Pub Date : 2021-01-01DOI: 10.12799/jkachn.2021.32.2.220
Gyeong Hye Kang, N. Je
Purpose: This study is a pseudo-experimental study of design before and after the non-equivalent control group, which was attempted to verify that the application of the ukulele to the elderly has the effects of reducing depression, improving self-efficacy, strengthening social bonding, and improving cognitive function. Methods: 46 (23 in the experimental group and 23 in the control group) participants were selected. The experimental group was provided with three sessions of a music program using eight Ukuleles for the elderly, while the control group was provided with three sessions for the elderly. IBM SPSS 25.0 was used for data analysis, and the independent t-test, x 2 -test, and Fisher's exact probability test were performed to verify the homogeneity of the subject's general characteristics. The effect verification after the experimental treatment was analyzed by Fisher's exact probability test, Friedman test, and Mann-Whitney U test. Results: Depression showed a statistically significant difference between the two groups (F=39.88, p < .001), self-efficacy showed a statistically significant difference between the two groups (z=-4.96, p < .001), social bonding showed a statistically significant difference between the two groups (z=-5.19, p < .001), and cognitive function showed a statistically significant difference between the two groups (z=-3.98, p < .001). Conclusion: It was found that the ‘ Music Program using the Ukulele ’ was effective in reducing depression of the elderly, improving self-efficacy, reinforcing social bonding, and improving cognitive function. We hope that the Music Program using the Ukulele can be used in the elderly nursing curriculum in the future, and we suggest it should be applied as a nursing intervention to those who are experiencing cognitive decline.
目的:本研究为非等效对照组前后设计的伪实验研究，试图验证尤克里里在老年人中应用具有减少抑郁、提高自我效能、加强社会联系、改善认知功能的效果。方法:选取46例受试者，其中实验组23例，对照组23例。实验组为老年人提供了三次使用八根尤克里里琴的音乐节目，对照组为老年人提供了三次。采用IBM SPSS 25.0进行数据分析，采用独立t检验、x 2检验和Fisher精确概率检验验证被试一般特征的均匀性。实验处理后的效果验证采用Fisher精确概率检验、Friedman检验和Mann-Whitney U检验进行分析。结果:两组患者在抑郁方面差异有统计学意义(F=39.88, p < 0.001)，在自我效能方面差异有统计学意义(z=-4.96, p < 0.001)，在社会关系方面差异有统计学意义(z=-5.19, p < 0.001)，在认知功能方面差异有统计学意义(z=-3.98, p < 0.001)。结论:“尤克里里音乐节目”在减轻老年人抑郁、提高自我效能感、加强社会联系、改善认知功能等方面具有较好的效果。我们希望在未来的老年护理课程中可以使用尤克里里琴的音乐课程，并建议将其作为认知能力下降的护理干预。
{"title":"Music Program Development Using the Ukulele in Community-dwelling Old Adults and Its Effect","authors":"Gyeong Hye Kang, N. Je","doi":"10.12799/jkachn.2021.32.2.220","DOIUrl":"https://doi.org/10.12799/jkachn.2021.32.2.220","url":null,"abstract":"Purpose: This study is a pseudo-experimental study of design before and after the non-equivalent control group, which was attempted to verify that the application of the ukulele to the elderly has the effects of reducing depression, improving self-efficacy, strengthening social bonding, and improving cognitive function. Methods: 46 (23 in the experimental group and 23 in the control group) participants were selected. The experimental group was provided with three sessions of a music program using eight Ukuleles for the elderly, while the control group was provided with three sessions for the elderly. IBM SPSS 25.0 was used for data analysis, and the independent t-test, x 2 -test, and Fisher's exact probability test were performed to verify the homogeneity of the subject's general characteristics. The effect verification after the experimental treatment was analyzed by Fisher's exact probability test, Friedman test, and Mann-Whitney U test. Results: Depression showed a statistically significant difference between the two groups (F=39.88, p < .001), self-efficacy showed a statistically significant difference between the two groups (z=-4.96, p < .001), social bonding showed a statistically significant difference between the two groups (z=-5.19, p < .001), and cognitive function showed a statistically significant difference between the two groups (z=-3.98, p < .001). Conclusion: It was found that the ‘ Music Program using the Ukulele ’ was effective in reducing depression of the elderly, improving self-efficacy, reinforcing social bonding, and improving cognitive function. We hope that the Music Program using the Ukulele can be used in the elderly nursing curriculum in the future, and we suggest it should be applied as a nursing intervention to those who are experiencing cognitive decline.","PeriodicalId":37541,"journal":{"name":"Journal of Korean Academy of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66131810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.12799/jkachn.2021.32.4.540
Ae-Ja Kim, J. Kim, Kyungmi Woo
Purpose: Most of the currently used concepts and measurements of social support have been relevant for general population. The main purpose of this study is to conduct the concept analysis of perceived social support(PSS) of family caregivers for people with dementia. Methods: This study adopted the Walker and Avant concept analysis methodology. Results: Findings from this concept analysis suggested four defining attributes of PSS of family caregivers for people with dementia: 1) PSS is help or assistance that family caregivers perceive as available when needed; 2) PSS is offered through socio-ecological structure; 3) PSS has a specific function to meet the needs of family caregivers; and 4) PSS includes quality aspects where family caregivers choose, use, or evaluate it. Borrowing from the socio-ecological model, this study proposed the structural aspects of PSS. This study also identified functional aspects of PSS, such as emotional support, informational support, appraisal support, and practical support. Finally, this study assessed quality aspects of PSS, such as satisfaction, timeliness, usefulness, accessibility, and coordination. Conclusion: Focusing on family caregivers for people with dementia, we proposed a new model of PSS. The present study helped refine and clarify the concept of PSS of family caregivers for people with dementia. The results of this study may also contribute to promoting the development of more effective instruments for the concept.
