association between coronavirus disease 2019-related workplace interventions and prevalence of depression and anxiety
Hyun Woo Park, Seung Hyun Park, Young Wook Kim, JunSeok Son, Chan Woo Kim, Hyoung Ouk Park, Jun Ho Lee, Young Hoo Shin, Chang Ho Chae, Eui Yup Chung, Hun Jeong
Ann Occup Environ Med 2022;34:e11.   Published online June 3, 2022
DOI: https://doi.org/10.35371/aoem.2022.34.e11
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
Background

Although coronavirus disease 2019 is causing a variety of psychological problems for workers, there are few longitudinal studies on changes in workers’ mental health by workplace intervention. This study aimed to evaluate the change in the prevalence of depression and anxiety according to the active involvement of the workplace.

Methods

This study was conducted on 1,978 workers at a workplace who underwent a health screening from January 2019 to August 2020, and classified depression and anxiety disorders using a self-report questionnaire. After the first pandemic, the company stopped health screening, took paid leave and telecommuting, and conducted interventions such as operating its own screening clinic. To see if this workplace intervention affects workers’ mental health, we conducted generalized estimating equations to compare odds ratio (OR).

Results

In the pre-intervention group, 384 people (16.86%) had depression, and 507 people (22.26%) had anxiety disorder. Based on the OR before intervention, the OR of depression decreased to 0.76 (0.66–0.87) and the OR of anxiety disorder decreased to 0.73 (0.65–0.82).

Conclusions

As a result of this study, it was confirmed that workplace intervention was related to a decrease in depression and anxiety. This study provides basic data to improve workers’ mental health according to workplace intervention, and further research is needed according to workplace intervention in the future.

코로나바이러스감염증-19 관련 사업장 개입과 우울증 및 불안장애 유병률 간의 관련성
목적
COVID-19가 근로자에게 다양한 심리적 문제를 야기하고 있지만, 사업장 개입이 근로자의 정신 건강의 변화에 대한 종단적 연구는 거의 없다. 이 연구는 사업장의 적극적인 개입 여부에 따른 우울, 불안의 유병률 변화를 평가하는 것을 목표로 하였다.
방법
본 연구는 2019년 1월부터 2020년 8월까지 건강검진을 받은 한 사업장의 근로자 1,978명을 대상으로 하였으며, 자기기입식 설문지를 이용하여 우울증, 불안장애를 분류하였다. 이 회사는 1차 대유행 이후 건강검진을 중단하고, 유급휴직 및 재택근무, 자체선별진료소 운영 등의 개입을 실시하였다. 이런 사업장 개입이 근로자의 정신건강에 영향을 미치는지 알아보기 위해 Generalized estimating equation(GEE)을 시행하여 Odds ratio(OR)을 비교하였다.
결과
Pre-intervention group에서 우울증은 총 384명(16.86%)이었으며, 불안장애는 총 507명(22.26%)이었다. Pre-intervention group의 OR를 기준으로 하였을 때, post-intervention group의 우울증 OR는 0.76(0.66-0.87), 불안장애의 OR는 0.73(0.65-0.82)로 감소하였다.
결론
본 연구 결과, 사업장의 개입이 우울, 불안의 감소와 관련이 있다는 것을 확인할 수 있었다. 본 연구는 사업장 개입 여부에 따른 근로자 정신건강을 개선시키기 위한 기초자료를 제공하며, 향후 사업장 개입에 따른 추가 연구가 필요할 것으로 본다.

