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근골격계 질환 예방을 위한 시스템적 접근과 추진전략

  • 정은교
    • Bulletin of the Korean Institute for Industrial Safety
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    • v.3 no.1
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    • pp.18-24
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    • 2003
  • 최근 산업사회의 급속한 환경변화는 근로자의 상병구조에서도 나타나 작업이 단순반복화 되며 다양한 작업공구를 반복적으로 사용하게 되어 작업속도와 작업량이 많아지고 운동부족으로 인한 근력의 약화 등에 의해서 근골격계질환이 급속히 증가하고 있다. 이로 인한 근로자의 삶의 질은 물론 결근에 의한 노동력 손실, 제품불량 증가, 산재보상비용 지출증가 등으로 성장을 둔화시키고 사회$.$경제적으로 문제의 심각성을 더해주고 있다. 최근 노동부가 발표한 산업재해통계를 보면 2002년도 산업재해 중 업무상질병자는 5,417명으로 전년대비 136명 감소하였으나, 이중 직업성 근골격계질 환자(신체부담작업 및 요통)는 1,827명으로 전년대비 193명(11.8%) 증가한 것으로 나타났고, 그 발생양상이 집단적이라는 특성을 갖고 있다. 이처럼 직업성 근골격계질환의 업무상 질병에서 차지하는 비율이 증가추세에 있고 대부분의 선진국에서도 과거에는 각종 화학물질에 의한 직업병이 상위를 차지해 오다가 근래에는 동 질환이 업무상질병의 상당부분 이상으로 차지하고 있다. 미국의 경우 1998년 한해동안 253,300건(64.2%) 발생하였고 이 가운데 자동차 관련업종이 가장 많은 비율을 점유하고 있다.(중략)

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A Study on the Effect and Related Factors of Self-Perceived Oral Health Awareness and Dental Care on Work Loss of Workers in the Capital Region (수도권 지역 산업체 근로자들의 주관적 구강건강인식과 치과치료가 근로 손실에 미치는 영향 및 관련 요인)

  • Yoon, Mi-sook
    • Journal of dental hygiene science
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    • v.18 no.6
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    • pp.389-397
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    • 2018
  • The purpose of this study was to examine the self-rated oral health status of industrial workers and influential factors for their work loss caused by dental care in an effort to prepare some information on policy setting about the promotion of the oral health of industrial workers and on the prevention of their oral diseases. The married industrial workers experienced work loss due to dental care more commonly than did the unmarried workers ($x^2=5.10$, p<0.05). In addition, the workers who found themselves to be in worse health experienced significantly more work loss ($x^2=29.69$, p<0.001). The workers who received treatment for oral diseases experienced significantly more work loss than those who did not receive treatment ($x^2=14.60$, p<0.001). In addition, the workers who had oral symptoms requiring treatment experienced more work loss than the others who not ($x^2=11.08$, p<0.01). The experience of not receiving treatment for a perceived oral disease was more dominant among the workers who found themselves to have an oral disease but did not receive treatment than among those who received treatment (p<0.001). Regarding factors affecting the work loss of the industrial workers caused by dental care, the workers whose monthly mean income was larger and who found themselves to be in worse health had significantly more experience of absenting themselves from the office or of leaving work early (p<0.001).

Comparison of Health Behaviour and Medical Utilization between Citizen & Soldier Study (일반 성인 남성과 직업군인의 보건의식 행태 및 의료이용 현황 비교분석)

