Annals of Occupational and Environmental Medicine

The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
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The Relationship between Job Stress and Dyslipidemia in Express Bus Drivers

고속버스 운전직 근로자들의 직무스트레스와 이상지질혈증의 관계

  • Lee, Nam-Soo (Department of Occupational Medicine, Soonchunhyang University Hospital) ;
  • Lee, Kyung-Jae (Department of Occupational Medicine, Soonchunhyang University Hospital) ;
  • Kim, Joo-Ja (Department of Occupational Medicine, Soonchunhyang University Hospital) ;
  • Lee, Jin-Woo (Department of Occupational Medicine, Soonchunhyang University Hospital)
  • 이남수 (순천향대학교병원 산업의학과) ;
  • 이경재 (순천향대학교병원 산업의학과) ;
  • 김주자 (순천향대학교병원 산업의학과) ;
  • 이진우 (순천향대학교병원 산업의학과)
  • Received : 2010.05.20
  • Accepted : 2010.08.02
  • Published : 2010.09.30
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Abstract

Objectives: To examine whether or not there is a relationship between job stress and dyslipidemia in male express bus drivers. Methods: The study subjects were 301 male express bus drivers. The data was obtained from annual health surveillance. A structured questionnaire was used to assess sociodemographics, health-related behaviors and job characteristics. Job stress was measured by the Korean Occupational Stress Scale-Short Form. A measure of blood lipid levels, comprised of total cholesterol, HDL cholesterol, LDL cholesterol and triglycerides, was dichotomized and categorized into 'high' or 'low'. Multiple logistic regression modeling was used to determine an association between job stress and dyslipidemia, with blood lipid level as the dependent variable. Results: We found that high job demand was associated with high total cholesterol (OR 3.25, 95% CI 1.18-8.95) and high LDL-cholesterol (OR 4.14, 95% CI 1.18-14.44) and lack of job control was associated with low HDL-cholesterol (OR 1.92, 95% CI 1.04-3.56). Conclusion: These results indicate that job demand and lack of job control were associated with dyslipidemia in male express bus drivers. A job stress management program that emphasizes job demand and lack of job control is needed to prevent dyslipidemia in male express bus drivers.

목적: 고속버스 운전직 근로자들을 대상으로 직무스트레스와 이상지질혈증간의 관계를 알아보고자 하였다. 방법: 고속버스 운전직 근로자 301명을 대상으로 연구 대상자의 일반적 특성과 직업적 특성을 구조화된 설문지로 조사하고, 한국인 직무스트레스 측정도구 단축형(KOSSSF)를 이용하여 직무스트레스를 평가하였고 혈중 총콜레스테롤, HDL-콜레스테롤, LDL-콜레스테롤, 중성지방 농도를 NCEP-ATP III의 기준에 따라 분류하였다. 직무스트레스가 이상지질혈증에 미치는 영향을 보기위하여 혈중 지질농도의 이상 여부를 종속변수로, 영역 별 직무스트레스의 수준을 독립변수로 하여 다변량 로지스틱 회귀분석을 실시하였다. 결과: 직무요구 영역의 스트레스 수준이 높은 근로자는 총콜레스테롤(OR 3.25, 95% CI 1.18~8.95) 및 LDL-콜레스테롤(OR 4.14, 95% CI 1.18~14.44) 이상이 발생할 위험이 높았으며, 직무자율성 결여 영역의 스트레스 수준이 높은 근로자는 HDL-콜레스테롤(OR 1.92, 95% CI 1.04~3.56) 이상이 발생할 위험이 높았다. 결론: 고속버스 운전직 근로자들에서 직무요구 및 직무 자율성 결여 영역의 스트레스 수준이 높을수록 이상지질혈증의 대응비가 높았다. 따라서 그들의 직무요구 및 직무자율성 결여 영역의 스트레스 수준을 조절함으로서 이상지질혈증 관리 및 예방에 도움이 될 수 있을 것이라 생각된다.

Keywords

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