• Journal of Environmental Health Sciences
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• v.37 no.5
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• pp.342-347
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• 2011

Healthy worker effect (HWE) refers to the consistent tendency for actively employed individuals to have a more favorable mortality experience than the population at large. Although HWE has been well known since the 1970s, only a few studies in occupational epidemiology have attempted to fully define and evaluate HWE. HWE can be separated into effects on the initial hiring into the workforce (healthy worker hire effect) and those on continuing employment (healthy worker survival effect). In this review, we summarize the methods for minimizingor adjusting for the healthy worker effect available in occupational epidemiology. It is noteworthy that healthy worker survival effect appears complicated, considering that employment status plays simultaneous roles as a counfounding variable and intermediate variable, whereas healthy worker hire effect may be adjusted by incorporating health status at baseline into the statistical model. In addition, two retrospective cohort studies for workers in the semiconductor industry and Vietnam veterans in Korea, respectively, were introduced, and their results were explained in terms of healthy worker effect.

• Journal of the Korea Safety Management & Science
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• v.16 no.2
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• pp.71-80
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• 2014

The occupational injury and illness(OII) was influenced by the various factors. This study was planned to investigate the pathway of the activities of OSHM on the rate of OII via worker's participation. The survey on the trend of the activities of OSHM was used. The sample size of manufacturing industry was 3,000 enterprises and that of construction was 1,000 enterprises. The survey was done by interview method with structure questionnaire. Questions about the activities of OHSM were integrated into one category using factor analysis. The enterprises with OII has more activities of OSHM than that without OII. Among enterprises with OII, the level of the activities of OSHM was positively correlated with the rate of OII. The activities of OSHM has influenced on the rate of OII directly and indirectly via worker's participation and the activities of prevention of accident. Worker's participation also has the direct effect and indirect effect on the rate of OII. Worker's participation in construction sector has more effect on OII than that in manufacturing sector.

• Journal of the Korean Society of Safety
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• v.35 no.5
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• pp.66-73
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• 2020

The change in labor consciousness began to draw social attention to work-life balance (WLB). The WLB is one of the major factors affecting the health and safety problems of workers. Although shiftwork adversely affects WLB, safety, and health problems of workers, WLB of shift workers has received little empirical attention. The purpose of this study was to examine whether WLB mediates the relationship between shiftwork and shift worker's safety and health problems, participation in leisure activities moderates WLB, and finally, whether WLB moderated by participation in leisure activities mediates the relationship between shift work and shift worker's safety and health problems. For the study, the data of the 5^th wave of Korean Working Condition Survey(KWCS) conducted by Korea Occupational Safety and Health Agency(KOSHA) of South Korea was used. Conditional process analysis revealed that the relationship between shift work and worker's safety and health problems is mediated by WLB; however, participation in leisure activity showed no moderation effect on WLB. Therefore, the moderated mediation effect has failed to achieve statistical significance. The results indicate that working environment improvement in consideration of the WLB is needed to gain shift worker's long-term safety and health. The implications of this study and suggestions for future research were discussed.

• 월간산업보건
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• s.67
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• pp.30-35
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• 1993

지난 호에 게재하였던 Formaldehyde와 nasal cancer의 관련성에 관한 글에서 볼수 있었던 바와 같이 SMR과 PMR은 산업보건역학연구에서 가장 흔히 접하게 되는 지수들이다. SMR을 설명하다 보면 heal worker effect를 설명하지 않을수 없게 된다. 이 글에서는 SMR, PMR, 그리고 healthy worker effect에 대한 설명을 하고자 하였다

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.23 no.1
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• pp.27-34
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• 2013

Objectives: The purpose of this study is to calculate the worker-DNEL (Derived No Effect Level) values using the REACH guidance and compare the calculated DNELs with existing Korea occupational exposure limits (KOELs) for evaluation of the applicability of the worker-DNELs as provisional occupational exposure limits for chemicals that are not established KOELs in the workplace. Methods: The worker-DNELs for 46 chemicals among 113 hazardous substance requiring management were calculated using the REACH guidance, and a paired t-test was performed to see if there is any statistical difference between two lists (worker-DNELs vs KOELs). The ratios of KOELs over worker-DNELs were also calculated to compare the overall levels of two lists using the geometric means method. Results: The calculated worker-DNELs for 46 chemicals ranged from 0.001 to $329mg/m^3$ (GM= 6.9, GSD = 10.8), and appeared to be a significant difference between the worker-DNELs and the KOELs (p < 0.01). In addition, the ratios of KOELs over worker-DNELs ranged from 0.3 to 394 times (GM = 10.2, GSD = 3.9), indicating that the worker-DNELs were, on average, 27 times lower than the KOELs. Conclusions: Therefore, the study results show that the calculated worker-DNELs can be applied and used as provisional occupational exposure limits in the workplace in order to reduce worker exposures to chemicals and health risks, and manage potential worker exposures based on the precautionary principle through comprehensive chemical risk assessment.

