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Original Article
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
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
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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Original Article
Population attributable fraction of indicators for musculoskeletal diseases: a cross-sectional study of fishers in Korea
Jaehoo Lee, Bohyun Sim, Bonggyun Ju, Chul Gab Lee, Ki-Soo Park, Mi-Ji Kim, Jeong Ho Kim, Kunhyung Kim, Hansoo Song
Ann Occup Environ Med 2022;34:e23.   Published online September 7, 2022
DOI: https://doi.org/10.35371/aoem.2022.34.e23
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
Background

The musculoskeletal disease (MSD) burden is an important health problem among Korean fishers. We aimed to investigate the indicators of the prevalence of MSD and contributions of significant indicators to MSD in Korean fishers.

Methods

This cross-section study included 927 fishers (male, 371; female, 556) aged 40 to 79 years who were enrolled from 3 fishery safety and health centers. The outcome variable was one-year prevalence of MSD in 5 body parts (the neck, shoulder, hand, back, and knee). Independent variables were sex, age, educational attainment, household income, job classification, employment xlink:type, hazardous working environment (cold, heat, and noise), ergonomic risk by the 5 body parts, anxiety disorder, depression, hypertension, diabetes, and hyperlipidemia. The adjusted odds ratio of MSDs by the 5 body parts were calculated using multiple logistic regression analysis. We computed the population attributable fraction (PAF) for each indicators of MSDs using binary regression models.

Results

The one-year prevalence of MSD in the neck, shoulder, hand, back, and knee was 7.8%, 17.8%, 7.8%, 27.2%, and 16.2% in males vs. 16.4%, 28.1%, 23.0%, 38.7%, and 30.0% in females, respectively. The ergonomic risk PAF according to the body parts ranged from 22.8%–59.6% in males and 22.8%–50.3% in female. Mental diseases showed a significant PAF for all body parts only among female (PAF 9.1%–21.4%). Cold exposure showed a significant PAF for the neck, shoulder, and hand MSD only among female (25.6%–26.8%). Age was not a significant indicator except for the knee MSD among female.

Conclusions

Ergonomic risk contributed majorly as indicators of MSDs in both sexes of fishers. Mental disease and cold exposure were indicators of MSDs only among female fishers. This information may be important for determining priority risk groups for the prevention of work-related MSD among Korean fishers.

어업인의 근골격계질환 관련인자의 인구집단 기여위험분율에 관한 단면연구
목적
한국 어업인들의 근골격계질환 유병률에 대한 관련인자의 인구집단 기여위험도를 조사하는 것이다.
방법
본 연구의 대상은 3개 어업안전보건센터에 소속된 40-79세 어업인 927명(남성 371명, 여성 556명)이다. 결과 변수는 구조화된 설문지에 따른 5개 신체 부위(목, 어깨, 손, 허리, 무릎)의 근골격계질환 1년 유병률이다. 독립변수는 성별, 연령, 최종학력, 가구소득, 고용형태, 세부업종, 유해 작업환경(추위, 더위, 소음), 신체부담작업수준, 불안장애, 우울증, 고혈압, 당뇨, 고지혈증이다. 다중 로지스틱 회귀분석을 사용하여5개 신체부위별 근골격계질환의 오즈비를 산출하였다. 이를 이용하여 근골격계질환에 대한 각 변수별로 인구집단 기여위험분율(PAF)를 계산하였다.
결과
남성에서 근골격계질환 1년 유병률은 목7.8%, 어깨17.8%, 손7.8%, 허리27.2%, 무릎16.2% 이다. 여성의 1년 근골격계질환 1년유병률은 목 16.4%, 어깨 28.1%, 손 23.0%, 등 38.7%, 무릎 30.0% 이다. 신체 부위에 따른 신체부담작업의 기여위험분율은 남성 22.8-59.6%, 여성 22.8-50.3%이다. 정신질환은 여성에서만 모든 신체부위에서 유의한 기여위험분율을 보였다(9.1%-21.4%). 추위 노출은 여성에서만 목, 어깨, 손 근골격계질환에 대해 유의미한 기여위험분율을 보였다(25.6%-26.8%). 나이는 여성에서 무릎을 제외하고는 유의한 인자가 아니다.
결론
신체부담작업은 남성, 여성 모두에서 근골격계질환에 대한 주요 기여 변수이다. 정신 질환과 추위 노출은 여성 어업인에서만 근골격계질환에 기여를 한다. 본 연구는 어업인들의 업무관련성 근골격계질환 예방을 위한 우선순위 판단에 정보를 제공할 것이다.
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Original Article
Sunlight exposure and eye disorders in an economically active population: data from the KNHANES 2008-2012
Junhyeong Lee, Ui-Jin Kim, Yongho Lee, Eunseun Han, Seunghon Ham, Wanhyung Lee, Won-Jun Choi, Seong-Kyu Kang
Ann Occup Environ Med 2021;33:e24.   Published online July 16, 2021
DOI: https://doi.org/10.35371/aoem.2021.33.e24
AbstractAbstract AbstractAbstract in Korean PDFPubReaderePub
Background

Sunlight exposure is a major risk factor for eye disorders. Most outdoor workers cannot avoid sunlight exposure. This study aimed to analyze the relationship between outdoor sunlight exposure and eye disorders in an economically active population.

