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Original Article
Association between exposure to violence, job stress and depressive symptoms among gig economy workers in Korea
Min-Seok Kim, Juyeon Oh, Juho Sim, Byung-Yoon Yun, Jin-Ha Yoon
Ann Occup Environ Med 2023;35:e43.   Published online October 30, 2023
DOI: https://doi.org/10.35371/aoem.2023.35.e43
AbstractAbstract AbstractAbstract in Korean PDFPubReaderePub
Background

Gig workers, also known as platform workers, are independent workers who are not employed by any particular company. The number of gig economy workers has rapidly increased worldwide in the past decade. There is a dearth of occupational health studies among gig economy workers. We aimed to investigate the association between exposure to violence and job stress in gig economy workers and depressive symptoms.

Methods

A total of 955 individuals (521 gig workers and 434 general workers) participated in this study and variables were measured through self-report questionnaires. Depressive symptoms were evaluated by the Patient Health Questionnaire-9 when the score was greater than or equal to 10 points. The odds ratio with 95% confidence interval was calculated using multivariable logistic regression adjusted for age, sex, working hours, education level, exposure to violence and job stress.

Results

19% of gig economy workers reported depressive symptoms, while only 11% of general workers reported the depressive symptoms. In association to depressive symptoms among gig economy workers, the mainly result of odds ratios for depressive symptoms were as follows: 1.81 for workers type, 3.53 for humiliating treatment, 2.65 for sexual harassment, 3.55 for less than three meals per day, 3.69 for feeling too tired to do housework after leaving work.

Conclusions

Gig economic workers are exposed to violence and job stress in the workplace more than general workers, and the proportion of workers reporting depressive symptoms is also high. These factors are associated to depressive symptoms. Furthermore, the gig workers associated between depressive symptoms and exposure to violence, job stress.

한국 긱경제 근로자에서 폭력 및 직무 스트레스 노출과 우울 증상관의 연관성
목적
긱경제 근로자 또는 플랫폼 근로자는 특정 회사에 고용되지 않은 독립적인 근로자들을 말한다. 긱경제는 그 규모가 커지고 있고, 종사하는 근로자들도 많아지고 있으나, 긱경제 노동자들의 산업 보건 연구가 부족한 실정이다. 우리는 긱경제 근로자에서 폭력 노출과 직무 스트레스에 노출되는 것이 우울 증상과 연관성이 있는지 조사하는 것을 목표로 했다.
방법
총 955명(긱 근로자 521명, 일반 근로자 434명)이 본 연구에 참여하였으며, 우울 증상은 PHQ-9(Patient Health Questionnaire-9) 점수가 10점 이상일 때로 평가하였다. 폭력 노출과 직무 스트레스는 자기보고식 설문지를 이용하여 측정하였다. 연령, 성별, 근무시간, 교육수준을 보정한 다변량 로지스틱 회귀분석을 이용하여 Odds Ratio, 95% Confidence Interval를 산출했다.
결과
긱 근로자의 19%가 우울 증상을 보고한 반면, 일반 근로자의 11%만이 우울 증상을 보고했습니다. 긱경제 근로자의 우울상과 관련하여 우울상 Odds ratio의 주요 결과는표3에서 ‘긱경제 근로자’ 1.89, ‘굴욕적 처우 경험’ 3.53, ‘성희롱 경험’ 2.65, ‘하루 세 끼 미만의 식사’ 3.55, ‘퇴근 후 집안일을 하기엔 너무 피곤함’ 3.69로 나타났다.
결론
긱경제 근로자는 일반 근로자에 비해 직장 내 폭력과 직무스트레스에 더 많이 노출되고, 우울 증상을 호소하는 근로자의 비율도 높다. 이러한 요인은 우울 증상과 관련이 있다. 더욱이, 긱경제 근로자들은 우울 증상과 폭력 노출, 직업 스트레스와 관련이 있다.

