한국병원경영학회지 (Korea Journal of Hospital Management)

한국병원경영학회 (Korean Society of Hospital Management)
권호 표지

장애인 의무고용제도와 건강상태 간의 연관성

Relationship between Compulsory Employment System for persons with Disabilities and Health Status

  • 투고 : 2022.04.21
  • 심사 : 2022.06.24
  • 발행 : 2022.06.30
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초록

목적 : 본 연구는 장애인 의무고용제도의 인지정도와 그에 따른 고용증대 도움정도가 장애인의 건강상태에 미치는 영향력을 파악하고, 이를 바탕으로 장애인 의무고용제도에 대한 인지를 높여 장애인들의 건강을 증진시킬 수 있는 방안을 제시하는 데에 목적이 있다. 방법 : 본 연구에서는 장애인의 경제활동 참여에 대해 분석하기 위하여 2016-2018년 장애인고용패널조사 2차웨이브를 활용하였다. 총 1,648명을 대상으로 카이제곱 검정과 일반화추정방정식(GEE, Generalized estimating equation)을 이용하여 분석하였다. 결과 : 장애인 의무고용제도를 알고 있는 집단에 비해 전혀 모르는 집단인 경우 인지정도가 주관적 건강상태 (Odds Ratio [OR] : 1.573, 95% Confidence Interval [CI] : 1.252-1.977)와 만성질환(OR: 1.407, 95%CI: 1.091-1.816)에 유의하게 영향을 미쳤고, 장애인 의무고용제도가 고용증대에 도움이 된다는 집단에 비해 전혀 도움이 안 된다는 집단의 경우 우울감 (OR: 2.330, 95% CI: 1.219-4.452)과 주관적 건강상태 (OR: 2.052, 95% CI: 1.232-3.416) 에 유의하게 영향을 미쳤다. 결론 : 장애인의 의무고용제도 인지정도와 도움정도가 낮을수록 건강상태에 부정적인 영향을 미치는 것으로 나타났다. 따라서 장애인에 대한 고용제도 인지정도를 높여 고용증대를 촉진해야 한다. 나아가 장애인의 건강을 증진시키기 위하여 제도에 대한 장애인의 이해도를 제고할 수 있는 홍보방안과 고용접근의 어려움으로 인해 취업의지를 상실하는 장애인들을 보호할 수 있는 정책 등이 발안되어, 장애인이 고용활동에 참여할 수 있도록 장애친화적인 노동환경으로의 변화가 활성화되어야 한다.

Aim : The purpose of this study is to investigate the influence of the awareness level of the mandatory employment system for the disabled and the help of the employment increase on the health status of the disabled. Based on this, the purpose of this study is to raise awareness of the compulsory employment system for the disabled and to suggest a way to improve the health of the disabled. Methods : In this study, the first data of the second wave of the 2016-2018 Employment Panel Survey for the Disabled was used to analyze the participation of the disabled in economic activities. a total of 1,648 subjects were analyzed using the chi-square test and generalized estimating equation (GEE). Results : Compared to the group knowing about the compulsory employment system for the disabled, in the group who did not know about the compulsory employment system, the cognitive level was significantly higher for subjective health status (Odds Ratio [OR]: 1.573, 95% Confidence Interval [CI]: 1.252-1.977) and chronic diseases (OR: 1.407, 95% CI: 1.091-1.816), Compared to the group that the compulsory employment system for the disabled is helpful in increasing employment, the group that said it was not helpful at all had depression feel (OR: 2.330, 95% CI: 1.219-4.452) and subjective health status (OR: 2.052, 95% CI: 1.232. -3.416) significantly affected. Conclusion : It was found that the lower the level of awareness and help of the compulsory employment system for the disabled, the negative impact on their health status. Therefore, it is necessary to promote employment growth by raising awareness of the employment system for the disabled. Furthermore, in order to improve the health of the disabled, public relations plans to increase the understanding of the disabled on the system and policies to protect the disabled people who lose their will to work due to difficulties in accessing employment were enacted, and Changes to a disability-friendly working environment should be activated so that participants can participate.

