Annals of Occupational and Environmental Medicine

Original Article

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; Ann Occup Environ Med 2021;33:e19. Published online June 15, 2021; DOI: https://doi.org/10.35371/aoem.2021.33.e19

Abstract Abstract in Korean PDF PubReader ePub

Background

For health care workers, immune management plays an important role in the protection against infectious diseases. This study investigated the seroprevalence of measles, mumps, rubella, and varicella-zoster in newly employed female nurses.

Methods

We conducted a survey on the seroprevalence of measles, mumps, rubella, and varicella-zoster in newly employed female nurses at a university hospital from 2011 to 2019, before the nurses were given their department placements and duty start. Enzyme-linked immunosorbent and chemiluminescence immunoassays were used to detect immunoglobulin G antibodies. We analyzed whether there was a significant difference in seroprevalence depending on the age, birth year, birth season, and region of residence (metropolitan residency: yes or no).

Results

The arithmetic mean ages of the participants were 28.6 ± 4.8, 23.5 ± 3.2, 23.6 ± 3.0, and 26.1 ± 4.5 years for measles, mumps, rubella, and varicella-zoster, respectively. The seropositivity rates were 93.9% (551/587), 60.2% (50/83), 83.3% (3,093/3,711), and 89.5% (978/1,093) for measles, mumps, rubella, and varicella-zoster, respectively. Significant differences in the seroprevalence when assessed according to the age and birth year were noted with measles, while significant differences in the seroprevalence were only noted with rubella and varicella-zoster when assessed according to birth year and age, respectively.

Conclusions

In this study, we identified the levels of antibody prevalence in new female nurses. Considering the seropositivity levels, cost-effectiveness, and convenience for the participants, we recommend that the measles-mumps-rubella vaccination be provided without serologic testing for all new female nurses and the varicella-zoster vaccination only be performed for persons who are negative after serologic testing. And it would be useful if the vaccinations were combined with compulsory worker health examinations, such as the pre-placement health examinations.

신규 여성 간호사의 부서 배치 전 홍역, 유행성 이하선염, 풍진, 수두 항체의 혈청 유병율
목적
간호사는 다양한 환자와 직간접적인 접촉이 수시로 이루어지는 직종으로 감염병에 대한 면역 및 백신 예방접종이 매우 중요하다. 하지만 현재 신규 의료종사자 예방접종에 대한 명확한 규정은 없는 상태로 각 의료기관의 감염관리 정책에 따라 상이하게 수행되고 있다. 본 연구는 의료 종사자 중 신규 간호사를 대상으로 근무를 시작하기 전 상태에서 홍역, 유행성이하선염, 풍진 및 수두의 항체 혈청 유병률을 조사하였다. 향후 의료종사자에 대한 예방접종 정책 수립의 자료로 활용하고자 한다.
방법
2011년부터 2019년까지 일개 대학 병원에 신규 채용된 21~39세 여성 간호사를 대상으로 부서 배치 전 홍역, 유행성이하선염, 풍진, 수두에 대한 면역글로불린 항체를 발광면역측정법과 효소결합면역흡착측정법으로 측정하였다. 각 항체 유병률을 구하고 유병률에 유의한 영향을 미치는 인자가 있는지 카이제곱 검정 또는 선형 대 선형 결합법을 사용하여 분석하였다.
결과
연구대상자의 평균연령 및 표준편차는 홍역 28.6 ± 4.8세, 유행성 이하선염 23.5 ± 3.2세, 풍진 23.6 ± 3.0세, 수두 26.1 ± 4.5세였다. 신규 여성 간호사의 항체 유병률은 홍역 93.9% (551/587), 유행성이하선염 60.2% (50/83), 풍진 83.3% (3,093/3,711) 및 수두 89.5% (978/1,093)로 확인되었다. 홍역은 출생연도와 나이에 따라 항체 유병율에 유의한 차이가 있었다. 풍진은 출생연도에 따라 혈청 항체 유병률에 유의한 차이가 있었으며, 수두의 항체 유병률은 나이에 따라 차이가 있었다. 출생 계절 및 대도시 거주에 따른 각 항체의 유병률에는 유의한 차이는 없었다.
결론
의료기관 내에서 감염병에 대한 관리는 매우 중요하며 병원 내 감염 발생 시 큰 보건학적 문제가 발생하게 된다. 따라서 향후 의료기관 종사자에 대한 국가적인 예방접종 정책이 수립되어야 할 것이다. 항체 유병률, 항체검사 분석 비용, 채혈의 부작용 등을 고려할 때 신규 여성 간호사의 경우 채용되어 업무 시작 전 항체검사 없이 홍역/유행성이하선염/풍진(MMR) 예방접종 실시를, 수두는 항체검사 후 항체 음성인 사람에게 예방접종을 실시하는 것을 고려해 볼 수 있겠으며, 향후 이에 대한 정책연구가 필요할 것으로 판단된다. 또한 이러한 예방접종은 산업안전보건법 상의 배치 전 건강진단과 같은 근로자 건강진단과 병행한다면, 더 효과적으로 진행될 수 있을 것이다.