Citations

Citations to this article as recorded by  
  • Higher anxiety level and associated work-related factors of delivery workers in South Korea: from the 6th Korean working conditions survey
    Sungjin Park, June-Hee Lee
    International Archives of Occupational and Environmental Health.2024;[Epub]     CrossRef
  • Association between precarious employment and the onset of depressive symptoms in men and women: a 13-year longitudinal analysis in Korea (2009–2022)
    Seong-Uk Baek, Jong-Uk Won, Yu-Min Lee, Jin-Ha Yoon
    Epidemiology and Psychiatric Sciences.2024;[Epub]     CrossRef
  • 137 View
  • 1 Download
  • 2 Web of Science
  • 2 Crossref
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Research Article
The perceived effects and comfort of various body armour systems on police officers while performing occupational tasks
B. Schram, B. Hinton, R. Orr, R. Pope, G. Norris
Ann Occup Environ Med 2018;30:15.   Published online February 28, 2018
DOI: https://doi.org/10.1186/s40557-018-0228-x
AbstractAbstract PDFPubReaderePub
Background

The nature of police work often necessitates use of Individual Light Armour Vests (ILAVs) for officer protection. Previous research has demonstrated various biomechanical and physical performance impacts of ILAVs, however, little knowledge exists on the individual officer’s perceptions of ILAV. The aim of this study was to investigate officers’ perceptions of the impacts of three different ILAVs and normal station wear whilst performing police occupational tasks.

Methods

A prospective, within subjects, repeated measures design was employed in which 11 serving police officers wore each of three different types of body armour (ILAV A, ILAV B or ILAV C) and normal station wear for a full day while performing tasks including a simulated victim drag, a patrol vehicle exit and a marksmanship shoot. Ratings of Perceived Exertion (RPE) and a Visual Analogue Scale (VAS; − 10 to + 10) were used to examine officer perceptions of each ILAV. Finally, officers were asked to indicate areas of both discomfort and comfort of each ILAV on a mannequin chart.

Results

Officers perceived less effort was required for the victim drag whilst wearing ILAV B (RPE = 3.6/10) when compared to ILAV A, ILAV C and even station wear (RPE = 4.7/10, 4.0/10, 3.8/10, respectively). A positive impact on performance was perceived for ILAV B (VAS = + 0.26) when performing a patrol vehicle exit and sprint task but not for the other two ILAVs (VAS = − 3.58, − 0.55, − 0.85, respectively). Officers perceived a positive impact of ILAV B (VAS = + 2.7) and station wear (VAS = + 1.4) and a negative impact of ILAVs A and C (VAS = − 2.1, − 1.7 respectively) on marksmanship. Despite all armour types being criticized for discomfort, ILAV B received lower ratings of discomfort overall, and some positive comments regarding both comfort and performance.

Conclusions

Officers perceived ILAV B to have positive effects on task performance. It was also rated more comfortable than the other two, possibly due to a longer torso design which shifted load from the shoulders to the hips and pelvis. Officer perceptions of comfort and effects on occupational performance should be considered when designing and procuring armour systems. Although ILAVs may be similar, perceived impacts may vary between officers.


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Research Article
A physical fitness profile of state highway patrol officers by gender and age
J. Jay Dawes, Robin M. Orr, Richard R. Flores, Robert G. Lockie, Charlie Kornhauser, Ryan Holmes
Ann Occup Environ Med 2017;29:16.   Published online June 1, 2017
DOI: https://doi.org/10.1186/s40557-017-0173-0
AbstractAbstract PDFPubReaderePub
Background

Law enforcement officers perform physically demanding tasks that generally remain constant as they age. However, there is limited population-specific research on age, gender and normative fitness values for law enforcement officers as opposed to those of the general population. The purpose of this study was to profile the current level of fitness for highway patrol officers based on age and gender and provide percentile ranking charts unique to this population.

Methods

Retrospective data for six-hundred and thirty-one state troopers (♂ = 597; mean age = 39.52 ± 8.09 yrs; mean height = 180.72 ± 7.06 cm; mean weight = 93.66 ± 15.72 kg: ♀ = 34; mean age = 36.20 ± 8.45 years; mean height = 169.62 ± 6.65 cm; mean weight = 74.02 ± 14.91 kg) collected in 2014–2015 were provided for analysis. Data included demographic (age), anthropometric (height and weight), and select fitness (VJ, push-ups, sit ups, isometric leg/back strength, isometric grip strength and 20 m shuttle run test) information.