  • Yang, Dong-Hoen;Lee, Moo-Sik;Hong, Jee-Young;Bae, Seok-Han;Jang, Min-Young
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.326-330
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    • 2009
  • 본 연구는 일반 성인남성과 직업군인의 건강형태 및 의료이용에 대해서 2005년도 국민건강 영양조사의 자료를 질병관리본부로부터 획득하여 분석하였고 그 결과를 보면 전체조사 대상자는 8,384명으로 21세~55세의 일반성인남성과 직업군인만을 선정하였으며, 직업군인은 76명, 일반 성인 남자는 8,308명이었다. 보건의식 행태 분포에서 보면 현재 흡연상태는 일반인에 비해 직업군인이 높고, 주관적 체격인식은 일반인의 경우 비만 또는 매우 비만이라 인지하는 비율이 직업군인에 비하여 높게 나타났지만, 실제로 지난 1년간 체중조절 여부는 일반인이 오히려 직업군인에 비해 높게 나타났다. 또한 직업군인의 보건의식 행태는 평균 연령(p<0.05)에서 통계적으로 유의한 차이가 있는 것으로 나타났다. 월간 침상와병일수는 직업군인이 상대적으로 높았으나 월간 결석, 결근일수는 오히려 낮게 나타났다. 더불어 월간 결석, 결근일수(p<0.05)는 통계적으로 유의한 차이를 나타났다. 연간 입원이용율은 일반인이 높았으며, 평균 재원일수, 건당 평균 입원기간은 일반인에 비해 직업군인이 길었다. 2주간 외래 이용율은 일반인이 17.2%, 직업군인이 21.6%로 직업 군인의 외래이용이 많았고, 평균 외래이용 횟수에서도 일반인이 1.92, 직업군인이 2.44로 직업군인이 많았다. 이용한 보건의료기관의 종류에서는 일반인은 의원급이, 직업군인은 병원급의 외래이용이 많았고 2주간 약국 이용율은 직업군인이 16.2%로 일반인 22.0% 에 비하여 낮았다. 연간 사고 및 중독 발생자율은 직업군인이 9.5로 일반인 7.9에 비하여 높게 나타 났으며, 사고 및 중독 발생횟수에서는 일반인이 직업군인에 비하여 높았다. 의도성별 분포(p<0.05), 주치료기관(p<0.05)은 통계적으로 유의한 차이가 나타났다. 본 연구를 통해 일반적 특성, 보건의식행태, 건강수준의 분석 및 일반적 특성을 보정한 상태에서 일반 성인남성과 직업군인의 보건의식 행태와 의료이용 분포를 비교 분석한 것으로 향후 직업군인의 건강 증진을 위한 효과적인 교육과 정책수립에 필요한 기초자료가 될 수 있을 것으로 기대해 본다.

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A Qualitative Study on the Drinking Experience of Participants in Self-Sufficiency Program with Alcohol Problems (음주문제가 있는 자활근로사업 참여자의 음주경험에 관한 질적연구)

  • Lee, Eun-Hee
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.723-737
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    • 2021
  • This study attempted to understand the meaning and nature of the drinking experience of participants participating in self-sufficiency program with alcohol problems. For this, data were collected by conducting in-depth interviews with seven problem drinkers currently participating in the self-support work project at the local self-support center. It was analyzed by a phenomenological analysis method. As a result of the study, 26 topics, 7 thematic vowels, and 3 categories were derived. The essential meaning of the study participant's drinking experience is as follows. It turned out to be 'a sense of accomplishment and belonging to job performance', 'extension of work life', 'maintaining social relations', 'weekly control drinking for self-support', 'minimum effort not to damage the working environment', 'self-criticism and reflection on absence from work resulting from heavy drinking', 'self-awareness of drinking problems. Through the analysis, the participants drank with a sense of accomplishment and a sense of belonging to job performance, and drinking was considered to extend their work life and maintain social relationships. At the same time, on weekdays when participating in self-support work projects, they we refrain from drinking in their own way and make minimal efforts not to interfere with the working environment under a hangover. The Absent from work due to heavy drinking led to self-reflection and furthermore, it was confirmed that they were aware of their problem drinking.

Study of the relationship between fire fighter's musculoskeletal disorder related observable symptoms and their absence from disease and accident (소방공무원의 근골격계질환 관련 자각증상과 질병 및 사고 결근과의 관련성에 관한 연구)

  • Choi, Seo-Yeon;Park, Il-Gyu;Rie, Dong-Ho
    • Journal of the Korea Safety Management & Science
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    • v.15 no.4
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    • pp.89-96
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    • 2013
  • The purpose of this study was to verify the relationship between fire fighter's musculoskeletal disorder related observable symptom and their absence from disease and accident. Online questionnaire was distributed with a total of 7,673 fire fighters, and statistical analysis was conducted to the collected data. The result shows that on a one year basis, patients with musculoskeletal disorder related observable symptom felt symptom in sequence of back, shoulder, neck, knee. The result verified that 12.9% of absence of disease and 5.9% of absence of accident experienced these symptoms. Both absence from disease and absence from accident showed body part symptoms related to neck and shoulder. This study ascertained the relationship between fire fighters' absence and their musculoskeletal disorder related observable symptom. The author hopes this study to be used as a basis of precautionary program for absence management.

