Annals of Occupational and Environmental Medicine

Original Article

Analysis of self-reported mental health problems among the self-employed compared with paid workers in the Republic of Korea: Yongho Lee, Junhyeong Lee, Ui-Jin Kim, Eunseun Han, Seunghon Ham, Won-Jun Choi, Seong-Kyu Kang, Wanhyung Lee; Ann Occup Environ Med 2022;34:e8. Published online April 8, 2022; DOI: https://doi.org/10.35371/aoem.2022.34.e8

Abstract Abstract in Korean PDF PubReader ePub

Background

As self-employed workers are vulnerable to health problems, this study aimed to analyze mental health problems and sleep disturbances among self-employed workers compared with paid workers in Korea.

Methods

A total of 34,750 workers (23,938 paid workers and 10,812 self-employed workers) were analyzed from the fifth Korean Working Condition Survey, which included 50,205 households collected by stratified sampling in 2017. To compare mental health problems and sleep disturbance among self-employed workers and paid workers, multivariate logistic regression analyses were performed.

Results

The odds ratio in self-employed workers compared with paid workers was 1.25 (95% confidence interval [CI]: 1.09–1.42) for anxiety, 1.11 (95% CI: 1.04–1.17) for overall fatigue, 1.11 (95% CI: 1.04–1.20) for difficulty falling asleep, 1.10 (95% CI: 1.02–1.18) for difficulty maintaining sleep and 1.24 (95% CI: 1.16–1.32) for extreme fatigue after waking up.

Conclusions

Self-employed workers in Korea have a higher risk of self-reported mental health problems and sleep disturbances than paid workers. Further studies with a longitudinal design and structured evaluation are required to investigate the causal relationship between health problems and self-employment.

한국 자영업자의 주관적 정신건강 문제 : 제 5차 근로환경조사를 이용하여
목적
자영업자는 고용, 사업체 운영 등에 대한 스트레스를 받고 있으며 자신들의 건강관리에 취약한 것으로 여겨지고 있다. 이 연구는 자영업자들에게 초점을 맞춰 유급근로자들과 비교하여 정신건강 문제와 수면 장애를 분석하는 것을 목표로 하였다.
방법
이 연구는 한국의 5차 근로환경조사 데이터를 바탕으로 23,938명의 유급근로자와 10,812명의 자영업자들을 선택하여 분석을 수행하였다. 정신건강 문제는 ‘우울감’, ‘불안감’, ‘전신 피로’에 대한 설문과 수면 장애는 ‘잠들기가 어려움’, ‘자는 동안 반복적으로 깨어남’, ‘기진맥진함 또는 극도의 피곤함을 느끼며 깨어남’ 설문의 답변을 이용하였다. 자영업자의 정신건강 문제와 수면 장애를 분석하기 위해 다변량 로지스틱 회귀 분석을 시행하였다.
결과
자영업자에서의 ‘불안감’에 대한 보정된 오즈비는 1.25 (95% CI=1.09-1.42), ‘전신피로’는 1.11 (95% CI=1.04-1.17), ‘잠들기가 어려움’은 1.11 (95% CI=1.04-1.20), ‘자는 동안 반복적으로 깨어남’은 1.10 (95% CI=1.02-1.18) 그리고 ‘기진맥진함 또는 극도의 피곤함을 느끼며 깨어남’은 1.24 (95% CI=1.16-1.32)이었다.
결론
본 연구는 유급근로자에 비해 자영업자들의 정신건강 문제와 수면 장애의 위험성이 높은 것을 확인할 수 있었다. 자영업자들의 건강 보호와 증진을 위해 구조화된 설문, 전향적 연구 등의 추가적인 연구와 사회의 관심이 필요하다.