Methods

This study analyzed the 2008–2012 Korea National Health and Nutritional Examination Survey data. Sunlight exposure was categorized as < 5 hours and > 5 hours. We also analyzed the dose-dependent relationship between exposure to sunlight and eye disorders (cataracts, pterygium, and age-related macular degeneration [AMD]) using data from 2010 to 2012 by subdividing the exposure groups into < 2 hours, 2–5 hours, and ≥ 5 hours. Eye disorders were diagnosed by an ophthalmologist. The study participants were stratified by sex, and the results were analyzed using the χ2 test and multiple logistic regression analysis.

Results

In the female group, the odds ratio of pterygium in the high-level sunlight exposure group was 1.47 (95% confidence interval [CI]: 1.15–1.89). Regarding AMD, the odds ratios were 1.42 (95% CI: 1.16–1.73), 1.33 (95% CI: 1.03–1.73), and 1.58 (95% CI: 1.15–2.16) in the total, male, and female groups, respectively. Analysis of the dose-response relationship revealed that the odds ratios of pterygium in the high-level sunlight exposure subgroups of the total and female groups were 1.62 (95% CI: 1.25–2.08) and 2.00 (95% CI: 1.39–2.88), respectively.

Conclusions

This study demonstrated a relationship between sunlight exposure and eye disorders in an economically active population. Women were found to be especially vulnerable to pterygium. However, additional prospective studies to clarify the pathophysiology of pterygium are needed.

경제활동인구의 햇빛노출과 안질환:2008-2012 국민건강영향조사 자료 분석
목적
햇빛 노출은 안질환의 주된 위험인자이며, 일반 인구집단에서 안질환 유병률과의 관련이 잘 알려져 있다. 옥외작업자는 자신의 의지로 햇빛 노출을 피할 수 없을 가능성이 높다. 본 연구는 경제활동인구의 옥외 햇빛 노출과 안구 질환의 관계를 분석하는 것을 목적으로 하였다.
방법
이 연구는 2008-2012년 국민건강영양조사 자료를 집계하여 사용하였다. 햇빛 노출은 5시간 미만과 5시간 이상 노출 그룹으로 세분화되었으며, 2010-2012년 자료를 활용해 2시간 미만, 2-5시간, 5시간 이상 노출 그룹으로 세분화하여 양-반응 관계 분석을 시행하였다. 안질환은 안과의사에 의해 진단되었다. 연구 참여 집단을 성별로 층화하여 카이제곱 분석과 다중 로지스틱 회귀분석을 시행하였다.
결과
여성 집단에서 햇빛 고노출군의 익상편 유병 오즈비는 1.47 (95% CI=1.15-1.89)이었다. 나이관련황반변성의 경우 전체 집단에서 유병 오즈비는 1.42(95% CI=1.16-1.73), 남성 집단에서 1.33 (95% CI=1.03-1.73), 여성 집단에서 1.58 (95% CI=1.15-2.16)이었다. 양-반응 관계 분석 결과 햇빛 고노출군에서 전체 집단의 익상편 유병 오즈비는 1.62 (95% CI=1.25-2.08)이었고, 여성 집단에서는 2.00(95% CI=1.39-2.88)이었다.
결론
본 연구는 몇 가지 제한점이 있지만 경제활동인구에서의 햇빛 노출과 안질환 유병률에 대한 관계에 대한 정보를 제공한다. 특히 익상편의 경우 여성이 더 취약한 것으로 나타났는데, 발병기전을 고려한 전향적 연구 등의 추가적인 연구가 필요하다.

