• Safety and Health at Work
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• 제12권3호
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• pp.304-310
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• 2021

Background: Healthcare settings have been recognized among the most hazardous places to work. Based on the five categories of occupational hazards that were identified by the ILO and WHO, this study aimed to analyze policy framework relevant to occupational health protection of health workers (HWs) in public health service in China, then discussed how to share the experience of the National Health Service (NHS) England for improvement. Methods: Based on policy learning theories, policy analysis and qualitative interview were used in this study. Results: In the Chinese public health service, at least five laws related to the regulation of occupational health protection for HWs; however, enforcement of relevant laws was separated and multi-centered; the national monitoring system, which targeted to occupational hazards and health outcome for HWs in China, had yet to be developed; the top three priorities were workplace violence, bloodborne pathogens, and musculoskeletal disorders; national strategies included Security Hospital, and Healthy China 2030. In NHS England, three laws were fundamental; several monitoring systems had been set up, including NHS Staff Survey, Commissioning for Quality and Innovation incentive scheme; mental health, musculoskeletal problem, and nutrition disorder and overweight were raised great concern; Health and Safety, and NHS Healthy Workforce Program were critical nationwide strategies. Conclusion: There were several similarities as well as differences between the Chinese public health system and NHS England, which laid foundation of learning by China. Recommendations of improving occupational health policies in China were provided, based on the lessons learned from the NHS England.

• 한국직업건강간호학회지
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• 제24권3호
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• pp.245-257
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• 2015

Purpose: This study was performed to investigate the present condition of drug abuse and its association with depression, self-rated health and health behaviors by job status in Korean adults. Methods: Data were derived from the study on four addiction problem and suicide in 2014. Multiple logistic regression was used to analyze patterns of drug abuse according to depression, self-rated health and health behaviors. Results: The prevalence of drug abuse during the past year was 17.1% of the 4,018 subjects. About 3.3 times risk for drug abuse was found among individuals who had high depression scores. The risk of drug abuse was higher among those who were smoking (OR:1.46, 95% CI:1.17~1.83), drinking more frequently (OR:1.30, 95% CI:1.07~1.58), sleeping insufficiently (OR:1.31, 95% CI:1.03~1.67), eating irregularly (OR:1.45, 95% CI:1.19~1.76). Drug abuse problem was detected more seriously among employed than unemployed adults. Conclusion: Health-related behaviors, such as smoking, drinking, sleeping, eating should be considered simultaneously when designing strategies to deal with drug abuse problem, and it is important to understand the interaction between drug abuse and mental health. Furthermore, workplace based intervention can be effective in solving drug abuse problem.

• Safety and Health at Work
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• 제6권3호
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• pp.159-173
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• 2015

The hand coordinate systems for measuring vibration exposures and biodynamic responses have been standardized, but they are not actually used in many studies. This contradicts the purpose of the standardization. The objectives of this study were to identify the major sources of this problem, and to help define or identify better coordinate systems for the standardization. This study systematically reviewed the principles and definition methods, and evaluated typical hand coordinate systems. This study confirms that, as accelerometers remain the major technology for vibration measurement, it is reasonable to standardize two types of coordinate systems: a tool-based basicentric (BC) system and an anatomically based biodynamic (BD) system. However, these coordinate systems are not well defined in the current standard. Definition of the standard BC system is confusing, and it can be interpreted differently; as a result, it has been inconsistently applied in various standards and studies. The standard hand BD system is defined using the orientation of the third metacarpal bone. It is neither convenient nor defined based on important biological or biodynamic features. This explains why it is rarely used in practice. To resolve these inconsistencies and deficiencies, we proposed a revised method for defining the realistic handle BC system and an alternative method for defining the hand BD system. A fingertip-based BD system for measuring the principal grip force is also proposed based on an important feature of the grip force confirmed in this study.

• 한국산업보건학회지
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• 제25권4호
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• pp.433-445
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• 2015

Objectives: The major objectives of this study are to review the issues surrounding trade secret claims in the Chemicals Control Act and Amendment on Occupational Safety and Health Act(1917-227) and to propose a way of improving the reliability of chemical information in MSDSs, labels and National Chemical Survey results. Materials: To review the issues on trade secret claims, we made an analysis frame which was divided into three steps: Value and Problem Recognition; New Regulation Design; and Enforcement and Amendment. We then compared Korean issues with issues from the United States' Hazard Communication Standard and Emergency Planning & Community Right-to-Know Act, Canada's Workplace Hazardous Materials Information System and Hazardous Materials Information Review Act and the European Union's Regulation on Classification, Labelling and Packaging of substances and Mixtures. Results: The stage of right-to-know development in Korea has passed the Value and Problem Recognition phase, so efforts are needed to elaborately design new regulation. Conclusions: We recommend two ways to improve right-to-know in Korea. First, strict examination of the quality of documents for trade secret claims is very important. Second, trade secrets should be limited to less-hazardous substances.

• Safety and Health at Work
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• 제3권2호
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• pp.101-103
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• 2012

To identify the allergy problem of a 36-year old swimming instructor, who experiences heavy itching and rashes whenever she comes in contact with pool water. Patch tests were performed with European standard series and materials from the work floor. A positive patch test to aluminum chloride and flocculant was observed. Occupational dermatitis is, based on a contact allergy to aluminum chloride in the flocculant.

