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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 Material
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.

Citations

Citations to this article as recorded by  
  • Mediating effects of self-control and sleep quality on the association between social jetlag and mental health in adolescents
    Yiting Liu, Tao Huang, Zhizhong Li, Haoran Cui, Xiumin Dou
    Chronobiology International.2026; 43(1): 44.     CrossRef
  • Chronotype and depression: A global systematic review and meta-analysis
    Xianjian Dong, Jieyu Liu, Xinxin Wang, Ze Liang
    Psychiatry Research.2026; 358: 116945.     CrossRef
  • Data profile: Korean Work, Sleep, and Health Study (KWSHS)
    Seong-Sik Cho, Jeehee Min, Heejoo Ko, Mo-Yeol Kang
    Ann Occup Environ Med.2025; 37: e3.     CrossRef
  • Increased risk of herpes zoster associated with stress and sleep deprivation: Evidence from korea health panel survey
    Youjin Kim, Wanhyung Lee
    Journal of Psychiatric Research.2025; 184: 333.     CrossRef
  • Validation of the Norwegian version of the Munich ChronoType Questionnaire for shift workers (MCTQ Shift )
    Line Victoria Moen, Tarjei L. Rysstad, Jenny-Anne S. Lie, Fred Haugen, Dagfinn Matre
    Chronobiology International.2025; 42(8): 1013.     CrossRef
  • Work ability and health-related productivity loss by chronotype: Results from population-based panel study
    Heejoo Ko, Seong-Sik Cho, Mo-Yeol Kang
    Sleep Health.2025; 11(5): 731.     CrossRef
  • Workplace Psychosocial Safety Climate and Sleep Health: Association With Sleep Quality and Insomnia Symptoms
    Jiwon Kim, Seong‐Sik Cho, Maureen F. Dollard, May Young Loh, Mo‐Yeol Kang
    Journal of Sleep Research.2025;[Epub]     CrossRef
  • Role of chronotype in depression
    Yang Zhao, Ji-Wu Liao, Qiao-Ting Huang
    World Journal of Psychiatry.2025;[Epub]     CrossRef
  • The interplay of physical activity, sleep, and chronotype on physical and mental health in Italian university students: a moderated mediation analysis
    Lucia Castelli, Letizia Galasso, Marta Borrelli, Fabio Esposito, Andrea Caumo, Giovanni Michielon, Eliana Roveda, Angela Montaruli
    BMC Public Health.2025;[Epub]     CrossRef
  • The prevalence and clinical correlation factors of cognitive impairment in patients with major depressive disorder hospitalized during the acute phase
    Huiyuan Zhao, Jinhong Chen
    Frontiers in Psychiatry.2024;[Epub]     CrossRef
  • Association between the safety climate and occupational injury in the Korean working population: a cross-sectional study
    Jeehee Min, Tae-Won Jang, Hye-Eun Lee, Mo-Yeol Kang, Seong-Sik Cho
    Epidemiology and Health.2024; 46: e2024082.     CrossRef
  • 4,891 View
  • 44 Download
  • 11 Web of Science
  • 11 Crossref
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Original Article
Association between exposure to violence, job stress and depressive symptoms among gig economy workers in Korea
Min-Seok Kim, Juyeon Oh, Juho Sim, Byung-Yoon Yun, Jin-Ha Yoon
Ann Occup Environ Med 2023;35:e43.   Published online October 30, 2023
DOI: https://doi.org/10.35371/aoem.2023.35.e43
AbstractAbstract AbstractAbstract in Korean PDF
Background

Gig workers, also known as platform workers, are independent workers who are not employed by any particular company. The number of gig economy workers has rapidly increased worldwide in the past decade. There is a dearth of occupational health studies among gig economy workers. We aimed to investigate the association between exposure to violence and job stress in gig economy workers and depressive symptoms.

Methods

A total of 955 individuals (521 gig workers and 434 general workers) participated in this study and variables were measured through self-report questionnaires. Depressive symptoms were evaluated by the Patient Health Questionnaire-9 when the score was greater than or equal to 10 points. The odds ratio with 95% confidence interval was calculated using multivariable logistic regression adjusted for age, sex, working hours, education level, exposure to violence and job stress.

Results

19% of gig economy workers reported depressive symptoms, while only 11% of general workers reported the depressive symptoms. In association to depressive symptoms among gig economy workers, the mainly result of odds ratios for depressive symptoms were as follows: 1.81 for workers type, 3.53 for humiliating treatment, 2.65 for sexual harassment, 3.55 for less than three meals per day, 3.69 for feeling too tired to do housework after leaving work.

Conclusions

Gig economic workers are exposed to violence and job stress in the workplace more than general workers, and the proportion of workers reporting depressive symptoms is also high. These factors are associated to depressive symptoms. Furthermore, the gig workers associated between depressive symptoms and exposure to violence, job stress.

한국 긱경제 근로자에서 폭력 및 직무 스트레스 노출과 우울 증상관의 연관성
목적
긱경제 근로자 또는 플랫폼 근로자는 특정 회사에 고용되지 않은 독립적인 근로자들을 말한다. 긱경제는 그 규모가 커지고 있고, 종사하는 근로자들도 많아지고 있으나, 긱경제 노동자들의 산업 보건 연구가 부족한 실정이다. 우리는 긱경제 근로자에서 폭력 노출과 직무 스트레스에 노출되는 것이 우울 증상과 연관성이 있는지 조사하는 것을 목표로 했다.
방법
총 955명(긱 근로자 521명, 일반 근로자 434명)이 본 연구에 참여하였으며, 우울 증상은 PHQ-9(Patient Health Questionnaire-9) 점수가 10점 이상일 때로 평가하였다. 폭력 노출과 직무 스트레스는 자기보고식 설문지를 이용하여 측정하였다. 연령, 성별, 근무시간, 교육수준을 보정한 다변량 로지스틱 회귀분석을 이용하여 Odds Ratio, 95% Confidence Interval를 산출했다.
결과
긱 근로자의 19%가 우울 증상을 보고한 반면, 일반 근로자의 11%만이 우울 증상을 보고했습니다. 긱경제 근로자의 우울상과 관련하여 우울상 Odds ratio의 주요 결과는표3에서 ‘긱경제 근로자’ 1.89, ‘굴욕적 처우 경험’ 3.53, ‘성희롱 경험’ 2.65, ‘하루 세 끼 미만의 식사’ 3.55, ‘퇴근 후 집안일을 하기엔 너무 피곤함’ 3.69로 나타났다.
결론
긱경제 근로자는 일반 근로자에 비해 직장 내 폭력과 직무스트레스에 더 많이 노출되고, 우울 증상을 호소하는 근로자의 비율도 높다. 이러한 요인은 우울 증상과 관련이 있다. 더욱이, 긱경제 근로자들은 우울 증상과 폭력 노출, 직업 스트레스와 관련이 있다.

Citations

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  • Factors influencing mental health among university teachers: a study based on the Diathesis-Stress Model and Response Style Theory
    Nannan Liu, Shuang Li
    BMC Psychology.2026;[Epub]     CrossRef
  • Psychosocial work conditions and health status of digital platform workers in Taiwan: A mixed method study
    Yen-Ling Liu, Yawen Cheng, Ping-Hsiu Tsai, Yun-Chieh Yang, Ya-Chen Li, Wan-Ju Cheng
    Safety Science.2025; 182: 106722.     CrossRef
  • Anxiety, mental health, job insecurity and workplace challenges: exploring the well-being of women gig workers in the gig economy
    Ramya Singh, Archana Sharma, Nimit Gupta, Manish Mishra, Rohit Kushwaha
    Mental Health and Social Inclusion.2025; 29(4): 362.     CrossRef
  • Mental disorders related to psychosocial factors among delivery workers: results of a web survey in Brazil
    Matheus F. dos Santos, Janaína S. de Siqueira, Fernando R. Feijó, Rita de Cássia P. Fernandes
    International Archives of Occupational and Environmental Health.2025; 98(1): 99.     CrossRef
  • Occupational disease monitoring by the Korea Occupational Disease Surveillance Center: a narrative review
    Dong-Wook Lee, Inah Kim, Jungho Hwang, Sunhaeng Choi, Tae-Won Jang, Insung Chung, Hwan-Cheol Kim, Jaebum Park, Jungwon Kim, Kyoung Sook Jeong, Youngki Kim, Eun-Soo Lee, Yangwoo Kim, Inchul Jeong, Hyunjeong Oh, Hyeoncheol Oh, Jea Chul Ha, Jeehee Min, Chul
    The Ewha Medical Journal.2025;[Epub]     CrossRef
  • Occupational stress(KOSS®19): scale development and validation in the Korean context
    Hansoo Song, Hyoung Ryoul Kim, Inah Kim, Jin-Ha Yoon, Sang-Baek Koh, Sung-Soo Oh, Hee-Tae Kang, Da-Yee Jeung, Dae-Sung Hyun, Chunhui Suh, Sei-Jin Chang
    Annals of Occupational and Environmental Medicine.2025; 37: e12.     CrossRef
  • Association Between Precarious Employment and Cognitive Decline: A Longitudinal Study of Middle-Aged and Older Workers in Korea
    Seong-Uk Baek, Jin-Ha Yoon
    Journal of General Internal Medicine.2025; 40(10): 2292.     CrossRef
  • Delivering food, working with hunger: a qualitative study on food delivery workers from Brazil during COVID-19
    Vanessa Daufenback, Cecília Rocha, Isabela Gonçalves Camusso, Cláudia Maria Bógus
    Appetite.2025; 214: 108161.     CrossRef
  • Platform‐Mediated Gig Work and Health: A Scoping Review
    Claire E. Margerison, Grace E. Joachim, Tim R. Michling, Candice Y. Johnson
    American Journal of Industrial Medicine.2025; 68(9): 729.     CrossRef
  • What is known about the health of location-based and online web-based digital labour platform workers? A scoping review of the literature
    Nuria Matilla-Santander, Filippa Lundh, Signild Kvart, Sherry L. Baron, Theo Bodin, Jessie Gevaert, Carin Håkansta, Julio C. Hernando, Carles Muntaner, Bertina Kreshpaj
    BMC Public Health.2025;[Epub]     CrossRef
  • Violence in Healthcare Workers Is Associated with Disordered Eating
    Nicola Magnavita, Lucia Isolani
    International Journal of Environmental Research and Public Health.2025; 22(8): 1221.     CrossRef
  • Occupational health outcomes of work in the gig economy: a systematic review protocol
    Collins Badu Agyemang, Ernest Darkwah, Richmond Acquah-Coleman, Rachael Hansen-Garshong, Emmanuel Anokye Nkansah, Sylvia Hagan, Feikoab Parimah
    BMJ Open.2025; 15(9): e103005.     CrossRef
  • ความชุกของภาวะซึมเศร้าและปัจจัยที่เกี่ยวข้องในหญิงผู้ขับขี่รถส่งอาหาร ในกรุงเทพมหานคร
    ขนิษฐา เมฆสวัสดิ์, ชุติมา หรุ่มเรืองวงษ์
    วารสารสุขภาพจิตแห่งประเทศไทย.2025; 33(4): 281.     CrossRef
  • Higher anxiety level and associated work-related factors of delivery workers in South Korea: from the 6th Korean working conditions survey
    Sungjin Park, June-Hee Lee
    International Archives of Occupational and Environmental Health.2024; 97(8): 871.     CrossRef
  • 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
  • 4,644 View
  • 95 Download
  • 12 Web of Science
  • 15 Crossref
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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 PDF
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.

Citations

Citations to this article as recorded by  
  • The Effects of Discrimination on Sleep, Diagnosis of Sleep Disorders, and Treatment
    Varsha Babu, Lourdes M. DelRosso
    Sleep Medicine Clinics.2026; 21(1): 33.     CrossRef
  • Gender discrimination in the workplace and the onset of problematic alcohol use among female wage workers: A longitudinal study in Korea
    Seong-Uk Baek, Jin-Ha Yoon, Jong-Uk Won
    Social Science & Medicine.2025; 379: 118183.     CrossRef
  • Joint Effects of Workplace and Everyday Discrimination on Sleep Disturbances: A 9-Year Prospective Cohort Study in U.S. Employees
    Sunny Liu, Timothy A. Matthews, Megan Guardiano, Elizabeth Rose Mayeda, Jian Li
    International Journal of Behavioral Medicine.2025;[Epub]     CrossRef
  • Association Between Exposure to Age Discrimination and Nutritional Risk: Findings from a Nationwide Sample of Older Adults in South Korea
    Seong-Uk Baek, Jin-Ha Yoon
    Nutrients.2025; 17(23): 3643.     CrossRef
  • 2,723 View
  • 19 Download
  • 3 Web of Science
  • 4 Crossref
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Original Article
Relationship between chronotype and depressive symptoms among newly hired hospital nurses in the Republic of Korea
Semi Lee, Han-Na Jung, Jia Ryu, Woo-Chul Jung, Yu-Mi Kim, Hyunjoo Kim
Ann Occup Environ Med 2022;34:e32.   Published online October 31, 2022
DOI: https://doi.org/10.35371/aoem.2022.34.e32
AbstractAbstract AbstractAbstract in Korean PDF
Background

This study was conducted to examine the relationship between chronotype and depressive symptoms to provide grounded knowledge in establishing nurses’ health promotion strategies.

Methods

The subjects of this study were 493 newly hired nurses working in 2 general hospitals within the university from September 2018 to September 2020. Sociodemographic and work-related characteristics were collected from a medical examination database and a self-reported questionnaire. These included sex, age, marital status, living situation, education level, alcohol consumption, physical activity, prior work experience before 3 months, workplace, and departments. To analyze the associations between the chronotype and depressive symptoms, multiple logistic regression analyses were performed to calculate odds ratios (ORs).

Results

Among participants, 9.1% had depressive symptoms and 16.4% had insomnia. The subjects are divided into morningness (30.2%), intermediate (48.7%), and eveningness (21.1%). The multiple logistic regression analysis controlling for age, living status, education level, alcohol consumption, physical activity, workplace, prior work experience before 3 months, and insomnia, revealed that the OR of depressive symptoms in the eveningness group was 3.71 (95% confidence interval [CI]: 1.50–9.18) compared to the morningness group, and the R2 value was 0.151. It also can be confirmed that insomnia symptoms have a statistically significant effect on depressive symptoms (OR: 2.16, 95% CI: 1.03–4.52).

Conclusions

Our findings suggest that evening-type nurses are more likely to have depression than morning-type nurses. We should consider interventions in a high-risk group such as the evening type nurses to reduce depressive symptoms in nurses.

신입 간호사에서 일주기리듬 유형과 우울 증상의 관련성
목적
이 연구는 간호사의 건강증진 전략 수립에 기초 지식을 제공하기 위해 일주기리듬 유형(크로노타입)과 우울 증상의 관련성을 살펴보기 위해 수행되었다.
방법
연구대상은 2018년 9월부터 2020년 9월까지 2개 대학병원에 근무하는 신입간호사 493명이었다. 사회인구학적 특성과 업무관련 특성은 건강검진 데이터베이스와 자기보고식 설문지를 통해 성별, 연령, 결혼 여부, 생활 상황, 교육 수준, 음주, 신체 활동, 3개월 내 업무 경험, 직장 및 부서 등에 대한 정보를 수집하였다. 일주기리듬 유형과 우울 증상 간의 연관성을 분석하기 위해 연령, 생활수준, 학력, 음주, 신체활동, 직장, 직장경력, 불면증 등을 통제한 다중 로지스틱 회귀 분석을 수행하였다.
결과
참가자의 9.1%가 우울 증상이 있었고, 16.4%가 불면 증상이 있었다. 일주기리듬 유형은 아침형(30.2%), 중간형(48.7%), 저녁형(21.1%)으로 구분하였다. 앞서 언급한 혼란 변수를 모두 통제한 다중 로지스틱 회귀분석 결과 저녁시간 집단의 우울 증상의 오즈비는 3.71(95% C.I. 1.50- 9.18) 아침형 그룹과 비교하여 R 제곱값은 0.151이었다. 또한 불면증 증상도 우울 증상에 통계적으로 유의한 영향을 미치는 것을 확인하였다 (OR = 2.16(95% C.I. 1.03-4.52)).
결론
우리 연구는 저녁형 간호사가 아침형 간호사보다 우울증에 걸릴 확률이 더 높다는 점을 시사한다. 간호사의 우울 증상을 줄이기 위해 저녁형 일주기리듬유형을 가진 간호사와 같은 고위험군에 대한 개입을 고려해야 한다.

