Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
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Psychological Health Problems Among Adolescent Workers and Associated Factors in Istanbul, Turkey

  • Ornek, Ozlem Koseoglu (Department of Nursing, Faculty of Health Sciences, Istanbul Bilgi University) ;
  • Esin, Melek Nihal (Department of Community Health Nursing, Florence Nightingale School of Nursing, Istanbul University)
  • Received : 2016.11.15
  • Accepted : 2017.06.16
  • Published : 2018.03.30
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Abstract

Background: Work and work environment have a critical influence on adolescent workers' health. They are subjected to more risks than adults. The aim of this study is to examine psychological health outcomes in adolescent workers in the areas of depression, somatization, anxiety, hostility, and negative self-concept, and to investigate any related factors. Methods: This is a descriptive and cross-sectional study. Research samples were collected from adolescent workers between 15 and 18 years old attending a 1-day mandatory education course at vocational training centers, working 5 days per week in small enterprises. Data were collected using the following instruments: Brief Symptom Inventory, Multidimensional Scale of Perceived Social Support, and Descriptive Characteristics of Children's Assessment Form. Results: The investigation covers 837 young workers, of whom 675 were males and 162 were females. The majority of the families had low incomes (68.1%). Overall, 33.5% of the adolescents had been hospitalized because of health problems. Their average weekly working hours were $78.1{\pm}10.7$. Almost 50% of adolescent workers scored above the mean average in the Brief Symptom Inventory, indicating serious pschological health symptoms. Those who scored high for hostility, depression, negative self-concept, anxiety, and somatization were between 45.4% and 48.9% of the sample. Logistic regression analysis was conducted to determine the underlying factors: a perception of "feeling very bad" health conditions was 2.07-fold whereas the rate of "no annual leave" was 0.73-fold, and both were found to be effective on psychological problems. Conclusion: In this study, it seems likely that psychological health problems are the result of multiple adverse factors including working conditions, annual leave, and health considerations.

