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Original Article
Mediation analysis of chronotype, sleep-related factors, and depressive symptoms among workers: a cross-sectional study
Seo Young Kim, Hyo Jeong Kim, Seong-Sik Cho, Min Young Park, Mo-Yeol Kang
Ann Occup Environ Med 2023;35:e47.   Published online November 20, 2023
DOI: https://doi.org/10.35371/aoem.2023.35.e47
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
Background

This study aimed to examine the impact of chronotype on depressive symptoms and explore the mediating effects of sleep quality, pre-sleep cognitive arousal, and social jetlag in a sample of wage earners.

Methods

A total of 3,917 waged workers were surveyed online in July 2022. Logistic regression and mediation analysis were used to assess the relationship between chronotype (morningness, intermediate, and eveningness) and depressive symptoms (Patient Health Questionnaire ≥ 5), and the mediating effects of Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and Pre-Sleep Arousal Scale (PSAS). All analyses were adjusted for age, education level, income level, marital status, coffee consumption, alcohol consumption, physical activity, occupation, employment status, and working hours to calculate odds ratios (ORs).

Results

The chronotypes of all the participants were divided into morningness (4.7%), intermediate (93.5%), and eveningness (1.8%). Multiple logistic regression analysis showed an increased risk of depression in the eveningness chronotype (OR: 2.96; 95% confidence interval [CI]: 1.51, 5.86). Regarding the mediation analysis, ISI mediated 28.44% (95% CI: 16.39–40.5), PSQI for 31.25% (95% CI: 19.36, 43.15), and PSAS-Cognitive Score (PSAS-C) for 23.58% (95% CI: 10.66, 36.50) of the association between chronotype and depressive symptoms. However, social jetlag did not significantly mediate this relationship. (percentage mediated = 0.75%, 95% CI: −3.88, 5.39)

Conclusions

Evening chronotypes exhibit an increased risk of depressive symptoms, which ISI, PSQI, and PSAS-C partially mediated. This suggests that interventions to improve sleep quality and maintain adequate sleep habits may effectively prevent and treat depression in employees with an eveningness chronotype.

직장인의 크로노타입이 우울 증상에 미치는 영향과 수면 관련 요인의 매개 분석
목적
본 연구는 국내 임금 근로자를 대상으로 크로노타입이 우울 증상에 미치는 영향과 수면의 질, 수면 전 인지적 각성, 사회적 시차 등의 매개 효과에 대해 분석하고자 한다.
방법
2022년 7월 온라인 설문조사를 통해 모집한 만 19세 이상의 임금 근로자 3917명을 대상으로 분석을 시행하였다. 로지스틱 회귀분석으로 성별을 층화하여 크로노타입 (아침형, 중간형, 저녁형)과 우울증상 간의 관계를 살펴본 후, 매개효과 분석을 통해 불면척도, 수면의 질, 수면 전 각성 척도, 사회적 시차의 각각의 우울 증상에 대한 매개 효과를 계산했다. 모든 분석은 연령, 교육수준, 소득, 결혼 여부, 동거인 여부, 커피, 흡연, 음주, 신체활동, 직종, 고용형태, 근무 시간을 보정하였다.
결과
참가자는 아침형(4.7%), 중간형(93.5%), 저녁형(1.8%)으로 나뉘었다. 인구사회학적 특성 및 업무 관련 요인을 통제한 다중 로지스틱 회귀분석 결과, 저녁형 그룹에서 우울증상 오즈비는 2.95 (95% 신뢰구간: 1.51–5.86)로 아침형 그룹에 비해 높게 나타났다. 매개 분석 결과에서 불면 척도는 28.44% (95% 신뢰구간 16.39–40.5), 수면의 질은 31.25% (95% 신뢰구간 19.36–43.15), 수면 전 인지적 각성척도은 23.58% (95% 신뢰구간 10.66–36.50)를 매개하였다. 그러나 사회적 시차는 매개 효과가 0.75% (95% 신뢰구간 -3.88–5.39)로 유의하지 않은 것으로 나타났다.
결론
본 연구 결과에 따르면 저녁형 크로노타입을 가진 근로자들이 아침형 근로자보다 우울증상의 위험도가 증가하는 것으로 나타났으며, 이에 대한 매개 효과 분석에서는 불면 척도, 수면의 질과 수면 전 인지적 각성이 우울 증상을 부분적으로 매개하는 것으로 나타났다. 이는 저녁형 크로노타입 근로자들과 같은 우울증의 상대적 고위험군에서 수면의 질을 개선하고 수면 습관을 적절히 유지하도록 개입하는 것이 우울증의 예방 및 치료에 효과적일 수 있음을 시사한다.
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Original Article
Association between discrimination in the workplace and insomnia symptoms
Suhwan Ju, Seong-Sik Cho, Jung Il Kim, Hoje Ryu, Hyunjun Kim
Ann Occup Environ Med 2023;35:e25.   Published online July 23, 2023
DOI: https://doi.org/10.35371/aoem.2023.35.e25
AbstractAbstract AbstractAbstract in Korean PDFPubReaderePub
Background

