Journal of Preventive Medicine and Public Health
- 제25권1호
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- Pages.1-12
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- 1992
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- 1975-8375(pISSN)
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- 2233-4521(eISSN)
유기용제 취급자들에게 정신증상
Psychiatric symptoms of workers exposed to organic solvents
- 이승훈 (계명대학교 의과대학 예방의학교실) ;
- 윤능기 (계명대학교 의과대학 예방의학교실) ;
- 이종영 (계명대학교 의과대학 예방의학교실) ;
- 서석권 (계명대학교 의과대학 예방의학교실)
- Lee, Seoung-Hoon (Department of Preventive Medicine School of Medicine, Keimyung University) ;
- Yoon, Nung-Ki (Department of Preventive Medicine School of Medicine, Keimyung University) ;
- Lee, Jong-Young (Department of Preventive Medicine School of Medicine, Keimyung University) ;
- Suh, Suk-Kwon (Department of Preventive Medicine School of Medicine, Keimyung University)
- 발행 : 1992.03.01
초록
유기용제를 취급하는 작업장의 근로자들의 정신증상의 양상과 정신증상에 관련된 요인을 조사하기 위하여 모 화학섬유공장에서 유기용제를 취급하는 42명의 폭로군과 일반사무직에 종사하는 96명을 비폭로군으로하여 환자 대조군 연구를 시행하였다. 정신증상은 일반 건강설문지(general health questionnaire 28 : GHQ28)로 평가하였고, 대상자들의 사회경제학적인 변수와 유기용제에 대한 폭로정도를 알기위한 지표로서 근무기간과 톨루엔의 요중 대상물인 마뇨산을 측정하였다. 폭로군은 마뇨산농도의 평균과 표준편차가
To assess the pattern of psychiatric symptoms and to evaluate the relationship between exposure related variables(duration of work and urinary hippuric acid concenturation) and psychiatric symptoms in organic solvent exposed workers, case control study of forty-two solvent exposed workers and ninethy-six non-exposed workers was conducted. The general health questionnaire 28(GHQ28) was administered to evaluate psychiatric symptoms and urinary hippuric acid concenturations was measured to estimate the present status of solvent exposure in exposed group and to estimate normal level in non-exposed group. The mean concenturation of urinary hippuric acid was significantly higher in exposed group (2.953g/creatinine g) than non-exposed group(0.395g/creatinine g) (P<0.01). The total positive rates of symptoms were significantly higher in exposed group(28.2%) than non-exposed group(17.5%)(P<0.05). The positive rates of symptoms for four sub-scales of GHQ28 in exposed group were in the order of somatic symptoms, anxiety, social dysfunction, depression and in the order of social dysfunction, anxiety, depression, somatic symptoms in non -exposed group. The positive rates of symptoms for somatic symptoms and anxiety were significantly higher in exposed group than non-exposed group (P<0.05) and the proportion of workers with six or more positive symptoms(dysthymic states) in exposed group were significantly higher than non-exposed group (P<0.01). After the effect of age, sex, level of income, level of education, and duration of work were controlled, the total score of GHQ28 was still significantly different between exposed and non-exposed group(P<0.01). In multipile logistic regression analysis on the dysthymic state, the odds ratio of level of income was statictically significant in both group. The odds ratios of exposure related variables such as duration of work and hippuric acid concenturations were not statistically significant but there was a tendency that exposure related variables had an affect on dysthymic state in exposed group. In future, continuous evaluation of psychiatric symptoms on organic solvent exposed workers and studies to detect the factors that affect on psychiatric symptoms are required.