Citations

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  • The effects of chronotype and physical activity on depressive symptoms in medical students
    Derya Bozkurt, Fırat Ozdalyan, Ayla Acikgoz, Osman Acikgoz
    Biological Rhythm Research.2025; 56(12): 888.     CrossRef
  • The Associations Between Chronotype and Mental Health in Nursing Students
    Vanessa Ibáñez-del Valle, Rut Navarro-Martínez, Omar Cauli
    Journal of Clinical Medicine.2025; 14(13): 4440.     CrossRef
  • Relationship between mid-sleep time and depression, health-related quality of life, and sleep deprivation in the 2018 Korea Community Health Survey
    Mee-Ri Lee, Sung Min Jung, Seung Hee Choi, Hyeonji Hwang, Youngs Chang, Young Hwangbo
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  • Factors associated with chronotype, job burnout, and perceived stress among nurses in Chinese tertiary hospitals: A multicenter cross-sectional study
    Lijun Li, Xingxing Wang, Jian Zhou, Min Liu, Sha Wang, Yi Zhou, Yuxuan Li, Yue Kang, Jianfei Xie, Andy S. K. Cheng
    Chronobiology International.2024; 41(7): 1058.     CrossRef
  • Is evening chronotype associated with higher alcohol consumption? A systematic review and meta-analysis
    Rafaela Sirtoli, Gabriel Dionisio Gotardo Mata, Renne Rodrigues, Vicente Martinez-Vizcaíno, José Francisco López-Gil, Camilo Molino Guidoni, Arthur Eumann Mesas
    Chronobiology International.2023; 40(11): 1467.     CrossRef
  • 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
    Annals of Occupational and Environmental Medicine.2023;[Epub]     CrossRef
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Original Article
The effect of job insecurity, employment type and monthly income on depressive symptom: analysis of Korean Longitudinal Study on Aging data
Myeong-Hun Lim, Jong-Uk Won, Won-Tae Lee, Min-Seok Kim, Seong-Uk Baek, Jin-Ha Yoon
Ann Occup Environ Med 2022;34:e24.   Published online September 13, 2022
DOI: https://doi.org/10.35371/aoem.2022.34.e24
AbstractAbstract AbstractAbstract in Korean PDFSupplementary Material
Background

In modern society, depression is serious issue that causes socioeconomic and family burden. To decrease the incidence of depression, risk factors should be identified and managed. Among many risk factors for depression, this study examined socioeconomic risk factors for depression.

Methods

We utilized first (2006), second (2008), and third (2010)-wave data from the Korean Longitudinal Study of Aging (KLoSA). Depressive symptom was measured with the 10-item Center for Epidemiological Studies Depression Scale, Short Form (CES-D-10) in the survey in 2008 and 2010. Three risk factors including job security, employment type and monthly income were measured in the survey in 2006. The association between risk factors and depressive symptom was analyzed by Cox proportional-hazard model.

Results

We analyzed data from 1,105 workers and hazard ratios (HRs) for 3 risk factors were significant entirely. In addition, regular worker with high income group is the most vulnerable group of poor job insecurity on depression among male workers (HR: 1.73; 95% confidence interval [CI]: 1.07–2.81). Finally, HRs for 7 groups who had at least 1 risk factor had higher HRs compared to groups who had no risk factors after stratifying 3 risk factors. In the analysis, significantly vulnerable groups were total 5 groups and the group who had highest HR was temporary/daily workers with poor job security (HR: 2.51; 95% CI: 1.36–4.64). The results concerning women, regardless of job type, were non-significant.

Conclusions

This study presented one or more risk factors among poor job security, low income, temporary/daily employment type increase hazard for depressive symptom in 2 or 4 years after the exposure. These results inform policy to screen for and protect against the risk of depression in vulnerable groups.

직업 안정성, 고용 형태, 월 소득이 우울 증상에 미치는 영향 : 고령화연구 패널조사 분석을 중심으로
목적
우울증은 전세계적으로 사회경제적 부담을 유발하는 심각한 문제로 받아들여지고 있으며 우울증의 위험요인으로는 유전적, 기질적, 환경적, 사회경제적 요인들이 알려져 있으나, 최근 코로나바이러스 감염증-19로 인한 월 소득의 감소, 직업 불안정성을 포함한 사회경제적 요인이 중요하게 다루어지고 있다. 우울증을 스크리닝하기 위한 고위험군을 선정하기 위하여 본 연구에서는 전향적 코호트 내에서 직업 안정성, 고용 형태, 월 소득을 기준으로 8가지 그룹을 나누어 각 그룹의 우울 증상 발생 위험도를 분석하고자 한다.
방법
본 연구는 전향적 코호트 연구인 제 1, 2, 3차 고령화연구패널조사 결과를 분석하였다. 2, 3차 조사에서 적어도 한 번 이상 CES-D-10 점수가 4점 이상인 경우, 우울 증상이 발생하였다고 판단하였으며, 1차 조사에서 응답한 직업 안정성 여부, 고용 형태, 월 소득의 영향을 분석하였다. 분석에는 Cox proportional-hazard regression model이 사용되었으며, 나이, 학력, 월 근무시간, 흡연 및 음주 과거력, 직무 스트레스가 보정 변수로 사용되었다.
결과
먼저, 남성 근로자에서 직업 불안정성, 임시직/일용직 근로자, 낮은 월 소득을 위험요인으로 갖는 경우, 그렇지 않은 경우보다 우울 증상의 위험도가 유의하게 증가하였다. 두 번째로, 남성 근로자에서 월 소득, 고용 형태에 따라 4개의 그룹을 나누어 각 그룹에서 직업 불안정성의 영향을 분석하였으며, 월 소득이 높은 상용직 근로자 그룹에서만 유의한 결과를 보였다. 세 번째로, 직업 안정성, 월 소득, 고용 형태를 기준으로 8개의 그룹을 나누어 각각의 우울 증상의 위험도를 분석하였다. 남성과 여성 근로자에 대하여 각각 분석하였으며, 상용직, 높은 월 소득, 높은 직업 안정성을 가진 근로자를 기준 그룹으로 선정한 후, 위험도 분석을 진행하였다. 세 가지 위험 요소 중, 낮은 직업 안정성만을 위험 요소로 갖는 그룹 (HR [95% CI]: 1.66 [1.05-2.61]), 낮은 직업 안정성과 낮은 월 소득을 갖는 그룹 (HR [95% CI]: 1.76 [1.19-2.61]), 낮은 직업 안정성과 임시직/일용직 근로자를 갖는 그룹 (HR [95% CI]: 2.51 [1.36-4.64]), 낮은 월 소득과 임시직/일용직 근로자를 갖는 그룹(HR [95% CI]: 1.81 [1.02-3.22]) 세 가지 위험 요소를 모두 갖는 그룹 (HR [95% CI]: 2.27 [1.57-3.27])에서 우울 증상의 위험도 증가가 유의하게 나타났다. 세 가지 분석 모두에서 여성 근로자의 경우, 유의미한 결과를 보이지 않았다.
결론
본 연구에서는 직업 불안정성, 임시직/일용직 고용 형태, 낮은 임금에 노출된 경우, 노출 후 2년과 4년 중 1회 이상 우울 증상 발생 위험도가 유의하게 증가한다는 결과를 도출하였다. 본 연구에서 우울 증상에 대한 위험요인이 많은 근로자일수록 우울 증상에 대한 위험도가 큰 것으로 분석되었다. 예외적으로, 임시직/일용직 근로자의 경우, 높은 월 소득의 근로자가 낮은 근로자보다 위험도가 높았다. 마지막으로 월 소득과 고용 형태를 기준으로 그룹을 나누었을 때, 직업 안정성에 의한 위험도 증가가 가장 큰 그룹은 상용직 근로자 중 월 소득이 높은 경우였다. 위 결과를 바탕으로 1개 이상의 위험요인을 갖는 고위험군을 대상으로 우울증에 대한 스크리닝 검사를 2년 간격으로 실시하는 것과 모든 근로자를 대상으로 직업 안정성에 대한 자가 조사가 필요하다는 것을 제안하였다.

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    Frontiers in Psychiatry.2025;[Epub]     CrossRef
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    Journal of Epidemiology.2024; 34(10): 459.     CrossRef
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Research Article
The association between non-regular work patterns and insomnia among Korean wage workers: the fifth Korean working condition survey
Ho-Yeon Kim, Juho Choi, Hyun-Mook Lim, Chamjin Park, Yun-Chul Hong
Ann Occup Environ Med 2021;33:e9.   Published online March 29, 2021
DOI: https://doi.org/10.35371/aoem.2021.33.e9
AbstractAbstract PDF
Background

Non-regular workers are steadily increasing on account of improving corporate productivity. They are classified as non-permanent, part-time, or non-typical workers. Non-regular work has a negative impact on workers' physical and mental health. This study analyzed the relationship between non-permanent, part-time and non-typical work and insomnia among Korean wage workers, and investigated the differences and interactions between different work patterns.

Methods

The Fifth Korean Working Conditions Survey was used in this study. Non-regular work patterns were classified into 7 types: type 1, sole non-permanent; type 2, sole part-time; type 3, sole non-typical; type 4, part-time-non-typical; type 5, non-permanent-non-typical; type 6, non-permanent-part-time; type 7, all inclusive. Insomnia was measured on a scale from “normal sleep” to “insomnia” based on the 3-item Minimal Insomnia Symptom Scale. Multiple logistic regression was used to analyze the association between non-regular work patterns and insomnia among wage workers.

Results

After multivariate adjustment, a significantly increased odds ratio (OR) for insomnia was found in types 1, 2, 3, 4, 5, 6, and 7 of non-regular work patterns compared to regular work patterns. After stratification for shift and night work, the OR of the group with shift and night work was higher than that of the group without shift and night work.

Conclusions

Insomnia was significantly associated with non-regular work patterns. This association was prominent in workers with shifts and night work. This finding suggests that proper work patterns may be needed to reduce the risk of insomnia among Korean wage workers and workers who initially had insomnia should consider these results before placement.


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  • Association of precarious employment with depressive symptoms and insomnia: Findings from the Korean Working Conditions Survey
    Seong-Uk Baek, Jin-Ha Yoon
    Journal of Psychiatric Research.2025; 181: 7.     CrossRef
  • Association between depressive symptoms and employment type of Korean workers: the Fifth Korean Working Conditions Survey
    Yun-Jung Yang, Jihye Lee
    BMC Public Health.2024;[Epub]     CrossRef
  • Association between single-person household wage workers in South Korea and insomnia symptoms: the 6th Korean Working Conditions Survey (KWCS)
    Yoon Ho Lee, Yong-Jin Lee, Eun-Chul Jang, Young-Sun Min, Soon-Chan Kwon
    Ann Occup Environ Med.2024; 36: e25.     CrossRef
  • Telecommuting-related health outcomes during the COVID-19 pandemic in South Korea: a national population-based cross-sectional study
    Seung-Woo Ryoo, Jin-Young Min, Dong-Wook Lee, Baek-Yong Choi, Juho Choi, Ho-Yeon Kim, Kyoung-Bok Min
    BMC Public Health.2023;[Epub]     CrossRef
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    International Journal of Environmental Research and Public Health.2022; 19(16): 10051.     CrossRef
  • Health-Related Productivity Loss According to Health Conditions among Workers in South Korea
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    International Journal of Environmental Research and Public Health.2021; 18(14): 7589.     CrossRef
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Research Article
Longitudinal associations between occupational stress and depressive symptoms
Hyung Doo Kim, Shin-Goo Park, Youna Won, Hyeonwoo Ju, Sung Wook Jang, Go Choi, Hyun-Suk Jang, Hwan-Cheol Kim, Jong-Han Leem
Ann Occup Environ Med 2020;32:e13.   Published online May 7, 2020
DOI: https://doi.org/10.35371/aoem.2020.32.e13
AbstractAbstract PDF
Background

Most of the studies that have examined the association between the sub-factors of occupational stress and depressive symptoms have used cross-sectional data. However, our study has longitudinally measured the occupational stress and depressive symptoms of Korean workers of a semiconductor manufacturing company across six years to intending to investigate the associations between the sub-factors of occupational stress and depressive symptoms using longitudinal data.

Methods

Data collected from the workers of a semiconductor manufacturing company. Out of 1,013 recruited workers, 405 (40.0%) completed the survey questionnaires at 3 and 6-year follow-ups. Occupational stress was measured using a shorter version of the Korean Occupational Stress Scale (KOSS), whereas depressive symptoms were assessed using the Korean version of the Center for Epidemiological Studies-Depressive Symptoms Scale (CES-D). The data of male and female participants independently analyzed. Longitudinal associations were analyzed using panel data analysis with fixed effects.

Results

In panel data analysis with fixed effects, job insecurity (B = 0.048, p-value = 0.004) was associated with depressive symptoms among male workers. In female workers, inadequate social support (B = 0.080, p-value < 0.001), job insecurity (B = 0.039, p-value = 0.004), lack of reward (B = 0.059, p-value = 0.004) and discomfort in occupational climate (B = 0.074, p-value < 0.001) were associated with depressive symptoms among female workers.

Conclusions

Temporal changes in the sub-factors of occupational stress were associated with changes in depressive symptoms within the same period. There was a gender difference in occupational stress sub-factors related to depressive symptoms.


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Research Article
Depressive symptoms among dance artists in South Korea: balance between self- and social identity on job value
Sung-Shil Lim, Jihyun Kim, Seahee Yune, Jin-Ha Yoon
Ann Occup Environ Med 2019;31:e14.   Published online July 31, 2019
DOI: https://doi.org/10.35371/aoem.2019.31.e14
AbstractAbstract PDFSupplementary Material
Background

The balance between self- and social identity on job value of Korean dance artists, considered as performing artists, was measured to investigate the relationship between balance and depressive symptoms.

Methods

Data of 139 dance artists were analyzed for depressive symptoms assessed by their responses to questionnaires from the Center for Epidemiologic Studies Depression (CESD) translated into Korean. The balance score of each aspect of social identity compared to that of self-identity on job value was measured and classified as lower, equal, or higher. Following a graphical approach, we performed locally weighted scatterplot smoothing algorithm, simple linear regression, and quadric equation regression.

Results

The mean of CESD was highest in the higher balance group and lowest in the lower balance group. There was a linear relationship between balance score and CESD regarding specific audience, unspecified audience, and unspecified public. Balance score showed no association with other aspects of social identity. In the balance score range of 1 or higher, it was associated with CESD with respect to artist colleague, unspecified audience, and unspecified public.

Conclusions

Dance artists should maintain a balance between self- and social identity in job value to prevent depressive symptoms.


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Research Article
Working hours and depressive symptoms: the role of job stress factors
Yeogyeong Yoon, Jia Ryu, Hyunjoo Kim, Chung won Kang, Kyunghee Jung-Choi
Ann Occup Environ Med 2018;30:46.   Published online July 13, 2018
DOI: https://doi.org/10.1186/s40557-018-0257-5
AbstractAbstract PDF
Background

South Korea is one of the countries with the longest working hours in the OECD countries. The aim of this study was to evaluate the effect of working hours on depressive symptoms and the role of job stress factors between the two variables among employees in South Korea.

Methods

This study used data from the Korea Working Conditions Survey in 2014. Study subjects included 23,197 employees aged 19 years or older who work more than 35 h per week. Working hours were categorized into 35–39, 40, 41–52, 53–68, and more than 68 h per week. Depressive symptoms were assessed using the WHO’s Well-Being Index with a cut-off score of 13. We calculated prevalence ratios of depressive symptoms according to working hours using log-binomial regression. Through the percentage change in prevalence ratios, we identified the extent of the role of job stress factors that explain depressive symptoms.

