Journal of Preventive Medicine and Public Health

  • 제42권5호
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  • Pages.323-330
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  • 2009
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
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기혼 여성의 직업이 신체적, 정신적 건강에 미치는 영향

Employment and Married Women's Health in Korea; Beneficial or Harmful?

  • 김일호 (토론토 대학 약물과 정신건강연구소) ;
  • 천희란 (서울대학교 보건환경연구소)
  • Kim, Il-Ho (Center for Addiction and Mental Health, University of Toronto) ;
  • Chun, Hee-Ran (Institute of Health and Enviroment, Seoul National University)
  • 발행 : 2009.09.30
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초록

Objectives : The aim of this study was to investigate whether working married women in different occupational classes affected diverse health outcomes. Methods : We used data for married women aged 25-59 (N=2,273) from the 2005 National Health and Nutritional Examination Survey. Outcome measures included physical/mental and subjective/objective indicators (selfrated poor health, chronic diseases, depression, and suicidal ideation from reported results; metabolic syndrome dyslipidemia from health examination results). Agestandardized prevalence and logistic regression were employed to assess health status according to three types working groups (housewives, married women in manual jobs, married women in non-manual jobs). Sociodemographic factors (age, numbers of children under 7, education, household income) and health behaviors (health examination, sleep, rest, exercise, smoking, drinking) and a psychological factor (stress) were considered as covariates. Results : Non-manual married female workers in Korea showed better health status in all five health outcomes than housewives. The positive health effect for the non-manual group persisted in absolute (age-adjusted prevalence) and relative (odds ratio) measures, but multivariate analyses showed an insignificant association of the non-manual group with dyslipidemia. Manual female workers showed significantly higher age-adjusted prevalence of almost all health outcomes than housewives except chronic disease, but the associations disappeared after further adjustment for covariates regarding sleep, rest, and stress. Conclusions : Our results suggest that examining the health impact of work on married women requires the consideration of occupational class.