Citations

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Review

Tuberculosis infection status and risk factors among health workers: an updated systematic review: Sanga Lee, Wanhyung Lee, Seong-Kyu Kang; Ann Occup Environ Med 2021;33:e17. Published online May 28, 2021; DOI: https://doi.org/10.35371/aoem.2021.33.e17

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Tuberculosis (TB) infection is a common occupational risk for health workers (HWs) and poses a threat to the patients under their care and to other HWs. Hence, the development of a prevention strategy is crucial. We conducted a study to understand the status and risk factors of TB infection among HWs. The existing literature was searched for all published reports from 1 August 2010 to 31 December 2018, related to TB among HWs according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The inclusion criteria were: (1) study participants working in a health care facility; (2) TB cases diagnosed by medical professionals; (3) original research articles; and (4) English reports in a peer-reviewed journal. We finally included 61 studies from 642 articles searched initially. The TB infection rate in HWs was higher than that of the general population. Based on 39 studies, the prevalence of TB in HWs (tuberculin skin test positive) was 29.94%. In contrast, the global burden of latent TB infection was 23.0% (95% uncertainty interval: 20.4%–26.4%) in 2014. The risk factors of TB among HWs were aging, long duration of employment, nursing professionals, lack of Bacillus Calmette-Guerin vaccination, and low body mass index. HWs have an increased risk for TB infection, which can cause secondary infections in patients or other HWs. An effective prevention strategy must be developed to enable early diagnosis and prompt treatment.

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Research Article

Violence at work: determinants & prevalence among health care workers, northwest Ethiopia: an institutional based cross sectional study: Dawit Getachew Yenealem, Manay Kifle Woldegebriel, Ararso Tafese Olana, Tesfaye Hambisa Mekonnen; Ann Occup Environ Med 2019;31:8. Published online April 3, 2019; DOI: https://doi.org/10.1186/s40557-019-0288-6

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Background

Workplace violence is the intentional use of power, threatened or actual, against another person or against a group, in work-related circumstances, that either results in or has a high degree of likelihood of resulting in injury, death, psychological harm, mal development, or deprivation. The aim of this study is to assess magnitude and predictors of workplace violence among healthcare workers in health facilities of Gondar city.

Methods

Institutional based cross sectional study design was employed to conduct this study. The study conducted in Gondar town from February 21 to march 21, 2016. Five hundred fifty three health care workers selected from health facilities of Gondar City administration. A stratified sampling technique was used for selecting the study subjects through simple random sampling. Data was collected by structured self administered questionnaire which is adapted from ILO/ICN/WHO/PSI after it is pretested & prepared in Amharic. The data was coded and entered in to EPI info version 7 and exported to SPSS version 20 software for analysis. The degree of association for variables was assessed using odds ratios with 95% confidence interval and p-value ≤0.05.

Results

The prevalence of workplace violence was found to be 58.2% with [95% confidence interval (CI): (53.7, 62.3)] in which verbal abuse 282(53.1%) followed by physical attack 117(22.0%) and 38(7.2%) sexual harassment. Working at emergency departments [AOR = 3.99,95% CI:(1.49,10.73)], working at shifts [AOR = 1.98,95%, CI: (1.28,3.03)],short experiences [AOR = 3.09,95% CI: (1.20,7.98)], being nurse or midwife [AOR = 4.06, 95% CI: (1.20,13.74)] were positively associated with workplace violence. The main sources of violence are visitors/patient relatives followed by colleagues and patients.

Conclusion

workplace violence is major public health problem across health facilities and the Ministry of Health should incorporate interventions in its different health sector development & management safety initiative.

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Research Article

Sick at work: prevalence and determinants among healthcare workers, western Ethiopia: an institution based cross-sectional study: Tesfaye Hambisa Mekonnen, Mekuriaw Alemayewu Tefera, Yayehirad Alemu Melsew; Ann Occup Environ Med 2018;30:2. Published online February 1, 2018; DOI: https://doi.org/10.1186/s40557-018-0213-4

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Background

Going to work despite feeling sick also known as sickness presenteeism is one of the emerging global occupational health challenges. Sickness presenteeism negatively affects both health of work forces and productivity of organizations in general. However, there is insufficient research exploring this situation in majority of the Sub-Saharan African countries, including Ethiopia. Thus this study intended to investigate the prevalence and determinant factors of sickness presenteeism among health care workers, Western Ethiopia.

