Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
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Health Inequalities Among Korean Employees

  • Choi, Eunsuk (Kyungpook National University College of Nursing, Research Institute of Nursing Science)
  • Received : 2016.08.02
  • Accepted : 2017.03.27
  • Published : 2017.12.30
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Abstract

Background: Social status might be a determinant of occupational health inequalities. This study analyzed the effects of social status on both work environments and health outcomes. Methods: The study sample consisted of 27,598 wage employees aged 15 years and older from among the Korean Working Condition Survey participants in 2011. Work environments included atypical work, physical risks, ergonomic risks, work demands, work autonomy, social supports, and job rewards. Health outcomes comprised general health, health and safety at risk because of work, the World Health Organization-5 Well-being Index, work-related musculoskeletal disease, and work-related injury. Multivariable logistic-regression models were used to identify the associations between social status and work environments and health outcomes. Results: Employees in the demographically vulnerable group had lower occupational status compared with their counterparts. Low social status was largely related to adverse work environments. Especially, precarious employment and manual labor occupation were associated with both adverse work environments and poor health outcomes. Conclusion: Precarious and manual workers should take precedence in occupational health equity policies and interventions. Their cumulative vulnerability, which is connected to demographics, occupational status, adverse work environments, or poor health outcomes, can be improved through a multilevel approach such as labor market, organizations, and individual goals.

