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Research Article
The association between effort-reward imbalance, work-life balance and depressive mood in Korean wage workers: The 4th Korean Working Conditions Survey
Hyun-mook Lim, Cham-jin Park, Ji-hoo Yook, Min-seok Kim, Ho-yeon Kim, Yun-Chul Hong
Ann Occup Environ Med 2021;33:e2.   Published online January 25, 2021
DOI: https://doi.org/10.35371/aoem.2021.33.e2
AbstractAbstract PDFPubReaderePub
Background

This study was conducted to determine the association between work-life (WL) balance, effort-reward (ER) imbalance, and depressive mood in Korean wage workers when 2 models were considered simultaneously.

Methods

We analyzed 26,014 Korean workers including 13,471 men and 12,543 women from the 4th Korean Working Conditions Survey data. Multiple logistic regression was used to analyze the association between WL, ER status, and the depressive mood of Korean workers. We classified the subjects into a total of 4 groups as follows. Group 1: WL and ER status are both “balanced”, group 2: WL status is “imbalanced” and ER status is “balanced”, group 3: WL status is “balanced” and the ER status is “imbalanced”, group 4: WL and ER status are both “imbalanced.”

Results

We found significantly increased odds ratios (ORs) for depressive mood in groups 2, 3, and 4 compared with group 1 after adjusting for the general and occupational characteristics of the subjects in both men and women. We also found that the trend of ORs increased gradually from groups 2 to 4 compared with group 1 in both men and women; group 2: OR: 1.23 (95% confidence interval [CI]: 1.12–1.35), group 3: OR: 1.40 (95% CI: 1.27–1.55), group 4: OR: 1.99 (95% CI: 1.74–2.28) compared with group 1 in men; group 2: OR: 1.28 (95% CI: 1.15–1.42), group 3: OR: 1.45 (95% CI: 1.31–1.59), group 4: OR: 2.04 (95% CI: 1.76–2.36) compared with group 1 in women.

Conclusions

As a result, we found the association between imbalanced WL, ER status, and depressive mood in Korean workers using 2 models simultaneously. It is important to provide a balanced WL and ER condition to improve the mental health of workers.


Citations

Citations to this article as recorded by  
  • Long working hours, work-life imbalance, and poor mental health: a cross-sectional mediation analysis based on the sixth Korean Working Conditions Survey, 2020–2021
    Seong-Uk Baek, Yu-Min Lee, Jin-Ha Yoon, Jong-Uk Won
    Journal of Epidemiology.2024;[Epub]     CrossRef
  • Reciprocal longitudinal associations of supportive workplace relationships with depressive symptoms and self-rated health: A study of Korean women
    Seong-Uk Baek, Jin-Ha Yoon, Jong-Uk Won
    Social Science & Medicine.2023; 333: 116176.     CrossRef
  • The role of work–family conflict in the association between long working hours and workers’ sleep disturbance and burnout: results from the sixth Korean Working Conditions Survey
    Seong-Uk Baek, Jong-Uk Won, Jin-Ha Yoon
    BJPsych Open.2023;[Epub]     CrossRef
  • Profiles of women who have suffered occupational accidents in cleaning: perceived health, psychosocial risks, and personality variables
    Iván Fernández-Suárez, José J. López-Goñi, Begoña Haro
    International Archives of Occupational and Environmental Health.2023; 96(2): 331.     CrossRef
  • The Moderating Effects of Social Media Activities on the Relationship Between Effort-Reward Imbalance and Health and Wellbeing: A Case Study of the Oil and Gas Industry in Malaysia
    Noreen Kanwal, Ahmad Shahrul Nizam Isha
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Negative Impacts of Prolonged Standing at Work on Musculoskeletal Symptoms and Physical Fatigue: The Fifth Korean Working Conditions Survey
    Hoon Jo, One-bin Lim, Yeon-Soon Ahn, Sei-jin Chang, Sang-Baek Koh
    Yonsei Medical Journal.2021; 62(6): 510.     CrossRef
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  • 5 Web of Science
  • 6 Crossref
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Research Article
The association between quality of direct supervisor's behavior and depressive mood in Korean wage workers: the 4th Korean Working Conditions Survey
Cham-Jin Park, Ji-Hoo Yook, Min-Seok Kim, Dongwook Lee, Hyun-Mook Lim, Yun-Chul Hong
Ann Occup Environ Med 2019;31:e16.   Published online August 7, 2019
DOI: https://doi.org/10.35371/aoem.2019.31.e16
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background