Methods

This study used an institution based cross-sectional quantitative study design. The study period was from February to March, 2017. We employed simple random sampling method to select 360 study samples. Data collection was performed by pre-tested structured and self- administered questionnaire. We used SPSS version 20 to carry out binary logistic regression analysis. Odds ratio with 95% confidence intervals was calculated and significance of associations was determined at p-value < 0.05.

Results

A total of 344 respondents fully completed the survey questionnaire. Mean age with standard deviation was 30.28 ± 6.181. Prevalence of sickness Presenteeism was 52.6% [95%CI: (47.4, 57.8)] in the past 12 months. Educational status [AOR:2.1, 95%CI: (1.17,3.90)], financial problem [AOR:1.9,95%CI:(1.07,3.46)], sickness absenteeism [AOR:2.7,95% CI:(1.50,5.02)], lack of staff replacement [AOR:2.7,95%CI:(1.50,5.02)], absence of occupational health services [AOR:3.0,95%CI:(1.34,6.70)], and pressure from supervisor [AOR:1.8,95% CI:(1.01,3.31)] were significant predictors of the dependent variable.

Conclusion

Relatively higher proportions of workers indicated sickness presenteeism as compared to other studies. Risk factors like educational status, personal financial problem, sickness absenteeism, lack of staff replacement, absence of occupational health services, and pressure from supervisors considerably increased the likely occurrence of employees’ sick attendance. It is advisable for health care managers to hire adequate health care staffs, to implement basic occupational health services and to design strategies which reduce pressure from supervisors.

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An Evidence-Based Multidisciplinary Practice Guideline to Reduce the Workload due to Lifting for Preventing Work-Related Low Back Pain: P Paul FM Kuijer, Jos HAM Verbeek, Bart Visser, Leo AM Elders, Nico Van Roden, Marion ER Van den Wittenboer, Marian Lebbink, Alex Burdorf, Carel TJ Hulshof; Ann Occup Environ Med 2014;26:16-16. Published online June 24, 2014; DOI: https://doi.org/10.1186/2052-4374-26-16

Abstract PDF PubReader ePub

We developed an evidence-based practice guideline to support occupational safety and health (OSH) professionals in assessing the risk due to lifting and in selecting effective preventive measures for low back pain (LBP) in the Netherlands. The guideline was developed at the request of the Dutch government by a project team of experts and OSH professionals in lifting and work-related LBP. The recommendations for risk assessment were based on the quality of instruments to assess the risk on LBP due to lifting. Recommendations for interventions were based on a systematic review of the effects of worker- and work directed interventions to reduce back load due to lifting. The quality of the evidence was rated as strong (A), moderate (B), limited (C) or based on consensus (D). Finally, eight experts and twenty-four OSH professionals commented on and evaluated the content and the feasibility of the preliminary guideline. For risk assessment we recommend loads heavier than 25 kg always to be considered a risk for LBP while loads less than 3 kg do not pose a risk. For loads between 3–25 kg, risk assessment shall be performed using the Manual handling Assessment Charts (MAC)-Tool or National Institute for Occupational Safety and Health (NIOSH) lifting equation. Effective work oriented interventions are patient lifting devices (Level A) and lifting devices for goods (Level C), optimizing working height (Level A) and reducing load mass (Level C). Ineffective work oriented preventive measures are regulations to ban lifting without proper alternatives (Level D). We do not recommend worker-oriented interventions but consider personal lift assist devices as promising (Level C). Ineffective worker-oriented preventive measures are training in lifting technique (Level A), use of back-belts (Level A) and pre-employment medical examinations (Level A). This multidisciplinary evidence-based practice guideline gives clear criteria whether an employee is at risk for LBP while lifting and provides an easy-reference for (in)effective risk reduction measures based on scientific evidence, experience, and consensus among OSH experts and practitioners.

