Research in Community and Public Health Nursing

Original Articles

Is Nonstandard Employment Hazardous to Workers' Health Status? A Focus on Special Employment in South Korea: Bo Hyun Park, Tarlov Elizabeth, Chang Gi Park; J Korean Acad Community Health Nurs. 2020;31(Suppl):525-533. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.S.525

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Purpose
Workers in special employment relationship (WSERs) are workers in nonstandard employment arrangements who lack worker protection accorded in standard employment arrangements. This study aimed to describe self-rated health (SRH) and depressive symptoms (DS) among Korean WSERs in comparison to regular wage workers (RWW) and identify associations between working conditions and those outcomes.
Methods
In this study, secondary data analysis using the 5th Korean Working Conditions Survey was used. The sample totaled 29,120, including 1,538 WSERs and 27,564 RWWs. Sociodemographic and work-related characteristics were employed as explanatory variables and SRH and DS as dependent variables. Using multiple logistic regression, the determinants of fair/poor SRH and DS were identified.
Results
The prevalence rates for fair/poor SRH and DS in WSERs were 25.2% and 28.3%, respectively, and 20.7% and 25.0% in RWWs, respectively. Compared to RWWs, WSERs had 31% (aOR=1.31, 95% CI=1.14~1.49) and 20% (aOR=1.20, 95% CI=1.06~1.36) higher odds of SRH and DS, respectively. Some factors, such as a lack of rest guarantee and sickness presenteeism, had a larger influence in the WSER than in the RWW group.
Conclusion
Compared to RWWs, WSERs reported having poorer working conditions and were more likely to report poor general and mental health. Therefore, in Korea, public health policymakers should consider measures to protect the working conditions and health of WSERs, a growing segment of the working population. The study produced new epidemiological evidence regarding the relationships between employment arrangements and health.

Citations

Citations to this article as recorded by

The Effect of Job Demands, Job Resources, and Musculoskeletal Complaints on Presenteeism Among the Dependent Self-employment Workers in Korea
Jiyun Kim, Sookja Choi
Journal of Occupational & Environmental Medicine.2022; 64(9): 719. CrossRef

Factors Influencing the Initiation of Treatment after the Diagnosis of Korean Patients with HIV: Mi So Shim, Gwang Suk Kim, Chang Gi Park; J Korean Acad Community Health Nurs. 2018;29(3):279-289. Published online September 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.3.279

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Abstract PDF

PURPOSE
This study has been conducted to identify factors that influence the initiation of treatment after the diagnosis of Korean patients with HIV.
METHODS
A cross-sectional study design was used, and 290 patients with HIV from outpatient departments of 7 hospitals participated. Self-report questionnaires included items on the days from the primary diagnosis to the initiation of treatment, and the patients' demographic and disease related characteristics. Negative binomial regression model (NBR) was utilized to determine risk factors influencing the initiation of treatment after the diagnosis of the patients with HIV.
RESULTS
The skewness of days was 6.62, and the degree of asymmetry of distribution was severe. In NBR, patients who were in their 40s and 50s, female, unmarried and living with their family, jobless, in a middle or high level of economic status, and diagnosed before 2014 showed a higher risk of delayed treatment than patients who were younger, male, married and living with family, in a low level of economic status, and diagnosed in 2014 or afterwards.
CONCLUSION
The findings suggest the necessity of intervention to promote HIV patients' early entry into treatment based on the participants' characteristics.

Citations

Citations to this article as recorded by

Barriers and facilitators on the HIV care continuum among adults living with HIV in high-income countries: a scoping review protocol
Gwang Suk Kim, Youngin Kim, Min Kyung Park, Sang A Lee, Youngjin Lee, Mi-So Shim
Systematic Reviews.2022;[Epub] CrossRef

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