• 한국산업보건학회지
• /
• 제32권3호
• /
• pp.268-278
• /
• 2022

Objectives: This study aimed to establish a control group based on the big data from National Health Insurance Service. We also presented presented the number of incidences for each cancer, and analyzed the cancer incidence rate among Korean workers. Methods: The cohort definition was separated by 'baseline cohort', 'dynamic cohort', and 'fixed- industry cohort' according to the definition. Cancer incidence was calculated based on the Korean Standard Classification of Disease code. Incidence rate was calculated among the group of all workers and public officials. Based on the study subjects and each cohort definition, the number of observations, incidences, and the incidence rate according to sex and age groups was calculated. The incidence rate was estimated based on the incidence per 100,000 person-year, and 95% confidence intervals calculated according to the Poisson distribution. Results: The result shows that the number of cancer cases in the all-worker group decreases after the age of 55, but the incidence rate tends to increase, which is attributed to the retirement of workers over 55 years old. Despite the specific characteristics of the workers, the trend and figures of cancer incidence revealed in this study are similar to those reported in previous studies of the overall South Korean population. When comparing the incidence rates of all workers and the control group of public officials, the incidence rate of public officials is generally observed to be higher in the age group under the age of 55. On the other hand, for workers aged 60 or older, the incidence rates were 1,065.4 per 100,000 person-year for all workers and 1,023.7 per 100,000 person-year for civil servants. Conclusions: This study analyzed through health insurance data including all workers in Korea, and analyzed the incidence of cancer of workers by sex and age. In addition, further in-depth researches are needed to determine the incidence of cancer by industry.

• 한국사회복지학
• /
• 제66권3호
• /
• pp.277-295
• /
• 2014

본 연구는 노부모 수발부담이 50~60대 중 고령층 여성의 경제활동 참여에 미치는 영향을 살펴보고자 하였다. 이를 위해 국민노후보장패널 자료를 사용하여 부모를 수발하고 있는 중 고령층 여성 2,125사례를 선별하고 일반화선형방정식 및 다항로짓모형을 통해 두 변인간의 관계를 분석하였다. 연구결과, 노부모 수발은 중 고령층 여성의 경제활동참여에 일정부분 영향을 미치는 것으로 나타났으며, 임금노동이나 고용주/자영업으로 보다는 무급가족종사자 형태로의 취업 가능성을 높이는 것으로 나타났다. 한편, 수발제공자를 대상으로 한 분석에서 장시간의 수발은 중 고령층 여성의 경제활동참여에 부정적인 영향을 미치는 것으로 나타났다. 이러한 결과를 바탕으로 중 고령층 여성의 노인 돌봄 부담 완화와 이를 통한 경제활동 참여의 장려를 위해 노인 돌봄의 사회화를 통한 사회와 국가의 역할 강화 및 가족내 성별 역할의 재정립을 제안하였다.

• 한국ITS학회 논문지
• /
• 제16권6호
• /
• pp.16-28
• /
• 2017

본 연구에서는 운수종사자시스템과 운행기록분석시스템을 활용하여 시내버스 고령운전자 운전적성정밀검사의 신규검사결과, 사고 및 벌점현황, 운행기록자료를 분석하였다. 분석결과 시내버스 고령운전자를 사고수가 많은 관심대상 운수회사와 관리가 잘 되고 있는 교통안전 우수회사와 비교했을 경우 운전적성정밀검사의 결과는 비슷하였으나 최근 5년 동안 운행하면서 발생한 총 벌점은 상당한 차이를 보였고 사고의 경우 평균 중상자수와 경상자의 수도 적은 것으로 확인됐다. 또한 운행 100km당 위험운전행동 횟수를 비교해보면 우수회사의 고령운전자는 다른 고령운전자와 비고령운전자와 비교해서도 위험운전행동 횟수가 상당히 적은데 잘못된 운전습관의 교정결과에 따른 것으로 나타났다.

