Annals of Occupational and Environmental Medicine

Original Articles

Association between multiple jobs and physical and psychological symptoms among the Korean working population: Seok-Yoon Son, Jin-Young Min, Seung-Woo Ryoo, Baek-Yong Choi, Kyoung-Bok Min; Ann Occup Environ Med 2024;36:e21. Published online August 6, 2024; DOI: https://doi.org/10.35371/aoem.2024.36.e21

Abstract Abstract in Korean PDF Supplementary Material PubReader ePub: Background
The prevalence of multiple job-holding (MJH) is expected to show an upward trend among Korean workers, yet its potential impact on workers’ health remains poorly discussed. This study aimed to explore the association between MJH and experience of physical and psychological symptoms in various aspects among active Korean workers and to identify its differences depending on workers’ gender.
Methods
We conducted a population-based cross-sectional study among South Korean workers aged 15–59 using data from the 6th Korean Working Conditions Survey. The final study sample comprised 34,175 participants. MJH status and symptoms, such as musculoskeletal pain, headache or eyestrain, fatigue, insomnia, and anxiety, were measured by self-reported data. Logistic regression analyses were performed on the total sample and gender-stratified groups, with adjustments for the sociodemographic and occupational characteristics of the participants.
Results
One hundred thirty-five men and 103 women were defined as multiple job-holders (MJHers) among the study sample. When adjusted for sociodemographic and occupational characteristics, MJHers suffered more events of headache or eyestrain (odds ratio [OR]: 1.85, 95% confidence interval [CI]: 1.23–2.78) and anxiety (OR: 1.99, 95% CI: 1.05–3.79). Gender-stratified analyses with adjustment showed that among women workers, MJH was associated with musculoskeletal pain (OR: 1.85, 95% CI: 1.02–3.34), headache or eyestrain (OR: 2.53, 95% CI: 1.37–4.67), fatigue (OR: 2.38, 95% CI: 1.29–4.40), insomnia (OR: 1.92, 95% CI: 1.04–3.57), and anxiety (OR: 2.83, 95% CI: 1.11–7.20).
Conclusions
We found a significant association between MJH and various symptoms. Women MJHers were revealed to be a more vulnerable population than their men counterparts. Further research should account for the social context of MJH, and appropriate monitoring and intervention for maintaining the well-being of MJHers are needed.; 한국인 근로자 집단에서의 다중직업종사와 육체적, 정신적 증상 간 연관성
목적
한 근로자가 동시에 두 개 이상의 직업을 가지는 행위인 ‘다중직업종사’ 현상은 한국인 근로자들 간 그 비중이 점차 증가할 것으로 전망된다. 그러나, 다중직업종사가 근로자의 다양한 육체적, 정신적 증상에 미칠 수 있는 영향에 대한 논의는 부족한 실정이다. 이에, 본 연구에서는 한국인 근로자 집단을 대상으로 하여 다중직업종사와 근로자의 건강 간 연관성을 다양한 관점에서 탐구하였다. 나아가 이러한 연관성이 근로자의 성별에 따라 관찰되는 차이에 대하여 확인하였다.
방법
본 연구는 제6차 근로환경조사 자료를 활용한 단면 연구로, 만 15세 이상 59세 이하인 한국인 근로자 34,175명을 대상으로 수행되었다. 다중직업종사 상태 및 육체적, 정신적 증상으로서 근골격계 통증, 두통 및 눈의 피로, 전신피로, 불면 및 불안의 유무는 자가 보고된 자료로 확인하였다. 연구대상 집단 전체 및 각 성별 집단을 대상으로, 근로자들의 인구사회학적 특성 및 직업 특성을 보정한 로지스틱 회귀분석을 시행하였다.
결과
연구대상 집단 중 135명의 남성과 103명의 여성이 다중직업종사자로 정의되었다. 인구사회학적 특성 및 직업 특성을 보정한 분석 결과 다중직업종사자에서 두통 및 눈의 피로 (OR 1.85, 95% CI 1.23-2.78)와 불안 (OR 1.99, 95% CI 1.05-3.79)의 위험이 더 큰 것으로 나타났다. 성별을 통한 층화 후 분석 결과 여성 근로자 집단에서 다중직업종사는 근골격계 통증 (OR 1.85, 95% CI 1.02-3.34), 두통 및 눈의 피로 (OR 2.53, 95% CI 1.37-4.67), 전신피로 (OR 2.38, 95% CI 1.29-4.40)와 불안 (OR 2.83, 95% CI 1.11-7.20) 간 유의한 연관성을 보였다.
결론
본 연구에서 다중직업종사와 근로자의 다양한 증상 간 유의한 연관성이 있음을 확인하였다. 다중직업종사의 건강 영향은 여성 근로자 집단에서 보다 저명한 것으로 나타났다. 후속 연구는 다중직업종사 현상에 대한 사회적 맥락을 보다 고려해야 할 것이다. 또한 다중직업종사자들의 건강 유지를 위한 모니터링 및 중재가 적절히 수행되어야 함을 제안한다.

