Annals of Occupational and Environmental Medicine

Original Article

Influences of Job Stressors on Psychosocial Well-being, Fatigue and Sleep Sufficiency among Firefighters: Kun Hyung Kim, Jung Won Kim, Sung Hoon Kim; Korean Journal of Occupational and Environmental Medicine 2006;18(3):232-245. Published online September 30, 2006; DOI: https://doi.org/10.35371/kjoem.2006.18.3.232

OBJECTIVES
To measure the job stressors and stress responses among firefighters.
METHODS
We created a structured, self-reported questionnaire about job stressors using Karasek's Job Content Questionnaire (JCQ), psychosocial stress using Psychosocial Well-being Index, Short Form(PWI-SF) and fatigue using Multidimensional Fatigue Scale (MFS). The questionnaire also included sociodemographic data, job-related factors, and health-related behaviors. We collected questionnaires from 104 male firefighters, 35 male emergency medical service (EMS) rescuers and 28 male administrators in three different municipal fire departments in Busan from September 23 to October 2, 2003. Chi-square test and multiple logistic regression analysis were used to examine the job stressors using SPSS (10.0). The statistical significance level was 0.05.
RESULTS
Both PWI-SF and MFS scores increased in the order of EMS rescuers, firefighters and administrators. Using multiple logistic regression analysis, sleep insufficiency showed statistically significant effects on both PWI-SF (OR=5.19, 95% CI=2.14~12.57) and MFS (OR=2.13, 95% CI=1.02~4.46). Alcohol drinking (OR=0.28, 95% CI=0.10~0.75) had a protective effect on MFS. The odds ratios in job loss and shiftwork were 3.44 (95% CI=1.25~9.42) and 8.69 (95% CI=2.87~26.36) on MFS. Monthly income showed a statistically significant effect on both MFS (OR=5.09, 95% CI=1.34~19.41) and sleep sufficiency (OR=7.27, 95% CI=1.62~32.61). However, there was no statistical significance among the JCQ items on either PWI-SF or MFS.
CONCLUSIONS
Firefighters in this study had potential psychosocial stress and moderate level of fatigue scale. As a causal factor for these outcomes, sleep insufficiency and job loss, lower monthly income and shiftwork were statistically significantly, which confirm the need for countermeasures to ensure optimal sleep time and to raise monthly income. Further follow-up study using more in-depth interview is also required to identify the effects of both alcohol consumption and job loss.

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Original Article

Factors Affecting Fatigue and Stress in Male Manufacturing Workers: Jin Wook Kang, Young Seoub Hong, Hyun Jae Lee, Byung Jin Yeah, Jung Il Kim, Jung Man Kim, Kap Yeol Jung, Joon Youn Kim; Korean Journal of Occupational and Environmental Medicine 2005;17(2):129-137. Published online June 30, 2005; DOI: https://doi.org/10.35371/kjoem.2005.17.2.129

Abstract PDF

OBJECTIVES
The aims of this study were to investigate the factors affecting the fatigue and stress in male manufacturing workers.
METHODS
A questionnaire investigating general characteristics, lifestyle factors, job characteristics, fatigue and stress was distributed to 896 subjects. From 851 respondents, 11 responses with insufficient data were excluded. The data were analyzed to investigate the factors affecting personal fatigue and stress.
RESULTS
Among the general characteristics, both fatigue and stress in the older group were significantly lower than in the younger group (p<0.05). Fatigue in the group with higher education was significantly higher than in the group with only high school education (p<0.05). The group who lived alone had significantly more stress (p<0.05). Among lifestyle factors, people who exercised regularly had significantly lower fatigue and stress than those who did not (p<0.05). Fatigue was negatively correlated with decision latitude, supervisor support, and coworker support. Stress was positively correlated with job demand and negatively correlated with decision latitude, supervisor support, and coworker support. Fatigue and stress were positively correlated with each other. Multiple linear regression analysis showed that among job characteristic factors, coworker support affected fatigue while job demand and supervisor support affected stress.
CONCLUSIONS
Fatigue and stress were positively correlated, but the job characteristics that affected each were different. This suggests that for effective management of fatigue and stress, the details of job characteristics need to be considered individually for the intervention and prevention of fatigue and stress.

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Original Article

Job Characteristics and Psychosocial Distress of Atypical Workers: Sang Baek Koh, Mia Son, Jung Ok Kong, Chul Gab Lee, Sei Jin Chang, Bong Suk Cha; Korean Journal of Occupational and Environmental Medicine 2004;16(1):103-113. Published online March 31, 2004; DOI: https://doi.org/10.35371/kjoem.2004.16.1.103

Abstract PDF

OBJECTIVE: This study was conducted to compare the job characteristics (work demand, decision latitude, and job insecurity) and psychosocial stress levels of typical workers in the parent firm, to those of atypical workers in subcontracted firms. In addition the risk factors for psychosocial stress of atypical workers are evaluated.
METHOD
The study design was cross-sectional, and 1,713 shipbuilding workers (681; typical workers, 1,032; atypical workers) were recruited. A structured-questionnaire was used to assess the general characteristics, job characteristics and psychosocial stress levels. We used the chi-square test for univariate and multiple regression analyses.
RESULTS
In univariate analyses, there were significant differences in smoking, hobby, insufficient sleeping, work hours per week, quitting, unemployment, job demand, job decision latitude and job insecurity. The job strain was significantly higher in the atypical workers than in the typical workers. The proportion of iso-strain groups was significantly greater in the atypical workers than typical workers. Using psychosocial stress as the dependent variable, multiple regression models were estimated. After adjustment for sociodemographic factors, unemployment, quitting, employment type, job demand, job decision latitude and job insecurity were all found to be significantly associated with psychosocial stress.
CONCLUSION
This result suggests that the psychosocial stress of atypical workers is related to job characteristics such as job insecurity and labor flexibility.

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