In Korea, little research has focused on the relationship between discrimination in the workplace and sleep health. Thus, this study aims to investigate the association between such discriminatory experiences and insomnia, a common sleep disorder, using Korean employees’ data.

Methods

This study used data from the 6th Korea Working Conditions Survey. Discrimination experiences due to age, ethnic background, nationality, race, sex, religion, disability, sexual orientation, educational level, hometown, and employment status were investigated. The Minimal Insomnia Symptom Scale estimated insomnia symptoms. The association between discrimination experience and insomnia symptoms were analyzed using survey-weighted logistic regression analysis.

Results

Based on experiences of discrimination over the past 12 months, insomnia symptoms were associated with discrimination experience due to religion (odds ratio [OR]: 3.70; 95% confidential interval [CI]: 1.58–8.69), sex (OR: 2.51; 95% CI: 1.87–3.37), age (OR: 2.30; 95% CI: 1.88–2.81), hometown (OR: 2.07; 95% CI: 1.44–2.97), employment status (OR: 1.69; 95% CI: 1.37–2.10), and educational level (OR: 1.67; 95% CI: 1.31–2.14). Furthermore, the prevalence of insomnia symptoms increased with the number of discrimination experiences.

Conclusions

In this study, discrimination experiences due to religion, sex, age, hometown, employment status, and educational level were significantly associated with insomnia symptoms. Furthermore, as the number of discrimination experiences increased, so did the prevalence of insomnia. Preventing workplace discrimination may improve workers’ sleep health.

직장에서의 차별 경험과 불면증 증상 간의 연관성
목적
한국에서 차별 경험과 수면 장애 간의 연관성에 대한 연구가 거의 없었다. 따라서, 이 연구의 목적은 직장에서의 차별 경험과 불면증 증상의 연관성을 조사하는 것이다.
방법
이 연구는 제6차 근로환경조사의 자료를 활용하였다. 나이, 출신민족, 국적, 인종, 성, 종교, 장애, 성적 지향성, 학벌, 출신 지역, 고용 형태 등 총 11개 종류의 차별에 대한 경험 유무를 조사하였다. 수면 장애는 minimal insomnia symptom scale (MISS)을 사용하여 불면증 증상의 유무를 조사하였다. 둘 사이의 연관성을 평가하기 위해 가중치를 이용한 로지스틱 회귀분석을 사용하였다.
결과
종교(odds ratio [OR], 3.70; 95% confidential interval [CI], 1.58–8.69), 성 (OR, 2.51 ; 95% CI, 1.87–3.37), 나이 (OR, 2.30 ; 95% CI, 1.88–2.81), 출신 지역 (OR, 2.07 ; 95% CI, 1.44–2.97), 고용 형태 (OR, 1.69 ; 95% CI, 1.37–2.10), 학벌 (OR, 1.67 ; 95% CI, 1.31–2.14)에 대한 차별 경험과 불면증 증상 간의 연관성이 확인되었다. 또한, 경험한 차별의 종류가 많을수록 불면증 증상의 유병률이 증가하는 경향이 확인되었다.
결론
이 연구에서 직장에서의 종교, 성별, 나이, 고향, 고용상태, 교육수준에 대한 차별 경험과 불면증 증상 간의 연관성이 확인되었다. 직장에서의 차별을 예방함으로써 근로자들의 수면 건강을 향상시킬 수 있을 것이다.
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Original Article
Association between insomnia and absenteeism or presenteeism among Korean employees
JongHyun Hwang, Seong-Sik Cho, Jung Il Kim
Ann Occup Environ Med 2022;34:e41.   Published online December 6, 2022
DOI: https://doi.org/10.35371/aoem.2022.34.e41
AbstractAbstract AbstractAbstract in Korean PDFPubReaderePub
Background

In Korea, few studies clarify insomnia and its association and absenteeism or presenteeism. Therefore, this study aims to examine the association between insomnia and absenteeism/presenteeism using the sixth Korean Working Conditions Survey.

