DOI QR코드

DOI QR Code

Working Poverty and Health Disparities in Korean Workers

근로빈곤과 건강불평등

  • 이진화 (울산대학교 의과대학 간호학과) ;
  • 이복임 (울산대학교 의과대학 간호학과)
  • Received : 2020.09.03
  • Accepted : 2020.11.17
  • Published : 2020.12.31

Abstract

Purpose: The purpose of this study was to examine the relationship between working poverty and health status among Korean workers. Methods: This study is secondary analysis of data extracted from the 2018 Community Health Survey. For the present analysis, 23,575 of the working poor whose household disposable income is below 50.0% of the national median and 111,443 of the working nonpoor were selected. Based on existing literature, a set of variables were chosen from the Community Health Survey. Health status was measured using self-rated health status measure, Patient health Questionnire-9, and EuroQol-5dimension. Results: The proportion of subjective unhealthy status, depressive symptoms, and poor quality of life were significantly higher among the working poor than among the working nonpoor. After adjusting for general characteristics and health behavior factors, the working poverty was a significant predictor of subjective unhealthy status (AOR=1.32, 95% CI=1.25~1.40), depressive symptoms (AOR=1.61, 95% CI=1.38~1.88]), and poor quality of life (β=-0.02, p<.001). Conclusion: The current study confirmed the health disparities between the working poor and the working nonpoor. Therefore, health care programs and policies are required for reducing the health inequalities among the workers.