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Original Article

An Assessment of the Needs and the Affecting Factors for Small Scale Enterprise Worker's Health Centers: Ki Chul Nam, Ji Su Park, Jae Woo Koh, Jong Seo Kim, Jong Tae Park, Hae Joon Kim, Jin Joo Chung, Jeong Youn Kim, Dae Sung Kim, Jung Sun Park; Korean Journal of Occupational and Environmental Medicine 2011;23(4):407-419. Published online December 31, 2011; DOI: https://doi.org/10.35371/kjoem.2011.23.4.407

Abstract PDF

OBJECTIVES
The aim of this paper is to assess the needs and roles of the Worker's Health Centers employed by small scale enterprises by investigating the requested services made to this type of Worker's Health Center.
METHODS
The population of this research was taken from 1,145 business owners or managers of manufacturing companies employing less than fifty people in six industrial estates. Stratified sampling was used. Individual interviews were performed to assess the conditions and needs of these enterprises using a structured questionnaire and professional interviewers.
RESULTS
According to the questionnaire survey, 941(82.2%) of the enterprises wish to use a Worker's Health Center. 946(83.3%) of the enterprises preferred an 'Expert visit to the enterprise or mixed' for the Delivery type. 486(42.4%) of the enterprises preferred the 'in the center of industrial complex' for the location of the Worker's Health Center. 789(69.1%) of the enterprises preferred 6-10 PM for the available open hours. A multiple regression analysis revealed a significantly positive association regarding the intention of using a Worker's Health Center and the Gyeonggi-Banwol (OR 2.49) or Gwangju-Hanam(OR 4.24) for the region. Compared to enterprises employing 1-4 worker, 30-49 worker enterprises show a 3.33 fold preference (95% CI 1.80~6.12) for the use of a Worker's Health Center.
CONCLUSIONS
Generally, the intention regarding the use of a Worker's Health Center was high, Considering the time and spatial limits inherentin small scale enterprises, the 'expert visit to the enterprise' paradigm is important. It should be noted that when providing the service, a customized approach is necessary, determined by size, region, industry, and scale of the business, through the assessment of the small scale enterprises and the nature of the work environment when designing a Worker's Health Center operation.

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International Journal of Medical Informatics.2022; 166: 104844. CrossRef
Factors Influencing Acceptance of Personal Health Record Apps for Workplace Health Promotion: Cross-Sectional Questionnaire Study
Hyun Sang Park, Kwang Il Kim, Jae Young Soh, Young Ho Hyun, Sae Kyun Jang, Sol Lee, Ga Young Hwang, Hwa Sun Kim
JMIR mHealth and uHealth.2020; 8(6): e16723. CrossRef
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Original Article

Cognition and Practice on Medical Information Protection of Iudustrial Health Care Manager of Small and Medium Sized Enterprises: Soo Jin Jeong, Min Kim, Chae Kwan Lee, Chang Hee Lee, Byung Chul Son, Dae Hwan Kim, Jeong Ho Kim, Jong Tae Lee, Goo Rak Chang, Ki Hun Hong, Chun Hui Suh; Korean Journal of Occupational and Environmental Medicine 2011;23(1):53-63. Published online March 31, 2011; DOI: https://doi.org/10.35371/kjoem.2011.23.1.53

Abstract PDF

OBJECTIVES
This research aimed to know the actual condition and problems of medical information protection at a workplace with the target of industrial health care managers of small and medium-sized enterprises.
METHODS
A self-administered questionnaire was given to industrial health-care managers of 216 enterprises from March 15 to May 17, 2010. The questionnaire was produced by referring to the Act on Personal Information Protection of Public Institutions, etc. This research evaluated agreement of cognition and practice according to 10 items of medical information protection using kappa and cross-analysis of significant factors between cognition and practice of medical information protection and general characteristics.
RESULTS
Cognition about medical information protection appeared to be 85.4-97.1% and its practice appeared to be 44.1-95.3%, so practice was lower than cognition. In addition, the agreement of cognition and practice appeared significantly low (kappa 0.082-0.387). The practice of medical information protection tended to be lower when the managers were older and held a higher job title. Health examination results were being delivered only to workers except for an employer (94.2%), but there were many industrial health-care managers who felt discomfort about their work in group occupational health-care systems (58.1%).
CONCLUSIONS
The practice of protecting medical information by industrial health-care managers was clearly lower than the cognition. Therefore, introduction of educational programs about personal information protection and provision of an independent place for group occupational health care service is urgent. In addition, in order to use the health examination results conveniently in group occupational health services, an institutional complement is necessary.

