Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Presenteeism in Agricultural, Forestry and Fishing Workers: Based on the 6th Korean Working Conditions Survey

농업, 임업 및 어업 종사자에서의 프리젠티즘: 제6차 근로환경조사를 바탕으로

  • Sang-Hee Hong (Soonchunhyang University Graduate School of Medical science) ;
  • Eun-Chul Jang (Department of Occupational and Environmental Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Soon-Chan Kwon (Department of Occupational and Environmental Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Hwa-Young Lee (Department of psychiatry, Soonchunhyang University Cheonan Hospital) ;
  • Myoung-Je Song (Department of Emergency Medicine, Catholic Kwandong University International St. Mary's Hospital) ;
  • Jong-Sun Kim (Department of Emergency Medicine, Catholic Kwandong University International St. Mary's Hospital) ;
  • Mid-Eum Moon (Department of Family Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Sang-Hyeon Kim (Department of Occupational and Environmental Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Ji-Suk Yun (Department of Occupational and Environmental Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Young-Sun Min (Department of Occupational and Environmental Medicine, Soonchunhyang University Cheonan Hospital)
  • 홍상희 (순천향대학교 일반대학원 의과학과) ;
  • 장은철 (순천향대 천안병원 직업환경의학과) ;
  • 권순찬 (순천향대 천안병원 직업환경의학과) ;
  • 이화영 (순천향대 천안병원 정신건강의학과) ;
  • 송명제 (가톨릭관동대 국제성모병원 응급의학과) ;
  • 김종선 (가톨릭관동대 국제성모병원 응급의학과) ;
  • 문믿음 (연세대학교 의과대학 강남세브란스병원 가정의학과) ;
  • 김상현 (순천향대 천안병원 직업환경의학과) ;
  • 윤지석 (순천향대 천안병원 직업환경의학과) ;
  • 민영선 (순천향대 천안병원 직업환경의학과)
  • Received : 2023.10.09
  • Accepted : 2024.02.27
  • Published : 2024.03.31
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Abstract

Objectives: Presenteeism is known to be a much more economically damaging social cost than disease rest while going to work despite physical pain. Since COVID-19, social discussions on the sickness benefit have been taking place as a countermeasure against presenteeism, and in particular, farmers and fishermen do not have an institutional mechanism for livelihood support when a disease other than work occurs. This study attempted to examine the relationship between agricultural, fishing, and forestry workers and presenteeism using the 6th Korean Work Conditions Survey. Methods: From October 2020 to January 2021, data from the 6th working conditions survey conducted on 17 cities and provinces in Korea were used, and a total of 34,981 people were studied. Control variables were gender, age, self-health assessment, education level, night work, shift work, monthly income, occupation, working hours per week, and employment status. Results: As a result of the analysis, farmers and fishermen showed the characteristics of the self-employed and the elderly, and as a result of the regression analysis, when farmers and fishermen analyzed the relationship with presenteeism tendency compared to other industry workers, farmers and fishermen increased by 23% compared to other industry groups. Conclusion: This study is significant in that it has representation by utilizing the 6th working conditions survey and objectively suggests the need for a sickness benefit for farmers and fishermen who may be overlooked in the sickness benefit.

프리젠티즘이란, 몸이 아픔에도 불구하고 회사에 출근을 한 상태로 사회적 비용이 질병휴식보다 훨씬 더 경제학적으로 손해라 알려져 있다. COVID-19 이후, 프리젠티즘에 대한 대응책으로 상병수당에 대한 사회적 논의가 이뤄지고 있으며 특히 농림어업인 근로자는 업무 이외 질병이 발생하였을 때 생계지원에 대한 제도적 장치가 부재한 상황이다. 본 연구에서는 제6차 한국근로실태조사를 이용하여 농업, 어업 및 임업종사자와 프리젠티즘과의 연관성을 살펴보고자 하였다. 2020년 10월부터 2021년 1월까지 국내 17개 시·도를 대상으로 수행된 제6차 근로환경조사 데이터를 사용하였으며 총 34,981명을 연구대상으로 하였다. 통제변수로는 성별, 연령, 자가 건강평가, 교육수준, 야간근무, 교대근무, 월소득, 직종, 주당 근로시간, 고용상태를 평가하였다. 분석결과 농림어업인은 자영업자, 고령자의 특성을 보였으며, 회귀분석 결과 농림어업인은 다른 산업 종사자에 비해 프리젠티즘 경향성과의 연관성을 분석하였을 때 모든 변수가 보정된 모델에서 농림어업인은 다른 산업 그룹에 비해 프리젠티즘 경향이 23% 증가하였다. 본 연구는 제6차 근로환경조사를 활용하여 대표성을 지닌다는 점, 상병수당에 있어 간과될 수 있는 농림어업인에 대하여 상병수당의 필요성을 객관적으로 제시하였다는 점에서 의의가 있다 할 것이다.

Keywords

Acknowledgement

This work was supported by the Soonchunhyang University Research Fund.

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