Citations

Citations to this article as recorded by

Association between sickness presenteeism and depressive symptoms: a cross-sectional study using the 6th Korean working conditions survey
Myeong-Hun Lim, Min-Seok Kim, Seong-Uk Baek, Tae-Yeon Kim, Jong-Uk Won, Jin-Ha Yoon
International Archives of Occupational and Environmental Health.2024; 97(5): 537. CrossRef
Sources of occupational stress in UK construction projects: an empirical investigation and agenda for future research
Saad Sarhan, Stephen Pretlove, Faris Elghaish, Sandra Matarneh, Alan Mossman
Smart and Sustainable Built Environment.2024;[Epub] CrossRef
Occupational health and safety portrait of lobster fishers from a St. Lawrence Gulf community
Mathieu Tremblay, Dave Bergeron, Andrée-Anne Parent, Jérôme Pelletier, Daniel Paré, Martin Lavallière
International Journal of Occupational Safety and Ergonomics.2024; 30(3): 907. CrossRef
Multidimensional typologies of precarious employment and their relationships with mental well-being in Korean wageworkers: A latent class analysis based on the Korean Working Conditions Survey (2020–2021)
Seong-Uk Baek, Jong-Uk Won, Jin-Ha Yoon
Preventive Medicine.2023; 177: 107787. CrossRef
Association between Workers’ Anxiety over Technological Automation and Sleep Disturbance: Results from a Nationally Representative Survey
Seong-Uk Baek, Jin-Ha Yoon, Jong-Uk Won
International Journal of Environmental Research and Public Health.2022; 19(16): 10051. CrossRef

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Research Article

The association between dependent self-employment and self-reported depression/anxiety and sleep disorder in South Korea: Guyeon Won, Jae Bum Park, Kyung-Jong Lee, Ryun Ha, Seungho Lee, Inchul Jeong; Ann Occup Environ Med 2019;31:e13. Published online July 29, 2019; DOI: https://doi.org/10.35371/aoem.2019.31.e13

Abstract PDF PubReader ePub

Background

Dependent self-employment is precarious employment, which can be vulnerable to mental health problems. This study aimed to investigate the association of dependent self-employment with depression, anxiety, and sleep disorder in South Korea.

Methods

This study used data from the Fourth Korean Working Conditions Survey and included 32,691 paid workers. Dependent self-employment and self-reported depression/anxiety, and sleep disorder were investigated using a questionnaire. Logistic regression analysis was performed to investigate the association between dependent self-employment and mental health problems.

Results

Of the 32,691 paid workers, 2,371 (7.3%) were dependent self-employed workers. The odds ratio (OR) of dependent self-employment for self-reported depression/anxiety was 1.78 (95% confidence interval [CI]: 1.29–2.45) and the OR of dependent self-employment for self-reported sleep disorder was 1.26 (95% CI: 1.01–1.59) compared to other paid workers.

Conclusions

Dependent self-employment is related to an increased risk of self-reported depression/anxiety and sleep disorder in South Korea.

Citations

Citations to this article as recorded by

Association between precarious employment and the onset of depressive symptoms in men and women: a 13-year longitudinal analysis in Korea (2009–2022)
Seong-Uk Baek, Jong-Uk Won, Yu-Min Lee, Jin-Ha Yoon
Epidemiology and Psychiatric Sciences.2024;[Epub] CrossRef
Gender differences in the prevalence of and trends in sleep patterns and prescription medications for insomnia among US adults, 2005 to 2018
Lei Zuo, Xia Chen, Mingliang Liu, Shan Dong, Li Chen, Guangzhen Li, Zhiyu Zhai, Long Zhou, Haiyan Chen, Yuan Wei, Liping Shi, Guang Hao
Sleep Health.2022; 8(6): 691. CrossRef
How Does the Involuntary Choice of Self-Employment Affect Subjective Well-Being in Small-Sized Business Workers? A Cross-Sectional Study from the Fifth Korean Working Conditions Survey
SangJin Park, Chulyong Park, Joo Hyun Sung
International Journal of Environmental Research and Public Health.2022; 19(2): 1011. CrossRef
Mental health symptoms among dependent contractors in Korea: a cross-sectional study based on the Fifth Korean Working Condition Survey
Seong-Uk Baek, Sung-Shil Lim, Sehyun Yun, Won-Tae Lee, Min-Seok Kim, Jin-Ha Yoon, Jong-Uk Won
Annals of Occupational and Environmental Medicine.2022;[Epub] CrossRef
The relationship between job precariousness and student burnout: a serial indirect effects model
Peter A. Creed, Michelle Hood, Eva Selenko, Shi Hu, Louella Bagley
Journal of Education and Work.2022; 35(8): 843. CrossRef
High Emotional Demands at Work and Poor Mental Health in Client-Facing Workers
Chunhui Suh, Laura Punnett
International Journal of Environmental Research and Public Health.2022; 19(12): 7530. CrossRef
Associations of socioeconomic status and sleep disorder with depression among US adults
Wenzhen Li, Wenyu Ruan, Ying Peng, Zuxun Lu, Dongming Wang
Journal of Affective Disorders.2021; 295: 21. CrossRef

57 View
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