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JMIR mHealth and uHealth.2020; 8(6): e16723. CrossRef
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Original Article

Effect Assessment of Worksite-based, Post-examination, Health Care Management System: Kang Jin Lee, Young Hee Choi, Cha Jae Oh, Hoo Rak Lee, Hyoung June Im, Moon Young Hwang, Byung Mann Cho, Ji Ho Lee; Korean Journal of Occupational and Environmental Medicine 2006;18(1):1-14. Published online March 31, 2006; DOI: https://doi.org/10.35371/kjoem.2006.18.1.1

Abstract PDF

OBJECTIVES
This study was conducted to develop a worksite-based, post-examination, health care management system for continuous and systematic management of workers with hypertension, diabetes mellitus, hyperlipidemia, and abnormal LFT detected by periodic health examination and to assess the effectiveness such a system as an intervention study.
METHODS
Study subjects were selected from workers with hypertension, diabetes mellitus, hyperlipidemia, and abnormal LFT according to the selection criteria. The intervention group, but not the control group, received medical treatment of disease, follow up examination, and health education which consisted of information about the disease and the importance of life-style modification through periodic interview using the resources of occupational health service center in the worksite. To assess the effectiveness of this system, we compared follow up examination data from the intervention group with periodic examination data from the worksite control group.
RESULTS
In the intervention group a significant reduction trend was recorded for systolic and diastolic blood pressure, fasting blood sugar, postprandial 2 hour glucose, total cholesterol, triglyceride, LDL-cholesterol, AST, ALT, and gamma-GTP, and a rising trend for HDL-cholesterol. Significant group differences ware recorded for fasting blood sugar, postprandial 2 hour glucose, total cholesterol, AST, and ALT.
CONCLUSIONS
The worksite-based, post-examination, health care management system was effective for the continuous and systematic management of workers who had abnormal findings detected by periodic health examination.

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Original Article

Occupational Diseases on Health Care workers Approved by Korea Labor Welfare Corporation: Hyun Sul Lim, Yeon Soon Ahn; Korean Journal of Occupational and Environmental Medicine 2003;15(2):196-204. Published online June 30, 2003; DOI: https://doi.org/10.35371/kjoem.2003.15.2.196

Abstract PDF: OBJECTIVES
This study was carried out to analyze the characteristics of occupational diseases among health care workers in Korea.
METHODS
Using the database of the Korea Labor Welfare Corporation (KLWC), 5, 460 approved occupational disease cases, between Jan 1, 1999 and Dec 31, 2000, and approved by the Jun 30, 2001, were collected. Of these, the 142 health care worker cases were investigated.
RESULTS
The proportion of health care workers among the total cases reported in 1999 and 2000 was 2.6%, respectively. The diseases were infectious in 61 (43.0%), cerebro-cardiovascular in 60 (42.3%) and musculoskeletal in 18 cases (12.6%). The distributions of the occupational diseases by sex were 59 (41.5%) and 83 cases (58.5%), in males and females, respectively. The distributions of the occupational diseases by age were 64 (45.1%), 30 (21.1%), 25 (17.6%) and 17 cases (12.0%), in their 20s, 30s, 40s and 50s, respectively. For the cases of infectious diseases by age there were 48 (78.7%) in their 20s and 12 (19.7%) in their 30s, for the cases of cerebro-cardiovascular diseases by age there were 17 (28.3%) in their 40s, 16 (26.7%) in their 50s and 12 (20.0%) in their 20s, and for the cases of musculoskeletal diseases there were 7 (38.9%) in their 30s and 4 (22.2%) in their 20s. The distributions of the cases of occupational diseases by department were 64 (45.1%), 19 (13.4%), 18 (12.7%), and 10 (7.0%) in the nursing, doctors, officers, and food services departments, respectively.
CONCLUSIONS
The major occupational diseases of health care workers, as approved by the KLWC, were the infectious, cerebro-cardiovascular and musculoskeletal diseases. A special management policy must be considered to prevent occupational diseases of health care workers in Korea.

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Original Article

Comparison of Post-Health Care of Workers with Noise Induced Hearing Loss between Medium Sized Industries and a Large Automobile Industry: Seung Hae Han, Soo Keun Kim; Korean Journal of Occupational and Environmental Medicine 1999;11(2):229-240. Published online June 30, 1999; DOI: https://doi.org/10.35371/kjoem.1999.11.2.229

Abstract PDF: In order to compare post-health care between medium sized enterprises(50-300 employees) and a large enterprise(an automobile manufacture plant) and to evaluate factors related to post?health care performance of workers with noise induced hearing loss, this study was carried out. One hundred and eighty nine workers were surveyed to the questionnaire on general and occupational characteristics, receipt of the examination result, perception and attitudes toward special health examination, contentedness with post-health care performance on the examination result and reason not to have post-health care performance. The results were as follows: 1. The employee in large enterprise perform post-health care higher than medium sized enterprises and main control method was taking ear protective device. The 27.5% of workers with NJHL did not perform any post-health care. 2. Comparing with large enterprise, medium-sized enterprises had more interview with workers of NJHL and some enterprises performed more health education and more improvement of working environment. But there were a few medium-sized enterprises which did not provide ear protective device and had indifference manager. 3. The variables that significantly related to the post-health care of manager side was receipt of health examination result(p < 0.05), the post-health care of worker side were size of enterprise, age(p <0.05) and receipt of health examination result(p <0. 1).