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Telecommuting during the COVID-19: the role of job demand and control on health outcomes: Seung-Woo Ryoo, Jin-Young Min, Seok-Yoon Son, Baek-Yong Choi, Juho Choi, Kyoung-Bok Min; Ann Occup Environ Med 2024;36:e14. Published online June 14, 2024; DOI: https://doi.org/10.35371/aoem.2024.36.e14

Abstract Abstract in Korean PDF Supplementary Material PubReader ePub: Background
The coronavirus disease 2019 (COVID-19) pandemic drastically modified the occupational system wherein telecommuting has risen as the major form of work. Few studies have incorporated Karasek’s job demand-control (JDC) model into explaining the health effects of telecommuting. This study aimed to investigate the health risk in South Korean telecommuters during the pandemic, and its distribution according to the job stress-related factors.
Methods
A nationwide population-based cross-sectional study of South Korean laborers was conducted, utilizing the 6th Korean Working Conditions Survey (2020–2021). Following the previously described concept of telecommuting, 14,478 white-collar employees were eligible study participants. Telecommuting, job demand, job control, and various health indicators were measured by the responses to the survey. Participants were stratified into 4 job profiles classified by the JDC model. We conducted multiple logistic regression analyses between telecommuting and health-related outcomes to estimate the odds ratio (OR) with a 95% confidence interval (CI).
Results
One hundred forty-six low-strain, 223 active, 69 passive, and 148 high-strain workers were screened as telecommuters. Compared to office workers, telecommuters had a higher proportion in high job control groups. Subgroup analysis demonstrated different relationships between telecommuting and health, where only active telecommuters showed a higher prevalence of depression (OR: 1.980, 95% CI: 1.126–3.481), and high-strain telecommuters were affected in most outcomes including insomnia (OR: 2.555, 95% CI: 1.473–4.433), musculoskeletal pain (OR: 2.786, 95% CI: 1.719–4.517), headache/eye strain (OR: 3.074, 95% CI: 1.992–4.745) and presenteeism (OR: 1.932, 95% CI: 1.193–3.131).
Conclusions
This study revealed significantly increased odds of multiple health outcomes among South Korean telecommuters during the COVID-19 pandemic era. High-strain job holders were prominently susceptible to the negative health impacts of telecommuting. Occupational health management towards telecommuters should approach mitigating high job demand and low job control.; 코로나19 시기 재택근무: 건강 결과에 대한 직무 요구와 직무 재량의 역할
목적
코로나19 팬데믹으로 인해 재택근무는 직무 체계에서 주요한 업무 형태로 떠올랐다. 재택근무가 노동자의 건강에 미치는 영향을 설명하는데 있어 직무 요구-재량 모델을 도입한 연구가 부족하다. 본 연구는 팬데믹 기간 동안 한국 재택근무자들의 건강 위험과 상기 직무 스트레스 관련 요인에 따른 분포를 조사하는 것을 목표로 했다.
방법
본 연구는 제6차 근로환경조사(2020~2021년)를 활용하여 한국 노동자에 대한 전국 인구 기반 횡단면 연구를 실시했다. 이전 연구에서 확립한 재택근무 개념에 따라 14,478명의 화이트 칼라 피고용인 노동자들을 적격집단으로 선정했다. 설문조사 응답 결과를 토대로 재택근무, 직무 요구, 직무 재량 및 다양한 건강 지표를 측정했다. 연구대상자들을 직무 요구-재량 모델에 따라 분류된 네 가지 직무 유형으로 구분하였고, 다중 로지스틱 회귀분석을 시행하여 재택근무 여부에 따른 건강 변수의 오즈비(OR)와 95% 신뢰구간(CI)을 측정하였다.
결과
저-긴장 노동자 146명, 능동적 노동자 223명, 수동적 노동자 69명, 고-긴장 노동자148명이 재택근무자로 분류되었다. 통근근무자와 비교했을 때, 재택근무자들은 직무 재량이 높은 군에서 그 비중이 높았다. 층화분석 결과 재택근무와 건강 사이의 연관성은 군별로 상이하였는데, 오직 능동적 재택근무자들만이 통근근무자들보다 높은 우울증 유병률을 보였고 (OR 1.980, 95% CI 1.126-3.481) 고-긴장 재택근무자들이 가장 많은 결과 변수에서 유의한 오즈비를 보였다; 불면증 (OR 2.555, 95% CI 1.473-4.433), 근골격계 통증 (OR 2.786, 95% CI 1.719-4.517), 두통/안구 피로 (OR 3.074, 95% CI 1.992-4.745), 상병 시 근무 (OR 1.932, 95% CI 1.193-3.131).
결론
본 연구에 따르면 코로나19 팬데믹 기간 동안 한국 재택근무자들에서 다수의 건강 문제가 발생할 오즈가 유의하게 증가하였다. 그중 고-긴장 업무에 종사하는 노동자들은 재택근무가 건강에 미치는 부정적인 영향에 가장 취약하였다. 따라서 재택근무자들에 대한 산업보건 관리는 높은 직무 요구와 낮은 직무 재량을 완화하는 방향으로 접근해야 할 것이다.