Results

There were generally significant differences between genders for all anthropometric and fitness measures, most consistently in the 30–39 age groups. While there was a general decline in push-up and shuttle run performance in female officers, these results did not reach significance. For male officers, there were significant differences between the 20–29 year-old age group and the 30–39, 40–49 and 50–59 year-old groups with the younger group performing better in VJ, push-ups, sit ups and number of shuttle runs than the older groups. There were no differences in isometric grip strength and leg back dynamometer measures between age groups.

Conclusion

Male officers tended to be heavier, taller and perform significantly better than female officers in all measures bar sit-ups. While there appeared to be a general decline in certain physical characteristics across genders with increasing age the notable differences were between the youngest male age group (20–29 years) and all other male age groups with a potential reason being the lack of fitness requirements once typically younger cadets leave the academy. Percentile rankings for the assessed measures were found to have elements very specific to this population when compared to the general population and those provided in this paper can be used to inform future profiling and research in this population.


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Research Article
Air pollution and urinary n-acetyl-B-glucosaminidase levels in residents living near a cement plant
Min Soo Jung, Jae Yoon Kim, Hyun Seung Lee, Chul Gab Lee, Han Soo Song
Ann Occup Environ Med 2016;28:52.   Published online September 29, 2016
DOI: https://doi.org/10.1186/s40557-016-0138-8
AbstractAbstract PDFPubReaderePub
Background

To identify adverse renal effects due to air pollution derived from a cement plant in Korea. Urinary n-acetyl-B-glucosaminidase (U-NAG) levels in residents living near a cement plant were compared to those in a group who lived farther away from the plant.

Methods

From June to August 2013 and from August to November 2014, laboratory tests for U-NAG and heavy metal were conducted on 547 study participants. Based on the level of air pollution exposure, subjects were divided into the “less exposed group,” (LEG) which consisted of 66 persons who lived more than 5 km away from the cement plant, the “more exposed group from the rural area” (MEG-R), which consisted of 272 persons, and the “more exposed group from downtown area” (MEG-D), which consisted of 209 persons who lived within a 1 km radius of the cement plant. U-NAG levels >5.67 U/L were defined as “higher U-NAG” levels. We compared the prevalence of higher U-NAG levels and estimated the adjusted odds ratio (OR) by air pollution exposure using a chi-square test and multiple logistic regression analysis. Further, we estimated the interaction between air pollution exposure and heavy metal exposure in renal toxicity.

Results

The OR of higher U-NAG levels by MEG-D and MEG-R compared to LEG was 2.13 (95 % CI 0.86–4.96) and 4.79 (95 CI 1.65–10.01), respectively. Urinary cadmium (U-Cd), urinary mercury (U-Hg), age, occupation, hypertension, and diabetes had a significant association with higher U-NAG levels. However, blood lead (B-Pb), sex, and smoking were not associated with higher U-NAG. Especially, concurrent exposure to heavy metals (U-Hg or/and U-Cd) and air pollution had an additive adverse effect. In the group with both 4th quartile heavy metal exposure (U-Cd or/and U-Hg) and air pollution exposure, the OR in MEG-R and MEG-D was 6.49 (95 % 1.42–29.65) and 8.12 (95 % CI 1.74–37.92), respectively, after adjustment for age, occupation, hypertension, diabetes.

Conclusions

U-NAG levels seem to be affected by air pollution exposure as well as age, hypertension, diabetes, and even low levels of cadmium and low levels of mercury. Moreover, concurrent exposure to heavy metals and air pollution can have additive cytotoxic renal effects.


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Research Article
Emphysema prevalence related air pollution caused by a cement plant
Hyun Seung Lee, Chul Gab Lee, Dong Hun Kim, Han Soo Song, Min Soo Jung, Jae Yoon Kim, Choong Hee Park, Seung Chul Ahn, Seung Do Yu
Ann Occup Environ Med 2016;28:17.   Published online April 7, 2016
DOI: https://doi.org/10.1186/s40557-016-0101-8
AbstractAbstract PDFPubReaderePub
Background

To identify adverse pulmonary health effects due to air pollution derived from a cement plant in Korea. The emphysema prevalence in residents around a cement plant was compared to that in the group who live far away from the plant by chest films (PA and lateral view) and high-resolution computed tomography (HRCT) lung images.