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Original Article

The Occupational Health Status of the Small Scale Industries Participated in the 1997 Subsidiary Program on Health Care Management: Ji Yong Kim, Do Myung Peak, Eun Hee Kim, Eun Hi Ha, Sun Mean Kim, Jung Sun Park, Kyung Ja June, Hea Sun Jung, Hea Sook Park; Korean Journal of Occupational and Environmental Medicine 1999;11(1):33-51. Published online March 31, 1999; DOI: https://doi.org/10.35371/kjoem.1999.11.1.33

Abstract PDF

The small scale industries in Korea are important in occupational health care management due to high accident rate and poor working condition. The authors surveyed the 4,811 small scale industries participated in the 1997 subsidiary program on health care management. The contents of survey were the general characteristics of the factory, the results of workers' general and occupational health examination, the results of workplace environmental monitoring, and the number of occupational accident and injured person at 1995 and 1996. We classified all industries by 67 groups. The prevalence of the general disease was higher in 'Manufacture of other fabricated metal productsj. rManufacture of textiles', 'Manufacture of basic metalsj. In occupational disease, that was higher in FManufacture of metal products', 'Manufacture of basic metals', so in environmental monitoring in 'Manufacture of textiles', 'Manufacture of other fabricated metal products' 'Printfrig' in occupational injuries in 'Manufacture of chemical products', 'Manufacture of basic metals'. However the factories of 'manufacture of motor vehicle', 'manufacture of machine and equipment', 'manufacture of electric product' in the program are large in magnitude, but less important in occupational health management. We observed that the prevalence of general disease, occupational disease, workplace environmental monitoring, occupational injuries of subsidized industries in 1996 were increased compared with those in 1995. and were larger than those of nationwide statistics. These phenomenon shows that the subsidiary health program for participated industries is important and to be urgent. We observed that the major groups in district were different and so the approaching method of each district must be various and different. And the health program manager should focus on the C grade in health examination and the action level in workplace monitoring more than the D grade and the permissible level.

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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
Effects of health and safety problem recognition on small business facility investment
Jisu Park, Harin Jeong, Sujin Hong, Jong-Tae Park, Dae-Sung Kim, Jongseo Kim, Hae-Joon Kim
Annals of Occupational and Environmental Medicine.2013;[Epub] CrossRef

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Original Article

Health Care Utilization and Its Determinants of Workers with Non-occupational Diseases: Chang Hyun Han, Sin Kam, Jae Yong Park; Korean Journal of Occupational and Environmental Medicine 1995;7(2):282-294. Published online October 31, 1995; DOI: https://doi.org/10.35371/kjoem.1995.7.2.282

Abstract PDF

This study was conducted to analyse medical facilities utilization based on predisposing factors, enabling factors and need factors, and effect of these factors on medieal facilities utilization, by applying Anderson's medical care service behavioral model as the most well known medical demand model to 163 available for interview among 246 workers who, as the result of health examination in 1994, were evaluated as the non occupational diseases. The results of this study were summarized as follows. Among variables of predisposing factors, knowledge for disease showed significant relations with the medical utilization, other variables of predisposing factors, such as sex, age, marital status, educational level, number of family members, type of occupation, attitude toward the disease, were not related with the medical utilization. The medical utilization was not related with variables of enabling factors. Among variables of need factors, medical advice of health personnel was significant variable for medical utilization. With multiple logistic regression analysis, the significant variables haying an effect on the medical facllities utilization were the type of occupation and knowledge for the disease among predisposing factors, ana seriousness for the disease and medical advice of health personnel among need factors. In case of the production job, the medical facilitles utilization was higher for the persons with more knowledge for disease and experience of medical treatment guidance. The number of non-occupational diseases detected, but untreated person was 76 (46.6%) of total subjects, mainly because the non-occupational diseases seemed to be a slight disease (55.3%). On consideration of above findings, health education for workers and adequate medical advice by health personnel would be needed for health management of workers with non occupational diseases.