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References

  1. Kawachi I, Subramanian SV, Almeida-Filho N. A glossary for health inequalities. J Epidemiol Community Health 2002;56:647-52. https://doi.org/10.1136/jech.56.9.647
  2. Carter-Pokras O, Baquet C. What is a "health disparity"? Public Health Rep 2002;117:426-34. https://doi.org/10.1093/phr/117.5.426
  3. Marmot M. Social determinants of health inequalities. Lancet 2005;365: 1099-104. https://doi.org/10.1016/S0140-6736(05)74234-3
  4. Solar O, Irwin A. A conceptual framework for action on the social determinants of health. Social determinants of health discussion paper 2 (policy and practice) [Internet]. Geneva (Switzerland): WHO. 2010 [cited 2015 Apr 10]. Available from: http://www.who.int/social_determinants/publications/9789241500852/en/.
  5. Benach J, Muntaner C, Solar O, Santana V, Quinlan M. Employment Conditions Network (EMCONET). Employment, work, and health inequalities: a global perspective. Barcelona (Spain): Icaria Editorial; 2013. 32 p.
  6. Baron S, Cone J, Markowitz SB, Souza K. Introduction to a special issue: occupational health disparities. Am J Ind Med 2010;53:82-3. https://doi.org/10.1002/ajim.20776
  7. Hadden WC, Muntaner C, Benach J, Gimeno D, Benavides FG. A glossary for the social epidemiology of work organisation: part 3, terms from the sociology of labour markets. J Epidemiol Community Health 2007;61:6-8. https://doi.org/10.1136/jech.2004.032656
  8. Lee BH. Labor solidarity in the era of neoliberal globalization. Dev Soc 2011;40:319-34. https://doi.org/10.21588/dns.2011.40.2.007
  9. Lee BH. Crisis of solidarity in Korean labor union movement. J Asiat Stud 2004;47:65-89 [in Korean].
  10. Keum J. Policy issues in labor market polarization. Korea Rev Appl Econ 2011;13:131-68 [in Korean].
  11. Organization for Economic Cooperation and Development (OECD). OECD Employment Outlook 2016 [Internet]. Paris (France): OECD Publishing. July 07, 2016 [cited 2016 Jul 15]. Available from: http://www.oecd-ilibrary.org/employment/oecd-employment-outlook-2016_empl_outlook-2016-en.
  12. Diderichsen F, Evans T, Whitehead M. The social basis of disparities in health. In: Evans T, Whitehead M, Diderichsen F, Bhuiya A, Wirth M, editors. Challenging inequities in health. From ethics to action. 1st ed. Oxford (NY): Oxford University Press; 2001. p. 12-23.
  13. Landsbergis PA. Assessing the contribution of working conditions to socioeconomic disparities in health: a commentary. Am J Ind Med 2010;53: 95-103. https://doi.org/10.1002/ajim.20766
  14. 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;67:1982-94. https://doi.org/10.1016/j.socscimed.2008.09.051
  15. Bartoll X, Cortes I, Artazcoz L. Full- and part-time work: gender and welfaretype differences in European working conditions, job satisfaction, health status, and psychosocial issues. Scand J Work Environ Health 2014;40:370-9. https://doi.org/10.5271/sjweh.3429
  16. Bahk J, Han YJ, Kim SS. Health inequity among waged workers by employment status. J Prev Med Public Health 2007;40:388-96. https://doi.org/10.3961/jpmph.2007.40.5.388
  17. World Health Organization. Wellbeing measures in health care: the Depcare project: report on a WHO meeting. Stockholm (Sweden): World Health Organization Regional Office for Europe; 1998.
  18. European Foundation for the Improvement of Living and Working Conditions. Fifth European Working Conditions Survey. Luxembourg (Grand Duchy of Luxembourg): Publications Office of the European Union; 2012. 41 p. Report No.: EF 1182.
  19. Khang YH, Yun SC, Lynch JW. Monitoring trends in socioeconomic health inequalities: it matters how you measure. BMC Public Health 2008;8:66. https://doi.org/10.1186/1471-2458-8-66
  20. Khang YH, Lee SI. Health inequalities policy in Korea: current status and future challenges. J Korean Med Sci 2012;27(Suppl.):S33-40. https://doi.org/10.3346/jkms.2012.27.S.S33
  21. Ministry of Health and Welfare and Korea Institute for Health and Social Affairs. Establish of new health plan 2010. Seoul (Republic of Korea): Ministry of Health and Welfare and Korea Institute for Health and Social Affairs; 2005. 42-46, 883. [in Korean].
  22. Ministry of Health and Welfare. The national health plan 2020. Seoul (Republic of Korea): Ministry of Health and Welfare; 2011 [in Korean].
  23. Health Service Executive (HSE). Health status of the population of Ireland [Internet]. Naas (Ireland): HSE; 2008 [cited 2015 Sep 14]. Available from: http://www.hse.ie/eng/services/Publications/HealthProtection/Public_ Health_/Health_Status_of_the_Population_of_Ireland_2008.html.
  24. Marmot M, Bell R. Fair society, healthy lives. Public Health 2012;126(Suppl. 1): S4-10. https://doi.org/10.1016/j.puhe.2012.05.014
  25. Whitehead M. Diffusion of ideas on social inequalities in health: a European perspective. Milbank Q 1998;76. 469-492, 306.
  26. Campos-Serna J, Ronda-Perez E, Artazcoz L, Moen BE, Benavides FG. Gender inequalities in occupational health related to the unequal distribution of working and employment conditions: a systematic review. Int J Equity Health 2013;12:57. https://doi.org/10.1186/1475-9276-12-57
  27. Landsbergis PA, Grzywacz JG, LaMontagne AD. Work organization, job insecurity, and occupational health disparities. Am J Ind Med 2014;57: 495-515. https://doi.org/10.1002/ajim.22126
  28. Legg S, Battisti M, Harris LA, Laird I, Lamm F, Massey C, Olsen K. Occupational health and safety in small businesses. NOHSAC Technical Report 12[Internet]; 2009 [cited 2015 Apr 13]. Available from: http://www.business.govt.nz/worksafe/about/publications/nohsac-reports/technical-report-12.pdf.
  29. Artazcoz L, Borrell C, Cortes I, Escriba-Aguir V, Cascant L. Occupational epidemiology and work related inequalities in health: a gender perspective for two complementary approaches to work and health research. J Epidemiol Community Health 2007;61(Suppl. 2):ii39-45.
  30. Okunribido O, Wynn T. Ageing and work-related musculoskeletal disorders: a review of the recent literature. Buxton (England): Health and Safety Executive; 2010. 28 p. Report No.: Health and Safety Executive Research Report RR799.
  31. Bystrom P, Hanse JJ, Kjellberg A. Appraised psychological workload, musculoskeletal symptoms, and the mediating effect of fatigue: a structural equation modeling approach. Scand J Psychol 2004;45:331-41. https://doi.org/10.1111/j.1467-9450.2004.00413.x
  32. Tompa E, Scott-Marshall H, Dolinschi R, Trevithick S, Bhattacharyya S. Precarious employment experiences and their health consequences: towards a theoretical framework. Work 2007;28:209-24.
  33. Benach J, Vives A, Amable M, Vanroelen C, Tarafa G, Muntaner C. Precarious employment: understanding an emerging social determinant of health. Annu Rev Public Health 2014;35:229-53. https://doi.org/10.1146/annurev-publhealth-032013-182500
  34. Johnson JV, Hall EM, Theorell T. Combined effects of job strain and social isolation on cardiovascular disease morbidity and mortality in a random sample of the Swedish male working population. Scand J Work Environ Health 1989;15:271-9. https://doi.org/10.5271/sjweh.1852
  35. Min KB, Park SG, Song JS, Yi KH, Jang TW, Min JY. Subcontractors and increased risk for work-related diseases and absenteeism. Am J Ind Med 2013;56:1296-306.
  36. Virtanen M, Kivimaki M, Joensuu M, Virtanen P, Elovainio M, Vahtera J. Temporary employment and health: a review. Int J Epidemiol 2005;34:610-22. https://doi.org/10.1093/ije/dyi024
  37. Hammig O, Bauer GF. The social gradient in work and health: a cross-sectional study exploring the relationship between working conditions and health inequalities. BMC Public Health 2013;13:1170. https://doi.org/10.1186/1471-2458-13-1170
  38. Borrell C, Muntaner C, Benach J, Artazcoz L. Social class and self-reported health status among men and women: what is the role of work organisation, household material standards and household labour? Soc Sci Med 2004;58:1869-87. https://doi.org/10.1016/S0277-9536(03)00408-8
  39. Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the Commission on Social Determinants of Health [Internet]. Geneva (Switzerland): WHO. 2008 [cited 2015 Apr 15]. Available from: http://apps.who.int/iris/bitstream/10665/43943/1/9789241563703_eng.pdf.
  40. Toivanen S. Work-related inequalities in health. Studies of income, work environment, and sense of coherence. Stockholm (Sweden): Stockholm University Centre for Health Equity Studies; 2007. Health Equity Studies No. 9.
  41. Muntaner C. Global precarious employment and health inequalities: working conditions, social class, or precariat? Cad Saude Publica 2016;32:10.
  42. Muntaner C, Chung H, Solar O, Santana V, Castedo A, Benach J. EMCONET Network. A macro-level model of employment relations and health inequalities. Int J Health Serv 2010;40:215-21. https://doi.org/10.2190/HS.40.2.c

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