Methods

From June to August in 2013 and from August to November in 2014, chest films and HRCT scan were conducted on residents over the age of 40 who lived around a cement plant. The residents were divided into two groups; a “more exposed group (MEG)” which consisted of 1,046 people who lived within a 1 km radius and a “less exposed group (LEG)” which consisted of 317 people who lived more than 5 km away from the same plant. We compared the emphysema prevalence and estimated the OR of this between the MEG and the LEG by using a chi-square and logistic regression on chest films and HRCT.

Results

The emphysema prevalence was 9.1 % in the LEG, 14.3 % in the MEG on chest films and 11.4 %, 17.8 % on the HRCT, respectively. The OR of the emphysema prevalence in MEG was 2.92 (95 % CI 1.77-4.83) on the chest films, 2.56 (95 % CI 1.64–3.99) on the HRCT after sex, age, body mass index (BMI), smoking history, residency period and firewood used history were adjusted. The OR in the less than 29 pack-years smoking history was 1.66 (95 % CI 0.92–3.06) and in the more than 30 pack-years was 3.05 (95 % CI 1.68–5.52) on the chest films, and was 1.68 (95 % CI 0.98–2.90), 2.93 (95 % CI 1.72–4.98) on the HRCT, respectively.

Conclusion

The emphysema prevalence seems to be affected by the level of exposure to air pollution derived from the cement plant as well as sex, age, BMI, and smoking history in this study. Moreover, the OR of the case of the more exposed to the air pollution was similar to that of the case in smoking.


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    Aşkın Birgül
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  • Air pollution and urinary n-acetyl-B-glucosaminidase levels in residents living near a cement plant
    Min Soo Jung, Jae Yoon Kim, Hyun Seung Lee, Chul Gab Lee, Han Soo Song
    Annals of Occupational and Environmental Medicine.2016;[Epub]     CrossRef
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Research Article
Ventilation impairment of residents around a cement plant
Sul Ha Kim, Chul Gab Lee, Han Soo Song, Hyun Seung Lee, Min Soo Jung, Jae Yoon Kim, Choong Hee Park, Seung Chul Ahn, Seung Do Yu
Ann Occup Environ Med 2015;27:3.   Published online January 24, 2015
DOI: https://doi.org/10.1186/s40557-014-0048-6
AbstractAbstract PDFPubReaderePub
Objectives

To identify adverse health effects due to air pollution derived from a cement plant in Korea. The ventilation impairment in residents around a cement plant was compared to another group through a pulmonary function test (PFT).

Methods

From June to August of 2013, both a pre and post-bronchodilator PFT was conducted on a “more exposed group (MEG)” which consisted of 318 people who lived within a 1 km radius of a cement plant and a “less exposed group (LEG)” which consisted of 129 people who lived more than 5 km away from the same plant. The largest forced expiratory volume in a one second (FEV1) reading and a functional residual capacity (FVC) reading were recorded after examining the data from all of the usable curves that were agreed upon as valid by PFT experts of committee of National Institute of Environmental Research. The global initiative for chronic obstructive lung disease (GOLD) criteria for COPD, defined the FEV1/FVC ratio < 0.7 as the obstructive type, and the FEV1/FVC ratio ≧ 0.7 and FVC% predicted < 80% were as the restrictive type. The FVC% predicted value was estimated using Korean equation. We compared the proportion of lung function impairments between the MEG and the LEG by using a chi-square, and estimated the OR of obstructive and restrictive ventilation impairments by logistic regression.

Results

The obstructive type impairment proportion was 9.7% in the MEG, whereas it was 8.5% in the LEG. The restrictive type was 21.6% in the MEG which was more than the 12.4% of the LEG. The odds ratio (OR) of total ventilation impairment in the MEG was 2.63 (95% CI 1.50 ~ 4.61) compared to the LEG. The OR of obstructive type in the MEG was 1.60 (95% CI 0.70 ~ 3.65), the smoking history was 3.10 (CI 1.10 ~ 8.66) whereas OR of restrictive type in the MEG was 2.55 (95% CI 1.37 ~ 4.76), the smoking history was 0.75 (95% CI 0.35 ~ 1.60) after adjusting for sex and age. Level of exposure to particulate played a role in both types. However, it appeared to be a significant variable in restrictive type, while smoking history was also an important variable in obstructive type.