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Effectiveness of workers’ general health examination in Korea by health examination period and compliance: retrospective cohort study using nationwide data
Huisu Eom, Jun-Pyo Myong, Eun-A Kim, Bohwa Choi, Soon Woo Park, Young Joong Kang
Annals of Occupational and Environmental Medicine.2017;[Epub] CrossRef

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Original Article

A Study on the Practical Behavior of Health Care Managers at the Worksite: Jae Hee Lee, Jae Hoon Roh, Kyoo Sang Kim, Yeon Soon Ahn; Korean Journal of Occupational and Environmental Medicine 1995;7(1):88-100. Published online February 28, 1995; DOI: https://doi.org/10.35371/kjoem.1995.7.1.88

Abstract PDF

This study was conducted to find out the characteristics, type of the duty and job satisfaction of health care managers at the worksite. The subjects of this study were 306 health care managers serving at worksite situated in Kyungin presently in 1994, concerning their job. Major depedent variables were health management, environmental management, and health planning related with health care managers' job; these variables were measured by nominal scale consisted of 9 items respectively. The collected data were analysed and some major results are as follows; 1. It appeared that according to the qualification of health care managers, nurses showed high performing rate in duty of health managerment and health planning, Industrial hygienist showed high performing rate relating to working environmemt managemant, and regarding their holding an additional post, the number of environmental managers held more an additionnal post than other qualified managers, thereby showing significant relatively, and however, no relation with qualification was there in decision making. 2. The performing rate relatiag to health management was significantly correlate with female, youth, unmarried, higher education, general affairs in post of duty, general employee in position, only duty of health, low monthly income and nurse. But, the performing rate relating to environmental management was significantly correlate with manufacturing industries, industrial health and safety committee, male, old age, married, long work duration, additional post, high monthly income, and hygienist and environmental managers. The performing rate relating to health planning was significantly correlate with the performing rate relating to health and environmental management, but the performing rate relating to health management was not significantly correlate with the performing rate relating to environmental management. 3. In multiple regression analysis, common major determinants of the performing duty relating to health management, environmental management and health planning were industrial health and safety committee, type of industry, education, and qualification of industry's health care managers. Additionally, age was selected as highly correlated with the performing duty relating to environmental management, and work duration and post of duty of health care managers in industry were selected as highly correlated with the performing duty relating to health planning, Based on the results indicated above, it could be understood that characteristics of the worksite-industrial health and safety committee, scale and types of industry, and characteristics of health care managers-age, education, post of duty, work duration and qualification had relations with their type of the duty. Therefore, it is required that the reference to the above-showing results such as guiding for them to precisely grasp their performing duty according to their qualification, heightening their participation in decision-making, extending the industrial health service, etc., operation and management of health care managers at the worksite should be made into being more efficient.

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Economic Evaluation of a Workplace Occupational Health Nursing Service: Based on Comparison with Atmospheric Environment Managing Engineer
Hye-Sun Jung, Bokim Lee
Journal of Korean Academy of Nursing.2013; 43(4): 507. CrossRef
Job Analysis with IPA (Importance-Performance Analysis) based on the Qualification of Occupational Health Managers Working in Manufacturing Work-sites
Jung-Ah Yun, Soon-Lae Kim, Hye-Sun Jung
Korean Journal of Occupational Health Nursing.2013; 22(2): 159. CrossRef
The Effect of Korean Occupational Health Nurses' Work Conditions on their Performance
Min Kwon, Soon-Lae Kim, Hye-Sun Jung, Hee-Girl Kim, Kyung-Lim Kim
Korean Journal of Occupational Health Nursing.2011; 20(1): 83. CrossRef

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Original Article

A Post-examination Health Care Status of Workers with Pneumoconiosis in Manufacturing Factories: Sung Goon Kim, Jaehoon Roh, Yeon Seon Ahn; Korean Journal of Occupational and Environmental Medicine 1994;6(2):421-428. Published online September 30, 1994; DOI: https://doi.org/10.35371/kjoem.1994.6.2.421