{"title":"Perceived Social Support of Family Caregivers for People with Dementia: Concept Analysis","authors":"Ae-Ja Kim, J. Kim, Kyungmi Woo","doi":"10.12799/jkachn.2021.32.4.540","DOIUrl":"https://doi.org/10.12799/jkachn.2021.32.4.540","url":null,"abstract":"Purpose: Most of the currently used concepts and measurements of social support have been relevant for general population. The main purpose of this study is to conduct the concept analysis of perceived social support(PSS) of family caregivers for people with dementia. Methods: This study adopted the Walker and Avant concept analysis methodology. Results: Findings from this concept analysis suggested four defining attributes of PSS of family caregivers for people with dementia: 1) PSS is help or assistance that family caregivers perceive as available when needed; 2) PSS is offered through socio-ecological structure; 3) PSS has a specific function to meet the needs of family caregivers; and 4) PSS includes quality aspects where family caregivers choose, use, or evaluate it. Borrowing from the socio-ecological model, this study proposed the structural aspects of PSS. This study also identified functional aspects of PSS, such as emotional support, informational support, appraisal support, and practical support. Finally, this study assessed quality aspects of PSS, such as satisfaction, timeliness, usefulness, accessibility, and coordination. Conclusion: Focusing on family caregivers for people with dementia, we proposed a new model of PSS. The present study helped refine and clarify the concept of PSS of family caregivers for people with dementia. The results of this study may also contribute to promoting the development of more effective instruments for the concept.","PeriodicalId":37541,"journal":{"name":"Journal of Korean Academy of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66132647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.12799/jkachn.2021.32.2.140
J. Ra, S. Kim
{"title":"Factors Associated with the Weight Bias Internalization of the Girls in Early Adolescence","authors":"J. Ra, S. Kim","doi":"10.12799/jkachn.2021.32.2.140","DOIUrl":"https://doi.org/10.12799/jkachn.2021.32.2.140","url":null,"abstract":"","PeriodicalId":37541,"journal":{"name":"Journal of Korean Academy of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66131329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.12799/jkachn.2021.32.2.195
Eun-hee Kang, Eun-Hyun Lee
{"title":"Updated Theory of Planned Behavior in Predicting Parents' Intentions to Vaccinate Their Sons in Elementary School against Human Papillomavirus","authors":"Eun-hee Kang, Eun-Hyun Lee","doi":"10.12799/jkachn.2021.32.2.195","DOIUrl":"https://doi.org/10.12799/jkachn.2021.32.2.195","url":null,"abstract":"","PeriodicalId":37541,"journal":{"name":"Journal of Korean Academy of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66131856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.12799/jkachn.2021.32.4.430
Youlim Kim, Hyeonkyeong Lee, Hyeyeon Lee, Mikyung Lee, Sookyung Kim, K. Konlan
Purpose: This study is an integrated literature review to analyze health problems and social determinants of multicultural adolescents in South Korea. Methods: An integrative review was conducted according to Whittemore & Knafl ’ s guideline. An electronic search that included publications from 2018 to 2020 in the PubMed, EMBASE, Cochrane Library, CINAHL, RISS, and KISS databases was conducted. Of a total of 67 records that were identified, 13 finally met full inclusion criteria. Text network analysis was also conducted to identify keywords network trends using NetMiner program. Results: The health problems of multicultural adolescents were classified into mental health (depression, anxiety, suicide and acculturative stress) and health risk behaviors (smoking, risky drinking, smartphone dependence and sexual behavior). As social determinants affecting the health of multicultural adolescents, the biological factors such as gender, age, and visible minority, and the psychological factors such as acculturative stress, self-esteem, family support, and ego-resiliency were identified. The sociocultural factors were identified as family economic status, residential area, parental education level, and parents' country of birth. As a result of text network analysis, a total of 41 words were identified. Conclusion: Based on these results, mental health and health risk behaviors should be considered as interventions for health promotion of multicultural adolescents. Our findings suggest that further research should be conducted to broaden the scope of health determinants to account for the effects of the physical environment and health care system.