• 한국사회복지학
• /
• 제60권3호
• /
• pp.31-58
• /
• 2008

본 연구는 기존에 제기된 고령남성의 경제활동참가를 설명하는 이론(가설)이 우리나라 고령남성의 경제활동참가를 설명하기에는 부족하다는 판단아래, 노후빈곤노동가설과 숙련편향기술진보설을 적용하여 분석하였다. 자료는 통계청의 경제활동인구총괄($1965{\sim}2007$), 추계인구($1965{\sim}2007$), 임금구조기본통계($1993{\sim}2005$), 노동패널 $1{\sim}9$차 원 자료, 2005년 가계조사이며, 회귀분석은 로지스틱 분석을 활용하였다. 분석결과 첫째, 우리나라 고령남성의 경제활동참가율은 산업화가 본격적으로 이루어진 1965년 이후 증가추세를 이어가고 있어, 선진국의 감소추세와는 다르다. 둘째, $1998{\sim}2005$년까지 빈곤 고령남성의 경제활동참가율이 비빈곤 고령남성의 경제활동참가율보다 평균 5.2% 높았다. 셋째, 점점 상위 직종(고위직 및 전문가)은 비고령 계층이 차지하고, 하위 직종(단순노무직)은 고령계층이 주를 이루어가고 있었다. 넷째, 고학력자의 노동공급이 증가한 것보다 그들에 대한 노동수요는 더 크게 증가한 반면, 저학력자의 노동공급은 줄었는데, 이들에 대한 노동수요는 더 큰 폭으로 감소하였다. 그 결과 대학프리미엄이 139%(1993년)에서 157.8%(2005년)로 높아졌다. 다섯째, 고령자의 경제활동 참가율을 설명하는 이론(가설)으로서, 산업화 근대화 가설은 최근 우리나라 상황에도 적용된다. 그러나 노후풍요가설은 고령자의 경제활동참가에 영향을 미치지만, 영향력은 미약하였다. 특히 노후빈곤이 노후경제활동의 주된 메커니즘으로 나타나, 본 연구에서 주장한 노후빈곤노동가설이 지지되었다. 숙련편향기술진보설은 우리나라 고령남성의 경제활동참가율을 부분적으로 설명하지만, 그 외에도 인적자본 특히 고학력보다는 고졸이면서 상대적으로 숙련편향정도가 낮은 직종의 기술 혹은 노후빈곤이 영향을 미친 것으로 판단된다.

• 지역사회간호학회지
• /
• 제4권1호
• /
• pp.5-13
• /
• 1993

The objective of this study was to analyze the status of health examination, and the health care management of industries in Seoul. This will provide effective industrial health care services. 46 industries were selected as a sample, and were given self administered questionnaire developed by the academic affairs of community health nursing. The results of this study are as follows: (1) The general characteristics of industries: The greater part of the industries were manu facturing companies, 300-900 workers, in a one shift system. (2) The general characteristics of health man ager: 96% of the companies had industrial nurses and the larger industries had comprehensive health managers. 90% of the industrial nurses were full-time employees and 77% of the industrial physician were part time employees. 80% of the industrial physician were age 50 or older, while 59% of the industrial nurses were 25-29 years of age. (3) Health examination and follow up care: The proportions of the workers who took general health examination was 94%. Of those, 12% took secondary examinations. In secondary examinations, 36% were evaluated at the C-grade, 20% were evaluated at the D-grade. The proportion of the workers who were required to take special examination were 29% and of that, the proportion of the workers who actually took the examination was 88%. 85% of the workers who were recommended for follow up cares were given follow up care while working. The physical agents among the special examination were done the most frequently to detect the examination effects. (4) Health care services: Industrial nurses performed health examination most frequently and health education was done the least. There were significant differences in health care services according to the size of the industries. Companies with 300 workers or less had higher health care services than other groups. The three primary reasons of health care management and examinations of workers are: First, industrial nurses are requires to accumulate professional knowledge and experience through continuos' activities. Second, systematic and concert examination for industrial workers should be performed periodically. Third, it needs developing health education strategies that are important workers for health promotion in industries.