Workers spend most of their social lives at work and have relationships of varying nature with people in the workplace. Direct supervisors, in particular, have a direct and lasting impact on workers, which may influence workers' mental health. Depression is very prevalent worldwide, and social concern about the disease is on the rise. The aim of this study is to investigate the effect of direct supervisors' behavior on the depressive mood of Korean wage workers.

Methods

We used data from the 4th Korean Working Conditions Survey held in 2014; 22,212 participants were included in the analysis. The quality of a direct supervisor's behavior was categorized from 0 (= lowest) to 5 (= highest) points. The degree of depressive mood was measured on a scale from “normal mood” to “likely depression” based on the 5-item World Health Organization Well-Being Index (WHO-5) questionnaire. Multiple logistic regression was used to analyze the association between the quality of the direct supervisor's behavior and the depressive mood of wage workers.

Results

After multivariable adjustment, significantly increased odds ratio (OR) for likely depression was found in the 4, 3, 2, 1, and 0 points of the quality of the direct supervisor's behavior compared to 5 points. After stratification for the level of satisfaction with working conditions, the OR of the unsatisfied groups was higher than that of the satisfied groups.

Conclusions

Likely depression was found to be significantly associated with a low quality of direct supervisor's behavior. This association was stronger in workers who were not satisfied with their working conditions. This study suggests that proper management of the direct supervisor's behavior is needed to reduce the risk of depression among Korean wage workers.


Citations

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  • The association of job training duration and risk of depression among wage workers: an analysis of the mediating factors
    Dong Geon Kim, Dong Kyu Kim, Kiook Baek
    Annals of Occupational and Environmental Medicine.2024;[Epub]     CrossRef
  • Associations among leadership, resources, and nurses’ work engagement: findings from the fifth korean Working Conditions Survey
    Eunkyung Kim, Ji Yea Lee, Seung Eun Lee
    BMC Nursing.2023;[Epub]     CrossRef
  • Sustainable human resource management the mediating role between work engagement and teamwork performance
    Virginia Navajas-Romero, Nuria Ceular-Villamandos, Manuel Adolfo Pérez-Priego, Lorena Caridad-López del Río, Jose M. Martínez-Paz
    PLOS ONE.2022; 17(8): e0271134.     CrossRef
  • The association between direct supervisor's behavior and employee presenteeism in Korean wage workers: findings from the fifth Korean Working Condition Survey
    Sung Hee Lee, Joo Hyun Sung, Dae Hwan Kim, Chang Sun Sim
    Annals of Occupational and Environmental Medicine.2021;[Epub]     CrossRef
  • Association between Self-Perceived Social Support in the Workplace and the Presence of Depressive/Anxiety Symptoms
    Juyeon Oh, Seunghyun Lee, Juho Sim, Seunghan Kim, Ara Cho, Byungyoon Yun, Jin-Ha Yoon
    International Journal of Environmental Research and Public Health.2021; 18(19): 10330.     CrossRef
  • 146 View
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  • 5 Web of Science
  • 5 Crossref
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Research Article
Cardiovascular disease risk differences between bus company employees and general workers according to the Korean National Health Insurance Data
Ji-Hoo Yook, Dong-Wook Lee, Min-Seok Kim, Yun-Chul Hong
Ann Occup Environ Med 2018;30:32.   Published online May 8, 2018
DOI: https://doi.org/10.1186/s40557-018-0242-z
AbstractAbstract PDFPubReaderePub
Background

Bus drivers are known to be highly at risk of cardiovascular diseases. In this study, we assessed the cardiovascular disease prevalence of bus company employees in Seoul, South Korea, and compared the results to those of general workers.