Methods

Insomnia was evaluated by the Minimal Insomnia Symptoms Scale (MISS). Absenteeism and presenteeism were assessed by asking if the employee had experienced absence or working despite being ill for the prior 12 months at the point of the survey. Multiple logistic analyses were conducted to explore insomnia and its association with absenteeism and presenteeism.

Results

The odds ratios of insomnia for absenteeism and presenteeism were 3.48 (95% confidence interval [CI]: 2.76–4.39) and 3.68 (95% CI: 3.18–4.26) in the fully adjusted model. As the MISS scores increased, absenteeism and presenteeism showed the increasing trend that odd ratios increased accordingly from the first to the fourth quartile.

Conclusions

This study observed that insomnia was related to both absenteeism and presenteeism among Korean employees.

한국 근로자에서의 불면증과 결근(absenteeism) 및 프리젠티즘(presenteeism) 간 연관성 연구.
목적
불면증은 결근 및 프리젠티즘을 유발하는 위험 인자로 알려져 있으나 한국의 노동자들에서의 불면증과 결근 및 프리젠티즘 간의 연관성을 연구한 경우는 드물다. 따라서, 이 연구는 한국 노동자들에서의 불면증과 결근 및 프리젠티즘간의 연관성을 조사하였다.
방법
본 연구는 제6차 한국 취업자 근로환경조사 자료를 활용하였다. 불면증은 최소 불면증 증상 척도(MISS)를 사용하여 평가하였으며, 결근 및 프리젠티즘은 조사시점에서 1년동안의 결근 경험 및 건강상 문제가 있음에도 출근한 경험에 대해 질문함으로써 평가하였다. 불면증과 결근 및 프리젠티즘 간의 연관성을 분석하기 위해 다중 로지스틱 회귀분석을 수행하였다.
결과
보정된 모형에서 불면증과 결근 및 프리젠티즘과의 오즈비는 각각 3.48(95% CI: 2.76 - 4.39), 3.68(95% CI: 3.18 - 4.26) 이었다. 최소 불면증 증상 척도 점수가 증가할 수록 결근 및 프리젠티즘이 증가하는 경향을 보였다.
결론
본 연구를 통해 불면증과 결근 및 프리젠티즘의 연관성을 확인할 수 있었다. 이러한 결과는 근로자들의 수면 건강을 위한 추가적인 연구와 효과적인 수면 건강 중재 프로그램의 개발 및 도입이 필요할 수 있다.

Citations

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  • Prevalence of Sleep Disturbances in Latin American Populations and Its Association with Their Socioeconomic Status—A Systematic Review and a Meta-Analysis
    F. A. Etindele Sosso, Filipa Torres Silva, Rita Queiroz Rodrigues, Margarida M. Carvalho, Sofia Zoukal, Gabriel Cordova Zarate
    Journal of Clinical Medicine.2023; 12(24): 7508.     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 receiving work communications outside of work hours via telecommunication devices and work-related headaches and eyestrain: a cross-sectional analysis of the 6th Korean Working Conditions Survey
    Yoon-Soo Jang, Jae-Han Lee, Na-Rae Lee, Dong-Woo Kim, June-Hee Lee, Kyung-Jae Lee
    Annals of Occupational and Environmental Medicine.2023;[Epub]     CrossRef
  • Presenteeism, Job Satisfaction, and Psychological Distress among Portuguese Workers in a Private Social Solidarity Institution during the COVID-19 Pandemic: A Cross-Sectional Study
    Ana Catarina Maurício, Carlos Laranjeira
    Administrative Sciences.2023; 13(10): 220.     CrossRef
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Original Article
Association between sleep disturbance and occupational injury among Korean employees
Jongwoo Lee, Seong-Sik Cho, JungIl Kim, Mo-yeol Kang, Suhwan Ju, Byoung Gwon Kim, Young Seoub Hong
Ann Occup Environ Med 2021;33:e29.   Published online September 10, 2021
DOI: https://doi.org/10.35371/aoem.2021.33.e29
AbstractAbstract AbstractAbstract in Korean PDFPubReaderePub
Background

Occupational injury has been a serious social problem steadily. Sleep disturbance is a risk factor for occupational injury. However, there were few researches studied on the linking between sleep disturbance and occupational injury in general working population of Korea. Therefore, we explored the association between sleep disturbance and occupational injury among Korean workers.

Methods

This study used data from the 5th Korean Working Conditions Survey. Occupational injury was assessed by asking work related injury for 12 months prior to the point of the survey. Sleep disturbance was assessed using the Minimal Insomnia Symptoms Scale (MISS). To analyze the association between sleep disturbance and occupational injury, multiple logistic regression analysis was conducted.