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Research Article
Association between air pollution in the 2015 winter in South Korea and population size, car emissions, industrial activity, and fossil-fuel power plants: an ecological study
Hyeran Choi, Jun-Pyo Myong
Ann Occup Environ Med 2018;30:60.   Published online October 5, 2018
DOI: https://doi.org/10.1186/s40557-018-0273-5
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background

Compared to 10 years ago, the ambient particulate matter 10 (PM10) and carbon monoxide (CO) levels in South Korea have decreased. However, compared to many other OECD countries, these levels are still too high. Concentration of air pollutants such as PM10 is especially higher during winter than during summer. The first step to rationally solving the air pollution problem in Korea is to identify the key air pollution sources during each season. This ecological study was performed to assess the association between the number of days the accepted PM10 and CO thresholds were exceeded and the concentration of potential emission sources in winter season 2015.

Methods

An emission inventory of the PM10 and CO emissions in the 232 administrative South Korean districts in January, 2015, and February, 2015 and December, 2015, and the population density, number of car registrations, number of car accidents, industrial power usage, and presence of a fossil-fuel power plant in each district was established on the basis of official web-page data from the government. For all emission source variables except power plants, the administrative districts were grouped into quartiles. Districts were also divided according to whether a power plant was present or not. Negative binomial regression was performed to assess the associations between the PM10 and CO air pollution (defined as ≥100 g/m3 and ≥ 9 ppm, respectively) and the concentration of each emission source.

Results

Compared to the districts with the lowest population density, the districts with the third highest population density associated most strongly with air pollution. This was also observed for industrial power usage. Car accident number and car registration numbers showed a linear relationship with air pollution. Districts with power plants were significantly more likely to have air pollution than districts that lacked a plant.

Conclusions

Greater car numbers, industrial activity, and population density, and the presence of fossil-fuel plants associated with air pollution in the 2015 winter in South Korea. These data highlight the contaminant sources that could be targeted by interventions that aim to reduce air pollution, decrease the incidence of exposure, and limit the impact of pollution on human health.

Electronic supplementary material

The online version of this article (10.1186/s40557-018-0273-5) contains supplementary material, which is available to authorized users.


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Research Article
Factors increasing the risk for psychosocial stress among Korean adults living in rural areas: using generalized estimating equations and mixed models
Ju-Hyun Nam, Myeong-Seob Lim, Hyun-Kyeong Choi, Jae-Yeop Kim, Sung-Kyeong Kim, Sung-Soo Oh, Sang-Baek Koh, Hee-Tae Kang
Ann Occup Environ Med 2017;29:53.   Published online October 31, 2017
DOI: https://doi.org/10.1186/s40557-017-0209-5
AbstractAbstract PDFPubReaderePub
Background

This study was conducted to analyze the distribution of the psychosocial well-being index among adults living in two rural communities in Korea and to examine its correlation with lifestyle variables such as sleep duration, regular exercise, and sedentary time.

Methods

Using the cohort data of the Atherosclerosis Risk of a Rural Area Korean General Population, this study examined 3631 participants living in Wonju and Pyeongchang in Gangwon Province; their preliminary data were established from 2005 to 2007 while their follow-up data were collected 3 years later. This study investigated demographic characteristics, lifestyle habits, disease history, Psychosocial Well-being Index-Short Form (PWI-SF) scores, sleep duration, regular exercise, and sedentary time during work. Using repeated measures ANOVA, this study examined how the variables and PWI-SF scores changed over the course of 3 years and identified the correlation between them based on mixed model analysis. Afterwards, using the generalized estimation equation, this study identified each variable’s risk towards the PWI-SF high-risk group and performed a stratified analysis by occupation after dividing the participants into farmers and non-farmers.

Results

The PWI-SF high-risk group was found to be 18.9% of the participants from preliminary data and 15.5% from follow-up data. The odds ratio towards the PWI-SF high-risk group was 1.503 (95% CI 1.241–1.821) in the short sleep duration group and 1.327 (95% CI 1.136–1.550) in the non-regular exercise group. A stratified analysis by occupation showed that middle and long sedentary time in the white-collar group increased the risk toward the PWI-SF high-risk group.

Conclusions

Short sleep duration, no regular exercise, and long sedentary time in the white-collar group were identified as risk factors toward the PWI-SF high-risk group in the rural communities, and policy interventions are needed to address this issue.