Results

The risks of depressive symptoms were significantly higher in people who worked 35–39 h per week (PR: 1.09, CI: 1.01–1.18), 53–68 h/week (PR: 1.21, CI: 1.16–1.25), and more than 68 h/week (PR: 1.14, CI: 1.07–1.21) than 40 h/week, after adjusting for confounding variables. Job stress explained the effects of long working hours on depressive symptoms in about 20–40% of the groups working more than 40 h/week. Among the factors of job stress, social support was 10–30%, which showed the highest explanatory power in all working hours. Reward explained 15–30% in the more than 52 h working group, and reward was the most important factor in the working group that exceeded 68 h.

Conclusions

We showed the working hours could be an independent risk factor for depressive symptoms in employees. To improve workers’ mental health, it is important to strengthen social support in the workplace, to provide adequate rewards as they work, and ultimately to regulate the appropriate amount of working hours.


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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 PDF
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

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    Viktor Persson, Constanze Eib, Claudia Bernhard-Oettel, Constanze Leineweber
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Research Article
Respiratory symptoms and illnesses related to the concentration of airborne particulate matter among brick kiln workers in Kathmandu valley, Nepal
Seshananda Sanjel, Sanjay N. Khanal, Steven M. Thygerson, William S. Carter, James D. Johnston, Sunil K. Joshi
Ann Occup Environ Med 2017;29:9.   Published online March 27, 2017
DOI: https://doi.org/10.1186/s40557-017-0165-0
AbstractAbstract PDF
Background

Bricks have been manufactured in Nepal for hundreds of years and are seen as a component of Nepalese sculpture and architecture. Large quantities of hazardous materials including high concentrations of particulate matter are emitted on a daily basis from brick kilns. Exposure to these hazardous materials can lead to adverse consequences on the environment and human health. This study was conducted to  estimate the prevalence of respiratory symptoms/illnesses and the magnitude of respirable and total dust exposures among Nepalese brick kiln workers.

Methods

Respiratory symptoms/illnesses were evaluated by questionnaire among brickfield workers (n = 400) and a referent group of grocery workers (n = 400) in Kathmandu valley. Work zones (WZs): green brick molding (GBM), green brick stacking/carrying (GBS/C), red brick loading/carrying (RBL/C), coal preparation (CP) and firemen (FM) were the similar exposure groups (SEGs) from where personal air samples and interviews were taken. Among brickfield workers, personal monitoring was conducted across SEGs for total (n = 89) and respirable (n = 72) dust during February–March 2015 and March–April 2016. Applying multi-stage probability proportionate to size sampling technique, 16 kilns and 400 brick workers for interview were selected. Proportions, means, medians and ranges were calculated for the demographics, samples and respiratory symptoms/illnesses. One-way ANOVA was applied to compare the significance differences of the level of particulate matter among SEGs. Bivariate and multivariate logistic regression analysis were performed to evaluate association between respiratory symptoms/illnesses and participants groups, and SEGs among brick kiln workers at 0.05 level. Statistical analyses were performed using IBM SPSS Statistics 21.

Results

Chronic cough (14.3%), phlegm (16.6%) and bronchitis (19.0%) were higher (P < 0.05) among brickfield compared with grocery workers (6.8, 5.8 and 10.8%). Mean respirable (5.888 mg/m3) and total (20.657 mg/m3) dust exposures were highest for red brick loading tasks. The prevalence of chronic cough, chronic phlegm, chronic bronchitis, wheezing and asthma were significantly higher for other WZs workers (p < 0.05) compared with CP; for GBM: 22.9, 34.6, 15.0 and 7.5%; for GBS/C: 13.5, 15.8, 10.0, 8.8 and 7.5%; for RBL/C: 11.1, 17.1, 27.4, 19.0 and 11.9%; for FM: 18.4, 12.5, 28.4, 4.9 and 0.0%; and for CP: 4.9, 6.3, 13.3, 9.3 and 4.0% respectively.

Conclusion

High dust exposures identified in this study may explain the increased prevalence of respiratory symptoms/illnesses among Nepalese brickfield workers, warranting action to reduce exposures.


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Research Article
Self-resilience as a protective factor against development of post-traumatic stress disorder symptoms in police officers
Jong-Ku Lee, Hyeon-Gyeong Choi, Jae-Yeop Kim, Juhyun Nam, Hee-Tae Kang, Sang-Baek Koh, Sung-Soo Oh
Ann Occup Environ Med 2016;28:58.   Published online October 17, 2016
DOI: https://doi.org/10.1186/s40557-016-0145-9
AbstractAbstract PDF
Background

This study was conducted to check whether self-resilience, one of the characteristics known to affect the occurrence of post-traumatic stress disorder (PTSD) symptoms after experiencing traumatic events, could serve as a protective factor for police officers whose occupational factors are corrected.

Methods

We conducted a cross-sectional study in which 112 male police officers in Gangwon Province participated. They visited the Wonju Severance Christian Hospital Occupational Environment Center for medical check-ups from June to December 2015. Their general characteristics were identified using structured questionnaires, and they were asked to fill in the Korean Occupational Stress Scale-Short Form (KOSS-SF). Further, the Center for Epidemiologic Studies-Depression Scale (CES-D), Connor–Davidson Resilience Scale-Korean (CD-RI-K), and Impact of Event Scale-Revised-Korean version (IES-R-K) were used to evaluate their job stress, depression, self-resilience, and PTSD symptoms. Logistic regression analysis was conducted to correct their personal, occupational, and psychological factors to analyze the relationship between self-resilience and PTSD symptoms.

Results

Among 112 respondents who experienced a traumatic event, those with low self-resilience had significantly higher rate of PTSD symptoms than those with high self-resilience even after correcting for the covariate of general, occupational, and psychological characteristics (odds ratio [OR] 3.51; 95 % CI: 1.06–19.23).

Conclusions

Despite several limitations, these results suggest that a high degree of self-resilience may protect police officers from critical incident-related PTSD symptoms.


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Research Article
Risk factors of musculoskeletal symptoms in university hospital nurses
Eunkwang Ryu, Byeongjin Ye, Youngil Yi, Jungwon Kim
Ann Occup Environ Med 2014;26:47.   Published online November 4, 2014
DOI: https://doi.org/10.1186/s40557-014-0047-7
AbstractAbstract PDF
Objectives

The purpose of this study was to investigate musculoskeletal symptom prevalence in university hospital nurses and explore the relation between musculoskeletal symptom prevalence and work related factors.

Methods

A structured questionnaire was conducted with 620 nurses in a university hospital to look into the characters of responsibility and musculoskeletal symptom prevalence. The questionnaire respondents numbered 534, so the response rate was 86.1%. Among the respondents, three who gave insincere answers were excluded. The final study population was 531 respondents. ANSI Z-365 checklist was applied to look into ergonomic characteristics, and Korean Occupational Stress Scale Short Form was employed to measure job stress.

Results

In the case of the whole body, symptom prevalence amounted to 70.8%. Regarding each body region, shoulder symptom prevalence accounted for the highest, or 44.8%, waist 40.7%, and neck 33.3% in order. According to multiple logistic regression analysis, in the case of the whole body, the group with a high ANSI checklist grade had odds ratio of 3.59 (95% CI 1.48 ~ 8.76), and the group with high job stress had 3.19 (95% CI 2.01 ~ 5.07).

Conclusion

Regarding the occupational factors related to musculoskeletal symptoms of university hospital nurses, it was found that ANSI Z-365 checklist high risk group, total job tenure, department, shiftworks, and job stress had high relation with musculoskeletal symptoms. It is necessary to find an ergonomic solution and a stress reduction plan to prevent musculoskeletal disease.


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Research Article
Acute Symptoms after a Community Hydrogen Fluoride Spill
Joo-Yong Na, Kuck-Hyun Woo, Seong-Yong Yoon, Seong-Yong Cho, In-Ung Song, Joo-An Kim, Jin-Seok Kim
Ann Occup Environ Med 2013;25:17.   Published online September 19, 2013
DOI: https://doi.org/10.1186/2052-4374-25-17
AbstractAbstract PDF
Objectives

This study was conducted to describe the demographic characteristics, and clinical signs and symptoms of patients who visited a general hospital because of the release of chemically hazardous hydrogen fluoride that occurred on September 27, 2012 in Gumi City, Korea.

Methods

The medical records at 1 general hospital 9 km from the accident site were reviewed using a standardized survey format. There were 1,890 non-hospitalized and 12 hospitalized patients exposed to hydrogen fluoride between September 27 and October 13 2012.

Results

Among the 12 hospitalized patients, 11 were discharged within 1 week and the other was hospitalized for 10 days. The chief complaints were respiratory symptoms such as hemoptysis and shortness of breath, gastrointestinal symptoms, neurologic symptoms, sore throat, and lip burn.

The number of non-hospitalized patients exhibited a bimodal distribution, peaking on the first and twelfth days after the accident. Their chief complaints were sore throat (24.1%), headache (19.1%), cough (13.1%), and eye irritation (9.2%); some patients were asymptomatic (6.2%). Patients who visited the hospital within 3 days (early patients) of the spill more often had shortness of breath (27.0%) and nausea (6.3%) as the chief complaints than patients who visited after 3 days (late patients) (3.5% and 2.6%, respectively). However, cough and rhinorrhea were more common in the late patients (14.0% and 3.3%, respectively) than in the early patients (5.0% and 0.0%, respectively). Patients who were closer to the accident site more often had shortness of breath and sputum as the chief complaints than patients who were farther away. The mean serum calcium concentration was 9.37 mg/dL (range: 8.4–11.0 mg/dL); none of the patients had a decreased serum calcium level. Among 48 pulmonary function test results, 4 showed decreased lung function. None of the patients had abnormal urine fluoride levels on the eighth day after exposure.

Conclusions

Patients hospitalized due to chemical hazard release of hydrogen fluoride had acute respiratory, gastrointestinal, and neurologic health problems. Non-hospitalized patients have acute symptoms mainly related to upper respiratory irritation.


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Original Article
Occupational Risk Factors Associated with Musculoskeletal Symptoms in Public Workers
Sei Kyun Noh, Ju Hwan Choi, Dong Hoon Shin, Mi Young Lee, In Sung Chung
Korean Journal of Occupational and Environmental Medicine 2012;24(4):410-419.   Published online December 31, 2012
DOI: https://doi.org/10.35371/kjoem.2012.24.4.410
AbstractAbstract PDF
OBJECTIVES
The purpose of this study was to examine the occupational risk factors associated with musculoskeletal symptoms in public workers.
METHODS
In November 2010, 544 participants anwered a survey that included questions on the participants' general characteristics, job-related factors, health-related behaviors, and psychosocial stress. We measured the relationship of risk factors to musculoskeletal symptoms using a logistic regression analysis.
RESULTS
After adjusting for general characteristics, factors associated with occupational musculoskeletal symptoms were gender (OR=2.858, 95% CI=1.701~4.801), unnatural posture (OR=2.386, 95% CI=1.308~4.354), psychosocial stress (OR=4.051, 95% CI=1.336~12.282) and sleep quality (OR=1.672, 95% CI=1.052~2.660).
CONCLUSIONS
These findings suggest that psychosocial stress levels and physical environment (especially in professions requiring an unnatural posture) are related to musculoskeletal symptoms in public workers.

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Original Article
The Assessment of Pulmonary Function in Dental Technicians
Kyoung Han Kim, Jong In Lee, Min Choi, Jun Pyo Myong, Yong Sang Park, Tae Won Jang, Jung Wan Koo
Korean Journal of Occupational and Environmental Medicine 2012;24(4):356-364.   Published online December 31, 2012
DOI: https://doi.org/10.35371/kjoem.2012.24.4.356
AbstractAbstract PDF
OBJECTIVES
Dental technicians are exposed to various toxic materials in the workplace. The objectives of this study were to assess the pulmonary function of dental technicians and to evaluate the association between work-related factors and pulmonary function of dental technicians.
METHODS
Study subjects were 209 dental technicians in the Korean Dental Technologist Association. A self-report questionnaire including general characteristics, respiratory symptoms, and work-related characteristics was conducted on study subjects, and a pulmonary function test (PFT) was done. Study subjects were classified into two groups(normal and abnormal pulmonary function) based on the pulmonary function test (PFT).
RESULTS
43 subjects (20.6%) among 209 subjects had abnormal pulmonary function. After adjusting for general characteristics such as age, sex, past medical history, familial history, and smoking status, the odds ratio for work duration (per year) was 1.42(95% confidence interval (CI) 1.14~1.83). After adjusting for general and work-related characteristics, the odds ratio for work duration (per year) was 1.48(95% CI 1.18~1.92).
CONCLUSIONS
Dental technicians are exposed to hazardous materials, which might lead to abnormal pulmonary function. A long work duration could increase exposure time, thereby increasing the chance for abnormal pulmonary function. Therefore, pulmonary function tests should be carried out periodically in dental technicians to ensure their pulmonary health.

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Original Article
Association between Job-related Factors and Musculoskeletal Symptoms in University Hospital Healthcare Workers
Yoonbum Choi, Soo Jin Lee, Jae Chul Song, Kyu Jung Bae, Hwanjin Park
Korean Journal of Occupational and Environmental Medicine 2012;24(3):217-228.   Published online September 30, 2012
DOI: https://doi.org/10.35371/kjoem.2012.24.3.217
AbstractAbstract PDF
OBJECTIVES
To investigate the prevalence of musculoskeletal symptoms in university hospital healthcare workers and to evaluate the job-related factors that affect musculoskeletal symptoms.
METHODS
A questionnaire was administered to health care workers who work at the university hospital. The self-reported questionnaire included the following information: general characteristics, health behaviors, job-related factors, depression symptom, ergonomic factor, job stress, and musculoskeletal symptoms. Ergonomic factor was measured by ANSI Z-365, depression symptom by CES-D, job stress by KOSS-26 and musculoskeletal symptoms by NIOSH questionnaire.
RESULTS
A total of 1,198(64.2%) of 1,842 respondents answered and 1,183 were included in the final study population. The prevalence of musculoskeletal symptoms was 53.3%. The prevalence of musculoskeletal symptoms of males and females was 25.6% and 63.9%, respectively. After adjusting for confounding factors, total job stress score(OR=3.05, 95% CI=1.62~5.74), depression symptom(OR=2.18, 95% CI=1.07~4.43), ANSI Z-365 high risk group(OR=5.33, 95% CI=2.08~13.66) in males and total job stress score(OR=2.14, 95% CI=1.53~3.00), three-shift work(OR=1.81, 95% CI=1.26~2.60), nurses(OR=1.82, 95% CI=1.22~2.73), and ANSI Z-365 high risk group(OR=3.33, 95% CI=1.58~7.03) in females were significantly associated with musculoskeletal symptoms.
CONCLUSIONS
Shift work, nurses, ANSI Z-365 high risk group, depression symptom and job stress were related with musculoskeletal symptoms. In order to prevent musculoskeletal disorders, ergonomic improvements and stress reduction are required.

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Original Article
The Problem Drinking and Related Factors in Female Firefighters
Seung Won Yoo, Kyoo Sang Kim, Chung Yill Park, Min Gi Kim
Korean Journal of Occupational and Environmental Medicine 2012;24(2):124-132.   Published online June 30, 2012
DOI: https://doi.org/10.35371/kjoem.2012.24.2.124
AbstractAbstract PDF
OBJECTIVES
This study was conducted to investigate problem drinking and analyze factors associated with alcohol use among female firefighters, as well as to provide useful data for management of alcohol use by female firefighters.
METHODS
The study includeed 1,587 female firefighters from throught Koea. Data were collected from June to July in 2008 using self-administered questionnaires including a general questionnaire, work related questionnaire, the Alcohol Use Disorders Identification Test (AUDIT), the Korean Occupational Stress Scale Short Form (KOSS-26), and the Center for Epidemiologic Studies Depression Scale (CESD). Among 1,263 female firefighters (75.6%) surveyed, the results of 1,084 qualified questionnaires (70.5%) were analyzed using the chi-square test, Fisher's exact test, and multiple logistic regression.
RESULTS
The prevalence of problem drinking (AUDIT score > or =8) in female firefighters was 12.5%. Multiple logistic analysis showed that being single, smoking and depression were correlated with problem drinking. Single female firefighter, present smokers and individuals positive for symptoms of depression had OR values of 2.11, 17.58 and 1.76, respectively.
CONCLUSIONS
Three factors were found to influnce the occurrence of problem drinking. Accordingly, smoking related education, counseling to cope effectively with depression and health promotion programs that consider psychological effects of job stress are needed to reduce work related factors that lead to problem drinking by female firefighters.