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Use of work-related communication technology outside regular working hours and work-family conflict (work interference with family and family interference with work): results from the 6th Korean working conditions survey: Baek-Yong Choi, Jin-Young Min, Seung-Woo Ryoo, Kyoung-Bok Min; Ann Occup Environ Med 2022;34:e44. Published online December 22, 2022; DOI: https://doi.org/10.35371/aoem.2022.34.e44

Abstract Abstract in Korean PDF PubReader ePub

Background

Recently, use of work-related communication technology—smartphones, tablets, and laptops—is increasing rapidly by development of technology with the coronavirus disease 2019 pandemic. Some studies have suggested that work-related communication technology has a significant link with work-family conflict (WFC) but these studies included only limited number of participants and lacked essential covariates. Therefore, this study analyzes this association using large representative data sample and selected waged workers who were married-couples with children.

Methods

This study was conducted based on data from the 6th Korean Working Conditions Surveys (KWCS). A total of 17,426 waged workers having a marriage partner and one or more children were selected. Logistic regression analysis was performed to determine whether WFC was associated with communication technology use. The odds ratios (ORs) for WFC were stratified by sex and working hours.

Results

In fully adjusted model, WFC was higher those who used communication technology outside regular working hours compared with those who did not use it (OR: 1.66; 95% confidence interval [CI]: 1.39–1.97). When stratified by sex and working hours, the effect was greater in women than in men (OR: 1.79; 95% CI: 1.42–2.26 vs. OR: 1.52; 95% CI: 1.17–1.97) and women who worked over 52 hours per week had the highest OR (3.40; 95% CI: 1.25–9.26).

Conclusions

This study revealed that the work-related communication technology use outside regular working hours was associated with WFC. The association were greater among those having longer working hours and female workers. These results suggest that appropriate policy should be implemented to reduce working hours and right to disconnect after work, particularly in female workers.