{"title":"Social Determinants of Health of Multicultural Adolescents in South Korea: An Integrated Literature Review (2018~2020)","authors":"Youlim Kim, Hyeonkyeong Lee, Hyeyeon Lee, Mikyung Lee, Sookyung Kim, K. Konlan","doi":"10.12799/jkachn.2021.32.4.430","DOIUrl":"https://doi.org/10.12799/jkachn.2021.32.4.430","url":null,"abstract":"Purpose: This study is an integrated literature review to analyze health problems and social determinants of multicultural adolescents in South Korea. Methods: An integrative review was conducted according to Whittemore & Knafl ’ s guideline. An electronic search that included publications from 2018 to 2020 in the PubMed, EMBASE, Cochrane Library, CINAHL, RISS, and KISS databases was conducted. Of a total of 67 records that were identified, 13 finally met full inclusion criteria. Text network analysis was also conducted to identify keywords network trends using NetMiner program. Results: The health problems of multicultural adolescents were classified into mental health (depression, anxiety, suicide and acculturative stress) and health risk behaviors (smoking, risky drinking, smartphone dependence and sexual behavior). As social determinants affecting the health of multicultural adolescents, the biological factors such as gender, age, and visible minority, and the psychological factors such as acculturative stress, self-esteem, family support, and ego-resiliency were identified. The sociocultural factors were identified as family economic status, residential area, parental education level, and parents' country of birth. As a result of text network analysis, a total of 41 words were identified. Conclusion: Based on these results, mental health and health risk behaviors should be considered as interventions for health promotion of multicultural adolescents. Our findings suggest that further research should be conducted to broaden the scope of health determinants to account for the effects of the physical environment and health care system.","PeriodicalId":37541,"journal":{"name":"Journal of Korean Academy of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66132570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.12799/jkachn.2021.32.4.529
Gwijin Lee, Jinhwa Lee, Bokim Lee
{"title":"The Relationship between Parenting Stress and Health Promotion Behavior of Working Women: Mediating Effect of Supporting Resources","authors":"Gwijin Lee, Jinhwa Lee, Bokim Lee","doi":"10.12799/jkachn.2021.32.4.529","DOIUrl":"https://doi.org/10.12799/jkachn.2021.32.4.529","url":null,"abstract":"","PeriodicalId":37541,"journal":{"name":"Journal of Korean Academy of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66132359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.12799/jkachn.2021.32.4.506
Jiyoung Chun
Purpose: The purpose of this study was to explore the health management experience of Vietnamese Married Immigrant Women living in the city. Methods: The study participants were 11 Vietnamese immigrant women residing in the urban area who felt bad about their health. Data collection was conducted in depth through individual interviews, and the collected data were analyzed through Strauss & Corbin data analysis. Results: The core category was “ health is not a necessity but a choice in a strange land called Korea ” . The contextual conditions were, “ The hard thing-exposing “ myself ” to the world ” , and “ Hurts hidden, to be away from people ’ s eyes ” . For the causal condition, the categories of “ Unfamiliar life to live alone ” , “ Unfamiliar life different from expectation ” , and “ Symptoms of body suddenly suffering alone ” , were derived. Through action-interaction, the immigrant women revealed that in their Korean social-structural context, they tended to follow “ Health pushed away in turbulent life ” . The intervening conditions were “ a person who is able to help me ” , “ places that can give a helping hand nearby ” , and “ Vietnamese women ’ s grit ” . A Vietnamese married immigrant woman had her own “ Health in the chain with life ” . As a result, they gained “ Health, which is a top priority in life ” or “ Health oppressed by the weight of life ” . Conclusion: This study enhanced the understanding of the healthcare process of Vietnamese married immigrant women living in urban areas.