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Original Article
The Relationship of Physical and Psychosocial Risk Factors to Work-related Musculoskeletal Upper Extremity Symptoms amongst Male Automobile Manufacturing Workers
Ki Hyun Lee, Jin Ha Yoon, Sung Kyung Kim, In Jung Cho, Sung Soo Oh, Sung Hoon Kim, Sei Jin Chang, Bong Suk Cha, Sang Baek Koh
Korean Journal of Occupational and Environmental Medicine 2012;24(1):72-85.   Published online March 31, 2012
DOI: https://doi.org/10.35371/kjoem.2012.24.1.72
AbstractAbstract PDF
OBJECTIVES
The objective of this study was to determine the relationship of physical and psychosocial risk factors to work-related musculoskeletal upper extremity symptoms amongst automobile manufacturing workers.
METHODS
The cross-sectional study was conducted using male automobile manufacturing workers in order to examine the relationship of physical and psychosocial risk factors to work-related musculoskeletal upper extremity symptoms. A total of 1,793 male workers were asked to complete a self-administered questionnaire. The questionnaire consisted of questions regarding general characteristics, health related behaviors, work-related characteristics, job stress, ergonomic risk factors, and the presence of musculoskeletal symptoms (neck, shoulder, arm, and hand). Work-related musculoskeletal symptoms were evaluated using the National Institute of Occupational Safety and Health (NIOSH) surveillance criteria. In order to measure the physical risk factors, the American National Standard Institute (ANSI) Z-365 Quick checklist was incorporated into the questionnaire. Job stressors were measured using the Korean Occupational Stress Scale (KOSS). A binary logistic regression analysis was performed that examined the relationship of physical and psychosocial risk factors to musculoskeletal symptoms.
RESULTS
The result showed that the physical and psychosocial risk factors were associated with musculoskeletal upper extremity symptoms. The workers with high physical risk factors reported more musculoskeletal symptoms than those having low physical risk factors (OR: 2.37, 95% CI: 1.56~3.62). The workers with high job stress were more likely to have an increased risk of musculoskeletal upper extremity symptom compared to those with normal job stress (OR: 2.65, 95% CI: 2.03~3.47). A significant relationship between the combined effects of physical and psychosocial risk factors on musculoskeletal upper extremity symptoms was also found. The workers exposed to high physical risk factors, high job stress, and long working hours were more likely to report musculoskeletal symptoms than those having low physical risk factors, normal job stress and moderate working hours(OR: 2.37, 95% CI: 1.56~3.62).
CONCLUSIONS
The results suggest that some physical and psychosocial risk factors increase the risk of work-related musculoskeletal upper extremity symptoms amongst automobile manufacturing workers. In order to prevent or reduce musculoskeletal disorders amongst automobile manufacturing workers, it is strongly recommended to manage the physical psychosocial risks occurring in the workplace.

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    Amensisa Hailu Tesfaye, Tesfaye Hambisa Mekonnen, Mekuriaw Alemayehu, Giziew Abere, Redha Taiar
    Pain Research and Management.2022; 2022: 1.     CrossRef
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    Won-Ho Kim
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Original Article
Depressive Symptoms and Their Association with Sleep Quality, Occupational Stress and Fatigue Among Small-Scaled Manufacturing Male Workers
Kyu Sun Lee, Dong Bae Lee, In Sun Kwon, Young Chae Cho
Korean Journal of Occupational and Environmental Medicine 2011;23(2):99-111.   Published online June 30, 2011
DOI: https://doi.org/10.35371/kjoem.2011.23.2.99
AbstractAbstract PDF
OBJECTIVES
To determine the depressive symptoms and their association with sleep quality, occupational stress and fatigue among small-scale manufacturing male workers.
METHODS
A self-administered questionnaire was distributed to 856 workers employed in 62 work places under 50 members of manufacturing industries from April 1st to June 30th, 2010. The questionnaire survey included sociodemographic and health-related characteristics, job-related characteristics, sleep quality (PSQI), occupational stress (KOSS), fatigue symptoms (MFS) and depressive symptoms (CES-D).
RESULTS
Among all subjects, 44.3% were in the depression group (21 points and over in the CES-D score), and it was positively correlated with occupational stress, fatigue and quality of sleep. The adjusted odds ratios for the effect of depression on sleep quality, occupational stress and fatigue were significantly increased in the high risk group compared to that in the normal group. Hierarchial multiple regression analysis revealed that the following factors of influence had combined explanatory powers of 49.3% on depression: marital status, BMI, subjective status of health, leisure time, job position, job tenure, sense of satisfaction in work, quality of sleep, occupational stress and fatigue.
CONCLUSIONS
The study results revealed a very complicated influence exerted on the level of depression by variable factors, as well as sociodemographic characteristics, health related characteristics and job-related characteristics, particularly quality of sleep, occupational stress and fatigue. Especially, the level of depression was more influenced by occupational stress than by quality of sleep and fatigue factors.

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Original Article
Relationship between Musculoskeletal Symptoms and Non-fatal Occupational Injuries in Construction Workers in Korea
Seung Won Yoo, Hye Eun Lee, Dong Hee Koh, Kyoo Sang Kim, Tae Woo Kim, Min Gi Kim, Kyeong Yeol Yu
Korean Journal of Occupational and Environmental Medicine 2011;23(1):9-17.   Published online March 31, 2011
DOI: https://doi.org/10.35371/kjoem.2011.23.1.9
AbstractAbstract PDF
OBJECTIVES
This study aimed to assess the relationship between musculoskeletal symptoms and non-fatal injuries in construction workers.
METHODS
This was a cross-sectional study involving 1,836 male construction workers in petrochemical plants in Korea. For this study, a structured self-reported questionnaire(KOSHA CODE H-30-2003) was used. Musculoskeletal symptoms were defined as symptoms that affect the operation of the musculoskeletal system, for longer than one week or a frequency of more than once per month. To evaluate the association between musculoskeletal symptoms and non-fatal occupatioanl injuries, multiple logistic-regressions were used after adjusting for age, exercise, smoking status, alcohol consumption, work time, work duration, and income.
RESULTS
A total of 140 workers were involved in non-fatal injuries cases, representing 7.6% prevalence. After adjusting for confounding variables, the logistic regression analyses indicated the group with musculoskeletal symptoms(OR 1.73 95% CI:1.21~2.47) and intensity criteria of musculoskeletal symptoms as related to 'moderate' criteria(OR 1.82 95% CI:1.18~2.81) or 'severe' criteria(OR 2.57 95% CI:1.43~4.63). This identified group was more likely to experience non-fatal occupational injuries. However, a 'mild' criteria(OR 1.00 95% CI:0.51~1.99) was not associated with non-fatal occupational injuries.
CONCLUSIONS
The results indicated a possible association between musculoskeletal symptoms and non-fatal injuries. Hence, strengthening of laws and regulations, effective ergonomic programs and training is necessary to prevent musculoskeletal symptoms.

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    David Min, Sora Baek, Hee-won Park, Sang-Ah Lee, Jiyoung Moon, Jae E. Yang, Ki Sung Kim, Jee Yong Kim, Eun Kyoung Kang
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    Dong-Hee Koh, Eun-Kyo Chung, Jae-Kil Jang, Hye-Eun Lee, Hyang-Woo Ryu, Kye-Mook Yoo, Eun-A Kim, Kyoo-Sang Kim
    International Journal of Occupational and Environmental Health.2014; 20(2): 141.     CrossRef
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    Korean Journal of Occupational Health Nursing.2014; 23(1): 28.     CrossRef
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Original Article
Relationship between Job Stress and Depressive Symptoms among Field Firefighters
Tae Woo Kim, Kyoo Sang Kim, Yeon Soon Ahn
Korean Journal of Occupational and Environmental Medicine 2010;22(4):378-387.   Published online December 31, 2010
DOI: https://doi.org/10.35371/kjoem.2010.22.4.378
AbstractAbstract PDF
OBJECTIVES
To investigate the relationship between job stress and depressive symptoms among field firefighters.
METHODS
We carried out a survey of 17,457 field firefighters using the KOSS-24 (Korean Occupational Stress Scales-24) and CES-D (Center for Epidemiological Studies-Depression Scale).
RESULTS
The mean CES-D score was 12.2+/-9.6 and 19.2% of subjects had depressive symptoms. Job insecurity (OR=2.70, 95% CI=2.45~2.98) and lack of reward (OR=2.41, 95% CI=2.18~2.65), occupational climate (OR=2.38, 95% CI=2.15~2.63) were strongly associated with depressive symptoms. Job demand (OR=1.89, 95% CI=1.69~2.10), insufficient job control (OR=1.14, 95% CI=1.03~1.25), interpersonal conflict (OR=2.05, 95% CI=1.87~2.26) and organizational system (OR=1.83, 95% CI=1.66~2.02) were also significantly associated with depressive symptoms. Alcohol dependence had a stronger association than with normal subjects (OR=2.39, 95% CI=2.07~2.77).
CONCLUSIONS
In field firefighters, job stress factors and alcohol dependence were associated with depressive symptoms. An intervention to reduce job stress and alcohol among field firefighters is needed to reduce depression in this population.

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Original Article
Current Status of Sickness Absences and Early Leaves from Work among Workers with Work-related Musculoskeletal Symptoms in Each Body Part, and Relevant Factors
Dong Hoon Lee, Shin Goo Park, Jong Han Leem, Hwan Cheol Kim, Dong Hyun Kim, Jeong Hoon Kim, Seung Jun Lee, Gee Woong Kim
Korean Journal of Occupational and Environmental Medicine 2010;22(4):364-370.   Published online December 31, 2010
DOI: https://doi.org/10.35371/kjoem.2010.22.4.364
AbstractAbstract PDF
OBJECTIVES
The purpose of this study was to identify current status of sickness absence and early leaves from work as a result of work-related musculoskeletal symptoms.
METHOD
From January to December in 2007, 4,975 workers were recruited into this study and surveyed over this time period; workers came from 116 small and medium sized companies in Incheon. Among the study populations, only those who met the NIOSH criteria for work-related musculoskeletal symptoms on each symptom locations were included in the final analysis. The survey used a structured self-administered questionnaire, which asked questions about musculoskeletal symptoms regarding locations, sickness absences and early leaves from work. Other information gathered from participants included sociodemographical characteristics, and work-related characteristics.
RESULTS
The rates of sickness absences and early leaves in each symptom locations were highest (14.9%) among workers with waist symptoms. Men had higher rates of sickness absences and early leaves form work than women; manufacturing workers had higher rates of sickness absences and early leaves form work than office workers. After confounding variables that had significant difference in univariate analysis on each symptom locations were adjusted, the odds ratios for sickness absence and early leaves divided by pain intensity were 4.361(neck), 4.140(shoulder), 3.151(arm/wrist), 3.085(leg/foot), and 2.731(waist), respectively; these differences were statistically significant.
CONCLUSIONS
The rates of sickness absence and early leaves in each work-related musculoskeletal symptom locations were highest among workers with waist symptoms, and the intensity of pain was identified to have a considerable effect on the rates of sickness absences and early leaves. Based on these results, we think that there are needs to be early interventions on workers with waist symptoms.

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    Gi-Yeol Kim, Jung-Lim Oh, Kyoung-Ok Hwang
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Original Article
Association between Emotional Labor and Symptoms of Depression among Bankers
Sanghyo Chu, Hyunchul Ryou, Kyujeong Bae, Jaechul Song, Soojin Lee, Inah Kim
Korean Journal of Occupational and Environmental Medicine 2010;22(4):316-323.   Published online December 31, 2010
DOI: https://doi.org/10.35371/kjoem.2010.22.4.316
AbstractAbstract PDF
OBJECTIVES
We focused on the relationship between symptoms of depression and emotional labor to investigate the mental health status of workers.
METHODS
In this cross-sectional study, a total of 2,346 workers among bankers were our study subjects. A self-administered questionnaire was used to assess the socio-demographics, job characteristics, emotional labor and, the Center for Epidemiologic Studies-Depression scale (CES-D). We used multiple logistic regression analysis to estimate the relationship between emotional labor and the symptoms of depression.
RESULTS
The prevalence of symptoms of depression among the survey subjects was 20.6%. After adjusting for confounding factors, emotional effort (OR: 1.7, 95% CI=1.28~2.31) and, emotional disharmony (OR: 4.5, 95% CI=3.13~6.44) in men and emotional effort (OR: 1.9, 95% CI=1.33~2.75), emotional disharmony (OR: 6.1, 95% CI=4.12~9.09) in women showed a statistically significant association with symptoms of depression.
CONCLUSIONS
These results suggest that emotional disharmony and emotional effort are related to symptoms of depression. Managing emotional disharmony is important in managing symptoms of depression.

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Original Article
The Relationship between Job Stress and Musculoskeletal Symptoms in Migrant Workers
Min Heui Jo, Kyoo Sang Kim, Sun Wung Lee, Tae Gyun Kim, Hyang Woo Ryu, Mi Young Lee, Yong Lim Won
Korean Journal of Occupational and Environmental Medicine 2009;21(4):378-387.   Published online December 31, 2009
DOI: https://doi.org/10.35371/kjoem.2009.21.4.378
AbstractAbstract PDF
OBJECTIVE: To investigate the musculoskeletal symptoms of migrant workers. We focused on the relationship between job stress and musculoskeletal symptoms.
METHOD
A questionnaire was administered to 502 migrant workers who visited NGO migrant worker centers located in Gyung-gi province. A structured, self-reported questionnaire was administered to participants in order to capture the following information: sociodemographics, health factors including past medical history, work related characteristics, job stress, and musculoskeletal symptoms. The job stress questionnaires were used according to KOSS-26 and musculoskeletal symptoms were measured using KOSHA Code H-30-2003. We used multiple logistic regression analysis to assess the relationship between risk factors which included job stress, and musculoskeletal symptoms.
RESULTS
The prevalence rate of musculoskeletal symptoms in survey subjects was 35.1%. Other than job stress factors, past medical history was the only factor that had a statistical relationship to musculoskeletal symptoms (P<0.01). In the domains of job stress, physical environment (OR 1.62, 95% CI: 1.03~2.54), job demand (OR 2.43, 95% CI: 1.46~4.03), job insecurity (OR 1.59, 95% CI: 1.03~2.47), occupational climate (OR 2.30, 95% CI: 1.27~4.19) were most likely experience musculoskeletal symptoms.
CONCLUSION
The job stress factor appeared to correlate more with musculoskeletal symptoms than with sociodemographics or other factors. Hence, in order to prevent migrant worker's musculoskeletal symptoms, we believe that intervention in job stress (physical environment, job demand, job insecurity, occupational climate) is necessary.

