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Original Article
The relationship between visual display terminal usage at work and symptoms related to computer vision syndrome
Soonsu Shin, Eun Hye Yang, Hyo Choon Lee, Seong Ho Moon, Jae-Hong Ryoo
Ann Occup Environ Med 2023;35:e1.   Published online January 9, 2023
DOI: https://doi.org/10.35371/aoem.2023.35.e1
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
Background

Although it is well known that the usage of visual display terminal (VDT) at the workplace causes computer vision syndrome (CVS), previous studies mainly focused on computer use and the health of white-collar workers. In this study, we explored the relationship between the usage of VDT including various devices, and symptoms related to CVS in a large population including pink-collar workers and blue-collar workers.

Methods

21,304 wage workers over the age of 20 years were analyzed from the 6th Korean Working Conditions Survey. To investigate the association between VDT use at work and symptoms related to CVS among wage workers, odds ratios (ORs) and 95% confidence interval (CI) were calculated by multivariate logistic regression models.

Results

In the group with the highest VDT usage at work, the OR of headache/eyestrain was 2.16 (95% CI: 1.86–2.52). The OR of suspected CVS patients was significantly increased in the highest group of usage of VDT at work (OR: 1.69; 95% CI, 1.39–2.06). Compare with the reference group, the OR for headache/eyestrain in the highest group of VDT usage was 2.81 (95% CI: 2.13–3.70) in white-collar workers, 1.78 (95% CI: 1.32–2.40) in pink-collar workers, and 1.59 (95% CI: 1.18–2.15) in blue-collar workers.

Conclusions

We observed a relationship in which the use of VDT in the workplace increases the risk of headache/eyestrain regardless of occupational classification. Our findings emphasize the importance of paying attention to the health of VDT workers and making plans to improve their working conditions.

영상표시단말기 작업과 컴퓨터 시각 증후군의 증상간의 관계
목적
다양한 산업과 직군에서 컴퓨터만이 아니라 스마트폰, 태블릿 등의 영상표시단말기(Video display terminal)의 사용이 증가하고 있다. 영상표시 단말기를 사용하는 사람들은 흔히 눈의 긴장, 두통, 상지 통증 등의 증상을 겪으며 이러한 증상들의 집합은 컴퓨터 시각 증후군(Computer vision syndrome)이라고 정의되어 왔다. 컴퓨터 시각 증후군에 대한 이전 연구들은 특정 직업만을 대상으로 한 연구가 많았다. 또한, 지금까지 컴퓨터 이외의 다른 기기들을 포함하여 컴퓨터 시각증후군에 대해 조사한 연구는 없었다. 본 연구에서는 제6차 근로환경조사를 통하여 작업 중 다양한 영상표시단말기의 사용과 컴퓨터 시각 증후군의 증상들의 관계에 대해 연구해보았다. 인구집단을 화이트칼라 근로자, 핑크칼라 근로자, 블루칼라 근로자로 나누어서 분석하여 영상표시단말기 사용이 근로자들의 건강에 미치는 영향을 파악해보고자 한다.
방법
이번 연구에서는 6차 근로환경조사에 참여한 인원 중 20세 이상의 임금 근로자 21,304명을 연구 참여자로 포함시켰다. 이들의 작업 중 영상표시단말기 사용을 적음, 보통, 많음 세 군으로 나누어 독립변수로 사용하였고, 지난 12개월 동안 두통/눈 긴장이 있는지, 상지의 통증이 있는지, 혹은 둘 다 있는 경우 컴퓨터 시각 증후군 의심환자로 정의하여 종속변수로 사용하여 로지스틱 회귀분석을 진행하였다. 통계적 유의수준은 P<0.05 으로 고려하였다.
결과
로지스틱 회귀분석에서 영상표시 단말기 사용이 많았던 군에서 적었던 군 보다 두통/눈 긴장의 오즈비(Odds ratio)가 2.16 (95% 신뢰구간: 1.86-2.52)로 높게 나타났다. 컴퓨터 시각증후군 의심환자는 영상표시 단말기 사용이 많았던 군에서 적었던 군과 비교해 오즈비가 1.69 (95% 신뢰구간: 1.39-2.06)로 유의미하게 높았다. 기준군과 비교하여 영상표시단말기의 사용이 많았던 군의 두통/눈 긴장의 오즈비는 화이트칼라 근로자에서 2.81 (95% 신뢰구간: 2.13–3.70), 핑크칼라 근로자에서 1.78 (95% 신뢰구간: 1.32–2.40) 및 블루칼라 근로자에서 1.59 (95% 신뢰구간: 1.18–2.15)이었다.
결론
영상표시단말기의 사용은 근로자들에게서 두통/눈긴장의 위험을 높이며, 컴퓨터 시각 증후군 의심환자의 위험을 높였다. 화이트칼라 근로자뿐만 아니라 핑크칼라 근로자, 블루칼라 근로자에서도 영상표시단말기의 사용이 많은 군에서 두통/눈긴장의 위험이 증가하였다. 이러한 결과는 영상표시단말기 취급근로자들의 건강에 주의를 기울여야함을 시사한다.

