Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Type and Characters of Agricultural Injury Subjective Burden

농작업 손상에 대한 주관적 부담의 종류 및 특성

  • Youn, Kanwoo (Wonjin Institute for Occupational and Environmental Health Green Hospital) ;
  • Im, Sanghyuk (Wonjin Institute for Occupational and Environmental Health Green Hospital) ;
  • Park, Jinwoo (Department of Applied Statistics, University of Suwon) ;
  • Lee, Kyungsuk (National Academy of Agricultural Science, Rural Development Administration) ;
  • Chae, Hyeseon (National Academy of Agricultural Science, Rural Development Administration)
  • 윤간우 (원진노동환경건강연구소 녹색병원) ;
  • 임상혁 (원진노동환경건강연구소 녹색병원) ;
  • 박진우 (수원대학교 통계학과) ;
  • 이경숙 (농촌진흥청 국립농업과학원) ;
  • 채혜선 (농촌진흥청 국립농업과학원)
  • Received : 2015.10.30
  • Accepted : 2016.03.21
  • Published : 2016.03.31
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Abstract

Objectives: In establishing policies for agricultural safety, evaluating injury burdens as well as investigating the rates and characteristics of work injury is important. This study investigated the types and characteristics of agricultural injury subjective burdens. Methods: By analyzing the injured farmers identified in the 2013 Korean Farmers' Occupational Injury Survey, the burdens caused by injuries were categorized using one direct cost item (medical costs) and five indirect cost items (including productivity decreases and wage increases). Statistical differences among the burden items were analyzed using logistic regression analysis according to the characteristics of the farmers and their farm injuries. Results: Among the subjective burdens indicated by the 457 injured farmers, disruption to work was most common. The major influences on each subjective burden item are as follows: for the item of disruption to work, age, time of injury occurrence, treatment period, and farming machine use were influential; for an increased family member's burden of farm works, the number of family members and treatment period were influential. Regarding cost burden of treatment, the results varied according to whether or not the patient was hospitalized and annual income. Conclusion: Subjective burdens induced by indirect costs rather than those induced by direct costs were found to be higher in ratio. In regard to each burden item, the results varied according to the characteristics of the farmers and their farm injuries. To support injured farmer, setting goals to reduce indirect cost burdens and preparing concrete methods is necessary.

농업인의 안전보건 정책 수립에 있어 농작업 재해 규모 및 특성 파악뿐만 아니라 손상 부담 평가도 중요하다. 본 연구에서는 농작업 재해자를 대상으로 주관적인 손상 부담 종류 및 그 특성을 파악해 보았다. 2013년 농업인 업무상 손상 조사에서 파악된 재해자를 대상으로 손상 이후 발생되는 부담을 의료비등 직접 비용과 관련된 1개 항목과 생산성 감소, 인건비 증가 등 간접 비용과 관련된 5개 항목으로 파악하였다. 항목별 분포를 비교하였고, 로지스틱 회귀분석을 통해 농업인의 특성 및 농작업 손상 특성에 따라 부담 항목에 차이가 있는지 살펴보았다. 457명의 농작업 재해자에서 주관적 손상 부담중 '치료기간 중 일을 쉼(휴업)으로 인해 농업에 차질'이 가장 많았으며, 다음으로 '가족에 농업 활동 과중 부담 초래', '치료비로 인한 가계 압박', '작업이 지체되어 생산물의 품질 저하', '고용 인건비 증가', '농업 규모 축소'순이었다. 주관적 손상 부담 항목별로 영향을 미치는 주요 특성은 다음과 같다. '치료기간 중 일을 쉼(휴업)으로 인해 농업에 차질'은 연령, 재해 발생시기, 휴업 치료 기간, 농기계 사용여부이며, '가족에 농업 활동 과중 부담 초래'는 가족수, 농작업 기간, 휴업 치료기간이었다. '치료비로 인한 가계 압박'은 입원 치료 여부와 년간총수입에 따라 차이가 있었다. 기존에 신체 제한이 있었던 경우에는 모든 항목의 주관적 손상 부담이 증가하였다. 우리나라 농작업 재해자의 경우, 의료비와 같은 직접 비용에 대한 부담보다는 간접 비용에 대한 부담이 더 높은 것으로 파악되었고, 농업인의 특성 및 농작업 재해 특성 따라 부담 항목별로 차이가 있음을 알 수 있었다. 농작업 재해가 발생한 농업인에 대한 지원에 있어 간접 비용 부담을 줄이려는 목표와 함께 구체적인 방법이 마련되어야 할 것으로 판단된다.

Keywords

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