A Study on Sickness Absence (유명 결근에 관한 조사)

  • Chung, Ho-Keun
    • Journal of Preventive Medicine and Public Health
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    • v.13 no.1
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    • pp.35-39
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    • 1980
  • The researcher intended to investigate the rate of absenteeism and other related statistics among the workers in a steel and iron industry with the criteria and the recommendation of the International Association on Occupational Health. With the well designed questionaire and interview, 1,882 workers were surveyed from July the 24th to the 28th, 1978. The results were as follows; The workers who experienced absence were 16.8% in July. The rate of frequency (spells) was 3.24, the duration was 4.65, the frequency (persons) was 345.20, and the lost time was 1.27. 41.0% among the absentee experienced sickness absences and the rates of sickness absence were as follow; the frequency (spells) nab 1.34, the duration was 2.29, the frequency (persons) was 101.06 and the lost time was 0.63, respectively. The main causes of sickness absence were general symptoms, such as fatigue (50.8%) and gastro-intestinal symptoms (13.8%). The frequency of sickness was highly correlated to the frequency of drinking, the amount of smoking, the physical work-load and the amount of drinking, which was analysed by the stepwize multiple regrssion analysis. The multiple R due to the above mentioned four variables was 0.320 and the R square was 10.3%.

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Economic Impact according to Health Problems of Workers (근로자의 건강문제에 따른 경제적 손실정도)

  • Lee, Young-Mi;Jung, Moon-Hee
    • Journal of Korean Academy of Nursing
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    • v.38 no.4
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    • pp.612-619
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    • 2008
  • Purpose: The purpose of this study was to examine health problems and to estimate economic impact based on health problems of workers. Methods: The subjects of this study consisted of 301 workers who received a group occupational health service. Data was collected from February 1 to March 30, 2006. The questionnaire contained questions based on general characteristics and the Stanford Presenteeism Scale. Data was analyzed with descriptive statistics, t-test using SPSS program. Results: The primary health conditions as reported by workers were ranked in order as stomach or bowel disorders, back or neck disorders, or liver function disorders. The reason of absenteeism per worker was ranked in order as asthma, or a breathing disorder. The reason of presenteeism was ranked in order as asthma, insomnia or a sleep disorder. The cost of the total economic impact on the workplace in this study was 8,851,838 won. The cost of absenteeism per worker was 8,390 won. The cost of presenteeism per worker was 941,732 won. Conclusion: Presenteeism had a strong correlation to health conditions of the workers. Therefore, improving the work conditions of the workers is very important. If employers improve the health condition of workers, they will benefit from improved productivity in their business.

Effects of Fire Fighters' Absence Ergonomics Risk Factor Exposer (현장활동 소방공무원의 인간공학적 유해요인 노출이 결근에 미치는 영향)

  • Choi, Seo-Yeon;Park, Dong-Hyun
    • Journal of the Korea Safety Management & Science
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    • v.16 no.3
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    • pp.101-110
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    • 2014
  • This study tried to identify the effects of ergonomic risk factors for absence from work of fire fighters in Korea. A self-administered questionnaire was prepared for this study. The questionnaire consisted of several parts such as 'general information', 'work-related factors', 'physical & chemical risk factors', 'ergonomic risk factors', and 'absence information'. A total of 7,098 fire fighters participated in this study. The data obtained from the survey was mainly analyzed by logistic regression. A total of 856 out of 7,098 fire fighters experienced absence from work. The risk factors such as gender, age, marital status, education level, total work year, work area. position, job rotation, noise, dust, organic solvent, skin contact with chemical substance, toxic waste, regional vibration, manual material handling, continuous standing posture, awkward working posture were associated with absence from work. Specifically, awkward working posture and manual material handling from ergonomic risk factors were major risk factors for absence from work.

The relationship of stress, health problems, absenteeism, productivity and presenteeism in Korean and Japanese workers (한국과 일본 근로자의 프리젠티즘과 스트레스, 건강문제, 결근율, 생산성의 관계)

  • Lee, Young-Mi
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.19 no.3
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    • pp.202-212
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    • 2009
  • Objectives : The purpose of this study was to examine the relationship of stress, health problems, absenteeism, productivity and presenteeism in Korean and Japanese workers. Methods : Data was collected from April 12 to July 18, 2008 in both countries. The content of questionnaires was demographic factors, stress and the Stanford Presenteeism Scale. Korean data from 810 workers was collected and Japanese data from 822 workers was collected by same questionnaires of both language. SPSS 12.0 and AMOS 5.0 programs were used for data analysis. Results : The major health problems in relation to the impaired presenteeism of Korean workers were dizziness, allergy, headache and dysmenorrhea, and for Japanese workers were arthritis, depression, and diabetes mellitus. Impaired presenteeism was increasing when the numbers of health problems were increasing in both countries. In Korean workers, job-related stress and the numbers of health problems directly affected presenteeism. In Japanese workers, job-related stress, life-related stress and the numbers of health problems directly affected presenteeism. Conclusions : Health managers should include physical and psychological health management programs for presenteeism control in workplace. They can obtain a greater benefit through both programs.