• Journal of Preventive Medicine and Public Health
• /
• 제26권3호
• /
• pp.371-386
• /
• 1993

This study was carried out to evaluate diagnostic criteria of noise-induced hearing loss (NIHL) among-workers in an iron foundry. Of 1,093 workers under the observation of noise-specific health examination, 184 workers were selected by way of first and second screening audiometric examination. A questionnaire survey, otological examinations, Rinne test and audiometric test were performed and the results were as follows ; The degree of hearing impairment in the left ear was more severe than in the right ear (p<0.05). The difference between hearing threshold of the first and the second hearing test at 1,000 Hz was about 5 dB with a narrow range of deviations while the difference at 4,000 Hz was about -7 dB with a wide range. Of the total study workers, 84.8% were tested within 15 hours away from noise exposure, and the rest after 16 hours. This study has identified that mean hearing loss at 4,000 Hz showed a significant statistical difference among the two study groups while mean hearing loss by 4-divided classification did not. The same phenomena were observed between the group with and without tinnitus and between the group with and without difficulty in hearing (p<0.05). Among 184 workers, 10 workers (5.4%) diagnosed as NIHL by old diagnostic criteria in contrast to 150 workers diagnosed as NIHL by the new diagnostic criteria. There was a significant difference between the two groups in the average hearing loss at 4,000 Hz and 4-divided classification (p<0.01), but there were no significant differences in age, the duration of employment, blood pressure and the duration wearing the personal hearing protector (p>0.05). If we apply Early Loss Index (ELI) method, some workers in younger age group diagnosed as NIHL by the new diagnostic criteria were fallen into within the normal range. In the mean time older age group show reverse results in contrast to the above finding. It is too early to confirm the value of the usage of the new diagnostic criteria in hearing examination. Further study is called for to verify the value of this criteria.

• 사회복지연구
• /
• 제42권1호
• /
• pp.399-432
• /
• 2011

이 연구의 목적은 연장입양가족의 적응과정을 이해하고, 그에 대한 실체이론을 구축하고자 하는 것이었다. 이러한 목적을 달성하기 위하여, 본 연구에서는 연장아동을 입양하여 양육하고 있는 입양모들을 대상으로 심층면접을 실시하고 질적 접근으로 자료를 분석하였다. 분석 결과, 연장입양가족의 적응과정에 대한 이론적 모형이 구성되었고, 여기에는 연장입양가족들이 적응해 가는 과정에서 거치게 되는 여러 국면들과 경험들, 그리고 연장입양가족의 적응을 방해하는 장애물과 적응을 위해 가족들이 동원하고 활용하는 자원과 전략들이 포함되었다. 적응과정상의 국면들은 낯선 만남, 충격, 고군분투, 조절, 안정 등 다섯 가지 국면으로 구성되었다. 연장입양가족의 적응과정을 방해하는 장애물들로는 문제행동, 잃어버린 시간, 준비 부족, 경험 부족, 악순환의 고리, 혼자 버팀, 부적절한 자원, 지지 받지 못함, 비난받음 등이 있었고, 연장입양가족들이 활용하는 자원과 전략으로는 양육 경험, 지적 능력, 의지, 신앙, 관점 전환과 같은 개인 자원과 능력, 배우자나 다른 자녀와 같은 가족 자원, 확대 가족, 친척, 친구, 이웃, 다른 입양가족과 같은 비공식 지지체계, 입양실무자나 원조전문가들과 같은 공식 자원 등이 포함되었다. 이러한 연구결과를 근거로, 입양분야에서 연장입양가족의 적응을 돕기 위한 정책과 실천 지침들을 제언하였다.