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    Rosita Chia-Yin Lin, Karen Lau, Kathryn Mackey, Natasha Roya Matthews, Maushmi Selvamani, Morais Beatriz, Bouaddi Oumnia, Chaelin Kim, Azusa Iwamoto, Masami Fujita, Ursula Trummer, Tran Ngoc Dang, Alena Kamenshchikova, Cathy Zimmerman, Sally Hargreaves
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Original Article
The Relationship between Job Stress and Depressive Symptoms in Migrant Workers in Kyung-gi Province in Korea
Sun Wung Lee, Kyoo Sang Kim, Tae Gyun Kim, Hyang Woo Ryu, Mi Young Lee, Yong Lim Won, Yoon Hee Song
Korean Journal of Occupational and Environmental Medicine 2009;21(1):76-86.   Published online March 31, 2009
DOI: https://doi.org/10.35371/kjoem.2009.21.1.76
AbstractAbstract PDF
OBJECTIVES
To investigate the mental health status of migrant workers. We focused on the relationship between depressive symptoms and job stress. METHEOD: A questionnaire was administered to 488 migrant workers who visited NGO migrant worker centers located in Kyung-gi province. A structured, self-reported questionnaire was used to assess each responder's sociodemographics, work related characteristics, health behaviors, past medical history, job stress and depression symptoms. The job stress questionnaire was used according to KOSS-26 and depression symptoms were measured using CES-D, which was translated into Korean. We used multiple logistic regression analysis to assess the relationship between risk factors included job stress and depression symptoms.
RESULTS
The prevalence of depression symptoms in survey subjects was 25.2%, but the prevalence of non-Chinese nationalities and illegal workers were 32.1% and 32.8%, respectively. Adjusting for confounding factors, job stress (OR 2.55, 95% CI=1.30-4.99) had a statistical meaningful relationship with depression symptoms. Among job stress domains, physical environment (OR 2.97, 95% CI=1.59-5.53), job demand (OR 2.33, 95% CI=1.26-4.32) and occupational climate(OR 3.10, CI=1.49-6.48) were most likely to experience depression symptoms.
CONCLUSIONS
The prevalence of depressive symptoms among the study subjects was similar to the prevalence among the general population in Korea, but higher than that among the Korean workers. In particular, the prevalence among non-Chinese and illegal workers was higher. However, the job stress factor appeared to have a more direct correlation with depressive symptoms than the sociodemographic factors of nationality or residential status. Hence, in order to prevent depressive symptoms of the migrant workers, we believe that intervention on job stress is necessary.

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Original Article
Relationship of Shift Work to Cardiovascular and Gastrointestinal Symptoms in Korean Female Workers
Kyung Jae Lee, Joo Ja Kim
Korean Journal of Occupational and Environmental Medicine 2008;20(4):362-371.   Published online December 31, 2008
DOI: https://doi.org/10.35371/kjoem.2008.20.4.362
AbstractAbstract PDF
OBJECTIVES
We wanted to investigate the relationship of shift work to the cardiovascular and gastrointestinal symptoms of Korean female workers.
METHODS
The data was analyzed from a cross-sectional survey of 1,875 Korean female workers. Information was obtained about the shift work, the cardiovascular and gastrointestinal symptoms and the background characteristics. Multiple regression analysis was used to test for the relationship between the cardiovascular and gastrointestinal symptoms and the shift work variables, while controlling for the covariates.
RESULTS
Shift work was more common for blue-collar workers than for office workers. A higher proportion of current smokers and drinkers was observed for shift workers than for day workers. A full-time job was more popular for shift workers than for day workers, while more day workers worked over 8 hours per day than did the shift workers. The mean scores of the cardiovascular and gastrointestinal symptoms were significantly higher for shift workers than for day workers. Shift work was associated with 0.54 more cardiovascular symptoms and with 0.38 more gastrointestinal symptoms on a multiple regression analysis (p=0.001; p=0.020, respectively).
CONCLUSIONS
Our findings suggest that shift work may increase the risks for cardiovascular and gastrointestinal disturbances. Therefore, preventive strategies are needed to control the negative effects of shift work in the workplace.

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Original Article
The Relationship between Depressive Symptoms, Job Stress and Intensity of Labor among Security Firm Workers
Yoon Hee Song, Jung Ok GongYoo, Inah Kim, Won Jun Choi
Korean Journal of Occupational and Environmental Medicine 2008;20(4):283-294.   Published online December 31, 2008
DOI: https://doi.org/10.35371/kjoem.2008.20.4.283
AbstractAbstract PDF
OBJECTIVES
To investigate the mental health status of security firm workers focusing on job stress, depressive symptoms, and overall psychosocial stress and to determine the relationship between depressive symptoms and the level of distress with changes in labor conditions and intensity.
METHODS
Using a cross-sectional design, a formal survey including basic sociodemographic factors, job-related characteristics, job stress, psychosocial stress, depressive symptoms, and changes in labor conditions and intensity was conducted on workers employed in nine security firms. A total of 1,313 workers replied to the survey. We estimated the relationship between psychosocial stress and depressive symptoms with job stress, and changes in labor conditions and intensity by multivariate logisitic regression analysis.
RESULTS
Severe and intermediate level of depressive symptoms occurred in 18.5% (209) of the workers, and the high risk psychosocial distress groups accounted for 44.2% or the workers. Based on multivariate analysis, the Borg scale (OR=2.43 95%, CI=1.72-3.45), relative labor intensity (OR=1.05, 95% CI=1.00-1.09), high job demand (OR=1.47, 95% CI=1.06-2.06) were significantly associated with depressive symptoms. For psychosocial stress, the Borg scale (OR=2.39, 95% CI=1.84-3.10), relative labor intensity (OR=1.06, 95% CI=1.02-1.09), low job control (OR=1.80, 95%CI=1.38-2.35), and high job instability (OR=1.53, 95%CI=1.02-2.29) were significantly associated with high risk groups.
CONCLUSIONS
This study showed that a large proportion of security firm workers encountered depressive symptoms and psychosocial stress. Also, labor intensity and changes in labor condition (relative work intensity) were influential factors for depressive symptoms and psychosocial stress. Therefore, we conclude that not only an intervention for job stress should be offered, but also a policy toward the systemic problem of labor intensification should be considered.

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Original Article
Musculo-skeletal Symptoms of Municipal Sanitation Workers and Ergonomic Evaluation on Upperlimb
Jun Pyo Myong, Hyang Ki Lee, Hyoung Ryoul Kim, Hye Sun Jung, Eun Hee Jeong, Woong Nam, Jung Wan Koo
Korean Journal of Occupational and Environmental Medicine 2008;20(2):93-103.   Published online June 30, 2008
DOI: https://doi.org/10.35371/kjoem.2008.20.2.93
AbstractAbstract PDF
OBJECTIVES
The aim of this study was to estimate musculo-skeletal symtoms of municipal sanitation workers and to evaluate working conditions of municipal sanitation workers to search for the factors related to musculo-skeletal symptoms.
METHODS
We conducted a descriptive cross-sectional survey. The study subjects were comprised of 543 municipal sanitation workers in some divisions of Seoul and the Gyeonggi province. Musculo-skeletal analysis was done by using the modified criteria of NIOSH musuclo-skeletal symptoms, RULA and, REBA. Statistical analysis was done by using the chi-square test, multiple logistic regression analysis.
RESULTS
72.2% of the subjects complained musculo-skeletal symptoms (39.6% on the upperlimbs, 30.0% on the lumbar region, 27.4% on the legs). For the musculo-skeletal symptoms criteria (1~3), street cleaners complained of more musculo-skeletal symptoms than the solid waste collectors, after classifying the jobs of sanitation workers. On logistic regression analysis of the musculo-skeletal "symptoms criteria1" positive groups, age was related to the criteria positive (prevalence odds ratio=1.018, 95% CI: 0.993-1.046). The worktime was significantly related to 'criteria positive 1 and, 2' (prevalence odds ratio=2.165 (95% CI: 1.156-4.131), 2.187 times (95% CI: 1.071-4.651)). The RULA score, the subtotal A score of RULA, the REBA score and , the total A REBA score of the upperlimbs of solid waste collectors were higher than those of the street cleaners.
CONCLUSIONS
In spite of the lower ergonomic evaluation score of the street cleaner, the street cleaners complained of more musculo-skeletal symptoms than did the solid waste collectors due to more frequent repetitive motions, a longer work time (over 10 hours) etc. It is suggested that the sanitation workers need to use the proper methods to avoid musculo-skeletal disease.

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    유진 오, 갈미 제
    Journal of the Korean Society of Clothing and Textiles.2024; 48(4): 808.     CrossRef
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    Annals of Occupational and Environmental Medicine.2022;[Epub]     CrossRef
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Original Article
Dose-Response Relationships between Work-Related Musculoskeletal Neck Symptom and Physical Risk Factors (2 year follow-up study)
Jingon Sul, Dongmug Kang, Suill Lee, Youngki Kim
Korean Journal of Occupational and Environmental Medicine 2007;19(2):145-155.   Published online June 30, 2007
DOI: https://doi.org/10.35371/kjoem.2007.19.2.145
AbstractAbstract PDF
OBJECTIVES
To estimate the association of work-related musculoskeletal neck symptom and occupational risk factors, and to identify the dose-response relationships between work-related musculoskeletal neck symptom and physical condition.
METHODS
Workers from four metal industry companies were enrolled in the study. General characteristics, psyhcosocial and physical risk factors and work-related musculoskeletal neck symptom were investigated by questionnaire in the baseline study. At the follow-up study 2 years later, the neck symptom was surveyed. Workers who did not complain neck symptom at baseline and complain at follow-up, and workers who did complain neck symptom at baseline and follow-up were defined as case. The adjusted odds ratios (ORs) of physical risk factors were estimated for these subjects. Additionally, subjects who did not change their work at follow-up were analysed.
RESULTS
Among the cohort of 251, 199 (79.3%) were used in the analysis, of which 71 (35.7%) were classified as cases. The adjusted ORs and the ORs of the subjects who did not change their work were increased with exposure to the following kinds of work: 'repetitive', 'lift', 'push/pull', 'neck/shoulder (overhead/bend)', 'hand/wrist (bend/pinch)', 'trunk (twist/bend)', 'pressure point', and 'incentive work'. Finally, with increasing exposure to 'repetitive', 'lift', 'push/pull', 'awkward postures', 'pressure point', and 'incentive work', the risks of work-related musculoskeletal neck symptom were increased.
CONCLUSIONS
Work-related musculoskeletal neck symptom was increased with increasing exposure time of certain physical risk factors, and a dose-response relationship was observed.

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    Eunkwang Ryu, Byeongjin Ye, Youngil Yi, Jungwon Kim
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Original Article
Pulmonary Function and Respiratory Symptoms of Municipal Fire Officers in Busan.
Sung Hoon Kim, Jung Won Kim, Jong Eun Kim, Byung Chul Son, Jeong Ho Kim, Chang Hee Lee, Sang Hwan Jang, Chae Kwan Lee
Korean Journal of Occupational and Environmental Medicine 2006;18(2):103-111.   Published online June 30, 2006
DOI: https://doi.org/10.35371/kjoem.2006.18.2.103
AbstractAbstract PDF
OBJECTIVES
The purpose of this study was to evaluate the relationship between respiratory disorders and fire exposure by investigating and analyzing the lung function and respiratory symptoms of firefighters.
METHODS
The health effects of firefighting on respiratory function were investigated in 699 male fire officers in 4 fire departments in Busan by recording respiratory symptoms and measuring lung function. The data were analysed according to fire exposure and smoking habits.
RESULTS
Mean spirometric data showed significantly decreased levels in the fire-exposed group (FVC, -0.20 L; FVC%, -4.2%; FEV(1) -0.21 L; FEV(1)%, -5.1%; FEF25%, -0.13 L/SEE p<0.05). After stratification by smoking habits, FVC and FEV(1) showed a significant difference between groups. The prevalence of spirometric abnormality was greater for the fire-exposed group than for the non-exposed group. Significantly higher prevalences of nasal stiffness (16.7% vs. 10.9%), sore throat (17.7% vs.14.2%) and chest tightness (6.5% vs. 2.5%) were recorded in firefighters compared to controls (p<0.05). However, after stratification by smoking habits, the 3 symptoms were showed only marginal differences in the smoking group.
CONCLUSIONS
This study demonstrated that fire-exposed firefighters generally suffer a decline of lung function and a higher prevalence of respiratory symptoms. These results suggest that the exposure to routine firefighting activity is associated with adverse health effects to the respiratory system.

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    Eunju Hong, Seokwon Lee, Geun-Bae Kim, Tae-Jong Kim, Hyoung-Wook Kim, Kyoungho Lee, Bu-Soon Son
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Original Article
Relationship of Burdened Work and Musculoskeletal Symptoms in Small-to-medium-sized Enterprises.
Sin Goo Park, Hong Jae Chae, Joo Youn Shin, Dal Young Jung, Yong Kyu Kim, Tae Jin Jung, Jong Han Leem, Hawn Cheol Kim, Yeui Cheol Lee
Korean Journal of Occupational and Environmental Medicine 2006;18(1):59-66.   Published online March 31, 2006
DOI: https://doi.org/10.35371/kjoem.2006.18.1.59
AbstractAbstract PDF
OBJECTIVE: This study was performed to evaluate relationship of burdened work and musculoskeletal symptoms in small-to-medium sized enterprises.
METHOD
After a questionnaire survey was administered to 9,950 workers in 122 workplace, 7,626 workers(76.6%) were finally selected for the study analysis. Industrial hygienists visited 122 small-to-medium sized enterprises to investigate the presence of burdened works within the workplace. The selection of jobs with significant burden was based on the Ministry of Labor's recent notification in 11 types of job description associated with musculoskeletal disorders. The subjects of this study were then divided into three categories. 1) non-burdened white collar workers, 2) non-burdened blue collar workers, and 3) burdened workers (include some VDT workers). Multiple logistic regression was used to evaluate the relationship between burdened work and musculoskeletal symptoms.
RESULTS
The burdened workers reported significantly more musculoskeletal symptoms than non-burdened white collar workers and non-burdened blue collar workers(OR:1.57, 95% CI: 1.314-1.875). There was no significant difference in reports of musculoskeletal symptoms between non-burdened white and blue collar workers.
CONCLUSION
To prevent or diminish musculoskeletal disorders in small-to-medium sized enterprises, we need to better manage burdened works.

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  • Gender Differences in Factors Affecting Musculoskeletal Diseases among the Korean Workers
    RahIl Hwang, Kyung Ha Kim, Min Hyun Suk, Sung Won Jung
    Journal of muscle and joint health.2014; 21(1): 65.     CrossRef
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    Sung Won Jung, Kyung Ha Kim, Min Hyun Suk, Rah Il Hwang
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  • Changes in job stress, self-efficacy, depression and health-related quality of life according to the degree of musculoskeletal symptoms for white-collar workers
    Dae-Sik Ko, Dong-Jin Lee, Tae-Sung Ko
    Journal of the Korea Academia-Industrial cooperation Society.2013; 14(6): 2935.     CrossRef
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    Kyung Ha Kim, Rah Il Hwang, Min Hyun Suk
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    Eun-Young Hong, Sang-Dol Kim
    Journal of the Korea Academia-Industrial cooperation Society.2012; 13(9): 4107.     CrossRef
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Original Article
Risk factors for musculoskeletal symptoms in aviation maintenance technicians
Duck Hee Chae, Jeong Hyun Kim
Korean Journal of Occupational and Environmental Medicine 2005;17(3):173-185.   Published online September 30, 2005
DOI: https://doi.org/10.35371/kjoem.2005.17.3.173
AbstractAbstract PDF
OBJECTIVES
To identify risk factors for musculoskeletal symptoms in aviation maintenance technicians in order to provide basic information for intervention programs to prevent and manage musculoskeletal symptoms for these technicians.
METHODS
Between October 18 and 25, 2004, 286 aviation maintenance technicians answered a self-administered questionnaire, which included general characteristics, Karasek's Job Content Questionnaire for psychosocial characteristics, and work-related characteristics. The musculoskeletal symptoms were evaluated using the National Institute of Occupational Safety and Health (NIOSH) surveillance criteria. Statistical analysis included means and standard deviation, x2-test, t-test, and logistic regression.
RESULTS
A quarter (25.8%) of the workers reported musculoskeletal symptoms in more than one body region. The prevalence of symptoms was 12.9% in the lower back, 10.2% in the shoulders, 9.4% in the legs/foots, 9% in the neck, 5.9% in the hands/wrists/fingers, and 2.7% in the arms/elbows. General characteristics were not found to influence musculoskeletal symptoms, except that workers practicing regular exercise reported fewer lower back symptoms (p=.038). Low social support (p=.001), and low supervisory support (p=.000) were significant factors for increased musculoskeletal symptoms whereas decisions latitude, psychological job demands, and co-worker support were not found to have significant associations, with the exception of low decision latitude which was significantly associated with increased legs/foots symptoms (p=.034). More than two thirds (69.6%) of the workers whose perceived physical load was very high complained of symptoms. This rate was eight times higher than for workers whose perceived load was very low (p=.000). The workers highly exposed to both physical and psychosocial risk factors were more likely to report musculoskeletal symptoms than workers highly exposed to only one of these factors (p=.000). The odds ratios for very high-perceived physical load (OR 13.9) and low supervisory support (OR 2.9) were clearly increased.
CONCLUSIONS
The results of this study suggest that consideration for perceived physical load and psychosocial characteristics as important determinants is necessary to prevent musculoskeletal symptoms in aviation maintenance technicians. To develop effective intervention programs to prevent musculoskeletal symptoms, a comprehensive and systematic approach should be the basic premise. Such an intervention program should consist of ergonomic, managerial and behavioral interventions to reduce physical load and psychosocial factors.