근무 시간 외 업무 관련 통신기기 사용과 일-가정 갈등 (일-가정 방해 갈등, 가정-일 방해 갈등): 제6차 근로환경조사를 이용하여
목적
최근 스마트폰, 태블릿, 노트북과 같은 통신기기의 발달과 2019년 코로나19 팬데믹으로 인하여 업무 관련 통신기기의 사용이 꾸준히 늘고 있다. 선행연구에 따르면 업무 관련 통신기기의 사용과 일-가정 갈등과의 연관성이 제시되고 있으나, 연구대상자 수가 제한적이며 필수적인 보정변수가 적용되지 못하였다. 따라서 본 연구에서는 대표성을 갖춘 제6차 근로환경조사를 이용하고 배우자와 자녀가 있는 근로자만을 대상으로 하여 그 연관성에 대한 분석하고자 하였다.
방법
본 연구는 제6차 근로환경조사를 이용하였고, 일-가정 갈등의 유발 요소가 있는 배우자와 자녀가 있는 17,426명의 임금근로자를 선별하였다. 통계분석 방법으로는 로지스틱 회귀분석을 시행하여 정규 근무 시간 외 업무 관련 통신기기 사용으로 인한 일-가정 갈등 사이의 연관성을 분석하였다. 또한 성별 및 근로시간에 따른 층화 분석을 시행하였다.
결과
모든 보정변수를 적용하였을 때, 위 연관성은 통계적으로 유의하였으며 통신 기기를 사용하지 않은 군에 비해 통신기기를 사용한 군에서 일-가정 갈등이 유발될 오즈비는 1.66배 (95% CI:1.39-1.97)로 나타났다. 성별과 근로시간에 따라 층화하여 분석하였을 때 남성 (OR: 1.52; 95% CI: 1.17–1.97)보다 여성 (OR: 1.79; 95% CI: 1.42–2.26)에서 일-가정 갈등의 위험이 더 큰 것으로 나타났다. 특히, 주당 근로시간 52시간을 초과한 여성 군의 경우 일-가정 갈등이 발생할 위험이 가장 높은 것으로 분석되었다 (3.40; 95% CI: 1.25–9.26).
결론
본 연구에 따르면, 근무 시간 외 업무 관련 통신기기의 사용과 일-가정 갈등 사이의 연관성이 있으며 그 영향은 여성 및 장시간 근로자에서 더욱 크게 나타났다. 따라서 이러한 결과를 보았을 때, 장시간 근로를 감소시키기 위한 꾸준한 노력이 필요하며, 또한 여성근로자에서 퇴근 이후 연결되지 않을 권리 보장을 위한 정책 도입에 관한 지속적인 관심이 필요할 것이다.

Citations

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Research Articles

Association between green areas and allergic disease in Korean adults: a cross-sectional study: Hyun-Jin Kim, Jin-young Min, Hye-Jin Kim, Kyoung-bok Min; Ann Occup Environ Med 2020;32:e5. Published online January 22, 2020; DOI: https://doi.org/10.35371/aoem.2020.32.e5

Abstract PDF PubReader ePub

Background

Although many epidemiological studies have reported the inverse associations between greenness and health outcomes, inconsistent associations in allergic diseases remain an issue. We aimed to identify associations between greenness and allergic diseases among Korean adults.

Methods

In total, 219,298 adults from the 2009 Korea Community Health Survey were included in this study. Individuals' allergy-related conditions, such as atopic dermatitis and allergic rhinitis, were evaluated. To identify the amount of green areas (m²) per capita in each administrative region, we used the 2009 data for green areas from the Korean Statistical Information Service.

Results

The risk for atopic dermatitis in the highest quartile of green areas was significantly lower compared with that of the lowest quartile. Physician's diagnosis and current treatment of odds ratios (ORs) with 95% confidence intervals (CIs) were 0.82 (0.73–0.91) and 0.77 (0.64–0.92), respectively. Similarly, the association results for allergic rhinitis showed that the highest level of green areas was significantly associated with a decreased risk of allergic rhinitis in full-adjustment model quartiles. Physician's diagnosis and current treatment of OR (95% CI) were 0.94 (0.89–0.99) and 0.91 (0.82–1.00), respectively.

Conclusions

We observed inverse associations of green areas with atopic dermatitis and allergic rhinitis in Korean adults.

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Association between exposure to ambient air pollution and renal function in Korean adults: Hyun-Jin Kim, Jin-young Min, Yong-Seok Seo, Kyoung-bok Min; Ann Occup Environ Med 2018;30:14. Published online February 28, 2018; DOI: https://doi.org/10.1186/s40557-018-0226-z

Abstract PDF PubReader ePub

Background

Ambient air pollution has a negative effect on many diseases, such as cardiovascular and respiratory diseases. Recent studies have reported a relationship between air pollution and renal function, but the results were limited to exposure to particulate matter (PM). This study was to identify associations between various air pollutants and renal function among Korean adults.

