우리나라 직장인 스트레스의 역학적 특성

Epidemiology of Psychosocial Distress in Korean Employees

  • 장세진 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소) ;
  • 강명근 (조선대학교 의과대학 예방의학교실) ;
  • 차봉석 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소) ;
  • 박종구 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소) ;
  • 현숙정 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소) ;
  • 박준호 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소) ;
  • 김성아 (포천중문의과대학 구미차병원 산업의학교실) ;
  • 강동묵 (부산대학교 의과대학 산업의학교실) ;
  • 장성실 (충남대학교 의과대학 예방의학교실) ;
  • 이경재 (순천향대학교 의과대학 예방의학교실) ;
  • 하은희 (이화여자대학교 의과대학 예방의학교실) ;
  • 하미나 (단국대학교 의과대학 예방의학교실) ;
  • 고상백 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소)
  • Chang, Sei-Jin (Department of Preventive Medicine and Institute of Occupational Medicine, Yonsei University Wonju College of Medicine) ;
  • Kang, Myung-Gun (Department of Preventive Medicine, Chosun University College of Medicine) ;
  • Cha, Bong-Suk (Department of Preventive Medicine and Institute of Occupational Medicine, Yonsei University Wonju College of Medicine) ;
  • Park, Jong-Ku (Department of Preventive Medicine and Institute of Occupational Medicine, Yonsei University Wonju College of Medicine) ;
  • Hyun, Sook-Jung (Department of Preventive Medicine and Institute of Occupational Medicine, Yonsei University Wonju College of Medicine) ;
  • Park, Jun-Ho (Department of Preventive Medicine and Institute of Occupational Medicine, Yonsei University Wonju College of Medicine) ;
  • Kim, Seong-Ah (Department of Occupational and Environmental Medicine, Pochon CHA University, and Kumi Cha Hospital) ;
  • Kang, Dong-Mug (Department of Occupational and Environmental Medicine, Pusan University College of Medicine) ;
  • Chang, Seong-Sil (Department of Preventive Medicine, Soonchunhyang University College of Medicine) ;
  • Lee, Kyung-Jae (Department of Preventive Medicine, Chungnam National University College of Medicine) ;
  • Ha, Eun-Hee (Department of Preventive Medicine, Ewha Womans University College of Medicine) ;
  • Ha, Mi-Na (Department of Preventive Medicine, Dankuk University College of Medicine) ;
  • Koh, Sang-Baek (Department of Preventive Medicine and Institute of Occupational Medicine, Yonsei University Wonju College of Medicine)
  • 발행 : 2005.03.01

초록

Objective : To estimate the magnitude of psychosocial distress and examine eligible factors associated with the development of psychosocial distress in Korean employees, using a nationwide sample. Methods : A total of 6,977 workers were recruited from 245 companies. A structured questionnaire was used to assess sociodemographics, health-related behaviors, job characteristics, social support at work, personality traits (locus of control, type A behavior pattern), self-esteem, and psychosocial distress. Results : The results showed that 23 % of workers were categorized as high stress, 73% as moderate, and 5% as normal. Hierarchical multiple regression analysis showed that psychosocial distress was more common in younger workers, both male and female. Regular exercise was negatively associated with increase of psychosocial distress. In job characteristics, as expected, low decision latitude, high job insecurity, and low social support at work were related to high psychosocial distress. Personality traits such as locus of control and type A behavior pattern, and self-esteem were more powerful predictors of psychosocial distress than general characteristics, health-related behavior, and job characteristics. There were some gender differences. While men who are less educated and single (unmarried, divorced, and separated) experienced higher levels of psychosocial distress than those who are educated and married, women who feel high job demand experienced higher levels of psychosocial distress than those who feel low job demand. Conclusions : The proportion of the high stress group was higher than expected, and psychosocial factors like social support and personality characteristics (e. g. locus of control, type A behavior pattern and self-esteem) were more significant factors for psychosocial distress than other variables. This finding suggests that some psychosocial factors, especially inadequate social support, low self-esteem and lack of internal locus of control for the development of psychosocial distress, will also operate as an intervention strategy in the worksite stress reduction program. It is strongly required that worksite stress reduction programs should be established in at both occupational and level as well as in individual levels.

키워드

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