키워드

참고문헌

  1. Choi, S.W., et al., A study on the present state and improvement plans of the employment system for the disabled in korea. : Focused on the obligatory employment system for the disabled. Korean journal of social welfare, 2007. -(7): p. 141-166.
  2. Lee, H.N., E.K. Shin, and H.I. Shin, A Study on the Occupation and Health Status of persons with disabilities Journal of Vocational Rehabilitation 2014. 24(1): p. 5-28.
  3. Disabilities, E.D.I.K.E.A.f.P.w., 2011.
  4. Choi, M.H., A Study on the Employment Policy for the Disabled in Korea: The Revised Process of the Employment Promotion and Occupational Rehabilitation Act for the Disabled Korea Public Administration Journal, 2003. 12(4): p. 33-62.
  5. Lee, S.K., Changes and Prospects in Employment Policy for the Disabled Korean Journal of Welfare for the Disabled 2004. -(1): p. 201-226.
  6. Byun, Y.C., et al., 2005 Survey on Disabilities. Korea Institute for Health and Social Affairs, 2005.
  7. Seo, K.J. and S.K. Park, Factors influencing the economic activity state of the people with disabilities: Focusing on mentalic and physical disabilities. Journal of Vocational Rehabilitation Journal of vocational rehabilitation 2020. 30(3): p. 77-100.
  8. Kim, K.H., A study on the awareness and welfare experience of person with disability : Focused on Paju City. Education and Culture Research 2018. 24(5): p. 587-608. https://doi.org/10.24159/joec.2018.24.5.587
  9. Lee, I.S., A Study on the Development and Measurement of Social Integration for the Disabled. Korean journal of social welfare 1999. 38(-): p. 206-233.
  10. Kim, S.H., The Comprehensive Policy Plan for People with Disabilities: Progress and Challenges Health and welfare policy forum, 2018. 258(-): p. 62-71.
  11. Lee, S.K., et al., A Study on the Employment Policy of Disabled Persons in the Public Sector of Foreign Countries : Focusing on a Public Officer. Service Research, 2006. -(1): p. 1-214.
  12. Korea Employment Agency for Persons with Disabilities.,The 2th wave Panel Survey of Employment for the Disabled, 2022. https://edi.kead.or.kr/ENG_Contents.do?cmd=_004A&mid=108 [Extracted date 2022.06.23.]
  13. Kim, J.H., Regular physical exercise and its association with depression: A population-based study short title: Exercise and depression. Psychiatry Research, 2022, 309: 114406. https://doi.org/10.1016/j.psychres.2022.114406
  14. Lee, K.S., The relationship between socioeconomic status and health of the employees with disabilities - Focused on the mediating effects of depression and disability acceptance Disability & Employment 2014. 24(1): p. 111-138. https://doi.org/10.15707/DISEM.2014.24.1.005
  15. Joe, J.H., A Study on Employer's Perceptions and Satisfactions of Persons with Disabilities Employment. Journal of Vocational Rehabilitation Journal of Vocational Rehabilitation 2003. 20(1): p. 65-91.
  16. Kim, Y.T., The Evaluation on Pilot Project of Employment Diagnosis Research Report, 2009. 1(1): p. 1-144.
  17. Moon, P.D. and J.H. Lee, The Effects of Social Capital on the Health States of Persons with Disabilities : Focused on the Mediating Effect of Economic Activity Status Korean Journal of Welfare for the Disabled 2019. 45(45): p. 5-30.
  18. Kang, C.H. and M.O. Kim, A study of disabled women's employment realities : analysis of their experiences in five phases related to employment. Rehabilitation welfare 2000. 4(1): p. 1-31.
  19. Park, S.D. and J.E. Cheon, A Study on the Factors Effecting on Job Intention of Adult with Disabilities Journal of vocational rehabilitation 2010. 20(1): p. 171-188.