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    Yaşar Öztürk, Ebru Yazgan, Elif Kılıç Delice
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    Siti Nurhafizah Saleeza Ramlee, Hari Krishnan A/L Tamil Selvan, Megat Azman, Nurhana Mohammad Rafiudin, Khairul Nizam
    Malaysian Journal of Medicine and Health Sciences.2024; 20(5): 143.     CrossRef
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    Ebru Yazgan, Necmettin Firat Ozkan, Berna Haktanirlar Ulutas
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    Yaşar ÖZTÜRK, Ebru YAZGAN, Elif KILIÇ DELİCE
    European Journal of Science and Technology.2021;[Epub]     CrossRef
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    Hamed Asadi, Denny Yu, John H. Mott
    International Journal of Industrial Ergonomics.2019; 70: 107.     CrossRef
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    Donghee Shin, Kanwoo Youn, Eunja Lee, Myeongjun Lee, Hweemin Chung, Deokweon Kim
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    Yeon-Ok Jeong, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2012; 13(8): 3552.     CrossRef
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    Seung-Hyun Lee, Ju-Yeon Lee, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2012; 13(9): 4025.     CrossRef
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Original Article
Selection of a High Risk Group and the Effectiveness of an Exercise Program on Musculoskeletal Symptoms in Small and Medium Sized Enterprises
Bo Kyoung Kim, Chung Yill Park, Hyeon Woo Yim, Jung Wan Koo, Kang Sook Lee
Korean Journal of Occupational and Environmental Medicine 2005;17(1):10-25.   Published online March 31, 2005
DOI: https://doi.org/10.35371/kjoem.2005.17.1.10
AbstractAbstract PDF
OBJECTIVES
This study was conducted to provide data for the establishment of a practical and the effective exercise program for managing the musculoskeletal symptoms of workers who are employed in small and medium sized enterprises.
METHODS
The risk factors related to musculoskeletal disease management were chosen according to the relevant literatures, and were based on advise from experts on the Delphi method. Questionnaires on selected risk factors (with a 5-point Likert scale) were given to 785 subjects who worked in small and medium sized enterprises. The subjects were then classified in the risk group when they had the symptoms and recorded at least 3 points. From those subjects in the risk group, those who had both work-related factors and general characteristics factors (with an average of at least 3 points) were further classified as the high risk group. We performed a 12-week musculoskeletal exercise program for the low and high risk groups to analyze their changes in symptoms and complaints in order to estimate the effectiveness of the exercise program.
RESULTS
Out of 785 subjects, 454(57.8%) were in the risk group of musculoskeletal diseases and 121(15.4%) were in the high risk group. According to multiple logistic regression analysis of the factors for the musculoskeletal symptoms in the low risk group, the significant risk factors were sex and personal disease related with musculoskeletal disease, while the risk factors in the high risk group were age, sex, and personal disease related with musculoskeletal disease. After the 12-week exercise program was performed by the low risk group, the number of musculoskeletal symptom complaints in the control group did not significantly changed, whereas for the intervention group, the number of musculoskeletal symptom complaints significantly declined for all parts of the body. After the 12-week exercise program performed by the high risk group, the number of musculoskeletal symptom complaints in the control group was significantly enhanced for the arm and elbow parts. In the intervention group, the complaint rate for musculoskeletal symptoms significantly declined only for the low back.
CONCLUSION
The musculoskeletal symptoms were significantly improved by the exercise program in the low risk group, but not in the high risk group. It is suggested that control measures on administrative and/or work related factors, in addition to the exercise program should be considered simultaneously for the control of musculoskeletal symptoms in groups at high risk of musculoskeletal disease.

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    Jae-Gwang Lee, Guang Hwi Kim, Sung Won Jung, Sang Woo Kim, June-Hee Lee, Kyung-Jae Lee
    Annals of Occupational and Environmental Medicine.2018;[Epub]     CrossRef
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    Sung Won Jung, Kyung Ha Kim, Min Hyun Suk, Rah Il Hwang
    Journal of Korean Public Health Nursing.2014; 28(3): 522.     CrossRef
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    Kyoo Sang Kim, Min Gi Kim
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Original Article
Risk Factors of Work-related Musculoskeletal Symptoms Among Motor Engine Assembly Plant Workers
Young Ki Kim, Dong Mug Kang, Sang Baek Koh, Byung Chul Son, Jung Won Kim, Dae Whan Kim, Gun Hyung Kim, Seong Ho Han
Korean Journal of Occupational and Environmental Medicine 2004;16(4):488-498.   Published online December 31, 2004
DOI: https://doi.org/10.35371/kjoem.2004.16.4.488
AbstractAbstract PDF
OBJECTIVES
To determine the synthetic risk factors of musculoskeletal disorders, and to examine effect on musculoskeletal symptoms of physical work intensity and change of work intensity.
METHODS
Self-administered questionnaraire survey was conducted on 588 motor engine assembly workers, in Chanwon, Kyungnam provance, Korea, from April 1 to May 31, 2003. The contents of the questionnaire investigation included general characteristic items, workrelated characteristic items, presence of musculoskeletal symptoms, ergonomic risk factors items, job stress items, current physical work intensity and changes of work intensity items. The results underwent statistical analysis with frequency test, t-test, and logistic regression. The statistical significance level was 0.05, and SAS(v8.1) was used.
RESULTS
Multiple logistic regression analysis was used to examine the relationship between risk factors and musculoskeletal symptoms. From the results, significant variables were high Quick Exposure Check (QEC) score, high job demand control, physical work intensity, change of work intensity.
CONCLUSION
Among the known risk factors of musculoskeletal disorders, the outbreak of musculoskeletal symptoms was confirmed to be correlated with age, tenure, ergonomic risk factors, and job stress. Physical work intensity and the changes of work intensity were also related to musculoskeletal symptoms.

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  • Evaluation of the prevalence of musculoskeletal symptoms, presumptive diagnosis, medical care use, and sick leave among female school meal service workers
    Young Hoon Moon, Young Joon Yang, Sang Yoon Do, Jae Yoon Kim, Chul Gab Lee, Hong Jae Chae, Soo Hyeon Kim, Han Soo Song
    Annals of Occupational and Environmental Medicine.2019;[Epub]     CrossRef
  • Work-related Musculoskeletal Disorders in Korea Provoked by Workers’ Collective Compensation Claims against Work Intensification
    Dongmug Kang, Youngki Kim, Young-Il Lee, Sangbaek Koh, Inah Kim, Hoonkoo Lee
    Annals of Occupational and Environmental Medicine.2014;[Epub]     CrossRef
  • Musculoskeletal Symptoms and Its Related Factors among Male Workers in a Nonferrous Manufacturing Industry
    Yeon-Ok Jeong, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2012; 13(8): 3552.     CrossRef
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    Ji-Hyuk Park, Hyun-Sul Lim, Kwan Lee
    Journal of Preventive Medicine and Public Health.2010; 43(3): 205.     CrossRef
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    Kyoo Sang Kim, Min Gi Kim
    Safety and Health at Work.2010; 1(2): 158.     CrossRef
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Original Article
The Relationship between Musculoskeletal Symptoms and Job Stress & Intensity of Labor among Shipbuilding Workers
Inah Kim, Sang Baek Koh, Jeong Soo Kim, Dong Mug Kang, Mia Son, Yongkyu Kim, Jaechul Song
Korean Journal of Occupational and Environmental Medicine 2004;16(4):401-412.   Published online December 31, 2004
DOI: https://doi.org/10.35371/kjoem.2004.16.4.401
AbstractAbstract PDF
OBJECTIVES
This study aimed to reveal the multiple factors that are related to the work-related musculoskeletal disorders (WMSDs) of shipbuilding workers, and to elucidate the relationship between musculoskeletal symptoms and factors such as the change of working conditions, job stress and physical workload.
METHODS
The study sample comprised 1,059 shipbuilding workers. A structured-questionnaire was used to assess the general characteristics, job stress, psychosocial well-being index (PWI), physical workload, change of working conditions and information concerning musculoskeletal symptoms. We estimated the relations of job stress, physical workload and intensity of labour to musculoskeletal symptoms using univariate and multiple logistic regression analyses.
RESULTS
The symptom prevalence of musculoskeletal disorders in any part of the body was 89.5% by 'criteria 1'in the order of back (58.6%) and shoulder (56.3%). After adjustment for sociodemographic factors, posture factor (Odds ratio [OR]=1.06, 95% confidence interval [ C I ] = 1 . 0 0~1.12), non-posture factor (OR=1.17, CI=1.05~1.31), Borg scale (OR=1.15, C I = 1 . 0 0~1.32), relative work intensity increase (OR=1.92, CI=1.08~3.41), labor flexibility increase (OR=2.04, CI=1.04~4.01), high job demand (OR=2.68, CI=1.48~4.88), and high risk stress group (OR=13.50, CI=3.15~57.97) were all found to be significantly associated with musculoskeletal disorders.
CONCLUSION
These results suggest that WMSDs have multiple risk factors such as stress, physical workload and change of working conditions. High job demand, increased relative intensification of work and increased flexibility, especially such as subcontract, outsourcing and importing of contingent work, were very important factors associated with increasing WMSDs.

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    Aaron Necaise, Cynthia Mejia, Joseph T. Kider, Mindy Shoss, Mary Jean Amon
    International Journal of Human–Computer Interaction.2025; 41(2): 1204.     CrossRef
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    Kwan-Suk Lee, Da-Yeh Chung
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    Seung-Hyun Lee, Ju-Yeon Lee, Young-Chae Cho
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Original Article
Development of a Fatigue Symptom Checklist for Commercial Drivers: An Experimental Trial
Kyoung Ok Park, Myung Sun Lee, Sang Hyuk Jung, In Seok Kim, Young A Oh
Korean Journal of Occupational and Environmental Medicine 2004;16(3):287-302.   Published online September 30, 2004
DOI: https://doi.org/10.35371/kjoem.2004.16.3.287
AbstractAbstract PDF
OBJECTIVES
Fatigue is a primary human factor for decreased job performance in the workplace. It is well documented that drowsiness is a typical symptom of fatigue and is closely associated with commercial drivers'safety and well-being. However, few studies have been conducted to develop or validate fatigue symptom instruments for a working population. The main purpose of this study was to develop a general fatigue checklist and a driving fatigue checklist for Korean commercial drivers.
METHODS
A total of 287 bus drivers in a commercial transportation company participated in a self-administered survey that was designated Study 1. Based on the statistical results of Study 1, a focus meeting with 16 professional consultants was conducted to revise the fatigue symptom instrument for Study 2. In Study 2, 288 commercial drivers (156 bus drivers and 132 truck drivers) participated in the revised questionnaire survey. All collected responses were entered into a SPSS worksheet and the data analysis was conducted using SPSS software 11.1. The exploratory factor analysis used in this study followed the principle component factoring rule and the varimax rotation method for factor extraction. The criteria for item selection were an Eigen value of 1.0 or greater, a communality score of .50 or greater, and no 'fence rider'property over the extracted factors.
RESULTS
Through Study 1, the consultant meeting, and Study 2, a general fatigue checklist was developed with a total of 3 factors and 11 items, and a driving fatigue checklist was developed with 2 factors and 10 items. The 3 factors of the general fatigue checklist were physical fatigue, psychological fatigue, and chronic tiredness. The two factors of the driving fatigue checklist were physical fatigue and perceptive and functional fatigue.
CONCLUSIONS
The primary contents of general fatigue were different from those of driving fatigue according to the two fatigue instrument factors developed in this study. The primary fatigue symptoms of the commercial driving population were identified as physical fatigue and perceptive and functional fatigue.

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  • Factors associated with different levels of daytime sleepiness among Korean construction drivers: a cross-sectional study
    Yong Han Ahn, Sangeun Lee, Su Ryeon Kim, Jeeyeon Lim, So Jin Park, Sooyoung Kwon, Heejung Kim
    BMC Public Health.2021;[Epub]     CrossRef
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Original Article
Musculoskeletal Symptoms and Related Factors for Nurses and Radiological Technologists Wearing a Lead Apron for Radiation Protection
Jung Im Yoo, Jung Wan Koo
Korean Journal of Occupational and Environmental Medicine 2004;16(2):166-177.   Published online June 30, 2004
DOI: https://doi.org/10.35371/kjoem.2004.16.2.166
AbstractAbstract PDF
OBJECTIVES
To determine the complaint rates of musculoskeletal symptoms and understand the related factors of musculoskeletal symptoms in nurses and radiological technologists wearing a lead apron for radiation protection.
METHOD
The study subjects were 192 nurses and radiological technologists who work at the cardiac catheterization room or angioroom in the department of radiology. A self-recording questionnaire was used to investigate the general characteristics, occupational characteristics, characteristics related to wearing a lead apron, and subjective musculoskeletal symptoms designed by the National Institute for Occupational Safety and Health (NIOSH).
RESULTS
Complaint rates of musculoskeletal symptoms by NOISH were 51.0% in the upper /lower back, 49.0% in the shoulder, and 47.9% in the leg/knee/ankle. From multiple logistic regression analysis, musculoskeletal symptoms of the shoulder were influenced by two-piece type apron and long time wearing an apron, symptoms of upper/lower back by long time wearing an apron, sex, higher average working hours per a day and short resting time, symptoms of leg/knee/ankle by long time wearing an apron, working career at the present department (cardiac catheterization room or angioroom) and short resting time.
CONCLUSION
The complaint rates of the musculoskeletal symptoms were affected by the characteristics of wearing a lead apron for radiation protection such as wearing time and apron type. Therefore, it is suggested that the workers who are wearing an apron need the proper wearingtime and resting time, and suitable apron type and size for the body.

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  • The association between musculoskeletal disorders and lead apron use in healthcare workers: A systematic review and meta-analysis
    Jason D. Hout, JuHyeong Ryu
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    Dae-Ho Kim, Sang-Hyun Kim
    Journal of Digital Convergence.2015; 13(10): 377.     CrossRef
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    Jae-Hwan Cho, Moo-Seong Cho, Jae-Ouk Ahn
    Archives of Environmental & Occupational Health.2015; 70(3): 160.     CrossRef
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    Taehyung Kim, Hyolyun Roh
    Journal of Physical Therapy Science.2014; 26(9): 1423.     CrossRef
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    Jin Lee, Jae-Hwan Cho
    Journal of the Korean Society of Radiology.2012; 6(1): 53.     CrossRef
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Original Article
Musculoskeletal Symptoms and Related Factors of Golf Caddies
Kyung Hwa Heo, Young Sun Han, Hye Sun Jung, Jung Wan Koo
Korean Journal of Occupational and Environmental Medicine 2004;16(1):92-102.   Published online March 31, 2004
DOI: https://doi.org/10.35371/kjoem.2004.16.1.92
AbstractAbstract PDF
OBJECTIVE: This study evaluated the complaint rates of musculoskeletal symptoms and investigated the related factors of musculoskeletal symptoms in the caddies.
METHODS
For 316 caddies working at 6 regular golf courses, we used the self-recording questionnaires to examine general characteristics, job stress factors, subjective musculoskeletal symptoms designed by NIOSH, working environments, and working contents.
RESULTS
The complaint rates of musculoskeletal symptoms according to the musculoskeletal criteria of NIOSH were 41.8% in the leg/knee/ankle/foot, 35.8% in the shoulder, 35.8% in the upper back/lower back, 28.8% in the neck, and 28.5% in the arm/wrist/fingers. Important factors affecting musculoskeletal symptoms were daily working hours during the high-demand season in all anatomical sites except the arm/wrist/fingers. Other related factors were degrees of winding and inclined in the golf courses, violent language and violence of customers, inability to regulate the velocity and work load control, heavy physical burden, instability of employment, and possibility of unemployment according to the specialty of caddies. As a results of multivariate logistic regression analysis, musculoskeletal symptoms of the neck, shoulders, back/lower back and leg/knee/ankle/foot were significantly influenced by working time over 12 hours in the high-demand season, and symptoms of the arm/wrist/fingers by low decision latitude (P<0.05).
CONCLUSIONS
The complaint rates of musculoskeletal symptoms in the caddies were affected by working time over 12 hours and low decision latitude against excessively high psychological job demand.

