Annals of Occupational and Environmental Medicine

  • 제22권3호
  • /
  • Pages.240-250
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  • 2010
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  • 1225-3618(pISSN)
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  • 2052-4374(eISSN)
대한직업환경의학회 (The Korean Society of Occupational & Environmental Medicine)
권호 표지

상이한 분류 기준에 따른 근로형태별 자가평가건강수준: 한국노동패널조사 자료를 이용한 패널회귀분석

Self-rated Health Level Comparisons by the Criteria of Precarious Employment Status: The Korean Labor and Income Survey

  • 김근회 (건국대학교 충주병원 산업의학과) ;
  • 정헌종 (건국대학교 충주병원 산업의학과) ;
  • 장성훈 (건국대학교 의학전문대학원 예방의학교실) ;
  • 김형수 (건국대학교 의학전문대학원 예방의학교실) ;
  • 노대희 (경희대학교병원 산업의학과) ;
  • 정최경희 (이화여자대학교 의학전문대학원 예방의학교실)
  • Kim, Keun-Whoe (Department of Occupational and Environmental Medicine, Konkuk University Chungju Hospital) ;
  • Chung, Hun-Jong (Department of Occupational and Environmental Medicine, Konkuk University Chungju Hospital) ;
  • Chang, Soung-Hoon (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Kim, Hyeong-Su (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Noh, Dae-Hee (Department of Occupational and Environmental Medicine, Kyung Hee University Medical Center) ;
  • JungChoi, Kyung-Hee (Department of Preventive Medicine, Ewha Womens University School of Medicine)
  • 투고 : 2010.02.16
  • 심사 : 2010.08.19
  • 발행 : 2010.09.30
⟨ 이전 논문 다음 논문 ⟩

초록

목적: 노동부와 한국노동사회연구소의 상이한 비정규직 분류 기준에 따라 구분되는 근로형태들의 일반적 특성, 노동환경 등을 비교하고 자가평가건강수준의 차이를 확인하고자 하였다. 방법: 2005년도와 2006년도 한국노동패널조사 자료를 이용해 2년간 연속관찰 된 총 3,268명(남성 2,057명, 여성 1,211명)을 대상으로 하였다. 노동부와 한국노동사회 연구소의 분류 기준에 따라 두 기관 모두에서 정규직으로 분류한 집단(A), 모두 비정규직으로 분류한 집단(C), 노동부는 정규직으로, 한국노동사회연구소는 비정규직으로 분류한 집단(B)으로 나누었다. 결과변수는 자가평가건강 수준으로 하였으며, 패널로지스틱 회귀분석을 시행하였다. 결과: 남성 임금노동자에서 B (OR:1.45, C.I:1.00~2.11)집단과 C (OR:1.69, C.I:1.35~2.10)집단은 A집단에 비해 자가평가건강수준이 나빴으며, 이는 통계적으로 유의하였다. A집단과 B집단의 격차는 인구사회학적 특성에 의해 상당부분 설명되었으며(57.8%), A집단과 C집단의 격차에 대해서는 인구사회학적 특성(26.1%)뿐 만 아니라 노동환경 관련 변수(15.7%)도 설명하는 데 기여하였다. 여성노동자에서는 B, C집단의 자가평가건강수준이 A집단에 비해 나쁜 경향은 있었으나 통계적으로 유의하지는 않았다. 결론: 비정규노동자의 안전보건에 대한 정책적 노력을 수립하는 데는 노동환경 개선뿐만 아니라 보다 포괄적인 불평등 개선 노력이 필요할 것으로 보인다. 비정형노동자와 함께 건강수준이 좋지 않은 B집단, 즉 비정형직을 제외한 임시 일용직 노동자에 대해서도 정책적 관심이 필요하다.

Objective: The purpose of this paper is to analyze the effects of precarious employment status on the level of self-rated health, based on various criteria, by participants in the Korean Labor and Income Panel Survey. Methods: Data were obtained from 3,268 subjects(2,057 men and 1,211 women), who participated in the 2005-2006 Korean Labor and Income Panel Survey. Group A was classified as Non-precarious employment by both the Ministry of Labor (MoLab) and the Korea Labor and Society Institute (KLSI). The group B was classified as Non-precarious employment by the MoLab and as precarious employment by the KLSI. The group C is classified as Non-precarious employment by both MoLab and KLSI. Outcome variables were self-rated health and a panel logistic regression analysis was performed on the data. Results: The level of self-rated health was worse among group B males (OR: 1.45, C.I:1.00~2.11) and group C males (OR: 1.69, C.I:1.35~2.10) compared to group A males. A substantial difference(57.8%) in the level of self-rated health between groups A and B was attributed to the sociodemographic characteristics of the populations. The difference in self-rated health between groups A and C was explained by work environments(15.7%), as well as by sociodemographic characteristics(26.1%). For female workers, the level of self-rated health in group B and C was worse than in group A, but this finding was not statistically significant. Conclusions: These findings suggested that the policy to improve the working environment, as well as a more comprehensive effort to reduce the disparity, is needed for the precarious employment worker.