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    Abigail Torres, Santiago Salazar
    Salud, Ciencia y Tecnología.2024; 4: 1049.     CrossRef
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    SungYeon Oh, Jaeho Yu
    The Journal of Korean Physical Therapy.2024; 36(3): 85.     CrossRef
  • Association between receiving work communications outside of work hours via telecommunication devices and work-related headaches and eyestrain: a cross-sectional analysis of the 6th Korean Working Conditions Survey
    Yoon-Soo Jang, Jae-Han Lee, Na-Rae Lee, Dong-Woo Kim, June-Hee Lee, Kyung-Jae Lee
    Annals of Occupational and Environmental Medicine.2023;[Epub]     CrossRef
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Research Article
Performance assessment on the Korean Computerized Neurobehavioral Test using a mobile device and a conventional computer: an experimental study
Young Seok Byun, Sung Kyu Park, Joon Sakong, Man Joong Jeon
Ann Occup Environ Med 2018;30:55.   Published online August 29, 2018
DOI: https://doi.org/10.1186/s40557-018-0264-6
AbstractAbstract PDFPubReaderePub
Background

The Korean Computerized Neurobehavioral Test (KCNT) is a psychological assessment tool used as part of Workers’ Special Health Examinations in Korea. Due to the spread of mobile technology, this study aimed to compare results of the KCNT administered on a tablet PC versus a desktop computer, and, therefore, assess the clinical applicability of mobile devices.

Methods

A total of 72 participants enrolled in this study. Their age, sex, and years of formal education were collected during an interview, as well as their typing speed. The test battery comprised five subtests: Simple Reaction Time test, Choice Reaction Time test, Digit Addition test, Symbol-Digit Substitution test, and Finger Tapping Speed test. Participants repeated the KCNT test battery in a randomly assigned order using four different testing systems: a desktop computer equipped with a conventional 106-key keyboard (System 1), a desktop computer equipped with a simplified keyboard (System 2), a tablet PC with a simplified 17-key on-screen keyboard (System 3), and a tablet PC equipped with a simplified keyboard (System 4).

Results

Results of the Digit Addition test did not differ significantly for different testing systems. In contrast, results of the Simple Reaction Time test, Choice Reaction Time test, Symbol-Digit Substitution test, and Finger Tapping test were lower for the tablet PC (Systems 3 and 4) compared to the desktop computer (Systems 1 and 2). Systems 1 and 2 did not show significantly different results. Performance on System 3 was inferior to that on System 4, only for the Choice Reaction Time test and Finger Tapping Speed test. There were also significant differences in performance by computer familiarity when adjusted for age and education; however, the performance of each group on the test systems showed similar patterns.