Conclusion

Although this study is a limited cross-section study with a small number of subjects, ventilation impairment rate is higher in the MEG. There might be a possibility that it is due to long-term exposure to particulate dust generated by the cement plant.


Citations

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Original Article
Clusters of Pneumoconiosis among Residents Near Cement Factories
Jong Han Leem, Jae Hwa Cho, Eui Cheol Lee, Jeong Hoon Kim, Dong Hoon Lee, Seung Jun Lee, Ji Young Lee, Hwan Cheol Kim
Korean Journal of Occupational and Environmental Medicine 2010;22(2):140-145.   Published online June 30, 2010
DOI: https://doi.org/10.35371/kjoem.2010.22.2.140
AbstractAbstract PDF
OBJECTIVE: This study investigated case clusters of pneumoconiosis among residents near cement factories in Young_Wol, Korea.
METHODS
There were 1,396 residents of a total 3,418 residents surveyed for this study. Informations on demographics, health-related behaviors (smoking and drinking), past medical history, and clinical symptoms were collected using a self-administered questionnaire. All study participants underwent a physical examination, including chest X-ray, and physicians' interview. Chest CT (computerized tomography) was taken if there was abnormal finding on chest X-ray and physicians' interview.
RESULTS
We detected 5 cases of pneumoconiosis. 2 cases were related to occupational exposure to dust, such as underground mining and the breaking up of concrete. However, 3 cases were not related to occupational or environmental exposure, except that persons were living near cement factories and limestone mines.
CONCLUSION
This study suggests that the long-term exposure of cement dust among residents near cement factories and mines may lead to the development of pneumoconiosis.

Citations

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  • Emphysema prevalence related air pollution caused by a cement plant
    Hyun Seung Lee, Chul Gab Lee, Dong Hun Kim, Han Soo Song, Min Soo Jung, Jae Yoon Kim, Choong Hee Park, Seung Chul Ahn, Seung Do Yu
    Annals of Occupational and Environmental Medicine.2016;[Epub]     CrossRef
  • Ventilation impairment of residents around a cement plant
    Sul Ha Kim, Chul Gab Lee, Han Soo Song, Hyun Seung Lee, Min Soo Jung, Jae Yoon Kim, Choong Hee Park, Seung Chul Ahn, Seung Do Yu
    Annals of Occupational and Environmental Medicine.2015;[Epub]     CrossRef
  • A Study on the Results of Questionnaire Survey and Health Examination for Respiratory Disease among Residents in Briquette Fuel Complex in Ansim, Daegu
    Kwan Lee, Hyun-Sul Lim, Min-Gi Kim, Young-Sun Min, Young-Hyun Lee, Sung-Woo Kim, Hye-Sook Choi, Yeon-Soon Ahn, Joon Sakong, Seung-do Yu, Geun-Bae Kim, Mi-Ra Yoon
    Journal of Korean Society of Occupational and Environmental Hygiene.2015; 25(3): 355.     CrossRef
  • Cement dust and environmental diseases
    Jong-Han Leem
    Journal of the Korean Medical Association.2012; 55(3): 230.     CrossRef
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Original Article
The Actual Implementing Status of the Preplacement Medical Examination after the Annulment of the Preemployment Medical Examination
Chunhui Suh, Jong Tae Lee, Dae Hwan Kim, Byung Chul Son, Chang Hee Lee, Hui Dong Kim, Jin Hong Ahn
Korean Journal of Occupational and Environmental Medicine 2008;20(3):174-181.   Published online September 30, 2008
DOI: https://doi.org/10.35371/kjoem.2008.20.3.174
AbstractAbstract PDF
OBJECTIVES
We investigated the status of the preplacement medical examination after the revision of the industrial safety and health law on Oct. 7, 2005 by the Ministry of Labor.
METHODS
Preplacement medical certificates of 6,507 recruits issued by two hospitals in Busan, Kyeongnam Province from Jan. 1 to Dec. 31, 2006 were reviewed. Telephone interviews were performed to the recruits with disease and self-reported questionnaires were administrated to health and safety personnel from May 1 to Sep. 30, 2007.
RESULTS
Interviews were conducted with 185(56.1%) recruits with disease, 51(27.4%) of whom were rejected for employment due to the preplacement medical certificate. The questionnaire survey for the health and safety personnel revealed that 39(22.9%) personnel were unaware of the annulment of the preemployment medical examination. Eighty(48.8%) of the health and safety personnel answered that they performed a preplacement medical examination after employment, and 63(37.3%) made a practical application of the workers' placement. The recruits with chronic conditions were refused employment: 20 (11.8%) due to hypertension, 21(12.4%) diabetes mellitus and 22(13.0%) hyperlipidemia. The recruits with work-related diseases were also refused employments: 76(44.4%) due to lumbar spine abnormality and 75(43.8%) hearing loss.
CONCLUSIONS
Despite the annulment of the pre-employment medical examination, a preplacement medical examination was often used to discriminate among healthy and diseased recruits. Employers must respect the law for the point of time of the preplacement medical examination and the payment of cost. The government should publicize the revision of the objectives of the law. We suggest that health professionals elucidate the job fitness through the development of the assessment tools and maintain the confidentiality of recruits.