• 한국산업보건학회지
• /
• 제23권2호
• /
• pp.41-49
• /
• 2013

Objectives: The purpose of this study was to clarify the association between serum carcinoembryonic antigen (CEA) and type of work in the shipbuilding industry. Methods: 1,072 final study subjects were admitted to a general hospital from April through July 2010 for the purpose of medical examination. Data on general characteristics such as age, smoking history, alcohol history and exercise habits was gathered through structured self-administered questionnaires. Information on job factors was collected from a medical examination, by interview and through company personnel data. Serum CEA levels were measured after eight hours' fasting and were analyzed by a radioimmunoassay. Results: On univariate analysis, the mean serum CEA level was significantly higher among married (p=0.02), older age (p<0.01), longer work time (p<0.01), smokers (p<0.01), lower education (p<0.01), and indirect and direct exposure groups (p<0.01). On multiple regression analysis, serum CEA level was influenced by smoking (p=0.001), duration of work (p=0.019), and direct exposure group (p<0.001). However, among the direct exposure group, serum CEA level was not significantly different between welding, mounting, electro-device constructive work, grinding and cleaning, and painting. Conclusions: The goal of this research was to determine if there were differences between serum CEA levels according to occupational role among shipyard workers. The direct exposure group of shipyard workers had a relatively higher level of serum CEA than did the indirect exposure group and office workers, most likely due to occupational exposure.

• 한국농촌건축학회논문집
• /
• 제16권1호
• /
• pp.95-102
• /
• 2014

The number of industrial accident victims in the construction industry accounts for 1/3 of those in the entire industries and about 30% of the total compensation costs are spent in the construction industry. As such, the construction industry is a typical industry causing numerous safety accidents. This study analyzes the status of industrial accidents in small scale construction sites to build maximum five-story buildings by examining statistical data for the past five years, investigating those construction sites and conducting interviews with the workers. This study also seeks the causes of and measures for industrial accidents in the small scale construction industry through comparison with relevant systems. The findings are as follows: (1) To reduce hazard rate, shaping the working environment and safety measures that take into account the physically weak classes of the middle aged and the aging are urgently required, because 62.9% of the industrial accidents in the construction industry occurred to those who are 50 years of age or older. (2) The hazard rate at small scale construction sites with less than 10 construction workers accounts for 55% of that of the entire industries. The government, in this context, needs to support finance or technology and improve system by selecting the small scale construction sites, where industrial accidents occur frequently. (3) Because the hazard rate of unskilled workers with less than 6 months of work experience accounts for 90.95% of the total, safety education needs to be concentrated on those unskilled workers. (4) The relevant standards need to be segmented and revised and bolstered, given that 64.79% of death disaster in the construction industry occurs in the temporary structures including scaffolds and ladders.

• Safety and Health at Work
• /
• 제5권3호
• /
• pp.131-135
• /
• 2014

Background: Cassava and corn milling is a growing small-scale enterprise in Africa. We aimed to determine the incidence of hand-arm musculoskeletal complaints among vibration-exposed Congolese cassava and corn millers in the previous 12 months. Methods: A cross-sectional study was conducted, prior to a follow-up study, from March to May 2013 among cassava/corn millers in Lubumbashi, Democratic Republic of Congo, in which 365 millers age-matched to 365 civil workers anonymously answered a questionnaire. Results: Overall incidence of hand-arm musculoskeletal complaints was 25.8% in millers (vs. 5.2% in civil workers; p < 0.001). The risk of experiencing musculoskeletal symptoms was seven times higher in millers [vs. civil workers; odds ratio (OR) = 7.10; 95% confidence interval (CI): 4.03-12.50; p < 0.0001]; 2.4 times higher in smoking millers (vs. smoking civil office workers; OR = 2.36; 95% CI: 1.42-3.88; p < 0.001); 3.6 times higher in millers with longer daily exposure (> 8 hours; vs. those working ${\leq}8$ hours; OR = 3.56; 95% CI: 1.93-3.61; p = 0.026); and 7.4 times higher in young millers (vs. older millers, OR = 7.39; 95% CI: 1.29-75.52; p < 0.001). Smoking, number of cigarettes, and daily exposure duration were positively correlated with musculoskeletal complaints. Conclusion: This study revealed a relatively high incidence of musculoskeletal complaints among African cassava and corn millers. The use of anti-vibration protective equipment and the regulation of this hazardous occupation may reduce the burden of musculoskeletal disorders in millers.