Conclusions

It is not recommended to use a tablet PC to administer the KCNT to evaluate neurobehavioral performance for the Simple Reaction Time test and Choice Reaction Time test; however, tablet PCs with an on-screen keyboard may be used to perform the Digit Addition test, and the Symbol-Digit Substitution test and Finger Tapping Speed test to a limited degree.


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    R J Elbin, Nathan R D’Amico, Matthew McCarthy, Melissa N Womble, Sydne O’Connor, Philip Schatz
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Research Article
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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Research Article
Effects of computer familiarity and computer type on the performance of Korean computerized neurobehavioral test
Nak Joon Baek, Gun Il Park, Young Seok Byun, Man Joong Jeon, Joon Sakong
Ann Occup Environ Med 2016;28:44.   Published online September 9, 2016
DOI: https://doi.org/10.1186/s40557-016-0129-9
AbstractAbstract PDFPubReaderePub
Background

It is thought that computer familiarity has increased significantly since 2004 as well as the use of computers. This study aimed to evaluate the effects of computer familiarity and types of keyboard and computer on the performance of the Korean computerized neurobehavioral test (KCNT), and to identify which parameters of KCNT were affected by aforementioned factors.

Methods

A total of 85 subjects were classified into three groups of computer familiarity by Korean typing speed. Their age, gender and the level of education were also collected. The parameters of KCNT included simple reaction time, choice reaction time, addition, symbol digit, and finger tapping speed. The test was conducted using three types of computers: a laptop computer, a laptop computer with a simplified keyboard, and a desktop computer with a simplified keyboard.

Results

Parameters including the simple reaction time, choice reaction time, addition, and symbol digit, and the finger tapping speed of non-dominant hand showed no significant differences in the results among the three groups by computer familiarity after age and educational years were controlled as covariates. The mean reaction time of the simple reaction time and the choice reaction time with a simplified keyboard was significantly shorter compared to that with a typical keyboard. With regard to type of computer, the mean reaction time of the simple reaction time and the choice reaction time was significantly reduced when performed with the desktop computer with a simplified keyboard.

Conclusions

Unlike previous study results, the choice reaction time, the addition, and the finger tapping speed of dominant hand were the only parameters affected by the computer familiarity. Both the type of keyboard and the type of computer significantly influenced the simple reaction time and the choice reaction time. Therefore, it is recommended to use a desktop computer with a simplified keyboard for such parameters.


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Original Article
Association Between Blood Lead Concentration and Computerized Neurobehavioral Performance in Korean Elementary School Students
Yeon Cheol Kim, Man Joong Jeon, Yun Chul Hong, Chul Gab Lee, Mi Na Ha, Ho Jang Kwon, Joon Sakong
Korean Journal of Occupational and Environmental Medicine 2011;23(2):183-191.   Published online June 30, 2011
DOI: https://doi.org/10.35371/kjoem.2011.23.2.183
AbstractAbstract PDF
OBJECTIVES
This study was conducted to evaluate association between computerized neurobehavioral performance and blood lead concentration in Korean elementary school students.
METHODS
The subjects were 1,077 elementary school students of Seoul, Busan, Daegu and Gwangju. Blood lead concentration was measured and computerized neurobehavioral performance tests were performed.
RESULTS
Blood lead concentration of the subjects was in the range of 0.20 and 7.39 microg/dl. The geometric mean of the subjects' blood lead concentration was 1.41 microg/dl. As blood lead concentration increased, reaction time to the symbol digit tended to increase significantly and linearly. As a result of LOWESS(locally weighted scatterplot smoothing), increasing reaction time to the symbol digit was observed.
CONCLUSIONS
As blood lead concentration under the CDC (center for disease control and prevention) reference value increased, reaction time to the symbol digit tended to increase. But, as the number of subjects over 3 microg/dl is small, it is difficult to make a definite conclusion. If confounding variables are controlled properly in a follow-up study, we can obtain a more definite conclusion.