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References

  1. Thabet AA, Matar S, Carpintero A, Bankart J, Vostanis P. Mental health problems among labour children in the Gaza Strip. Child Care Health Dev 2011;37:89-95. https://doi.org/10.1111/j.1365-2214.2010.01122.x
  2. World Health Organization [Internet]. Adolescent health. World Health Organization. 2016 [cited 2016 June 16]. Available from: http://www.who.int/topics/adolescent_health/en/.
  3. Gonzalez ER, Cockburn W, Irastorza X [Internet]. European Survey of Enterprises on New and Emerging Risks. Managing safety and health at work. European Agency for Safety and Health at Work. 2010 [cited 2016 June 16]. Available from: https://osha.europa.eu/en/node/6745/file_view.
  4. Turkish Statistical Institute (TurkStat) [Internet]. Turkish Statistical Institute Child Labour Force Survey 2012. Turkish Statistical Institue, Ankara, Turkey. 2013 [cited 2016 July 16]. Available from: http://www.turkstat.gov.tr/PreHaberBultenleri.do?id=13659.
  5. Candas A, Bugra A, Yilmaz V, Gunseli S, Yakut cakar B. [Internet]. Turkiye'de es itsizlikler: kalici es itsizliklere genel bir bakis (Inequalities in Turkey: an overview of permanent inequalities). Bogazici Universitesi, Istanbul. 2010 [cited 2016 July 16]. Available from: http://www.aciktoplumvakfi.org.tr/pdf/turkiyede_esitsizlikler.pdf.
  6. Esin MN, Bulduk S, Ince H. Work-related risks and health problems of working children in urban Istanbul, Turkey. J Occup Health 2005;47:431-6. https://doi.org/10.1539/joh.47.431
  7. Isci Sagligi ve Is Guvenligi Meclisi (Workers Health and Occupational Safety) [Internet]. 2015 yilinda en az 1730 is ci yas amini yitirdi (At least 1730 workers lost their life in 2015). Istanbul, Turkey. 2016 [cited 2016 July 16]. Available from: http://www.guvenlicalisma.org/index.php?option=com_ content&view=article&id=168512015-yilinda-en-az-1730-isci-yasaminiyitirdi& catid=149:is-cinayetleriraporlari&Itemid=236.
  8. Servili C, Yartey J [Internet]. Adolescent Mental Health; Mapping actions of nongovermental organizations and other international developmental organization. Switzerland: World Health Organization, United Nations Children's Fund. 2012. [cited 2016 July 16]. Available from: http://apps.who.int/iris/bitstream/10665/44875/1/9789241503648_eng.pdf.
  9. Hesketh TM, Gamlin J, Ong M, Camacho AZV. The psychosocial impact of child domestic work: a study from India and the Philippines. Arch Dis Child 2012;97:931. https://doi.org/10.1136/archdischild-2012-301816cor1
  10. Nuwayhid IA, Usta J, Makarem M, Khudr A, El-Zein A. Health of children working in small urban industrial shops. Occup Environ Med 2005;62:86-94. https://doi.org/10.1136/oem.2004.015503
  11. Duyar I, Ozener B. Growth and nutritional status of male adolescent laborers in Ankara, Turkey. Am J Phys Anthropol 2005;128:693-8. https://doi.org/10.1002/ajpa.20064
  12. Omokhodion FO, Omokhodion SI. Health status of working and non-working school children in Ibadan, Nigeria. Ann Trop Paediatr 2004;24:175-8. https://doi.org/10.1179/027249304225013457
  13. Pinheiro MB, Ferreira ML, Refshauge K, Maher CG, Ordonana JR, Andrade TB, Tsathas A, Ferreira PH. Symptoms of depression as a prognostic factor for low back pain: a systematic review. Spine J 2016;16:105-16.
  14. Regulations: 25425 [Internet]. Labour Act Hours of Work Regulations,Mevzuat Gelis tirme ve Yayin Genel Mudurlugu, Ankara, Turkey, 2004. [cited July 16].Available from: file:///C:/Users/pc/Downloads/TUR87408%20Turk.pdf.
  15. Turkish Statistical Institute (TurkStat) [Internet]. Main Statics: Population and Demography. Turkish Statistical Institue, Ankara, Turkey. 2015 [cited 2016 July 16]. Available from: http://www.turkstat.gov.tr/UstMenu.do?metod=temelist.
  16. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess 1988;52:30-41. https://doi.org/10.1207/s15327752jpa5201_2
  17. Eker D, Arkar H. Perceived social support: psychometric properties of the MSPSS in normal and pathological groups in a developing country. Soc Psychiatry Psychiatr Epidemiol 1995;30:121-6. https://doi.org/10.1007/BF00802040
  18. Derogatis LR. The Brief Symptom Inventory-BSI administration, scoring and procedures manual-II. USA: Clinical Psychometric Research Inc; 1992.
  19. S ahin NH, Batigun AD, Ugurtas S. Kisa Semptom Envanteri (KSE): Ergenler icin kullaniminin gecerlik, guvenilirlik ve faktor yapisi [The validity, reliability and factor structure of the Brief Symptom Inventory (BSI)]. Turk Psikiyatri Derg 2002;13:125-35.
  20. Caglayan C, Hamzaoglu O, Yavuz CI, Yuksel S. Working conditions and health status of child workers: cross-sectional study of the students at an apprenticeship school in Kocaeli. Pediatr Int 2010;52:6-12. https://doi.org/10.1111/j.1442-200X.2009.02881.x
  21. Bozkurt S, cam O. Calisan ergenlerde ofke bilesenleri ile ruhsal belirtiler arasindaki iliskinin incelenmesi [Investigation of the relationship between anger components and mental symptoms in working adolescents]. Arch Neuropsychiatry 2010;47:105-11.
  22. Fekadu A, Kebede D, Alem A, Fekadu D, Mogga S, Negash A, Medhin G, Beyero T, Shibre T. Clinical outcome in bipolar dis order in a community-based follow-up study in Butajira, Ethiopia. Acta Psychiatr Scand 2006;114:426-34. https://doi.org/10.1111/j.1600-0447.2006.00825.x
  23. Sayar K, Kirmayer LJ, Taillefer SS. Predictors of somatic symptoms in depressive disorder. Gen Hosp Psychiatry 2003;25:108-14. https://doi.org/10.1016/S0163-8343(02)00277-3
  24. Ailliet L, Rubinstein SM, Knol D, Van Tulder MW, de Vet HCW. Somatization is associated with worse outcome in a chiropractic patient population with neck pain and low back pain. Man Ther 2016;21:170-6.
  25. Fernandez-Munoz JJ, Palacios-Cena M, Cigaran-Mendez M, Ortega-Santiago R, de-la-Llave-Rincon AI, Salom-Moreno J, Fernandez-de-las-Penas C. Pain is associated to clinical, psychological, physical, and neurophysiological variables in women with carpal tunnel syndrome. Clin J Pain 2016;32:122-9.
  26. Baskak B, cevik A. Somatizasyonun kulturel boyutlari [Cultural aspects of somatization]. Turkiye'de Psikiyatri 2007;9:50-7.
  27. Kaltiala-Heino R, Rimpela M, Rantanen P, Laippala P. Adolescent depression: the role of discontinuities in life course and social support. J Affect Disord 2001;64:155-66.
  28. Miller ME. Child labor and protecting young workers around the world: an introduction to this issue. Int J Occup Environ Health 2010;16:103-12.
  29. Fujino Y, Horie S, Hoshuyama T, Tsutsui T, Tanaka Y. A systematic review of working hours and mental health burden. Sangyo Eiseigaku Zasshi 2006;48:87-97. https://doi.org/10.1539/sangyoeisei.48.87
  30. Lee KH, Chae CH, Kim YO, Son JS, Kim JH, Woo Kim C, Ouk Park H, Ho Lee J, Saeng Jung Y. Anxiety symptoms and occupational stress among young Korean female manufacturing workers. Ann Occup Environ Med 2015;27:1. https://doi.org/10.1186/s40557-014-0044-x
  31. Bandeali S, Jawad A, Azmatullah A, Liaquat HB, Aqeel I, Afzal A, Umal A, Abidi K, Israr SM. Prevalence of behavioural and psychological problems in working children. J Pak Med Assoc 2008;58:345.