키워드

참고문헌

  1. The Ministry of Labor. Economically Active Population Additional Research (translated by Kim KH). Available: http://www.nso.go.kr/board_info/ BoardAction. do?method=view&board_id=47&seq=161. [cited 2 Feb 2009]. (Korean)
  2. Korea Labor & Society Institute. Precarious Employment Size and Actual Conditions (translated by Kim KH). Available: http://www.klsi.org/.[cited 2 Feb 2009]. (Korean)
  3. Kim YS. Labor Market Flexibility and Nonstandard Workforce Increase. Korea Labor & Society Institute. Seoul. 2004. pp 17-46. (Korean)
  4. Benavides FG, Benach J, Diez-Roux AV, Roman C. How do types of employment relate to health indicators? Findings from the second european survey on working conditions. J Epidemiol Community Health 2000;54(7):494-501. https://doi.org/10.1136/jech.54.7.494
  5. Kivimaki M, Vahtera J, Virtanen M, Elovainio M, Pentti J, Ferrie JE. Temporary employment and risk of overall and cause-specific mortality. Am J Epidemiol 2003;158(7):663-8. https://doi.org/10.1093/aje/kwg185
  6. Kim MH, Kim CY, Park JK, Kawachi I. Is precarious employment damaging to self-rated health? Results of propensity score matching methods, using longitudinal data in South Korea. Soc Sci Med 2008;67(12):1982- 94. https://doi.org/10.1016/j.socscimed.2008.09.051
  7. Kim IH, Khang YH, Muntaner C, Chun H, Cho SI. Gender, precarious work, and chronic diseases in South Korea. Am J Ind Med 2008;51(10):748-57. https://doi.org/10.1002/ajim.20626
  8. Kim IH, Muntaner C, Khang YH, Paek D, Cho SI. The relationship between nonstandard working and mental health in a representative sample of the South Korean population. Soc Sci Med 2006;63(3):566-74. https://doi.org/10.1016/j.socscimed.2006.02.004
  9. Kim IH, Pack DM, Cho SI. Does non-standard work affect health? J Prev Med Public Health 2005;38(3): 337-44. (Korean)
  10. Korean Labor Institute. Korean Labor and Income Panel Study User's Guide 2008. Available: http://www. kli.re.kr. [cited 2 Feb 2009]. (Korean)
  11. Kaplan GA, Camacho T. Perceived health and mortality: a nine-year follow-up of the human population laboratory cohort. Am J Epidemiol 1983;117(3):292-304. https://doi.org/10.1093/oxfordjournals.aje.a113541
  12. Wannamethee G, Shaper AG. Self-assessment of health status and mortality in middle-aged British men. Int J Epidemiol 1991;20(1):239-45. https://doi.org/10.1093/ije/20.1.239
  13. Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 1997;38(1):21-37. https://doi.org/10.2307/2955359
  14. Judge K. Income distribution and life expectancy: a critical appraisal. BMJ 1995;311(7015):1282-5. https://doi.org/10.1136/bmj.311.7015.1282
  15. StataCorp LP. Stata Longitudinal/Panel Data: Reference Manual, Release 9. StataCorp LP. Texas. 2005. pp 349.
  16. Greene W. Econometric Analysis. Prentice Hall. New Jersey. 2003. pp 245-6.
  17. Min IS, Cho PS. Panal Data Analysis. The Korean Association of STATA. Seoul. 2009. pp 65. (Korean)
  18. Kim YS. Study on the determinants of nonstandard employment: cross-section analysis of KLIPS. Economy and Society 2004;61:156-71. (Korean)
  19. Benach J, Gimeno D, Benavides FG, Martinez JM, Torne Mdel M. Types of employment and health in the European union: changes from 1995 to 2000. Eur J Public Health 2004;14(3):314-21. https://doi.org/10.1093/eurpub/14.3.314
  20. Quinlan M, Mayhew C, Bohle P. The global expansion of precarious employment, work disorganization, and consequences for occupational health: a review of recent research. Int J Health Serv 2001;31(2):335-414. https://doi.org/10.2190/607H-TTV0-QCN6-YLT4
  21. Kompier M, Ybema JF, Janssen J, Taris T. Employment contracts: cross-sectional and longitudinal relations with quality of working life, health and wellbeing. J Occup Health 2009;51(3):193-203. https://doi.org/10.1539/joh.L8150
  22. Lee SK. Economy crisis and change of labor market status (translated by Kim KH). Korean Association of Labor Studies 2001;7(2):67-97. (Korean)
  23. Park JG. The poverty and socio-economic characteristics of female-headed households. The Korea Association of Health and Medical Sociology 2003;13:81-112. (Korean)
  24. Menendez M, Benach J, Muntaner C, Amable M, O'Campo P. Is precarious employment more damaging to women's health than men's? Soc Sci Med 2007; 64(4):776-81. https://doi.org/10.1016/j.socscimed.2006.10.035
  25. Min IS, Cho PS. Panal Data Analysis. The Korean Association of STATA. Seoul. 2009. pp 172. (Korean)