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Original Article
Estimated Occupational Injury Rate and work Related Factors Based on Data From the Fourth Korea National Health and Nutrition Examination Survey
Dal Young Jung, Hwan Cheol Kim, Jong Han Leem, Shin Goo Park, Dong Hoon Lee, Seung Jun Lee, Gee Woong Kim
Korean Journal of Occupational and Environmental Medicine 2011;23(2):149-163.   Published online June 30, 2011
DOI: https://doi.org/10.35371/kjoem.2011.23.2.149
AbstractAbstract PDF
OBJECTIVES
This study used representative national survey data of Korean workers to estimate the occupational injury rate and to identify factors associated with occupational injuries.
METHODS
We analyzed data from the fourth Korea National Health and Nutrition Examination Survey conducted from 2007 to 2009 using the Complex Samples Frequencies procedure of the SPSS to estimate the occupational injury rate. Complex Samples Logistic Regression was performed to calculate a nationally representative odds ratios that reflects the likelihood of specific individual attributes and job characteristics being associated with occupational injuries. We did this while controlling for relevant covariates.
RESULTS
It was estimated that 3.5% of Korean workers have suffered at least one occupational injury and 1.9% of full-time employed workers have suffered occupational injuries which required more than 4 days of absence during the year. After adjustment for confounding variables, the experience of occupational injuries was related to several job characteristics, including exposure to hazards such as: air pollutants (OR=1.40; 95%CI: 1.05~1.85), noise (OR=1.31; 95%CI: 1.01~1.70), biological hazards (OR=1.60; 95%CI: 1.13~2.28), a difficult physical environment (OR=1.79; 95%CI: 1.33~2.41), and difficult ergonomic work (e.g. work involving awkward posture or heavy lifting) (OR=1.49; 95%CI: 1.11~2.00).
CONCLUSIONS
Using national survey data from the Korea National Health and Nutrition Examination Survey to estimate the occupational injury rate and to identify predictors of work-related injuries has several advantages. Futhermore, these results suggest that a hazardous work environment is associated with occupational injury.

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    Journal of Korean Ophthalmic Optics Society.2020; 25(3): 195.     CrossRef
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    Journal of Health Informatics and Statistics.2020; 45(2): 157.     CrossRef
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    The Korean Journal of Community Living Science.2020; 31(4): 765.     CrossRef
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    Safety and Health at Work.2015; 6(3): 218.     CrossRef
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    Md. Shaha Nur Kabir, Mingzhang Song, Sun-Ok Chung, Yong-Joo Kim, Su-Chul Kim, Jong-Kyou Ha
    Journal of Biosystems Engineering.2015; 40(1): 19.     CrossRef
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    Young-Jun Kwon, Soo-Jin Lee
    Journal of Korean Medical Science.2014; 29(Suppl): S24.     CrossRef
  • The Relationship between Injury and Socioeconomic Status in Reference to the Fourth Korean National Health and Nutrition Examination Survey
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    Annals of Occupational and Environmental Medicine.2014;[Epub]     CrossRef
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Original Article
Estimated Number of Korean Workers with Back Pain and Population-based Associated Factors of Back Pain: Data from the Fourth Korea National Health and Nutrition Examination Survey
Ki Chul Nam, Soon Woo Jang, Hyung Joon Jhun, Jong Tae Park
Korean Journal of Occupational and Environmental Medicine 2009;21(4):365-377.   Published online December 31, 2009
DOI: https://doi.org/10.35371/kjoem.2009.21.4.365
AbstractAbstract PDF
OBJECTIVES
We estimated the number of Korean workers with back pain and evaluated the populationbased factors associated with back pain from a representative sample.
METHODS
The number of Korean workers who experienced back pain (back pain-experienced patients), those who had experienced back pain lasting for three or more months during the previous year (chronic patients), and those who were currently suffering from back pain (current patients) were estimated by analyzing the data from the fourth Korea National Health and Nutrition Examination Survey conducted in 2007 using the surveyfreq procedure of the SAS statistical package. Population-based odds ratios for being back pain-experienced, chronic, and current patient according to demographic (age, gender, and education), lifestyle (smoking, drinking, and exercise), and occupational (industrial class, employment status, occupation) factors were estimated using the surveylogistic procedure.
RESULTS
Among 19,076,186 Korean workers aged 20~69 years in 2007, 2,473,997(proportion, 13.0%; 95% CI, 1,976,779~2,971,216) were estimated to be back pain-experienced patients, 692,046(3.6%; 417,726~966,366) chronic patients, and 1,206,704(6.3%; 893,475~1,519,933) current patients. Each of the explanatory variables was significantly associated with at least one of the response variables for back pain.
CONCLUSIONS
Further efforts to investigate the epidemiology of back pain, evaluate the associated factors, and improve treatment outcomes are needed.

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  • Nationwide firefighter survey: the prevalence of lower back pain and its related psychological factors among Korean firefighters
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  • Retraction Notice to: "Association between Job Stress and Alexithymic Traits" [Korean J Occup Environ Med 20(4) (2008) 295-301] and "Estimated Number of Korean Workers with Back Pain and Population-based Associated Factors of Back Pain: Data from the Four

    Korean Journal of Occupational and Environmental Medicine.2011; 23(3): 350.     CrossRef
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