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Original Article
- Exploring the impact of age and socioeconomic factors on health-related unemployment using propensity score matching: results from Korea National Health and Nutrition Examination Survey (2015–2017)
- Ye-Seo Lee, Dong-Wook Lee, Mo-Yeol Kang
- Ann Occup Environ Med 2024;36:e16. Published online July 1, 2024
- DOI: https://doi.org/10.35371/aoem.2024.36.e16
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Abstract
Abstract in Korean
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Supplementary Material
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ePub Background Previous reports showed that age and socioeconomic factors mediated health-related unemployment. However, those studies had limitations controlling for confounding factors. This study examines age and socioeconomic factors contributing to health-related unemployment using propensity score matching (PSM) to control for various confounding variables.
Methods Data were obtained from the Korean National Health and Nutrition Examination Survey (KNHANES) from 2015–2017. We applied a 1:1 PSM to align health factors, and examined the association between health-related unemployment and age or socioeconomic factors through conditional logistic regression. The health-related unemployment group was compared with the employment group.
Results Among the 9,917 participants (5,817 women, 4,100 men), 1,182 (853 women, 329 men) were in the health-related unemployment group. Total 911 pairs (629 women pairs and 282 men pairs) were retained after PSM for health factors. The results of conditional logistic regression showed that older age, low individual and household income levels, low education level, receipt of the Basic Livelihood Security Program benefits and longest-held job characteristics were linked to health-related unemployment, despite having similar health levels.
Conclusions Older age and low socioeconomic status can increase the risk of health-related unemployment, highlighting the presence of age discrimination and socioeconomic inequality. These findings underscore the importance of proactive management strategies aimed at addressing these disparities, which are crucial for reducing the heightened risk of health-related unemployment.
- 연령과 사회경제적 요인이 건강 관련 실업에 미치는 영향: 성향점수매칭을 활용한 한국 국민건강영양조사(2015-2017)자료 분석 결과
목적
이전 연구들에서 연령 및 사회경제적 요인들이 건강 관련 실업을 연관되어 있다는 것을 보여주었으나, 이러한 연구들은 교란 요인을 통제하는 데 한계가 있었다. 본 연구는 다양한 교란 변수를 통제하기 위해 성향점수매칭을 사용하여 건강 관련 실업에 기여하는 요인들을 분석하고자 하였다.
방법
2015년부터 2017년까지 조사된 국민건강영양조사 자료를 활용하였으며, 건강 관련 실업군을 취업군과 비교하였다. 우리는 1:1 성향점수매칭을 적용하여 두 군 간의 건강관련 요인을 통제하였으며, 조건부 로지스틱 회귀 분석을 통해 건강 관련 실업과 연령 및 사회경제적 요인 간의 관련성을 조사하였다.
결과
9,917명의 참가자(5,817명의 여성, 4,100명의 남성) 가운데 건강 관련 실업군은 1,182명(853명의 여성, 329명의 남성), 취업군은 5,777명(2,894명의 여성, 2,883명의 남성)이었다. 성향점수매칭 후 조건부 로지스틱 회귀의 결과, 고령, 낮은 개인 및 가구 소득, 낮은 교육 수준, 기초생활수급상태, 최장일자리의 성격이 건강 관련 실업과 연관되었다.
결론
고령과 낮은 사회경제적 지위는 건강 관련 실업의 위험을 증가시킬 수 있으며, 이는 연령 차별 및 사회경제적 불평등을 시사한다. 따라서 건강 관련 실업 위험을 완화하기 위해서는 이러한 차별을 해소하기 위한 적극적인 관리 방안이 필요하다.
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Original Article
- The Effects of the Structural Unemployment on Health-related Behavior and Health
- Daegyun Hong, Jungwon Kim, Dongmug Kang
- Korean Journal of Occupational and Environmental Medicine 2009;21(4):346-353. Published online December 31, 2009
- DOI: https://doi.org/10.35371/kjoem.2009.21.4.346
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Abstract
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- OBJECTIVES
This study aimed to examine the effects of unemployment on health-related behavioral changes and worker's health, and to produce the basic data that is needed to formulate the necessary measures for reducing the health hazards and social costs caused by unemployment.
METHODS
A questionnaire survey was conducted with a group of 123 people who had lost their jobs due to structural unemployment (the unemployment group) and with a group of 155 employed people (the employment group). The 36-Item Short-Form Health Survey (SF-36) was used as a tool for evaluating the demographic characteristics, the health-related behaviors and the health level.