Methods

We analyzed the 2014 Korean National Health Insurance (NHI) data and defined hypertension, diabetes, dyslipidemia, ischemic heart disease, and cerebrovascular disease based on the KCD-6 medical diagnoses. We used bus company employees as surrogate participants of bus drivers due to the characteristics of Korean NHI data. We identified bus company employees in Seoul based on one’s workplace which the insurance is registered. The prevalence of five diseases was compared between the bus company employees and general workers. We also calculated the odds ratios (OR) of five diseases between the bus company employees and general workers. To compensate the vast demographical differences between the two groups, we performed propensity score matching.

Results

Bus company employees have higher OR for having hypertension (OR 1.33, 95% CI: 1.28–1.39), diabetes mellitus (1.14, 95% CI: 1.08–1.22), and dyslipidemia (1.23, 95% CI: 1.17–1.29) than the general workers or propensity score matched controls. However, the OR of having ischemic heart disease were not significant. The OR of cerebrovascular disease were lower in bus company employees than in the general workers after adjusting the covariates, but similar in the propensity score matched model.

Conclusion

This study showed that the ORs of cardiovascular disease risk factors are high in bus company employees when compared to the general working population. Further studies with the longitudinal design should be conducted to confirm the causal association.


Citations

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  • Ischemic heart disease and stroke in male couriers: a cohort study using the national health insurance data and national employment insurance data
    Jiyoung Yoon, Jeehee Min, Eun Mi Kim, Jaiyong Kim, Inah Kim
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • Facilitators and barriers to achieving dietary and physical activity goals: focus group interviews with city bus drivers and counseling dietitians
    Yongmin Jo, Suhyeun Cho, Young-Hee Han, Taisun Hyun
    Korean Journal of Community Nutrition.2023; 28(5): 376.     CrossRef
  • Expositions professionnelles et santé des conducteurs professionnels, quelles spécificités pour les chauffeurs de bus urbains ?
    K. Wei, E. Fort, L. Rollin, A. Leroyer, B. Charbotel
    Archives des Maladies Professionnelles et de l'Environnement.2022; 83(5): 458.     CrossRef
  • The Effectiveness of a mHealth Program Using Wearable Devices and Health Coaching among Bus Drivers for Promoting Physical Activity
    Yeongmi Ha, Sang-Ho Lee, Suyeon Lee, Yeojoo Chae
    Journal of Korean Academy of Community Health Nursing.2022; 33(3): 332.     CrossRef
  • Calidad de vida en el trabajo y aspectos sociodemográficos en trabajadores reintegrados en una empresa de bus de rápido tránsito
    Ana Milena Galarza Iglesias, Lessby Gómez Salazar, Cecilia Andrea Ordóñez Hernández
    Cuadernos de Administración.2021; 37(69): e2210695.     CrossRef
  • Incidence of ocular and systemic diseases affecting visual function among state bus drivers
    Piyush Kohli, Naresh Babu, Chitaranjan Mishra, Sourav Damodaran, S Bhavani, Mahesh Kumar, Kim Ramasamy
    Indian Journal of Ophthalmology.2021; 69(10): 2625.     CrossRef
  • Cardiovascular risk and associated risk factors in Spanish professional drivers
    Ángel Arturo López-González, María Albaladejo-Blanco, Sebastiana Arroyo-Bote, J. Ignacio Ramírez-Manent, Nora López-Safont, Estefanía García-Ruiz, María Teófila Vicente-Herrero
    Journal of Transport & Health.2021; 23: 101266.     CrossRef
  • Australian bus drivers’ modifiable and contextual risk factors for chronic disease: A workplace study
    Alison Brodie, Toby Pavey, Cameron Newton, Marguerite C. Sendall, Sergio A. Useche
    PLOS ONE.2021; 16(7): e0255225.     CrossRef
  • Feasibility of cardiovascular risk and sleep health screening in the transport industry
    Mark E. Howard, Alexander P. Wolkow, Vanessa Wilkinson, Philip Swann, Amy S. Jordan, Fergal J. O'Donoghue, Robert J. Pierce, David L. Hare
    Journal of Transport & Health.2020; 18: 100878.     CrossRef
  • Cancer risk in road transportation workers: a national representative cohort study with 600,000 person-years of follow-up
    Wanhyung Lee, Mo-Yeol Kang, Jihyun Kim, Sung-Shil Lim, Jin-Ha Yoon
    Scientific Reports.2020;[Epub]     CrossRef
  • Associations Between the Breakroom Built Environment, Worker Health Habits, and Worker Health Outcomes: A Pilot Study Among Public Transit Rail Operators
    Nathan M. Jones, Meghan McDonnell, Emily Sparer-Fine, Bernard Rosner, Jack T. Dennerlein, Stefanos Kales, Carmen Messerlian
    Journal of Occupational & Environmental Medicine.2020; 62(8): e398.     CrossRef
  • Bus Workers’ Experiences with and Perceptions of a Health Promotion Program: A Qualitative Study Using a Focus Group Discussion
    Jeehee Pyo, Mina Lee, Minsu Ock, Gwiok Park, Dongseok Yang, Jungsun Park, Yangho Kim
    International Journal of Environmental Research and Public Health.2020; 17(6): 1992.     CrossRef
  • 140 View
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  • 10 Web of Science
  • 12 Crossref
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Research Article
Mental disorders among workers in the healthcare industry: 2014 national health insurance data
Min-Seok Kim, Taeshik Kim, Dongwook Lee, Ji-hoo Yook, Yun-Chul Hong, Seung-Yup Lee, Jin-Ha Yoon, Mo-Yeol Kang
Ann Occup Environ Med 2018;30:31.   Published online May 3, 2018
DOI: https://doi.org/10.1186/s40557-018-0244-x
AbstractAbstract PDFPubReaderePub
Background