Citations

Citations to this article as recorded by  
  • Telecommuting-related health outcomes during the COVID-19 pandemic in South Korea: a national population-based cross-sectional study
    Seung-Woo Ryoo, Jin-Young Min, Dong-Wook Lee, Baek-Yong Choi, Juho Choi, Ho-Yeon Kim, Kyoung-Bok Min
    BMC Public Health.2023;[Epub]     CrossRef
  • Multidimensional typologies of precarious employment and their relationships with mental well-being in Korean wageworkers: A latent class analysis based on the Korean Working Conditions Survey (2020–2021)
    Seong-Uk Baek, Jong-Uk Won, Jin-Ha Yoon
    Preventive Medicine.2023; 177: 107787.     CrossRef
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Case Report
A case series of flight attendants at risk of COVID-19 in South Korea in 2020
Eunchan Mun, Young-Man Kim, Boksoon Han, Jinsook Jeong, Wonsool Kim, Changhwan Lee
Ann Occup Environ Med 2021;33:e1.   Published online January 22, 2021
DOI: https://doi.org/10.35371/aoem.2021.33.e1
AbstractAbstract PDFPubReaderePub
Background

Coronavirus disease 2019 (COVID-19) has infected many individuals worldwide. Individuals in contact with unspecified people during their work, may be at risk of occupational exposure. On June 22, 2020, 1,435 overseas patients were identified in the Republic of Korea. Considering the influx of overseas patients, aircraft-mediated COVID-19 transmission is a major concern.

Case presentation

We presented two flight attendants diagnosed with COVID-19 who shared the crew's resting area and ground transportation, and discussed the risks experienced by flight attendants.

Conclusions

Biosafety guidelines for cabin crews should be intensified, and their COVID-19 risks must be further investigated. Policymakers must consider comprehensive surveillance systems for workers with high risks of occupational exposures and transmissions, such as flight attendants.


Citations

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  • Effects of trust in organizations and trait mindfulness on optimism and perceived stress of flight attendants during the COVID-19 pandemic
    Pornprom Suthatorn, Peerayuth Charoensukmongkol
    Personnel Review.2023; 52(3): 882.     CrossRef
  • Depression, Anxiety, Stress and Anger of the Cabin Crew during the COVID-19 Pandemic in South Korea
    Yeo-Won Jeong, Jung-Ha Kim
    Healthcare.2022; 10(10): 1952.     CrossRef
  • Seroprevalence of measles, mumps, rubella, and varicella-zoster antibodies in new female nurses in the Republic of Korea
    Yeongjae Yoo, Won-Ju Park, Seunghyeon Cho, Dae-Young Lim, Suwhan Kim, Wonyang Kang, Hyeonjun Kim, Jai-Dong Moon
    Annals of Occupational and Environmental Medicine.2021;[Epub]     CrossRef
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Short Communication
Fighting the COVID-19 pandemic: onsite mass workplace testing for COVID-19 in the Republic of Korea
Eunhye Seo, Eunchan Mun, Wonsool Kim, Changhwan Lee
Ann Occup Environ Med 2020;32:e22.   Published online July 2, 2020
DOI: https://doi.org/10.35371/aoem.2020.32.e22
AbstractAbstract PDFPubReaderePub

The ongoing coronavirus disease 2019 (COVID-19) pandemic is causing tremendous damage globally. The Republic of Korea (ROK), a highly export-dependent nation, is a leader in the fight against the COVID-19 pandemic and coping well with the disaster. Like the drive-through COVID-19 testing, which reflects the brilliant flexibility of the Korean medical system, onsite mass workplace testing for COVID-19, which our hospital has been performing over the past few months, is a unique and valuable countermeasure. We believe it is time that the current health examination system for workers in the ROK considered the risk of transmissible diseases.


Citations

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  • Occupation and SARS-CoV-2 seroprevalence studies: a systematic review
    Emily Boucher, Christian Cao, Sean D’Mello, Nathan Duarte, Claire Donnici, Natalie Duarte, Graham Bennett, Anil Adisesh, Rahul Arora, David Kodama, Niklas Bobrovitz
    BMJ Open.2023; 13(2): e063771.     CrossRef
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  • Impact of Mass Workplace COVID-19 Rapid Testing on Health and Healthcare Resource Savings
    Francesc López Seguí, Jose Maria Navarrete Duran, Albert Tuldrà, Maria Sarquella, Boris Revollo, Josep Maria Llibre, Jordi Ara del Rey, Oriol Estrada Cuxart, Roger Paredes Deirós, Guillem Hernández Guillamet, Bonaventura Clotet Sala, Josep Vidal Alaball,
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