Results

The odds ratio (OR) of sleep disturbance group for occupational injury was 2.57 (95% confidence interval [CI]: 1.68–3.93) in the fully adjusted model. For the association between MISS score and occupational injury, it showed increasing trend that ORs increase from the 1st to the 4th quartiles. The OR of 2nd quartile was 1.10 (95% CI: 0.60–2.01), the OR of 3rd quartile was 2.27 (95% CI: 1.53–3.38) and the OR of 4th quartile was 2.80 (95% CI: 1.84–4.26).

Conclusions

Sleep disturbance was associated with occupational injury. In addition, increasing trend was observed between MISS score and occupational injury. These findings imply that developing of intervention programs to manage sleep disturbance and fatigue may be necessary to prevent occupational injury.

수면장애와 직업성 손상과의 연관성
목적
업무관련 손상은 심각한 사회적 문제이다. 그러나 한국에서 수면장애와 업무관련 손상의 연관성을 연구한 연구는 드물다. 따라서, 우리는 한국 근로자들의 수면 장애와 업무관련 손상 사이의 연관성을 조사하였다.
방법
이 연구는 제5차 한국 취업자 근로환경조사 자료를 활용했다. 업무관련 손상은 조사 시점의 1년 동안 업무관련 손상에 대해 질문함으로써 평가되었다. 수면 장애는 최소 불면증 증상 척도(MISS)를 사용하여 평가되었다. 수면 장애와 업무관련 손상 간의 연관성을 분석하기 위해 다중 로지스틱 회귀 분석을 수행하였다.
결과
보정된 모델에서 수면 장애 그룹의 오즈비는 2.57(95% CI: 1.68 - 3.93)이었다. 수면 장애의 정도와 업무관련 손상 사이의 연관성에 대해서는 오즈비가 1 사분위수에서 4 사분위로 증가한다는 노출(용량)-반응 관계를 보였다. 2분위수의 오즈비는 1.10(95% CI: 0.60–2.01)이었고, 3분위수의 오즈비는 2.27(95% CI: 1.53–3.38)이었으며, 4분위수의 오즈비는 2.80(95% CI: 1.84–4.26)이었다.
결론
수면 장애는 업무관련 손상과 관련이 있다. 또한, 수면 장애의 심각성과 업무관련 손상 사이에 노출-반응 관계가 관찰되었다. 이러한 연구 결과는 이후 전향적 코호트 형태의 연구가 필요하며, 업무관련 손상을 방지하기 위해 수면 장애와 피로를 관리하기 위한 개입 프로그램의 도입이 필요할 수 있음을 시사한다.

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  • The changing dynamics of work from home and its association with sleep disturbance through work–family conflict during the COVID-19 pandemic
    Jaehyuk Jung, Jiyoung Lim, Yong Hyuk Cho, Jae Bum Park, Inchul Jeong
    Journal of Occupational Health.2024;[Epub]     CrossRef
  • Exploring Clinical Trials to Manage Firefighters’ Sleep Quality: A PRISMA Compliant Systematic Review
    Sara Alves, Josiana Vaz, Adília Fernandes
    International Journal of Environmental Research and Public Health.2023; 20(5): 3862.     CrossRef
  • Economic costs and Predictors of occupation-related Injuries in Ethiopian sugar industries from the Employer’s perspective: top-down approach and friction method
    Mitiku Bonsa Debela, Muluken Azage, Negussie Deyessa, Achenef Motbainor Begosaw
    BMC Public Health.2022;[Epub]     CrossRef
  • Changes in the Health Indicators of Hospital Medical Residents During the Four-Year Training Period in Korea
    Ji-Sung Ahn, Seunghyeon Cho, Won-Ju Park
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • Shiftwork Is Associated with Higher Food Insecurity in U.S. Workers: Findings from a Cross-Sectional Study (NHANES)
    Maximilian Andreas Storz, Gianluca Rizzo, Mauro Lombardo
    International Journal of Environmental Research and Public Health.2022; 19(5): 2847.     CrossRef
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Research Article
Comparison of work environment and occupational injury in direct and indirect employment in Korea and Europe
Joonho Ahn, Seong-Sik Cho, Hyoung-Ryoul Kim, Jun-Pyo Myong, Mo-Yeol Kang
Ann Occup Environ Med 2019;31:e24.   Published online September 25, 2019
DOI: https://doi.org/10.35371/aoem.2019.31.e24
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background

To investigate the risk of injury for indirect employment in Korea, we compared work environment, workplace exposure, and injury risk according to the type of employment contract between Korea and European Union (EU) countries.