• Safety and Health at Work
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• 제12권2호
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• pp.154-166
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• 2021

Background: Occupational health and safety (OHS) is a significant interest of all governments to prevent workplace hazards. Although appropriate legislation and regulations are essentials for the protection of workers, they are solely not enough. Application of them in practice should be secured by an efficient inspection system. Fundamental components of an inspection system are inspectors and their audit tasks. Maintaining the fair balanced task assignment among inspectors strictly enhances the efficiency of the overall system. Methods: This study proposes a two-phased goal programming approach for OHS inspectors' task assignments and presents a case study. Results: The solution approach gives the balanced assignment of inspectors to the workplaces in different cities of the country in the planning period. The obtained schedule takes into account the distances covered by the work places and the number of the workplaces' employees to be audited and pays attention to the human factors by considering the preferences of the inspectors. The comparisons between the obtained optimal schedule and the implemented one that is produced manually show that the approach not only maintains the technical requirements of the problem, but also provides social and physical balance to the task assignment. Conclusion: Both the approach and the application study are expected to offer fruitful inspirations in the area of safety management and policy and they provide a good guide for social policy and organizational aspects in the field of OHS inspectors' task assignment.

• 한국직업건강간호학회지
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• 제20권2호
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• pp.119-129
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• 2011

Purpose: This study firstly examined the pattern and prevalence of drinking. Secondly, we investigated the association between various psychosocial work environment and problem drinking among Korean male workers in different age groups. Methods: The study sample was a weighted population of 3,289 (3,289 survey samples) men aged 20 to 64 years who responded to the 2006 Korean Working Condition Survey. Social support from colleague and supervisor, work autonomy, psychological wellbeing at work, and intellectual and emotional work demand were assessed. Results: After considering sociodemographic factors, smoking, occupational characteristics and other psychosocial work environment factors, problem drinking was associated with "intellectual work demand" for the 20~34 year old group. Social support from colleague and supervisor was significantly associated with problem drinking in the 35~49 year old group. For the 50~64 year old group, problem drinking was associated with 'work autonomy'. Conclusion: The present study clarified that certain psychosocial work environmental factors relate to problem drinking, and the association varies among different age groups.

• 한국직업건강간호학회지
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• 제16권1호
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• pp.89-97
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• 2007

Purpose: The purposes of this study were to identify the scores of perceived job stress, health perception and health promoting life style in community health nurses and to define the correlations of three variables. Method: The data were collected by 68 subjects, using the self-reported questionnaires. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, and pearson correlation coefficient. Result: The mean score of job stress was $3.19({\pm}.60)$, health perception scale was $3.04({\pm}.49)$ and health promoting life style profile was $2.49({\pm}.30)$. The relationship among job stress, health perception and health promoting life style were not statistically significant. The relationships between age, overloading job, knowledge & skill deficit and problem of interpersonal relationship were statistically significant. The relationship between religion and problem of interpersonal relationship was statistically significant. The relationships between single of marital status, knowledge & skill deficit and problem of interpersonal relationship were statistically significant. The relationship between career and stress management was statistically significant. Conclusion: These results suggested that health promotion program for community health nurses to reduce job stress, promoting health promoting life style should be carefully developed so as to provide better quality of health care services to the community people.

• Safety and Health at Work
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• 제2권2호
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• pp.87-96
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• 2011

In 1967, the problem of occupational lead exposure came to public attention in Korea. Since then, regular progress has been made in lowering workplace lead exposures, instituting new workplace controls, and implementing health examinations of exposed workers. Past serious lead poisoning episodes made it possible to introduce biological monitoring programs on a voluntary basis in high-lead-exposure facilities in Korea. Industry-specific occupational health services for lead workers in Korea during the last 22 years can be categorized into three phases. During the first phase (1988-1993), efforts were directed at increasing awareness among workers about the hazards of lead exposure, biological monitoring of blood zinc protoporphyrin began, and a respiratory protection program was introduced. During the second phase (1994-1997), a computerized health management system for lead workers was developed, blood-lead measurement was added to biologic monitoring, and engineering controls were introduced in the workplace to lower air-lead levels to comply with air-lead regulations. Finally, during the third phase (1998-present), a new biomarker, bone-lead measurement by X-ray fluorescence, was introduced. Bone-lead measurement proved to be useful for assessing body burden and to demonstrate past lead exposure in retired workers. Occupational health service practice for lead workers, including the industry-specific group occupational health system, has brought considerable success in the prevention of lead poisoning and in reducing the lead burden in Korean lead workers during the last several decades. The successful achievement of prevention of lead poisoning in Korea was a result of the combined efforts of lead workers, employers, relevant government agencies, and academic institutes.

• 한국직업건강간호학회지
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• 제25권3호
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• pp.141-147
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• 2016

Purpose: The objective of this study is to identify the effects of self-esteem and problem focused coping on post-traumatic growth among police officers. Methods: The data were collected from the 137 police officers in ten police offices of G city in July 2014. The collected data were analyzed for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical regression using the SPSS/WIN 18.0 program. Results: Post-traumatic growth was positively correlated with self-esteem and problem focused coping. Self-esteem and problem focused coping had a significant effects on post-traumatic growth. The explained variance for post-traumatic growth was 19.0%. Conclusion: To improve post-traumatic growth of police officers, strategies to increase self-esteem and problem focused coping are needed.