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  • Association of heavy metal complex exposure and neurobehavioral function of children
    Minkeun Kim, Chulyong Park, Joon Sakong, Shinhee Ye, So young Son, Kiook Baek
    Annals of Occupational and Environmental Medicine.2023;[Epub]     CrossRef
  • Performance assessment on the Korean Computerized Neurobehavioral Test using a mobile device and a conventional computer: an experimental study
    Young Seok Byun, Sung Kyu Park, Joon Sakong, Man Joong Jeon
    Annals of Occupational and Environmental Medicine.2018;[Epub]     CrossRef
  • The association between lead concentration in the blood and neurobehavioral performance of children
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  • Evaluation of reliability of computerized neurobehavioral tests in Korean children
    Kyeong-Soo Lee, Man-Joong Jeon, Tae-Yoon Hwang, Chang-Yoon Kim, Joon Sakong
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Original Article
Assessment of Changes in Computerized Neurobehavioral Performance across Multiple Test Sessions
Sung Tae Chung, Man Joong Jeon, Joon Sakong
Korean Journal of Occupational and Environmental Medicine 2007;19(4):251-258.   Published online December 31, 2007
DOI: https://doi.org/10.35371/kjoem.2007.19.4.251
AbstractAbstract PDF
OBJECTIVE: A cross-sectional study was performed to assess changes in computerized neurobehavioral performance across multiple test sessions for developing a valid performance level and reducing test time.
METHODS
The study was conducted on 118 male car painters exposed to low-dose, mixed organic solvents. The study controls were 113 unexposed reference workers matched for age and educational year from different sections of the same factory. Each worker completed a medical and occupational exam and questionnaire. Three tests of the Swedish Performance Evaluation System (5 minutes of Simple Reaction Time, 9 sessions of Symbol Digit, and 4 sessions of Finger Tapping Speed) were administered to each group.
RESULTS
The mean age, mean duration of employment, and mean years of education were 33 years, 6.7 years, and 12 years in both groups, respectively. The mean reaction times of the Simple Reaction Time increased with the lapse of time. The known group difference between the exposed and control groups was larger for the first minute than for the successive 3 minutes. Both groups showed improved performance across the first to the seventh sessions on Symbol Digit. Following the seventh session, the performance levels of Symbol Digit had worsened. The t statistic of the two groups was the largest when the two mean reaction times were calculated from the sessions of the fifth to the seventh. In the dominant and non-dominant hands, the number of taps increased and decreased, respectively, across the sessions on Finger Tapping Speed. The known group difference was the largest when comparing the performances from the first to the second sessions.
CONCLUSIONS
For valid interpretation and timesaving in computerized neurobehavioral tests, the following is recommended: one practice and one test session for Simple Reaction Time, four practice and three test sessions for Symbol Digit, and one practice and two test sessions for Finger Tapping Speed.