Methods

Nationwide survey data for a total of 24,407 adults were analyzed. We calculated the estimated glomerular filtration rate (eGFR) for each individual to assess their renal function and used this to categorize those with chronic kidney disease (CKD). To evaluate exposure to ambient air pollution, we used the annual mean concentrations of four ambient air pollutants: PM with an aerodynamic diameter ≤ 10 μm (PM₁₀), nitrogen dioxide (NO₂), sulfur dioxide (SO₂), and carbon monoxide (CO).

Results

We identified significant inverse relationships between the air pollutants PM₁₀ and NO₂ and eGFR in all statistical adjustment models (all p < 0.05). In the full covariate model, interquartile range increases in the annual mean concentrations of PM₁₀ and NO₂ were associated with decreases in eGFR levels of 0.46 (95% CI = − 0.87, − 0.04) and 0.85 (95% CI = − 1.40, − 0.30), respectively. Three of the ambient air pollutants were significantly related to an increased risk of CKD in the unadjusted model (p < 0.0001), but all significant associations disappeared after adjusting for covariates (all p > 0.05).

Conclusions

Exposures to PM₁₀ and NO₂ were significantly associated with decreases in eGFR levels, but not CKD, in Korean adults.

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The impact of occupational experience on cognitive and physical functional status among older adults in a representative sample of Korean subjects: Jin-young Min, Jae Bum Park, Kyung-jong Lee, Kyoung-bok Min; Ann Occup Environ Med 2015;27:11. Published online March 20, 2015; DOI: https://doi.org/10.1186/s40557-015-0057-0

Abstract PDF PubReader ePub

Objective

This study investigated the impact of occupation on cognitive and physical function within an occupational window of the past 15 years using a nationally representative sample in Korea.

Methods

A total of 4,408 subjects aged 60 and older were selected from the Korean Longitudinal Study of Aging (KLoSA). Functional health was evaluated using the Korean versions of the Mental State Examination (K-MMSE), Instrumental Activities of Daily Living (K-IADL), and Activities of Daily Living (K-ADL) measures.

Results

The prevalence of lower function was higher among women than among men, and employed persons had better cognitive and physical function compared with the retired and unemployed. Longer work duration during the past 15 years significantly and positively affected all measures of function in men, whereas it only improved physical function in women. Manual laborers exhibited improved functional capacity with longer work durations over the past 15 years, although they presented lower functional scores compared with non-manual laborers. There was a curvilinear relationship of work duration with cognitive and physical function among men and manual laborers.

Conclusion

In our population, longer work duration, especially for men and for manual laborers, appears to be a significant contributor to the cognitive and physical function of older people.

Citations

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The relationship between working condition factors and well-being: Bum-Joon Lee, Shin-Goo Park, Kyoung-Bok Min, Jin-Young Min, Sang-Hee Hwang, Jong-Han Leem, Hwan-Cheol Kim, Sung-Hwan Jeon, Yong-Seok Heo, So-Hyun Moon; Ann Occup Environ Med 2014;26:34-34. Published online November 4, 2014; DOI: https://doi.org/10.1186/s40557-014-0034-z

Abstract PDF PubReader ePub

Objectives

Working conditions can exert influence on the physical, mental, and even social health of workers. Well-being is an appropriate index for the evaluation of a person’s overall health. This paper investigated the association between various working conditions and worker’s well-being.

Methods

Data from 10,019 interviews were collected from the second wave of the Korean Working Conditions Survey (2010) conducted by the Korea Occupational Safety and Health Agency between June and October 2010. The data from 5,995 employed workers were examined in this study. Well-being was measured through the WHO Five Well-Being Index (1998 version). Sociodemographic and working conditions were analyzed. Adjusted odds ratios for well-being were calculated with adjusted sociodemographic factors, working condition factors, or both.

Results

Workers’ well-being was significantly higher when they were satisfied with their working conditions (OR = 1.656, 95% CI = 1.454–1.885), when their actual working hours were the same as their anticipated working hours (OR = 1.366, 95% CI: 1.120–1.666) or exceeding less than 10 hours (OR = 1.245, 95% CI: 1.004-1.543), and when their employment was stable (OR = 1.269, 95% CI: 1.098–1.467).

Conclusions

This study supports the association between working condition factors and well-being in workers.

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