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    Hak Young Rhee, Jae Hwan Cho, Jong Min Seok, Taek Sang Cho, Woo Jin Jeon, Jin Gu Lee, Sung Kyu Kim
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    Seung-Hyun Lee, Ju-Yeon Lee, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2012; 13(9): 4025.     CrossRef
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    Jae-Hwan Cho, Maeng-Jin Kang, Jong-Min Seok, Sung-Joon Jeun, Youn-Shik Lim, Jae-Kyo Jeong, Hyeon-Ju Kim, Myeong-Shik Ju, Kyung-Rae Dong, Cheol-Soo Park, Jin Lee, Hae-Kag Lee
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Original Article
Health Evaluation of ex-workers occupationally exposed to Carbon disulfide: Subjective Symptoms and Related Factors according to compensation for CS2 poisoning
Kyung Jae Lee, Joo Ja Kim, Hyun Rim Choi, Gil Seong Yang, Ho Kim, Shang Hyuk Yim, Yun Geun Lee
Korean Journal of Occupational and Environmental Medicine 2003;15(2):150-161.   Published online June 30, 2003
DOI: https://doi.org/10.35371/kjoem.2003.15.2.150
AbstractAbstract PDF
OBJECTIVES
To investigate the chronological subjective symptoms and related factors in ex-workers who were occupationally exposed to Carbon disulfide.
METHODS
One hundred and seventy-seven subjects (147 males and 30 females) were randomly selected among ex-workers and interviewed by well trained doctors, who filled out a structured questionnaire developed by authors on the subjective symptoms. The questionnaire was composed of symptoms in the head and neck, and those of the neuro-psychological, respiratory, endocrine, musculoskeletal, and reproductive systems. Other factors such as general and occupational characteristics including work department, work duration, duration since cessation of exposure, and compensation for occupational disease were also investigated.
RESULTS
The mean subject age was 55.4 years. The mean cumulative exposure index (CEI) was 38.96 +/- 31.18. CEI was significantly higher in the compensated group (47.61 +/- 32.51) than in the non-compensated group (26.81 +/- 24.75)(p=0.000). Symptom complaints were significantly higher in the compensated group in all organ systems, and their incidence increased gradually until 10 years after cessation of work, and then decreased. The mean duration for cessation of exposure at the time of compensation was 10.97 years. The significantly different factors between the compensated group and the non-compensated group were total cumulative exposure index and the time interval between the cessation of work and the time of compensation.
CONCLUSION
Our findings suggest that total cumulative exposure index and the time interval between the cessation of work and the time of compensation may be important factors affecting the compensation for occupational disease. Therefore, further studies will be necessary.

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    Hyun Joe
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    Moo-Sik Lee, Eun-Young Kim, Jae-Lim Lee, Gi-Yeon Sohn
    Journal of agricultural medicine and community health.2016; 41(2): 63.     CrossRef
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Original Article
A Study on the Relationship between Emotional Labor and Depressive Symptoms among Korean Industrial Service Employees
Soo Youn Kim, Sei Jin Chang, Hyoung Ryoul Kim, Jae Hoon Roh
Korean Journal of Occupational and Environmental Medicine 2002;14(3):227-235.   Published online September 30, 2002
DOI: https://doi.org/10.35371/kjoem.2002.14.3.227
AbstractAbstract PDF
OBJECTIVES
This study was designed to identify the relationship between emotional labor and depressive symptoms among Korean industrial service employees.
METHODS
The case group consisted of 331 employees who were performing emotional labor at department stores, hotels, and family restaurants in Seoul. The control group in this study consisted of 150 employees (90 officers in Seoul and 60 manufacturing workers in Incheon) who were not expected to perform emotional labor. A structured questionnaire was used to estimate each participants level of emotional labor, general characteristics, job content, job satisfaction, and any depressive symptoms. The measurements for emotional labor were performed only on the case group and not the control group.
RESULTS
While the mean values of job satisfaction, job insecurity, and the level of depressive symptoms of the employees who were working in the area of emotional labor were higher than the others, the mean values of job demand, and job control in the same group were lower than those who were not performing emotional labor. Overall, it was found that performing emotional labor and having high levels of job insecurity were related to increased depressive symptoms, and conversely, job satisfaction played a role in reducing depressive symptoms. Similarly, in the sub-sample of the emotional labor group, high levels of job insecurity, and performing high degrees of emotional labor, and low job satisfaction were associated with depressive symptoms.
CONCLUSIONS
These results suggest that performing emotional labor is related to an increase in depressive symptoms. In other words, involuntary emotional expression and low job satisfaction in the workplace may influence the level of depressive symptoms in workers. It is, therefore, imperative that further research be undertaken, which considers the importance of emotional labor, and its adverse effect on the mental health of service workers.

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    International Journal of Health Services.2022; 52(1): 174.     CrossRef
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    Dae-Sung Hyun, Da-Yee Jeung, Changsoo Kim, Hye-Yoon Ryu, Sei-Jin Chang
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    Jae-Hon Lee
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    Dukyun Kang, Jae Won Yang, Won-Jun Choi, Seunghon Ham, Seong-Kyu Kang, Wanhyung Lee
    Journal of Korean Medical Science.2019;[Epub]     CrossRef
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    SoonJeong Yang, DonHun Lee
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    Guang Hwi Kim, Hee Sung Lee, Sung Won Jung, Jae Gwang Lee, June Hee Lee, Kyung Jae Lee, Joo Ja Kim
    Annals of Occupational and Environmental Medicine.2018;[Epub]     CrossRef
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    Yosub Joo, Jeongbae Rhie
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    Jong-Tae Baek, Young-Chae Cho
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    Guijeong Ji, Jiyoung Park, Chesoong Kim
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    Bokim Lee
    Korean Journal of Occupational Health Nursing.2014; 23(4): 269.     CrossRef
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    Ju Jong Lee, Hyun Jey Moon, Kyung-Jae Lee, Joo Ja Kim
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    Kyung-Ok Kim, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2013; 14(8): 3794.     CrossRef
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    Gey-Pyo Kim, Ji-Young Lee, Byeng-Chul Yu
    Journal of Korean society of Dental Hygiene.2013; 13(5): 727.     CrossRef
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    Ki-Woong Kim, Jin Woo Park, Se Wook Song
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    Li-Ly Kang, Hee-Sook Cho
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    Hyunjoo Kim
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Original Article
Analysis of Influencing Factors on Female Hairdresser's Neuropsychiatric Symptoms Due to Chronic Organic Solvent Exposure
Sang A Kim, Eun Ju Kim, Woong Sub Park, Sang Hyuk Jung
Korean Journal of Occupational and Environmental Medicine 2002;14(1):13-22.   Published online March 31, 2002
DOI: https://doi.org/10.35371/kjoem.2002.14.1.13
AbstractAbstract PDF
OBJECTIVES
This study was designed to examine the influencing factors on female hairdresser's neuropsychiatric symptoms due to chronic organic solvent exposure.
METHODS
We collected data from 143 female hairdressers employed in 75 hair salons selected by random sampling from the telephone directory of Gangnung City. Using multiple regression analysis we analyzed the influencing factors(i.e. ventilating fans, aircleaners, work duration, total time of exposure to solvents during hair-dyeing and permanent, etc.) on neuropsychiatric symptoms.
RESULTS
The neuropsychiatric symptom scores were significantly positively correlated with the total time of hair-dyeing work and work duration, and significantly negatively correlated with the glove wearing proportion. However, the total time of permanent work, ventilating fans and air-cleaners were not significantly correlated.
CONCLUSIONS
The results of this study suggest that for the prevention of neuropsychiatric symptoms due to chronic organic solvent exposure, more attention is required regarding hair-dyeing work than permanent work and to skin absorption rather than respiratory inhalation.

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  • Effect of Hairdresser's Depression and Job stress on Hairdresser’s Presenteeism
    Mi-Jeung Ahn
    Asian Journal of Beauty and Cosmetology.2020; 18(4): 493.     CrossRef
  • Relationship between Occupational Stress and Depression in Hairdressers
    Mi-Jeung Ahn, Sun-Ju Park
    Asian Journal of Beauty and Cosmetology.2020; 18(4): 643.     CrossRef
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    Jinhwa Lee, Bokim Lee
    Korean Journal of Occupational Health Nursing.2016; 25(4): 290.     CrossRef
  • The Effect of Work Characteristics on Dermatologic Symptoms in Hairdressers
    Pil Kyun Jung, June-Hee Lee, Ji Hye Baek, Jungho Hwang, Jong-Uk Won, Inah Kim, Jaehoon Roh
    Annals of Occupational and Environmental Medicine.2014;[Epub]     CrossRef
  • Occupational Psychiatric Disorders in Korea
    Kyeong-Sook Choi, Seong-Kyu Kang
    Journal of Korean Medical Science.2010; 25(Suppl): S87.     CrossRef
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  • 5 Crossref
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Original Article
Utility of a Self-administered Hand Symptom Diagram for the Diagnosis of Carpal Tunnel Syndrome
Cha Jae O, Byung Mann Cho
Korean Journal of Occupational and Environmental Medicine 2001;13(4):360-368.   Published online December 31, 2001
DOI: https://doi.org/10.35371/kjoem.2001.13.4.360
AbstractAbstract PDF
OBJECTIVES
This study was conducted to compare a self-administered hand symptom diagram with other diagnostic tests and to assess its value in the diagnosis of carpal tunnel syndrome.
METHODS
A self-administered hand symptom diagram has been developed for the evaluation of upper extremity paresthesias. A rating system was devised to classify the diagrams into four categories: classic, probable, possible, or unlikely carpal tunnel syndrome. Before nerve conduction testing, a medical history and demographic data were collected, a physical examination was conducted, and a hand symptom diagram was obtained from each patient. The diagram ratings of 85 patients(130 hands) were evaluated by an occupational and environmental medicine physician and a nerve conduction study was administered and interpreted by a rehabilitation medicine physician.
RESULTS
Of 85 patients, 48(56.5 %) had carpal tunnel syndrome confirmed by nerve conduction study. A hand symptom diagram rating of classic or probable CTS had a sensitivity of 75.6 %, a specificity of 59.6 %, a positive predictive value of 73.8 % and a negative predictive value of 62.0 %. Of the combinations of clinical findings in carpal tunnel syndrome, a classic or probable hand symptom diagram or a positive Tinel's sign showed the highest sensitivity.
CONCLUSIONS
A self-administered hand symptom diagram is valuable in the diagnosis of carpal tunnel syndrome among patients with upper extremity paresthesias. It is a useful diagnostic tool and may be valuable for occupational or population screening.

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Original Article
The Relationship between psychosocial stress and Work-related Musculoskeletal Symptoms of Assembly Line Workers in the Automobile industry
Il Ryong Kim, Jae Young Kim, Jong Tae Park, Jae Wook Choi, Hae Joon Kim, Yong Tae Yeom
Korean Journal of Occupational and Environmental Medicine 2001;13(3):220-231.   Published online September 30, 2001
DOI: https://doi.org/10.35371/kjoem.2001.13.3.220
AbstractAbstract PDF
OBJECTIVES
To determine the relationship between stress Factors and work-related musculoskeletal symptoms of assembly line workers in the automobile industry.
METHODS
A cross-sectional study was conducted in two Factories of automobile manufacturing companies where inappropriate posture and repetitive motions were required. The total number of subjects was 636, and consisted entirely of men. The Age, length of work duration, marital status, education level, smoking status, drinking status, sleeping time and stress scores were investigated according to subgroups of general characteristics. We divided the subjects into a Reference group and a Stress risk group to compare the frequency of the variables between them. The stress scores of the Positive symptom group were compared with the Symptom free group by the t-test. To measure the stress level, the PWI(Psychosocial Well being Index) which consists of 4 Factors, totaling 45 items, was used. A standardized self-reported questionnaire was used to assess the symptoms in workers. The criteria for positive symptoms were based on Operational Definition of Work-related Musculoskeletal Disorders of the NIOSH.
RESULTS
1) The subgroups of Age, Work duration, Marital status, Education level, Smoking status, Drinking status and Sleeping time revealed no differences in frequencies in musculoskeletal symptoms. 2) Higher PWI(p<0.05), Factor 3(p<0.05) and Factor 4(p<0.01) scores were observed in younger workers compared with older workers. 3) The workers who had work durations between 11-15 years showed higher PWI(p<0.01), Factor 2(p<0.01), Factor 3(p<0.01), and Factor 4(p<0.01), compared with other work duration subgroups. 4) Singles had higher Factor 4 scores(p<0.01). 5) The sleeping time of less than 6 hours a day expressed a higher PWI(p<0.01), Factor 2(p<0.05), and Factor 3(p<0.01), Factor 4(p<0.05). 6) There was no difference in the prevalence of musculoskeletal symptoms between the Reference group and Stress risk group. 7) The subjects who had Positive musculoskeletal symptoms showed a significant difference in Factor 2 scores compared with the Symptom free groups. 8) According to a univariate logistic regression analysis, Factor 2(OR: 1.02, 95% CI: 1.00-1.04, p-value: 0.0291) expressed significant but mild effects on the musculoskeletal symptoms and a multivariate logistic regression showed a statistically significant effect on musculoskeletal symptoms(OR:1.04, 95% CI: 1.01-1.07, p-value: 0.0170).
CONCLUSION
Psychosocial stress scores were not higher in symptomatic subjects compared with those who had no symptoms. Sleeping longer showed a protective effect on symptoms but this was not statistically significant. There was no relationship between the stress scores and musculoskeletal symptoms in social performance and self-confidence, general well-being and vitality. Factor 2(Depression) was statistically significant though its effect was mild. Limited to this study, We could find partial relationship between psychosocial stress(Depression) and musculoskeletal symptoms. So it could therefore be suspected that ergonomic or other unknown factors may be more significant causes of musculoskeletal symptoms but we did not investigate these.

Citations

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  • Musculoskeletal Disorder Symptoms and Its Related Factors among Male Workers in Manufacturing Industries
    Seung-Hyun Lee, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(10): 6627.     CrossRef
  • A Study on the Work Ability and the Job Stress of the Workers in Manufacturing Industry of Automobile Parts
    Yun-Soo Mok, Dong Won Lee, Seong Rok Chang
    Journal of the Korean Society of Safety.2013; 28(3): 100.     CrossRef
  • Musculoskeletal Disorder Symptoms and Related Factors among Male Workers in Small-scale Manufacturing Industries
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  • Work-related Musculoskeletal Disorders among Agricultural Workers
    Soo-Jin Lee, Hwan-Jin Park
    Journal of the Ergonomics Society of Korea.2011; 30(4): 525.     CrossRef
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Original Article
Work Related Musculoskeletal Disorders of Hairdresser
Soo Kyung Park, Young Jin Choi, Doeg Hwan Moon, Jin Ho Chun, Jong Tae Lee, Hae Sook Sohn
Korean Journal of Occupational and Environmental Medicine 2000;12(3):395-404.   Published online September 30, 2000
DOI: https://doi.org/10.35371/kjoem.2000.12.3.395
AbstractAbstract PDF
OBJECTIVES
To determine the prevalence and related factors of work related musculoskeletal symptoms in hairdressers.
METHODS
Informations on general characteristics, job strain, and musculoskeletal symptoms were obtained by a self-administered questionnaire, through adopting NIOSH instrument and JCQ(Job content questionnaire), from 267 hairdressers, between March and May, 2000.
RESULTS
The symptom prevalence by NIOSH surveillance criteria in total was high as 94.4%; shoulder (61.0%), neck (59.9%), low back (53.2%), hand and wrist (41.6%), etc. In multiple logistic regression, significant factors affecting the symptoms by body region; job insecurity on neck' gender, alcohol, decision latitude on low back; alcohol on hand and wrist; smoking on thigh and knee,' smoking, decision latitude on ankle and foot; job insecurity on upper back.
CONCLUSIONS
Musculoskeletal symptoms of hairdresser were highly prevalent, and associated with job strain and their health habits. This is a basic data of work related musculoskeletal disorders among hairdressers who are not the subjects of occupational health service at the present time in Korea.