  20. Lee, J.K. and E.J. Lee, The Relationship of Participation in Leisure Sports' on Stress and the Decrease of Suicidal Thought of Elderly Journal of Leisure and Recreation Studies, 2010. 34(3): p. 17-26.
  21. Joe, J.A., A study on the effect of changes in economic activity status on the subjective health of the disabled. 2009: p. 363-383.
  22. Lemon, B.W., V. Bengtson., and J. Petersen., An Exploration of the Activity Theory of Aging: Activity Types and Life Expectation among In-Movers to a Retirement Community. Journal of Gerontology, 1972. 27: p. 511-523. https://doi.org/10.1093/geronj/27.4.511
  23. Ryu, S.M., A study on the effects of social participation on quality of life among women with disabilities. Dissertation (Master) Yonsei University Graduate School of Public Administration, 2004. 11(-): p. 100-129.
  24. Trevino, B. and E.M. Szymanski, A qualitative study of the career development of Hispanics with disabilities Journal of Rehabilitation 1996. 62(3): p. 5-13.
  25. Faridah, S.H., Career and employment opportunities for women with disabilities in Malaysia. Asia Pacific Disability Rehabilitation Journal 2003. 14(1): p. 71-78.
  26. Conyers, L.M., Expanding understanding of HIV/AIDS and employment: perspectives of focus groups Rehabilitation Counseling Bulletin, 2004. 48(1): p. 5-18. https://doi.org/10.1177/00343552040480010201
  27. Lee, S.M., The Effect of the Participation of the Disabled in Economic Activities and Income level on the Quality of Life and Subjective Happiness : Focused on the Moderation Effect of Social Activities Participation 2021, University of Seoul General Graduate School: Seoul.
  28. Kim, H.S. and Y.S. Lee, Effects of Household Income and Employment Status on Leisure Activities and Life Satisfaction among the Disabled Disability & Employment 2014. 24(4): p. 146-171. https://doi.org/10.15707/disem.2014.24.4.007
  29. Kim, B.G. and Y.H. Nam, A Study on the Effects of Changes in Employment Status on Life Satisfaction for Three Different Modified Equivalence Scales Household Income Groups of the Disabled - Low, Middle, and High Household Incomes Disabled Disability & Employment, 2014. 24(3): p. 67-98.
  30. Jeon, M.S., A Study on Factors Affecting the Quality of Life for Persons with Disabilities: Focusing on the Comparison between the Employed and the unemployed. Journal of the Korean Contents Association 2018. 18(1): p. 210-221.
  31. Woo, J.H., The Legal System to Guarantee Right to Work of People with Disabilities Disability & Employment journal 2005. 15(2): p. 77-103.
  32. Barbara, F., Disabled women in the social work : Applications from Poststructualism. The British Journal of social work, 1998. 28(2): p. 263-277. https://doi.org/10.1093/oxfordjournals.bjsw.a011327
  33. Granovetter, M., Getting A Job: A Study of Contracts and Careers Chicago: University of Chicago Press, 1974.
  34. Kim, Y.S. and S. Jung, A Study on the Effect of Social Capital of the Disabled on Their Employment and Economic Activity Disability & Employment, 2012. 22(1): p. 55-86. https://doi.org/10.15707/disem.2012.22.1.003
  35. Lee, S.W. and S. Jung, A Study on Factors Affecting the Employment and the Willingness to Work of People with Disabilities Disability & Employment 2016. 26(1): p. 41-66. https://doi.org/10.15707/DISEM.2016.26.1.002
  36. Kim, H. K., Gaps in Labor Market Outcomes between Persons with and without Disabilities in Korea,Health and welfare policy forum, 2021, 294(4) p.21-33
  37. Kim, J.H., Effect of career barriers on employment transition and employment intention of inactive youth with disabilities Employment Career Research, 2019. 9(2): p. 1-26. https://doi.org/10.35273/jec.2019.9.2.001