Relationship between Job Stress and Depressive Symptoms among Field Firefighters

Tae Woo Kim; Kyoo Sang Kim; Yeon Soon Ahn

doi:10.35371/kjoem.2010.22.4.378

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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; DOI: https://doi.org/10.35371/kjoem.2010.22.4.378
Published online: December 31, 2010

¹Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency, Korea. kobawoo@kosha.net

²Department of Occupational & Environmental Medicine, Dongguk University Ilsan Hospital, Korea.

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Abstract

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.

Keywords: Job stress;Depressive symptoms;Firefighter;Alcohol dependence

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