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Original Article
- Analyzing decline in quality of life by examining employment status changes of occupationally injured workers post medical care
- Won-Tae Lee, Sung-Shil Lim, Min-Seok Kim, Seong-Uk Baek, Jin-Ha Yoon, Jong-Uk Won
- Ann Occup Environ Med 2022;34:e17. Published online July 18, 2022
- DOI: https://doi.org/10.35371/aoem.2022.34.e17
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Abstract
Abstract in Korean
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ePub Background This study aimed to investigate the decline in quality of life (QOL) by examining changes in the employment status of workers who had completed medical treatment after an industrial accident.
Methods This study utilized the Panel Study of Worker’s Compensation Insurance cohort (published in October 2020) containing a sample survey of 3,294 occupationally injured workers who completed medical care in 2017. We divided this population into four groups according to changes in working status. A multivariate logistic regression model was utilized for evaluating QOL decline by adjusting for the basic characteristics and working environment at the time of accident. Subgroup analysis evaluated whether QOL decline differed according to disability grade and industry group.
Results The QOL decline in the “maintained employment,” “employed to unemployed,” “remained unemployed,” and “unemployed to employed” groups were 15.3%, 28.1%, 20.2%, and 11.9%, respectively. The “maintained employment” group provided a reference. As a result of adjusting for the socioeconomic status and working environment, the odds ratios (ORs) of QOL decline for the “employed to unemployed” group and the “remained unemployed” group were 2.13 (95% confidence interval [CI], 1.51–3.01) and 1.47 (95% CI, 1.13–1.90), respectively. The “unemployed to employed” group had a non-significant OR of 0.76 (95% CI, 0.54–1.07).
Conclusions This study revealed that continuous unemployment or unstable employment negatively affected industrially injured workers’ QOL. Policy researchers and relevant ministries should further develop and improve “return to work” programs that could maintain decent employment avenues within the workers’ compensation system.
- 한국 산업재해 근로자의 요양 종료 후 고용상태의 변화와 삶의 질 저하와의 관계 분석
목적
산업재해 근로자의 요양 이후 직업 복귀와 삶의 질에 대한 사안은 이전부터 큰 사회적 관심사였다. 하지만 요양 종결 이후의 경제활동상태의 종적인 변화와 삶의 질과 연관시킨 연구는 거의 없다. 본 연구는 산업재해 후 요양을 마친 근로자의 고용상태 변화를 조사하여 삶의 질(QOL) 저하를 조사하는 것을 목적으로 하였다.
방법
본 연구는 2017년에 요양을 마친 3,294명의 산업재해 근로자를 대상으로 한 산재보험패널조사의 자료를 활용하였다. 우리는 이 산재노동자 인구를 근로 상태의 변화에 따라 ”고용 상태 유지”, ”고용에서 미취업 상태”, ”미취업 상태 유지” 및 ”미취업에서 고용 상태”의 4개 그룹으로 나누었다. 다변량 로지스틱 회귀모형은 기본 특성과 산업재해 당시의 작업환경을 보정하여 삶의 질 저하를 평가하는데 활용하였다. 하위집단 분석은 장애등급과 산업군에 따라 삶의 질 저하가 다른 지를 평가하였다.
결과
“고용 상태 유지”, ”고용에서 미취업 상태”, ”미취업 상태 유지” 및 ”미취업에서 고용 상태” 그룹의 삶의 질 감소 비율은 각각 15.3%, 28.1%, 20.2%, 그리고 11.9%이었다. 고용 상태를 유지한 그룹을 기준으로 하였을 때 사회경제적 상태와 근로환경을 보정한 결과 “고용에서 미취업 상태” 집단과 “미취업 상태 유지” 집단의 삶의 질 하락의 오즈비는 2.13 (95% 신뢰구간: 1.51–3.01)과 1.47로 분석되었다. (95% 신뢰구간: 1.13–1.90). "미취업에서 고용 상태" 그룹은 유의하지 않은 오즈비 0.76(95% 신뢰구간: 0.54–1.07)을 가졌다.