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  • Perception of and attitude toward ethical issues among Korean occupational physicians
    Junghye Choi, Chunhui Suh, Jong-Tae Lee, Segyeong Lee, Chae-Kwan Lee, Gyeong-Jin Lee, Taekjoong Kim, Byung-Chul Son, Jeong-Ho Kim, Kunhyung Kim, Dae Hwan Kim, Ji Young Ryu
    Annals of Occupational and Environmental Medicine.2017;[Epub]     CrossRef
  • The effect of university students' approach to health information on improvement of health behavior
    Seung-Dae Kim, Myung-gwan Kim
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3268.     CrossRef
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Case Report
A Case-study of a Plastering and Waterproof Worker Suffering from Silicosis and Lung Cancer
Kyoo Sang Kim, Min Heui Jo, Byung kyu Kim
Korean Journal of Occupational and Environmental Medicine 2008;20(2):153-159.   Published online June 30, 2008
DOI: https://doi.org/10.35371/kjoem.2008.20.2.153
AbstractAbstract PDF
OBJECTIVES
We report on a case-study of a silicosis sufferer with lung cancer, who was exposed to cement dust through plastering and waterproof work in the construction industry.
METHODS
We reviewed his personal history including employment, medical record and estimated level of carcinogenic materials in the work place in order to evaluate the possible source of his lung cancer.
RESULTS
The patient was a non-smoker and there was no family history of lung cancer. His medical record did not reveal anything of concern. He was exposed to cement dust while he had worked for 20 years as a plasterer and waterproof worker. After complaining of chest pain, he was examined and subsequently diagnosed with lung cancer (RUL, adenocarcinoma; cT4N2M1). He was treated in a hospital for 3 months before passing away. Radiological evaluation by high resolution computed tomography (HRCT) revealed micronodules with a profusion category 1 (p/p, 1/1) in the perilymphatic distribution, which indicated silicosis. Small amounts of cement dust which included silica was identified by environmental evaluation of his work place. He never worked with asbestos related material, which was confirmed by HRCT examination.
CONCLUSIONS
We concluded that the patient's silicosis with lung cancer was an occupational-caused disease due to exposure to cement dust.