Keywords

References

  1. Lee SK. Individual characteristics of the houseshold head and relative poverty: A comparative study of the Seoul metropolitan area and the other areas. Korean Regional Sociology. 2019;20(1):5-34. https://doi.org/10.35175/KRS.2019.20.1.5
  2. Hellmann T, Schmidt P, Heller SM. Social justice in the EU and OECD index report 2019. Gutersloh: Bertelsmann Stiftung; 2019. 272 p.
  3. Moon JY, Kang SJ. Study on factors affecting depression of working poor - Hierarchical regression analysis of income, health, housing, labor and drinking factors by gender. Studies on Life and Culture. 2020;55:79-107. https://doi.org/10.17924/solc.2020.55.79
  4. International Labor Organization. The working poor or how a job is no guarantee of decent living conditions. ILOSTAT Sportlight on Work Statistics, n°6. Geneve: International Labor Organization; 2019. 11 p.
  5. Organization for Economic Cooperation and Development. How's life? 2020: Measuring well-being. Paris: OECD publishing; 2020. 244 p. https://doi.org/10.1787/9870c393-en
  6. Khullar D, Chokshi DA. Health, income, and poverty: Where we are and what could help. Bethesda, Maryland: Health Affairs/RWJF Health Policy Brief; 2018. 6 p. https://doi.org/10.1377/hpb20180817.901935
  7. Broding HC, Weber A, Glatz A, Bunger J. Working poor in Germany: Dimensions of the problem and repercussions for the health-care system. Journal of Public Health Policy. 2010; 31(3):298-311. https://doi.org/10.1057/jphp.2010.20
  8. Landsbergis PA, Grzywacz JG, LaMontagne AD. Work organization, job insecurity, and occupational health disparities. American Journal of Industrial Medicine. 2014;57(5):495-515. https://doi.org/10.1002/ajim.22126
  9. Pfortner TK, Schmidt-Catran AW. In-work poverty and self-rated health in a cohort of working germans: A hybrid for decomposing within-person and between-persons estimates of in-work poverty status. American Journal of Epidemiology. 2017;185(4):274-282. https://doi.org/10.1093/aje/kww218
  10. Lee SM, Lee J. A study on employees' health status and quality of life by using SF-12 - A case study of employees in large-scale workplace in Daejeon and Chungcheong province -. Korean Journal of Occupational Health. 2019;1(2):77-87. https://doi.org/10.35861/KJOH.2019.1.2.77
  11. Park B, Choi SJ, Seo S. Health disparities among Korean workers by enterprise size: Using Korean Labor and Income Panel Study(17th). Korean Journal of Occupational Health Nursing. 2016;25(4):277-289. https://doi.org/10.5807/kjohn.2016.25.4.277
  12. Korea Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. The user manual of the 2018 Community Health Survey. Cheongju: Korea Centers for Disease Control and Prevention; 2020. 202 p.
  13. Kim JH. The relationship among socioeconomic status, health behavior, and self-rated health status in employees: Gender difference. Korean Journal of Health Education and Promotion. 2011;28(1):57-67.
  14. Kim MK, Chung WJ, Lim SJ, Yoon SJ, Lee JY, Kim EK, et al. Socioeconomic inequity in self-rated health status and contribution of health behavioral factors in Korea. Journal of Preventive Medicine and Public Health. 2010;43(1):50-61. https://doi.org/10.3961/jpmph.2010.43.1.50
  15. Wu S, Wang R, Zhao Y, Ma X, Wu M, Yan X, et al. The relationship between self-rated health and objective health status: A population-based study. BioMed Central Public Health. 2013; 13:320. https://doi.org/10.1186/1471-2458-13-320
  16. Kroenke K, Spitzer R, Williams J. The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine. 2001;16:606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
  17. Lee YK, Nam HS, Chuang LH, Kim KY, Yang HK, Kwon IS, et al. South Korean time trade-off values for EQ-5D health states: Modeling with observed valures for 101 health states. Value in Health. 2009;12(8):1187-1193. https://doi.org/10.1111/j.1524-4733.2009.00579.x
  18. Thomas KC, Ellis AR. Patterns of healthcare use and employment among people with disabilities. Disability and Health Journal. 2013;6(2):133-140. https://doi.org/10.1016/j.dhjo.2012.11.008
  19. Goodman N. The impact of employment on the health status and health care costs of working-age people with disabilities. LEAD Center Policy Brief. Washington, DC: LEAD Center; 2015. 11 p.
  20. Cho SJ, Jang SN, Cho SI. Multiple roles and health among Korean women. Journal of Preventive Medicine and Public Health. 2008;41(5):355-363. https://doi.org/10.3961/jpmph
  21. Lee B. Effects of working environment and socioeconomic status on health status in elderly workers: A comparison with non-elderly workers. Journal of Korean Academy of Community Health Nursing. 2017;28(4):472-481. https://doi.org/10.12799/jkachn.2017.28.4.472
  22. Niedhammer I, Chastang JF, David S. Importance of psychosocial work factors on general health outcomes in the national French SUMER survey. Occupational Medicine. 2008;58(1):15-24. https://doi.org/10.1093/occmed/kqm115
  23. Kim JY, Song YLA, Paek EJ. Education and self-rated health: The links through labor-market status and economic status. Korean Journal of Sociology. 2013;47(2):211-239.
  24. Jeon KS, Lee HY. Impact of marital status on depression and suicidal ideation among Korean adults - Focused on the difference by age and sex. The Korean Journal of Health Service Management. 2011;5(3):179-190. https://doi.org/10.12811/kshsm.2011.5.3.179
  25. Kim YM, Jung-Choi KH. Socioeconomic inequalities in health risk factors in Korea. Journal of Korean Medical Association. 2013;56(3):175-183. https://doi.org/10.5124/jkma.2013.56.3.175
  26. Selivanova A, Cramm JM. The relationship between healthy behaviors and health outcomes among older adults in Russia. BMC Public Health. 2014;14:1183. https://doi.org/10.1186/1471-2458-14-1183
  27. Conry MC, Morgan K, Curry P, McGee H, Harrington J, Ward M, et al. The clustering of health behaviours in Ireland and their relationship with mental health, self-rated health and quality of life. BMC Pulic Health. 2011;11:692. https://doi.org/10.1186/1471-2458-11-692
  28. Kim DH, Kang DM, Kim JE, Kim YK, Sul JK, Choy S. Comparison of the self-rated health status of wage workers in Korea according to income index by gender. Korean Journal of Occupational and Environmental Medicine. 2011;23(4):360-370. https://doi.org/10.35371/kjoem.2011.23.4.360
  29. Due P, Krolner R, Rasmussen M, Andersen A, Damsgaard MT, Graham H, et al. Pathways and mechanisms in adolescence contribute to adult health inequalities. Scandinavian Journal of Public Health. 2011;39(6 Suppl):62-78. https://doi.org/10.1177/1403494810395989
  30. Sirvio A, Ek E, Jokelainen J, Koiranen M, Jarvikoski T, Taanila A. Precariousness and discontinuous work history in association with health. Scandinavian Journal of Public Health. 2012;40(4):360-367. https://doi.org/10.1177/1403494812450092