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  • Relationship between simultaneous exposure to ergonomic risk factors and work-related lower back pain: a cross-sectional study based on the fourth Korean working conditions survey
    Jae-Yeop Kim, Ji-Su Shin, Myeong-Seob Lim, Hyeon-Gyeong Choi, Sung-Kyeong Kim, Hee-Tae Kang, Sang-Baek Koh, Sung-Soo Oh
    Annals of Occupational and Environmental Medicine.2018;[Epub]     CrossRef
  • Risk Factors for Musculoskeletal Symptoms Among Korean Broadcast Actors
    Moon-Hee Park, Ham-Gyum Kim, Jae-Hwan Cho
    Annals of Global Health.2015; 81(4): 475.     CrossRef
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    Seung-Hyun Lee, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(10): 6627.     CrossRef
  • Risk Factors for Musculoskeletal Symptoms Among Korean Radiation Workers
    Jae-Hwan Cho, Moo-Seong Cho, Jae-Ouk Ahn
    Archives of Environmental & Occupational Health.2015; 70(3): 160.     CrossRef
  • Prevalence of Musculoskeletal Disorders Among Korean Police Personnel
    Hak Young Rhee, Jae Hwan Cho, Jong Min Seok, Taek Sang Cho, Woo Jin Jeon, Jin Gu Lee, Sung Kyu Kim
    Archives of Environmental & Occupational Health.2015; 70(4): 177.     CrossRef
  • Relationship between occupational stress and musculoskeletal symptoms of upper extremities among dental hygienists
    So-Young Lee, Hyo-Jin Ko, Byeng-Chul Yu
    Journal of Korean society of Dental Hygiene.2012; 12(5): 897.     CrossRef
  • Leg Length Inequality, Habitual Posture, and Pain in Women's College Students
    Sung-Bok Kwon, Yeo-Jin Yi, Hye-Ja Han, Kyung-Sook Cho, Nan-Young Lim, Eun-Hee Lee, Haeng-Mi Son, Young-Sook Park, Joo-Hyun Kim, Hyun-Sook Kang
    Journal of muscle and joint health.2012; 19(1): 27.     CrossRef
  • Musculoskeletal Disorder Symptoms and Related Factors among Male Workers in Small-scale Manufacturing Industries
    Seung-Hyun Lee, Ju-Yeon Lee, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2012; 13(9): 4025.     CrossRef
  • Musculoskeletal Symptoms and Its Related Factors among Male Workers in a Nonferrous Manufacturing Industry
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    Journal of the Korea Academia-Industrial cooperation Society.2012; 13(8): 3552.     CrossRef
  • Risk Factors of Work-related Upper Extremity Musculoskeletal Disorders in Male Shipyard Workers: Structural Equation Model Analysis
    Byung-Chan Park, Hae-Kwan Cheong, Eun-A Kim, Soo Geun Kim
    Safety and Health at Work.2010; 1(2): 124.     CrossRef
  • Work-related Musculoskeletal Disorders in Firefighters
    Seong-Kyu Kang, Wook Kim
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  • Musculoskeletal disorders among staff in South Korea’s largest nursing home
    Derek Richard Smith, Jae-wook Choi, Myung Ki, Jae-young Kim, Zentaro Yamagata
    Environmental Health and Preventive Medicine.2003; 8(1): 23.     CrossRef
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Original Article
Symptom Prevalence and Related Factors of Upper Limb Musculoskeletal Symptoms in Automobile Related Job Workers
Chul Soo Yoon, Se Hoon Lee
Korean Journal of Occupational and Environmental Medicine 1999;11(4):439-448.   Published online December 31, 1999
DOI: https://doi.org/10.35371/kjoem.1999.11.4.439
AbstractAbstract PDF
OBJECTIVES
The purpose of this study was to determine the prevalence and related factors of upper limb musculoskeltal symptoms among workers in automobile related jobs.
METHODS
Two-hundred and twenty-one workers were volunteered in this 'study consisting of 112 seat installers and 109 auto mechanics. A questionnaire was administered to the workers consisting of questions on demographics, work type and duration, sleep hours, health habits, and standardized descriptions of NJOSH on musculoskeletal symptoms.
RESULTS
Complaint rates of neck and upper extremity musculoskeletal symptoms by anatomical site were as follows: shoulder, 52.0%; neck, 47.1%; wrist and hand, 39.4 elbow, 26.2% and; arm, 24.4%. Significantly higher prevalence of shoulder musculoskele tal symptom was found in middle school than high school graduate, married than unmar ned, less than 6 hours sleep than over 6 hours sleep and, seat installer than auto mechanic group. A significantly higher prevalence of arm, elbow, hand and wrist mus loskeletal symptoms was disclosed in the less than 6 hours sleep than over 6 hours sleep group and the seat installer than the auto mechanic group. Multiple logistic regression analysis identified education, sleep hours and, job type as the main affecting factors for shoulder musculoskeletal symptoms. Sleep hours and job type were the main affecting factors for wrist and hand musculoskeletal symptoms. Sleep hours were the main affecting factors for arm and elbow musculoskeletal symptoms.
CONCLUSIONS
The prevalence of neck and upper limb musculoskeletal symptoms was high in workers who did routine tasks at confined places like seat install-line work. It is recommended that workers performing simple and routine tasks be provided adequate sleep time since lack of sleep was the main affecting factor for most upper limb mus loskeletal symptoms in automobile factory related jobs workers.

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  • Sleep duration mediates abdominal and lower-extremity pain after night work in nurses
    Maria Katsifaraki, Kristian Bernhard Nilsen, Jan Olav Christensen, Morten Wærsted, Stein Knardahl, Bjørn Bjorvatn, Mikko Härmä, Dagfinn Matre
    International Archives of Occupational and Environmental Health.2019; 92(3): 415.     CrossRef
  • Work-related Musculoskeletal Disorders in Korea Provoked by Workers’ Collective Compensation Claims against Work Intensification
    Dongmug Kang, Youngki Kim, Young-Il Lee, Sangbaek Koh, Inah Kim, Hoonkoo Lee
    Annals of Occupational and Environmental Medicine.2014;[Epub]     CrossRef
  • Risk Factors of Work-related Upper Extremity Musculoskeletal Disorders in Male Shipyard Workers: Structural Equation Model Analysis
    Byung-Chan Park, Hae-Kwan Cheong, Eun-A Kim, Soo Geun Kim
    Safety and Health at Work.2010; 1(2): 124.     CrossRef
  • Symptom Prevalence of Musculoskeletal Disorders and the Effects of Prior Acute Injury among Aging Male Steelworkers
    Won‐Jun Choi, Young‐Joong Kang, Ji‐Young Kim, Sang‐Hwan Han
    Journal of Occupational Health.2009; 51(3): 273.     CrossRef
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Original Article
Association between Musculoskeletal Subjective Symptoms and the MMPI (Minnesota Multiphasic Personality Inventory) Profile of Female VDT Operators
Jae Cheol Song, Weon Young Lee, Young Jun Kwon, Mo Ran Ki, Soo Jin Lee, Si Bok Park, Jung Hyun Nahm
Korean Journal of Occupational and Environmental Medicine 1998;10(4):599-609.   Published online December 31, 1998
DOI: https://doi.org/10.35371/kjoem.1998.10.4.599
AbstractAbstract PDF
A study was conducted to assess the association between musculoskeletal subjective symptoms and the MMPI(Minnesota Multiphasic Personality Inventory) profile. The study subjects were 539 female operators of telecommunication company in Seoul, and were interviewed with subjective symptom questionnaire and MMPI. Results were as follows 1. 77.5% of the study subjects complained subjective symptoms on the shoulder, 73.8% on the neck, 71.8% on the lower back, 67.5% on the arm, 67.2% on the hand, 39.8% on the elbow, respectively. According to NIOSH symptom criteria, 63% complained on the shoulder, 57.4%, 54.6% on the lower back, 53.2% on the hand, 45.9% on the arm, 29.8% on the elbow, respectively. 2. Among the MMPI clinical scales, Hs(Hypochondriasis), Hy(Hystria) and Dep (Depression) scales showed significant differences according to the numbers of subjective symptom(NIOSH criteria), VAS(Visual Analogue Scale), and the experience of sick leave (each by ANOVA, p<0.05). 3. The association between the numbers of subjective symptom site for NIOSH symptom criteria, the personal history of sick leave and the MMPI profile that has more than 70 points in anything of Hs, Dep and Hy scales was showed significantly (each by x(2)-test, p<0.05).

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  • Relationships between MMPI Scales under Defensive Attitude and Safety and Health Indices
    Jong Hwan Kim, Byung Yong Jeong, Myoung Hwan Park
    Journal of the Ergonomics Society of Korea.2016; 35(6): 611.     CrossRef
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Original Article
Occupational Lead Exposure of Storage Battery Industry Workers in Korea
Pil Kyu Kang, Yong Bae Kim, Ik Soo Ahn, Jong Kyu Lee, Ku Seok Han, Hwa Sung Kim, Kyu Yoon Hwang, Gap Soo Lee, Kyu Dong Ahn, Byung Kook Lee
Korean Journal of Occupational and Environmental Medicine 1998;10(4):438-449.   Published online December 31, 1998
DOI: https://doi.org/10.35371/kjoem.1998.10.4.438
AbstractAbstract PDF
In order to investigate the level of lead absorption of lead workers and to evaluate the effect of blood lead on blood zinc protoporphyrin (ZPP) and prevalence of lead related symptoms, 1,782 lead workers(male: 1,506, female: 276) from 8 storage battery industries were studied. Selected variables as indices of lead exposure were blood lead, blood ZPP, and hemoglobin (HB). Fifteen questionnaires of lead related symptoms were provided to all lead workers and filled up by themselves and confirmed by medical doctors. Personal variables such as age, work duration, smoking and drinking habits were also collected. The results were follows : 1. While the mean blood lead of lead workers of all lead companies was 31.0+/-3.0 ug/100ml (male: 31.5+/-2.9 ug/100ml, female: 27.9+/-3.3 ug/100m1), the mean blood ZPP of all lead workers was 66.7+/-4.1 ug/100ml (male: 59.6+/-3.3, female: 105.3+/-3.0 ug/100ml). The mean hemoglobin of male lead workers was 15.7+/-.3 gm/100ml and that of female lead workers was 13.0+/-.3 gm/100ml. 2. The percentage of lead workers whose blood lead was over 60.0 ug/100m1 and 40.0-59.9 ug/100ml was 2.81 % and 19.08 %, respectively. On the other hand, the percentage of lead workers whose blood ZPP was over 150 ug/100ml and 100-149 ug/100ml was 5.89 % and 8.31 %, respectively. 3. The slopes of simple linear regression of blood lead (independent variable) and blood ZPP in female lead workers was significantly steeper than that of male lead workers. The slope of storage battery industries with better working condition in terms of low air concentration of lead were less steeper than those with poor working condition with high mean air concentration of lead. 4. Stepwise multiple regression analysis, using overall symptom prevalence as a dependent variables, blood lead, blood ZPP, hemoglobin, age, work duration, drinking and smoking habits as independent variables, indicated that only drinking habit and age were significantly contributed to the dependent variable.

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  • Occupational Lead Exposure from Indoor Firing Ranges in Korea
    Won-Ju Park, Suk-Ho Lee, Se-Ho Lee, Hye-Sik Yoon, Jai-Dong Moon
    Journal of Korean Medical Science.2016; 31(4): 497.     CrossRef
  • Blood lead levels of Korean lead workers in 2003–2011
    Ji-Hye Kim, Eun-A Kim, Dong-Hee Koh, Kiwhan Byun, Hyang-Woo Ryu, Sang-Gil Lee
    Annals of Occupational and Environmental Medicine.2014;[Epub]     CrossRef
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Original Article
Neurobehavioral Performance Changes of Chronic Exposure to Organic Solvents among Textile Processing Workers
Seon Hee Yang, Moo Sik Lee, Dong Hoon Shin
Korean Journal of Occupational and Environmental Medicine 1998;10(2):227-239.   Published online May 31, 1998
DOI: https://doi.org/10.35371/kjoem.1998.10.2.227
AbstractAbstract PDF
The study was conducted to predict the risk of chronic exposure by neurobehavioral test and to use it as a basic source of the management for workers exposed to organic solvents. The exposed group was selected from coating department of textile processing industry. The unexposed group was selected from those who visited the clinic to take an annual check-up. The author administered WHO-NCTB (neurobehavioral core test battery). Also, Scandinavian Questionnaire 16 was tested by self-administration to find the correlation between subjective symptoms and NCTB results, and to assess the availability of the Questionnaire in mass screening test concurrently. The final analysed subjects were 78 (27 in exposed group and 51 in unexposed group) workers except who had a neurologic disease or systemic disease affecting the central nervous system. In Questionnaire study, there was no significant difference in total neurotoxic symptom scores between the exposed and the unexposed group. In NCTB, the exposed group had lower mean scores than the unexposed group for all tests. When the effect by age and education were considered, there was a statistically significant difference only in pursuit timing test. This study suggests the availability of NCTB and the Questionnaire for the assessment of neurobehavioral change in workers exposed to organic solvents.

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Original Article
Relationship Between Fatigue Symptomes and Life Style Factors Among Industrial Workers
Nae Kyoung Park, Jeong Yun Kim, Young Chae Cho, Dong Bae Lee
Korean Journal of Occupational and Environmental Medicine 1998;10(2):214-226.   Published online May 31, 1998
DOI: https://doi.org/10.35371/kjoem.1998.10.2.214
AbstractAbstract PDF
For the purpose of obtaining reference materials for the prevention and management of mental health promoting in industrial workers, this survey was investigated the relationship between subjective fatigue symptoms and its related factors such as demographic, job and health related variables. 442 cases of industrial workers which occurred in 7 factories of machine an4 metal manufacturing industrial in Taejon industrial area surveyed by self-recorded questionnaire. The results were as follows : 1. In the complaint raters of fatigue, "eye strain" was the highest (21.9%) and followed by "feel like tying" (12.4%) and "feel a pain in the low back" (12.4%), "feel drowsy" (12.2%), "yawning a lot"(11.8%) and "whole body feels tired" (11.1%) in the descending order. 2. In the average weighted scores of fatigue complaints, dullness and steepness group (I) was the highest, followed by difficulty in concentration group(II) and bodily projection of fatigue group(III) in the descending order. 3. The average weighted scores of fatigue complaints by general characteristics were significantly higher in the lower age group, lower education group and unmarried divorce group. But there was no significant difference in sex. 4. By the working condition, the fatigue scores were significantly higher in manual worker and shift worker than in clerical worker and day worker. 5. By the life style, the fatigue scores were significantly lower in 7-8 sleeping hour group and every day eating breakfast group than in other groups. But fatigue score of everyday alcohol drinking group and the lower health practice indecies group were significantly higher than that of other groups. 6. By the health status and psychological factors, the fatigue scores were higher in unhealthy group, unsatisfaction income level group, unsatisfaction worker contents group and the group of badly self-control in work. 7. In the stepwised multiple regression, factors affecting the fatigue symptoms scores were depression symptom score, health status, marital status, job satisfaction, job repeatedness and body mass index.

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  • Relations between Fatigue and Work-related Factors in Workers
    Eun Sook Jung, Nam Hyun Cha
    Journal of Korean Academy of Community Health Nursing.2011; 22(4): 420.     CrossRef
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