• The Korean Journal of Health Service Management
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• v.8 no.3
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• pp.27-38
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• 2014

The purpose of this study is proving the effects of the internal customer satisfaction management on worker's job satisfaction at general hospital. In the relationship between the management and the satisfaction, the study also finds the moderating effect of the organizational support awareness and the organizational justice. For this study, it was surveyed targeting 270 employees who work in seven general hospitals in Busan. As the result, 246 questionnaires returned. All of these questionnaires were used in the final analysis. The method of analysis is descriptive statistics using SPSS VER. 18.0, correlation analysis, regression analysis, factor analysis and reliability analysis. The main results of empirical analysis were as follows: First, in the effect of the internal customer satisfaction management to worker's job satisfaction, it has positive effect to internal communication and the commission of authority and it has positive effect to worker's job satisfaction. Second, the organizational support awareness & the organizational justice have moderating effect on the relationship between the internal customer satisfaction management and worker's job satisfaction. Third, the study proves that supporting management hierarchy shows positive effects for all socio-demographic characteristics in the organizational support awareness and the organizational justice.

• Health Policy and Management
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• v.30 no.1
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• pp.92-99
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• 2020

Background: The purpose of this study is to analyze the effect of the income support allowance policy for the care workers on wage level. Methods: The analysis data was constructed using database (DB) of long-term care institution, DB of long-term care personnel status, and DB of health insurance qualification and contribution possessed by National Health Insurance Services. We analyzed the wage status of care workers 2009 to 2016 through basic analysis. We used the difference-in-difference analysis method for the workers who worked in the same institution from 2012 to 2013, The effects of the income allowance policy on wage increase were analyzed. Results: As a result of the net effect of the income support allowance policy, the monthly average wage of the care worker increased by 25,676 won and the hourly wage increased by 478 won. As a result of the analysis, it can be confirmed that the income support allowance policy has achieved some of the goals of raising the wage level of the care workers, and the effect of raising wages for other occupations in the long-term care business can be confirmed. Conclusion: The low wage problem of long-term care workers such as care workers is not the only problem in Korea. In other countries, there are various wage support policies for employees. In particular, it is necessary to refer to the improvement in the treatment of care workers in Japan and wage pass-through in the United States. In addition to wages, there is a need to promote policies to provide employment motivation through efforts to improve their social status and improve their job status and career development for employees in long-term care facilities.

• Journal of the Korea Safety Management & Science
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• v.15 no.4
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• pp.145-152
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• 2013

The purpose of this study was to investigate the effect of risk awareness on injury experience in quick delivery service workers. Risk awareness has complicate characteristics such as its level of worker and worker's decision about the level of other's risk perception. Data were collected by interview survey with structured questionnaire about injury experience, risk perception, work characteristics, and socio-demographic characteristics of quick delivery service workers by cross sectional survey design in 2012. The sample size was 120 respondent of quick delivery service workers. Statistical method for this study was hierarchical logistic regression method with 3 different models using socio-demographic characteristics and work characteristics and risk perception, etc. The difference between the level of risk perception of quick delivery service and other's was statistically significant effect on the experience of injury. Especially the higher the level of risk perception of quick delivery service workers is than other's, the lower the injury experience of quick delivery service worker is. The limitation of this study can be found in survey design. The future study for investigation of mechanism of the combined effect of risk perception of quick delivery service workers and others on injury experience.

• Journal of the Korea Safety Management & Science
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• v.16 no.4
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• pp.203-213
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• 2014

Sickness absence is one of the most important indicators for worker's health and occupational safety and health performance. Sickness absence is primarily depended upon sickness but psycho-social factors in workplace may moderate sickness absence. Even though worker is falling into illness, sickness absence can be prevented by job satisfaction. In Korea it is very difficult to find research output about the association of sickness absence with job satisfaction. This study is planned to investigate the effect of job satisfaction on sickness absence. The third Korean Working Conditions Survey done by Occupational Safety and Health Research Institute in 2011 was used to analyze by logistic regression analysis. The result has shown that job satisfaction has statistically significant effect on sickness absence and simultaneously diminish the effect of symptoms experience on sickness absence. The effect of job satisfaction is greater in short term sickness absence than in long term sickness absence. This study has some limitation because of the cross sectional data of Korean Working Conditions Survey. In future, sophisticated statistical analysis may be done with modelling.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.28 no.1
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• pp.80-90
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• 2018

Objectives: This study was performed to propose a domestic occupational exposure limit(OEL) following a health hazard assessment, calculation of a non-carcinogenicity reference concentration worker($RfC_{worker}$) value, and examination of international agencies' exposure limits. It also recommends legal management within the Occupational Safety and Health Act for HCFC-123, which caused an acute hepatotoxicity incident. Methods: An acute hepatotoxicity incident due to the fire extinguishing agent HCFC-123 was investigated. Toxicological hazard and health hazard classifications were examined and a non-carcinogenicity $RfC_{worker}$ value was calculated for HCFC-123. An OEL and the necessity of legal management were recommended as well. Results and Conclusions: An OEL for HCFC-123 of 10 ppm($62.5mg/m^3$), which considered the $RfC_{worker}$ value, 5.56 ppm, produced in dose-response assessment and the exposure level of 19.1-20.9 ppm measured as an eight-hour TWA(time-weighted average) in the incident place, is recommended. HCFC-123 is urged to be included as a chemical requiring legal management in the Occupational Safety and Health Regulations. In addition, it is recommended that a peak exposure of ACGIH be adopted in the Notice of the Ministry of Employment and Labor.