RESULTS
Irregular mealtimes and increased smoking and drinking rates were observed in the unemployment group (P<0.05). The results of the logistic regression analysis that was conducted after correcting for the confounding variable showed that in the unemployment group, unlike in the employment group, the odds ratio of the group with a low health level score on the SF-36 has a significant difference in "Role limitation resulting from physical problems" (OR 2.20, 95% CI=1.01~4.78), "Role limitation resulting from emotional problems" (OR 4.51, 95% CI=1.90~10.69) and "Mental health" (OR 3.43, 95% CI=1.52~7.74) among the eight lower areas.
CONCLUSIONS
Unemployment causes a negative change in health-related behaviors and lower levels of mental and physical health. Systematic research must be conducted to promote good health among unemployed workers and to reduce their social costs. -
Citations
Citations to this article as recorded by
- Material hardship and self-rated health among low-income households in South Korea
Jaeseung Kim, RaeHyuck Lee, Joyce Shim
Asia Pacific Journal of Social Work and Development.2018; 28(4): 279. CrossRef - The Effects of Health Counseling Programs by Occupational Health Nurses on the Unemployed Visiting the Employment Welfare Plus Center
Hye-Sun Jung, Insun Jang
Korean Journal of Occupational Health Nursing.2016; 25(3): 188. CrossRef
- Material hardship and self-rated health among low-income households in South Korea
- 64 View
- 1 Download
- 2 Crossref
Original Article
- The Effect of Job Stress on Umemployment
- Yun Kyung Chung, Hyoung Ryoul Kim, So Yong Park, Jung Yeon Hong, Sang Baek Koh, Sei Jin Chang
- Korean Journal of Occupational and Environmental Medicine 2007;19(2):115-124. Published online June 30, 2007
- DOI: https://doi.org/10.35371/kjoem.2007.19.2.115
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Abstract
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- OBJECTIVES
This study estimated the relationship between job stress and unemployment through a 2-year follow-up study in the KOSS cohort.
METHODS
We established the KOSS cohort in 2004. Among this cohort, we selected 5680 persons with complete KOSS scores and resident registration numbers. We investigated the state of unemployment using unemployment insurance data from Jan. 2005 to Oct. 2006. Multiple logistic regression analysis was performed to evaluate the relationship between job stress and unemployment. We also adjusted for age, education, marital status, experience of medical visiting, and size of enterprise.
RESULTS
Insufficient job control, interpersonal conflict, job insecurity, occupational system, and lack of reward were related to unemployment for men, while only lack of reward was an unemployment risk factor for women.
CONCLUSIONS
Insufficient job control, interpersonal conflict, job insecurity, occupational system, and lack of reward were found to be risk factors for male unemployment. Efforts should be made to reduce these job stressors as risk factors. -
Citations
Citations to this article as recorded by- Changes in working status after cancer diagnosis and socio-demographic, clinical, work-related, and psychological factors associated with it
Danbee Kang, Ka Ryeong Bae, Ho Young Kim, Yeojin Ahn, Nayeon Kim, Youngmog Shim, Tae Sung Sohn, Woo Yong Lee, Ji Hyun Baek, Sun-Seog Kweon, Juhee Cho
BMC Cancer.2022;[Epub] CrossRef - Moderating Effect of Stress Coping Strategies on the Relationship between a National Statistics Office Workers' Occupational Stress and Mental Health
Yuran Jeong, Bo-Hyun Yoon, Eun-Joo Oh, Je-Heon Song, Soo-Hee Park, Haran Jung, Moon-Doo Kim, Man-Ki Baek, Eun-Rak Son, Ja-Young Jung
Journal of Korean Neuropsychiatric Association.2015; 54(4): 587. CrossRef - The Influence of occupational stress on dry mouth, temporomandibular disorder and oral symptoms on workers
Min-Hee Hong
Journal of Korean society of Dental Hygiene.2013; 13(1): 136. CrossRef - Problems and Prospects of Nursing Research on Job Stress in Korea
Wonsup Cho, Myoungsoon You
Journal of Korean Academy of Nursing Administration.2013; 19(1): 63. CrossRef
- Changes in working status after cancer diagnosis and socio-demographic, clinical, work-related, and psychological factors associated with it
- 88 View
- 2 Download
- 4 Crossref
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