Methods

We analyzed data of blue-collar workers from the fourth Korean Working Conditions Survey (2014) and the sixth European Working Conditions Survey (2015) and compared workplace risk factors and preventive factors for occupational injuries. Multiple logistic regression analysis was conducted to identify the relationship between occupational injury and the type of employment contract after adjusting for age and sex.

Results

For descriptive characteristics, a relatively older age, lower income, lower proportion of full-time work, greater proportion in small-sized companies, and fewer unionizations were noted in indirect employment in Korea than in direct employment. Workplace exposure was significantly higher in indirect employment in both Korea and Europe. Among safety-related factors, indirect employment in both Korea and Europe lacked the support of company education, coworkers, and supervisors. Indirectly employed blue-collar workers had a significantly higher risk of occupational injury than those directly employed in Korea (odds ratio [OR]: 1.876), whereas there was no significant difference between directly and indirectly employed workers in EU countries (OR: 1.038).

Conclusions

Indirectly employed blue-collar workers have an increased risk of occupational injury in Korea.


Citations

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  • Estimated trends in hospitalizations due to occupational injuries in Korea based on the Korean National Hospital Discharge In-depth Injury Survey (2006-2019)
    Seonguk Baek, Won-Tae Lee, Min-Seok Kim, Myeong-Hun Lim, Jin-Ha Yoon
    Epidemiology and Health.2023; : e2023042.     CrossRef
  • Teleworking Is Significantly Associated with Anxiety Symptoms and Sleep Disturbances among Paid Workers in the COVID-19 Era
    Minji Kim, Inho Park, Hyojin An, Byungyoon Yun, Jin-Ha Yoon
    International Journal of Environmental Research and Public Health.2023; 20(2): 1488.     CrossRef
  • Economic costs and Predictors of occupation-related Injuries in Ethiopian sugar industries from the Employer’s perspective: top-down approach and friction method
    Mitiku Bonsa Debela, Muluken Azage, Negussie Deyessa, Achenef Motbainor Begosaw
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Research Article
Association between organizational justice and depressive symptoms among securities company workers
HyunSuk Lee, KangHyun Um, YoungSu Ju, Sukkoun Lee, Min Choi, Domyung Paek, Seong-Sik Cho
Ann Occup Environ Med 2019;31:e7.   Published online June 5, 2018
DOI: https://doi.org/10.35371/aoem.2019.31.e7
AbstractAbstract PDFPubReaderePub
Background

The organizational justice model can evaluate job stressor from decision-making process, attitude of managerial or senior staff toward their junior workers, and unfair resource distribution. Stress from organizational injustice could be harmful to workers' mental health. The purpose of this study is to explore the association between organizational justice and depressive symptoms in a securities company.

Methods

To estimate organizational justice, a translated Moorman's organizational justice evaluation questionnaire (Korean) was employed. Cronbach's α coefficient was estimated to assess the internal consistency of the translated questionnaire. To assess depressive symptoms, the Center for Epidemiologic Studies Depression (CES-D) scale was used. The link between the sub-concepts of the organizational justice model and depressive symptoms was assessed utilizing multiple logistic regression models.

Results

The risk of depressive symptoms was significantly higher among workers with higher levels of all subcategory of organizational injustice. In the full adjusted model odds ratio (OR) of higher level of procedural injustice 2.79 (95% confidence interval [CI], 1.58–4.90), OR of the higher level of relational injustice 4.25 (95% CI, 2.66–6.78), OR of higher level of distributional injustice 4.53 (95% CI, 2.63–7.83) respectively. Cronbach's α coefficient of the Korean version was 0.93 for procedural justice, 0.93 for relational justice, and 0.95 for distributive justice.

Conclusions

A higher level of organizational injustice was linked to higher prevalence of depressive symptoms among workers in a company of financial industry.


Citations

Citations to this article as recorded by  
  • Organizational Justice and Health: Reviewing Two Decades of Studies
    Laura Cachón-Alonso, Marko Elovainio, Richard Crisp
    Journal of Theoretical Social Psychology.2022; 2022: 1.     CrossRef
  • Effects of procedural justice on prospective antidepressant medication prescription: a longitudinal study on Swedish workers
    Viktor Persson, Constanze Eib, Claudia Bernhard-Oettel, Constanze Leineweber
    BMC Public Health.2020;[Epub]     CrossRef
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Ann Occup Environ Med : Annals of Occupational and Environmental Medicine
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