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참고문헌

  1. Chun H, Chung J. A review on gender and health for gender-sensitive health policy. Korean J Health Policy Admin 2008; 18(2): 130-156. (Korean) https://doi.org/10.4332/KJHPA.2008.18.2.130
  2. Kim J, Han SH. Health status, reproductive health problems, and the degree of prenatal management in married working women. Korean J Women Health Nurs 2004; 10(3): 226-234. (Korean)
  3. Lee MJ, Chung CS. Korean women s education and participation in the labor market during 1980s and 1990s. Korean Soc Sci 1999; 21(4): 75-114. (Korean)
  4. Korea National Statistical Office. Korean Statistical Information System (KOSIS). Daejeon: Korea National Statistical Office; 2007 [cited 2009 August 28]. Available from: URL: http://kosis.nso.go.kr
  5. Hwang SK. Job Characteristics and Occupational Sex Segregation: View from Women's Work in South Korea. Seoul: Korea Labor Institute; 2003, p. 1-107. (Korean)
  6. Thoits PA. Multiple identities and psychological well-being: A reformulation and test of the social isolation hypothesis. Am Sociol Rev 1983; 48 (1): 174-187 https://doi.org/10.2307/2095103
  7. Levinson DJ. The Seasons of a Women's Life, Afred A, Knopt. New York, NT: Ballantine Books; 1996
  8. Ross CE, Bird CE. Sex stratification and health lifestyle: consequences for men s and women's perceived health. J Health Soc Behav 1994; 35(2): 161-178 https://doi.org/10.2307/2137363
  9. Gove WR, Tudor JF. Adult sex roles and mental illness. Am J Sociol 1973; 78(4): 812-835 https://doi.org/10.1086/225404
  10. Passannante MR, Nathanson CA. Female labor force participation and female mortality in Wisconsin 1974-1978. Soc Sci Med 1985; 21(6): 655-665 https://doi.org/10.1016/0277-9536(85)90205-9
  11. Ludermir AB, Lewis G. Is there a gender difference on the association between informal work and common mental disorders? Soc Psychiatry Psychiatr Epidemiol 2005; 40(8): 622-627 https://doi.org/10.1007/s00127-005-0938-6
  12. Park J, Liao TF. The effect of multiple roles of South Korean married women professors: Role changes and factors which influence potential role gratification and strain. Sex Roles 2000; 43(7-8): 571-591 https://doi.org/10.1023/A:1007175601706
  13. Ministry of Health and Welfare. The Report of the 2005 Korean National Health and Nutrition Survey. Kwachon: Ministry of Health and Welfare; 2006. (Korean)
  14. National Institutes of Health. Third Report of the National Cholesterol Education Program (NCEP) Export Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report. Circulation 2002; 106(25): 3143-3421
  15. US Department of Health & Human Services. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) NIH Publication No. 02-5215. 2002. [cited 2009 August 28]. Available from: URL: http://www.nhlbi.nih.gov/guidelines/cholesterol/atp3_rpt.htm
  16. Lee SY, Park HS, Kim DJ, Han JH, Kim SM, Cho GJ, et al. Appropriate waist circumference cutoff points for central obesity in Korean adults. Diabetes Res Clin Pract 2007; 75(1): 72-80 https://doi.org/10.1016/j.diabres.2006.04.013
  17. Genuth S, Alberti KG, Bennett P, Buse J, Defronzo R, Kahn R, et al. Follow-up report on the diagnosis of diabetes mellitus. The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 2003; 26(11): 3160-3167 https://doi.org/10.2337/diacare.26.11.3160
  18. Repetti RL, Matthews KA, Waldron I. Employment and women s health: Effects of paid employment on women s mental and physical health. Am Psychol 1989; 44(11): 1394-1401 https://doi.org/10.1037/0003-066X.44.11.1394
  19. Verbrugge LM. Multiple roles and physical health of women and men. J Health Soc Behav 1983; 24(1): 16-30 https://doi.org/10.2307/2136300
  20. Fokkema T. Combining a job and children: Contrasting the health of married and divorced women in the Netherlands? Soc Sci Med 2002; 54(5): 741-752 https://doi.org/10.1016/S0277-9536(01)00106-X
  21. Khlat M, Sermet C, Le Pape A. Women's health in relation with their family and work roles: France in the early 1990s. Soc Sci Med 2000; 50(12): 1807-1825 https://doi.org/10.1016/S0277-9536(99)00419-0
  22. Martikainen P. Women s employment, marriage, motherhood and mortality: A test of the multiple role and role accumulation hypotheses. Soc Sci Med 1995; 40(2): 199-212 https://doi.org/10.1016/0277-9536(94)E0065-Z
  23. Fagan C, Burchell B. Gender, jobs and working conditions in the European Union: European Foundation for the Improvement of Living and Working Condition. Luxembourg: Office Publications of the European Communities; 2002 [cited 2009 August 28]. Available from: URL: http://www.eurofound. europa.eu/pubdocs/2002/49/en/1/ef0249en.pdf
  24. Sung S. Women reconciling paid and unpaid work in a Confucian welfare state: The case of South Korea. Soc Policy Adm 2003; 37(4): 342-360 https://doi.org/10.1111/1467-9515.00344
  25. Ahmad-Nia S. Women s work and health in Iran: A comparison of working and nonworking mothers. Soc Sci Med 2002; 54(5): 753-765 https://doi.org/10.1016/S0277-9536(01)00107-1
  26. Waldron I, Weiss CC, Hughes ME. Interacting effects of multiple roles on women's health. J Health Soc Behav 1998; 39(3): 216-236 https://doi.org/10.2307/2676314
  27. Perry-Jenkins M, Repetti RL, Crouter AC. Work and family in the 1990s. J Marriage Fam 2000; 62(4): 981-998 https://doi.org/10.1111/j.1741-3737.2000.00981.x
  28. Park JH. The effect of multiple roles of South Korean married working mothers: Role gratification and strain, and factors which influence role gratification and strain. J Korean Home Manage Assoc 2005; 23(6): 117-131. (Korean)
  29. Hecht LM. Role Conflict and role overload: Different concepts, different consequences. Sociol Inq 2001; 71(1): 111-121 https://doi.org/10.1111/j.1475-682X.2001.tb00930.x
  30. Son M. The relationship social class and health behaviors with morbidity in Korea. Korean J Prev Med 2002; 35(1): 57-64. (Korean)
  31. Hwang SK. Job Characteristics and Occupational Sex Segregation; View from Women's Work in Korea. Korea Labor Institute Research Report 203-03. Seoul: Korea Labor Institute; 2003
  32. McCreary DR, Sadava SW. Stress, drinking, and the adverse consequences of drinking in two samples of young adults. Psychol Addict Behav 1998; 12(4): 247-261 https://doi.org/10.1037/0893-164X.12.4.247
  33. Peirce RS, Frone MR, Russell M, Cooper ML. Relationship of financial strain and psychosocial resources to alcohol use and abuse: the mediating role of negative affect and drinking motives. J Health Soc Behav 1994; 35(4): 291-308 https://doi.org/10.2307/2137211
  34. Khang YH, Lynch JW, Yun S, Lee SI. Trends in socioeconomic health inequalities in Korea: Use of mortality and morbidity measures. J Epidemiol Community Health 2004; 58(4): 308-314 https://doi.org/10.1136/jech.2003.012989
  35. US Centers for Disease Control and Prevention. Prevalence of selected risk factors for chronic disease by education level in racial/ethnic populations-United States, 1991-1992. JAMA 1995: 273(2): 102 https://doi.org/10.1001/jama.273.2.102
  36. Marengoni A, Winblad B, Karp A, Fratiglioni L. Prevalence of chronic diseases and multimorbidity among the elderly population in Sweden. Am J Public Health 2008; 98(7): 1198-1200 https://doi.org/10.2105/AJPH.2007.121137
  37. Eachus J, Chan P, Pearson N, Propper C, Davey Smith G. An additional dimension to health inequalities: Disease severity and socioeconomic position. J Epidemiol Community Health 1999; 53(10): 603-611 https://doi.org/10.1136/jech.53.10.603
  38. Tiedje LB, Wortman CB, Downey G, Emmons C, Biernat M, Lang E. Women with multiple roles: Role-compatibility perceptions, satisfaction, and mental health. J Marriage Fam 1990; 52(1): 63-72 https://doi.org/10.2307/352838
  39. Ministry of Health and Welfare. In-Depth Analysis on The Report of the 2005 Korean National Health and Nutrition Survey. Kwachon: Ministry of Health and Welfare; 2006. (Korean)

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  2. Gender, Professional and Non-Professional Work, and the Changing Pattern of Employment-Related Inequality in Poor Self-Rated Health, 1995-2006 in South Korea vol.44, pp.1, 2011, https://doi.org/10.3961/jpmph.2011.44.1.22
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  4. Health Disparities among Wage Workers Driven by Employment Instability in the Republic of Korea vol.43, pp.3, 2013, https://doi.org/10.2190/hs.43.3.g
  5. Gender Difference in Association with Socioeconomic Status and Incidence of Metabolic Syndrome in Korean Adults vol.25, pp.4, 2009, https://doi.org/10.7570/kjo.2016.25.4.247