Abstract PDF: Most of the pneumoconiosis, which is common occupational diseases, is found here in Korea can be Gategorized to coal miner's pneumoconiosis. However, recently pneumoconiosis has been found in tHe workers of manufacturing factories, Periodic Health examination is important not only detection of occupationsl disease but also post-examination Health care of occupational disease patient. Accordingly, to study post-examination Health GaTe statHs of workers with pneumoconiosis diagnosed from 1991 to 1993 in the perioaic Health examination, all 43 pneumoconiosis patients in 22 manufacturing factories in Incheon were reviewed. Chest radiologic findings of 43 workers were suspected pneumoconiosis (20 workers, 46.5%) , pneumoconiosis stage 1(20 workers, 45.5%) and pneumoconiosis stage II (3 workers, 7.0%) . Among the 1.espondents, 40 workers (93.0%) answered that they received their health examination results and 24 werkers (55.8%) Had reguest for compensation of occupationsl disease. Only 14 workers(32.6%) Had changed their workplace while 21 workers (48.8%) did not. Reasons for not taking the post-examination health care enough were worker's ignorance of adminstrative process for Compensation (28 workers,65.1%) , mild status of dlsease (6 workers, 14.0%) and financial problem (3 workers, 7.0%) . Post~examination health care of the workers diagnosed as pneumoconiosis had significant correlation with the presence of health care manager in workplace and the employer concerns for occupational disease of workers. The improvement of working environment is related witH the presence of labor union in workplace. These results suggested that the presence of health care manager in the workplace and concerns for workers health by employer were important in performing appropriate post-examination health care for workers with pneumoconiosis in manufacturing factories.

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Original Article

Perception, Attitude and Praetical Behavioral Change of Industrial Health Care Manager toward Group Health Care System: Kyoo Sang Kim, Jaehoon Roh, Yeon Soon Ahn; Korean Journal of Occupational and Environmental Medicine 1994;6(2):411-420. Published online September 30, 1994; DOI: https://doi.org/10.35371/kjoem.1994.6.2.411

Abstract PDF

To evaluate the change of perception, attitude and practice toward Group Health Care Systerl for small and medium industries, a survey using self-administered questionnaire was conducted to a part of industries in Inchon area, in year 1992 and 1993. major dependent variables were perception, attitude, and practical behavioral change related with Croup Health Care System ; these variables were measured by 3-point Likert like scale. 47 industries were used in analysis. Psrception of year 1993 was higher (1.25) than that (1 34) of 1992. Attitude of yeal. 1993 was also slightly higher (1.46) than that (1.43) of 1992. Both data indicated positive attitude. Practice of year 1993 was slightly lewer (0.86) tHan that (0.90) of 1992, but its change didn't have any statistical significance. In year 1992, major determinants of perception, attitude and behaviral change were sex and age of industrial health care manager ; they had positive efffct upon perception and practice. In yeal. 1993, it was sex of health care manager; it had influenced upon practice. Both year 1992 and 1993, perception was higher and attitude was more positive. In the case of higher perception or positive attitude, practice was active accordingly. To accelerate the behavioral change of health care manager, it is necessary to eaucate them continuously.

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Practice status of specialized agencies for occupational health management of small- to medium-size enterprises and the factors improving their performance: a cross-sectional survey study
Saerom Lee, Jun-Pyo Myong, Eun-A Kim, Huisu Eom, Bowha Choi, Young Joong Kang
Annals of Occupational and Environmental Medicine.2017;[Epub] CrossRef

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Original Article

A Study on Improvement of Health Care in the Small-Scale Industries: Doohie Kim, Kyung Dong Jung, Jeong Han Park, Pock Soo Kang; Korean Journal of Occupational and Environmental Medicine 1990;2(1):84-92. Published online February 28, 1990; DOI: https://doi.org/10.35371/kjoem.1990.2.1.84

Abstract PDF

The purpose of tliLs study was to cvaTuate the actual condnzonK and problems of health manager health record maintenance and general health examinations in small-scale industries which employ 511 to ISO workers. A survey was conducted in 3iS conipanies in which industries health management is dele-gated to a social organization, the Taegu-kyungpook branch of the korean Industrial Health Organization, and companies in which health is managed by Ideal physicians. There was accomplished from March to April 1989 by Questionnaires through the mail, The following are the summarized results. 1. Health Management. The companies with non-vicarious execution of health management by local physicians ranked significantly, lower in frequency of visits, contribution to workers' health, and workers' desire for frequency of visits than the companies with vicarious execution by KIHA. 2. Health Records. The percentage health records on file was higher in the companies with vicarious execution than the other group. But most of the cnotents of the records were not described in great detail. 3. General Health Examination. The necessity of health examinations was recognized by all survey participants, but the reliability of the examinations was one of the major problems. The reporting period for results was significantly longer in the companies with vicarious execution than the others. Improvements were preferentially demanded with respect to the reliability of techiques and examinatio skill, follow-up study for secondary examination, and selection of examination items.

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Effectiveness of workers’ general health examination in Korea by health examination period and compliance: retrospective cohort study using nationwide data
Huisu Eom, Jun-Pyo Myong, Eun-A Kim, Bohwa Choi, Soon Woo Park, Young Joong Kang
Annals of Occupational and Environmental Medicine.2017;[Epub] CrossRef

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