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  • Analysis of Cost Benefit Related to Appointing a Health Care Manager in the Construction Industry
    Hye-Sun Jung, Jee-Seon Yi, In-Jae Shin, Eun-Hi Choi
    Korean Journal of Occupational Health Nursing.2016; 25(2): 130.     CrossRef
  • Assessment for the Physiological Workload of Warterproof Workers
    Tae-Kyung Lim, Sang-Min Park, Dong-Eun Lee
    Journal of the Architectural Institute of Korea Structure & Construction.2015; 31(6): 33.     CrossRef
  • Occupational Cancers with Chemical Exposure and their Prevention in Korea: A Literature Review
    Kyung-Taek Rim
    Asian Pacific Journal of Cancer Prevention.2013; 14(6): 3379.     CrossRef
  • Occupational Respiratory Cancer in Korea
    Hye-Eun Lee, Hyoung Ryoul Kim
    Journal of Korean Medical Science.2010; 25(Suppl): S94.     CrossRef
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Case Report
Cement Burn from Waterproof Work: A Case Study
Jaehyeok Ha, Soo Geun Kim, Min Gi Kim, Euna Kim
Korean Journal of Occupational and Environmental Medicine 2008;20(2):127-131.   Published online June 30, 2008
DOI: https://doi.org/10.35371/kjoem.2008.20.2.127
AbstractAbstract PDF
BACKGROUND
Portland cement, which is a common material used in the construction industry, is known to cause caustic burns due to its alkalinity. Although cement burns are frequent and can be severe, many workers are inadequately aware of its risks.
CASE
A 39-year-old man presented with exudative lesions and pain on his right hand after working with wet cement during waterproof work. The patient stated that wet cement entered his protective glove and he did not wash the cement off for 3 hours. Debridement of necrotic tissue and skin grafting was performed on his second and fifteenth hospital day respectively.
CONCLUSION
The prevention of cement burns can be improved by extensive risk instruction and the provision of adequate skin protection.

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Original Article
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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Original Article
Discriminating Function of Preemployment Medical Examination and Necessity of Changing over to Preplacement Medical Examination in Korea
Sang Hwan Han, Sung Chul Chung, Myung Hag Lee, Dong Bin Song
Korean Journal of Occupational and Environmental Medicine 1997;9(1):170-177.   Published online February 28, 1997
DOI: https://doi.org/10.35371/kjoem.1997.9.1.170
AbstractAbstract PDF
In Korea, every worker should undergo a preemployment medical examination according to Law for Occupational Safety and Health. But evaluation of it has not been previously carried out. Thus a telephone survey of 213 establishments of Inchon area for evaluation of preemployment medical examination in Korea was conducted. One hundred and fourteen companies(46.5% of all the subjects) were examined medically on preemployment, 47 establishments(41.2% of this study subjects) reevaluated workers by each establishment's medical criteria, and only less than half of diseased workers(DM 38.6% ; hypertension 42.1%, HBV carrier 28.0 % ; active pulmonary tuberculosis 7.9 %; back pain 12.3 %, and noise induced hearing loss 18.4 %) were employed. Employee's fees for preemployment medical examination were covered by 53.5 % of all the subjects. From our survey, it is clear that preemployment medical examination plays discriminating role on the employment of workers based on health status. We thus proposed to change over from preemployment medical examination to preplacement examination based on the evaluation of essential job functions and reasonable accommodation.

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  • Participation inequality in the National General Health Examination based on enterprise size
    Young Joong Kang, Jong Heun Park, Huisu Eom, Bohwa Choi, Seyoung Lee, Ji-Won Lee, Jun-Pyo Myong
    Annals of Occupational and Environmental Medicine.2017;[Epub]     CrossRef
  • Employment Discrimination Against Schizophrenia
    Mary V. Seeman
    Psychiatric Quarterly.2009; 80(1): 9.     CrossRef
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Case Report
Acute Ulcerative Contact Dermatitis from Ready Mixed Conerete
Soo Hun Cho, Sang Hwan Han
Korean Journal of Occupational and Environmental Medicine 1995;7(1):191-194.   Published online February 28, 1995
DOI: https://doi.org/10.35371/kjoem.1995.7.1.191
AbstractAbstract PDF
The case was described of a 43 year old male who developed burns of the both shins as a result of handling wet cement. After wet cement was spilled into the rubber boots he was wearing, he experienced painful erythema of both lower legs. Several weeks later, medical examination revealed dirty and granulated ulceration of the both shins. The largest ulcer, about 18 by 10 centimeters, was located on the anterior aspect of left lower leg. We coneluded that this skin problem resulted from the ertreme alkalinity of calcium hydroxide in wet cement, combined with the effects of pressure and occlusion against the skin.

Citations

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  • Adverse health outcomes in residents exposed to cement dust
    Kyung Tae Cha, Sung Soo Oh, Jin Ha Yoon, Ki Hyun Lee, Sung Kyung Kim, Bong Suk Cha, Sang Ha Kim, Ae Young Eom, Sang Baek Koh
    Toxicology and Environmental Health Sciences.2011; 3(4): 239.     CrossRef
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