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  • Effects of computer familiarity and computer type on the performance of Korean computerized neurobehavioral test
    Nak Joon Baek, Gun Il Park, Young Seok Byun, Man Joong Jeon, Joon Sakong
    Annals of Occupational and Environmental Medicine.2016;[Epub]     CrossRef
  • 31 View
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Original Article
Effect of the Type of Computer on Computerized Neurobehavioral Performance Tests
Gyu Tae Kim, Chang Yoon Kim, Joon Sakong
Korean Journal of Occupational and Environmental Medicine 2004;16(3):276-286.   Published online September 30, 2004
DOI: https://doi.org/10.35371/kjoem.2004.16.3.276
AbstractAbstract PDF
OBJECTIVES
It is difficult to carry and set up a large numbers of computers when computerized neurobehavioral tests are performed to many subjects. There are difficulties in mobilizing and resetting desktop computers and so, the use of desktop computers will decrease due to the recent increasing popularity of laptop computers. However, it is essential that there is no difference between the tests performed on a laptop and on a desktop computer. This study was conducted to estimate the effect that the type of computer has on computerized neurobehavioral performance tests.
METHODS
Three types of computers were applied. Type 1 was a normal laptop computer. Type 2 was a laptop computer that was remodeled and equipped with a modified keyboard. A common desktop computer with a remodeled keyboard as type 3. The computerized tests included Simple Reaction Time, Choice Reaction Time, Symbol Digit, and Finger Tapping Speed. A total of 60 subjects were examined by the identical tester in the same testing conditions. The computers were randomly allocated, which were used in the test and let examinees take tests with the separate computers.
RESULTS
There were no significant differences among the computers for the results of the Simple Reaction Time and Finger Tapping Speed tests. The mean reaction time, error number of Choice Reaction Time and mean reaction time, correct mean reaction time, error number of Symbol Digit produced significantly different results among the three types of computers.
CONCLUSION
This study indicates that with only a laptop computer the Simple Reaction Time test using the space bar was useful. But with the laptop computer, the Choice Reaction Time test using the four-direction key and the Symbol Digit test using the upper end number key were unsuitable. The keyboard should be developed further for the Choice Reaction Time and Symbol Digit tests. Among the three computers, we recommend the use of the desktop computer with the remodeled keyboard which the examinees are familiar with and the laptop computer with the remodeled keyboard.

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    Annals of Occupational and Environmental Medicine.2018;[Epub]     CrossRef
  • Effects of computer familiarity and computer type on the performance of Korean computerized neurobehavioral test
    Nak Joon Baek, Gun Il Park, Young Seok Byun, Man Joong Jeon, Joon Sakong
    Annals of Occupational and Environmental Medicine.2016;[Epub]     CrossRef
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Original Article
A Computer-Administered Neurobehavioral Evaluation of Workers Exposed to Organic Solvents
Jong Hak Chung, Chang Yoon Kim, Joon Sakong
Korean Journal of Occupational and Environmental Medicine 1994;6(2):219-241.   Published online September 30, 1994
DOI: https://doi.org/10.35371/kjoem.1994.6.2.219
AbstractAbstract PDF
A cross-sectional study was performed to evaluate the effects of chronic exposure to solvent on neurobehavioral performance of solvent exposed 89 workers engaged in a video tape manufacturing fatory. A control group of 43 workers was selected fro different sections of the factory. The mean age and the mean duration of employment were 29 years and 5.4 years. Each workers completed a medical and occupational questionnaire. Adverse effects on the central nervous system were assessed by self reported Scandinavian questionnaire 16, New Anxiety-Depression Scale and seven test of Swedish Performance Evaluation System. These included simple reaction time, choice reaction time, digit classification, finger tapping speed, additions, symbol digit and digit span. Several potential confounding factors were included as indepedent variables in all analysis of neurobehavioral tests and symptoms. These included age, sex, educational level, familiarity with computer, alcohol drinking and amount of smoking. No significant associations were found between solvent exposure and total symptom score and mood score, Although the mean duration of employment was 5.4 years, comparison of mean performance scores adjusted for confounding factors showed a significantly poorer performance on choice reaction time(p<0.05), digit classification (p<0.01), additions (p<0.01) and symbol digit(p<0.01) in exposed group. Factor matrix of neurobehavioral tests produced by varimax rotation showed three distinct factors, which correspond to assessments of "memory", "coordination" and "response speed". These factors accounted for 62.6% of the total variance of the sample. Familiarity with computer was found to be associated with performance of symbol digit and amount of smoking appeared to slow finger tapping speed. Male and college graduate workers have less errors than others. There were no significant correlation between neurotoxic symptom score and performance of neurobehavioral tests.

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    Nak Joon Baek, Gun Il Park, Young Seok Byun, Man Joong Jeon, Joon Sakong
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