결론
본 연구에서는 지속적인 실업과 불안정한 고용이 산업재해 근로자의 삶의 질에 부정적인 영향을 미치는 것으로 나타났다. 또한 높은 장해등급, 건설업종의 경우 위험성이 더 높다. 정책 연구자와 관련 부처는 산업재해 보상 시스템 내에서 적절한 고용 수단을 유지할 수 있는 프로그램의 개발 노력이 필요함을 시사한다. -
Citations
Citations to this article as recorded by
- Work Performance Among Workers without Disabilities after Industrial Accidents: A Longitudinal Study
Chong Min Hong
The Open Public Health Journal.2024;[Epub] CrossRef - Self-Esteem Trajectories After Occupational Injuries and Diseases and Their Relation to Changes in Subjective Health: Result From the Panel Study of Workers’ Compensation Insurance (PSWCI)
Seong-Uk Baek, Won-Tae Lee, Min-Seok Kim, Myeong-Hun Lim, Jin-Ha Yoon, Jong-Uk Won
Journal of Korean Medical Science.2023;[Epub] CrossRef - Macro Aspect of Quality of Life Can Be Affected by Occupational Accidents, a Macro Vision for Managers
Farahnaz Khajehnasiri, Vida Zaroushani
Journal of Occupational Health and Epidemiology.2023; 12(3): 130. CrossRef - Prevalence and Consequences of Verbal Aggression among Bank Workers: A Survey into an Italian Banking Institution
Daniela Acquadro Maran, Antonella Varetto, Cristina Civilotti, Nicola Magnavita
Administrative Sciences.2022; 12(3): 78. CrossRef
- Work Performance Among Workers without Disabilities after Industrial Accidents: A Longitudinal Study
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- 1 Web of Science
- 4 Crossref
Research Article
- Association between employment status and self-rated health: Korean working conditions survey
- Kimin Kwon, Jae Bum Park, Kyung-Jong Lee, Yoon-Sik Cho
- Ann Occup Environ Med 2016;28:43. Published online September 8, 2016
- DOI: https://doi.org/10.1186/s40557-016-0126-z
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Abstract
PDFPubReaderePub
Background This research was conducted with an aim of determining the association between employment status and self-rated health.
Methods Using the data from the Third Korean Working Conditions Survey conducted in 2011, We included data from 34,783 respondents, excluding employers, self-employed workers, unpaid family workers, others. Self-rated health was compared according to employment status and a logistic regression analysis was performed.
Results Among the 34,783 workers, the number of permanent and non-permanent workers was 27,564 (79.2 %) and 7,219 (20.8 %). The risk that the self-rated health of non-permanent workers was poor was 1.20 times higher when both socio-demographic factors, work environment and work hazards were corrected.
Conclusions In this study, perceived health was found to be worse in the non-permanent workers than permanent workers. Additional research should investigate whether other factors mediate the relationship between employment status and perceived health.
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Citations
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Annals of Occupational and Environmental Medicine.2023;[Epub] CrossRef - Self-rated health may be a predictor for metabolic syndrome and high hs-CRP prevalences in healthy adults in South Korea: Based on the 2015 Korea National Health and Nutrition Examination Survey
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Nutrients.2021; 13(2): 522. CrossRef - Association between Near Work Time and Depression among Workers in South Korea
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Korean Journal of Family Medicine.2021; 42(5): 390. CrossRef - Association Between Area-level Risk of Job Instability and Workers’ Health: A Multi-level Analysis Using Population-based Survey Data From Japan
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Journal of Epidemiology.2021; 31(3): 203. CrossRef - Relationship between Employment Type and Self-Rated Health among Korean Immigrants in the US: Focusing on Gender and Number of Years in the US
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International Journal of Environmental Research and Public Health.2021; 18(4): 1654. CrossRef - Work-life balance and self-reported health among working adults in Europe: a gender and welfare state regime comparative analysis
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BMC Public Health.2020;[Epub] CrossRef - Is Nonstandard Employment Hazardous to Workers' Health Status? A Focus on Special Employment in South Korea
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Journal of Korean Academy of Community Health Nursing.2020; 31(Suppl): 525. CrossRef - Association of employment status and income with self-rated health among waged workers with disabilities in South Korea: population-based panel study
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BMJ Open.2019; 9(11): e032174. CrossRef - Associations between occupational factors and self-rated health in the national Brazilian working population
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Journal of International Medical Research.2018; 46(6): 2307. CrossRef - The association between perceived discriminations and well-being in Korean employed workers: the 4th Korean working conditions survey
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- Self-perception of oral health, gender and employment among Brazilian population
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