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

Regional Factors on the Self-rated Health of Wage Workers: Min Jung Kwon, Eun Suk Choi; J Korean Acad Community Health Nurs. 2018;29(1):21-32. Published online March 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.1.21

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Abstract PDF: PURPOSE
This study attempted to identify regional disparities of self-rated health among Korean wage workers and to investigate the influencing factors on them.
METHODS
The study subjects were 25,069 workers in 16 regions who were extracted from the 2014 Korean Working Condition Survey (KWCS). A multilevel analysis was conducted by building hierarchical data at individual and regional level.
RESULTS
In this study, â€˜financial autonomy rateâ€™ and â€˜current smoking rateâ€™ were identified as regional factors influencing the workers' self-rated health. When the socio-demographic and occupational factors of the workers were controlled, â€˜current smoking rateâ€™, a health policy factor, explained the regional disparity of workers' health status.
CONCLUSION
We found that the health status of workers can be affected by the health behavior level of the whole population in their residential area. In order to improve the health status of working population and to alleviate their regional health inequalities, it is necessary to strengthen macro and structural level interventions.

Activities of Daily Living, Depression, and Self-rated Health and Related Factors in Korean Elderly: Focused on Socioeconomic Status and Family Support: Sei Eun Oh, Young Ko; J Korean Acad Community Health Nurs. 2015;26(2):140-149. Published online June 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.2.140

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Abstract PDF

PURPOSE
This study was conducted to identify activities of daily living, depression and self-rated health and related factors for Korean Elderly.
METHODS
Data from the survey for the Korean Longitudinal Study of Aging in 2010 were used. The data were analyzed using frequencies, weighted proportions, and hierarchical multiple logistic regression.
RESULTS
Significant difference was observed in health status induced by socioeconomic status between men and women, but not among age groups. Socioeconomic status was strongly associated with self-rated health among male and female elders. Being unschooled and low net family asset were significantly related with dependency in activities of daily living and depressive symptoms among men. Only low net family asset was significantly related with depressive symptoms among women. Family support provides a slight decrease to the negative relationship between socioeconomic status and health status, especially depressive symptoms.
CONCLUSION
This study suggests that interventions to reduce health inequalities should target elderly with lower socioeconomic status and with poor family support, using a gender-specific approach.

Citations

Citations to this article as recorded by

Factors affecting the health status of patients with type 2 diabetes mellitus receiving insulin treatments: A multi‐mediation path analysis
Kang Sun Lee, Hye Young Kim, Heung Young Jin
Journal of Clinical Nursing.2022; 31(9-10): 1285. CrossRef
Factors Influencing Participation in National Health Screening Program among Korean Older Adults by Cognitive Function Level
Song Yi Han, Young Ko
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 508. CrossRef
The Death Anxiety and Depressive Symptoms among Poor Older Women in Rural Areas: The Moderating Effect of Social Support
Seung Joo Lim, Young Ko, Chunmi Kim, Hung Sa Lee
Journal of Korean Academy of Community Health Nursing.2017; 28(4): 440. CrossRef
Analysis of Convergent Factors on Subjective Health Status of Patients with Depression
Myoung-Jin Kwon, Young-Ju Kim
Journal of Digital Convergence.2016; 14(6): 309. CrossRef
Successful Aging and the Influencing Factors in the Korean Elderly: Focused on Family Support
SongYi Han, Soon-Nyung Yun
Journal of Korean Academy of Community Health Nursing.2015; 26(4): 372. CrossRef
The Effects of Socio-demographic Factors, Acculturation Stress and Resilience on Depression among Mothers-in-law in Multicultural Families
Dong-Hee Kim, Sang-Hwa Lee, Young-Sil Bae, Yi-Kyung Ha
Journal of Korean Academy of Community Health Nursing.2015; 26(3): 221. CrossRef

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