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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
AbstractAbstract AbstractAbstract in Korean PDFPubReaderePub
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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  • 5 Web of Science
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Research Article
Presenteeism among self-employed workers: Korean working conditions survey
Min-Su Kim, Jae Bum Park, Kyoung-Bok Min, Kyung-Jong Lee, Kimin Kwon
Ann Occup Environ Med 2014;26:32-32.   Published online October 1, 2014
DOI: https://doi.org/10.1186/s40557-014-0032-1
AbstractAbstract PDFPubReaderePub
Objective

Presenteeism has become a public concern recently. Thus, we aimed to understand the relationship between self-employed workers and presenteeism using a nationally representative sample of Korean workers.

Methods

Using data from the Korean Working Conditions Survey conducted in 2011, a total of 43,392 workers including paid employees and self-employed workers were analyzed. The effect of employment status on presenteeism was analyzed using logistic regression analysis. The independent variables were socioeconomic characteristics, working conditions, and working environments.

Results

Among the 43,392 workers, 34,783 were paid and 8,609 were self-employed. Self-employed workers were more likely to exhibit presenteeism than were paid workers. An elevated odds ratio of 1.27 (95% CI 1.19-1.36) was found for presenteeism among self-employed workers.

Conclusion

Being self-employed was significantly related with exhibiting presenteeism. Additional research should investigate whether other factors mediate the relationship between employment status and presenteeism as well as ways to reduce presenteeism among self-employed workers.


Citations

Citations to this article as recorded by  
  • Association Between Sickness Presenteeism and Depressive Symptoms by Occupation and Employment Type During the COVID-19 Pandemic
    Minkoo Kang, Won-Tae Lee, Byungyoon Yun, Jin-Ha Yoon
    Safety and Health at Work.2024; 15(3): 338.     CrossRef
  • Alcohol Abuse Associated with Accumulated Periods of Precarious Employment: A Four-Year Follow-Up Study of a Young Population in Korea
    Sungjin Park, June-Hee Lee, Jongin Lee
    International Journal of Environmental Research and Public Health.2022; 19(12): 7380.     CrossRef
  • Impacts of presenteeism on work-related injury absence and disease absence
    Youna Won, Hwan-Cheol Kim, Jiho Kim, Minsun Kim, Seong-Cheol Yang, Shin-Goo Park, Jong-Han Leem
    Annals of Occupational and Environmental Medicine.2022;[Epub]     CrossRef
  • Sickness presenteeism: Are we sure about what we are studying? A research based on a literature review and an empirical illustration
    Albert Navarro, Sergio Salas‐Nicás, Clara Llorens, Salvador Moncada, Emilia Molinero‐Ruíz, David Moriña
    American Journal of Industrial Medicine.2019; 62(7): 580.     CrossRef
  • Ziek, maar toch op de zaak
    N. C. Hageman, E. C. Wijnvoord
    TBV – Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde.2019; 27(3): 7.     CrossRef
  • Self-employment’s vulnerability to socioeconomic and working conditions: results from the Korean Working Condition Survey (2006-2014)
    Jin-Young Min, Hye-Jin Kim, Kyoug-Bok Min
    Journal of Global Health Reports.2019;[Epub]     CrossRef
  • Sex and Gender Interactions in the Lives of Patients with Spondyloarthritis in Spain: A Quantitative-qualitative Study
    Mar Blasco-Blasco, María Teresa Ruiz-Cantero, Lucero Aida Juárez-Herrera y Cairo, Vega Jovaní, Eliseo Pascual
    The Journal of Rheumatology.2017; 44(10): 1429.     CrossRef
  • 192 View
  • 1 Download
  • 7 Web of Science
  • 7 Crossref
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