Numerous studies have shown that healthcare professionals are exposed to psychological distress. However, since most of these studies assessed psychological distress using self-reporting questionnaires, the magnitude of the problem is largely unknown. We evaluated the risks of mood disorders, anxiety disorders, sleep disorders, and any psychiatric disorders in workers in healthcare industry using Korea National Health Insurance (NHI) claims data from 2014, which are based on actual diagnoses instead of self-evaluation.

Methods

We used Korea 2014 NHI claims data and classified employees as workers in the healthcare industry, based on companies in the NHI database that were registered with hospitals, clinics, public healthcare, and other medical services. To estimate the standardized prevalence of the selected mental health disorders, we calculated the prevalence of diseases in each age group and sex using the age distribution of the Korea population. To compare the risk of selected mental disorders among workers in the healthcare industry with those in other industries, we considered age, sex, and income quartile characteristics and conducted propensity scored matching.

Results

In the matching study, workers in healthcare industry had higher odds ratios for mood disorders (1.13, 95% CI: 1.11–1.15), anxiety disorders (1.15, 95% CI: 1.13–1.17), sleep disorders (2.21, 95% CI: 2.18–2.24), and any psychiatric disorders (1.44, 95% CI: 1.43–1.46) than the reference group did. Among workers in healthcare industry, females had higher prevalence of psychiatric disorders than males, but the odds ratios for psychiatric disorders, compared to the reference group, were higher in male workers in healthcare industry than in females.

Conclusions

The prevalence of mood disorders, anxiety disorders, sleep disorders, and all psychiatric disorders for workers in the healthcare industry was higher than that of other Korean workers. The strikingly high prevalence of sleep disorders could be related to the frequent night-shifts in these professions. The high prevalence of mental health problems among workers in healthcare industry is alarming and requires prompt action to protect the health of the “protectors.”


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