{"title":"The Health Management Experience of Vietnamese Married Immigrant Women Living in the City","authors":"Jiyoung Chun","doi":"10.12799/jkachn.2021.32.4.506","DOIUrl":"https://doi.org/10.12799/jkachn.2021.32.4.506","url":null,"abstract":"Purpose: The purpose of this study was to explore the health management experience of Vietnamese Married Immigrant Women living in the city. Methods: The study participants were 11 Vietnamese immigrant women residing in the urban area who felt bad about their health. Data collection was conducted in depth through individual interviews, and the collected data were analyzed through Strauss & Corbin data analysis. Results: The core category was “ health is not a necessity but a choice in a strange land called Korea ” . The contextual conditions were, “ The hard thing-exposing “ myself ” to the world ” , and “ Hurts hidden, to be away from people ’ s eyes ” . For the causal condition, the categories of “ Unfamiliar life to live alone ” , “ Unfamiliar life different from expectation ” , and “ Symptoms of body suddenly suffering alone ” , were derived. Through action-interaction, the immigrant women revealed that in their Korean social-structural context, they tended to follow “ Health pushed away in turbulent life ” . The intervening conditions were “ a person who is able to help me ” , “ places that can give a helping hand nearby ” , and “ Vietnamese women ’ s grit ” . A Vietnamese married immigrant woman had her own “ Health in the chain with life ” . As a result, they gained “ Health, which is a top priority in life ” or “ Health oppressed by the weight of life ” . Conclusion: This study enhanced the understanding of the healthcare process of Vietnamese married immigrant women living in urban areas.","PeriodicalId":37541,"journal":{"name":"Journal of Korean Academy of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66132285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.12799/jkachn.2021.32.2.205
Juna Lee, J. Yoon
{"title":"Concept Analysis of Parents' Treatment Adherence for an Epileptic Child or Adolescent","authors":"Juna Lee, J. Yoon","doi":"10.12799/jkachn.2021.32.2.205","DOIUrl":"https://doi.org/10.12799/jkachn.2021.32.2.205","url":null,"abstract":"","PeriodicalId":37541,"journal":{"name":"Journal of Korean Academy of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66131906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-01DOI: 10.12799/JKACHN.2020.31.S.577
Y. Chin, Chunmi Kim, I. Park, Song-Yi Han
Purpose: The purpose of this study was to find out the suicidal ideation rate of the elderly including individual and regional factors by sex. Methods: This is secondary analysis study that combines the data of the 2017 Community Health Survey with the e-indicator data set of the National Statistical Office, and a descriptive correlation study. Statistical analysis used hierarchical logistic regression by SAS 9.4. Results: The 11.5% of the elderly had suicidal ideation within the last year, and 18.4% in Chungnam is the highest. Individual characteristics include females, older people, lower education levels, no job or housewife, no spouse, less than seven hours of sleep per day on the average, low subjective health, high subjective stress, and the worse their economic conditions, the more they had suicide ideation. Considering regional characteristics, suicidal ideation tended to increase significantly as the number of hospital beds per 1,000 people and the rate of obesity was lower, the rate of stress perception was higher, and the odds value was small. When both individual and regional factors were considered, the model conformity of the suicidal ideation improved (ICC=0.0814). Conclusion: In order to lower the suicidal rate of the elderly, it seems that both individual and community factors need to be comprehensively approached from the stage of suicidal ideation in the community.
{"title":"The Relationship between the Prevalence of Suicidal Ideation among Older Adults and Individual · Regional Factors","authors":"Y. Chin, Chunmi Kim, I. Park, Song-Yi Han","doi":"10.12799/JKACHN.2020.31.S.577","DOIUrl":"https://doi.org/10.12799/JKACHN.2020.31.S.577","url":null,"abstract":"Purpose: The purpose of this study was to find out the suicidal ideation rate of the elderly including individual and regional factors by sex. Methods: This is secondary analysis study that combines the data of the 2017 Community Health Survey with the e-indicator data set of the National Statistical Office, and a descriptive correlation study. Statistical analysis used hierarchical logistic regression by SAS 9.4. Results: The 11.5% of the elderly had suicidal ideation within the last year, and 18.4% in Chungnam is the highest. Individual characteristics include females, older people, lower education levels, no job or housewife, no spouse, less than seven hours of sleep per day on the average, low subjective health, high subjective stress, and the worse their economic conditions, the more they had suicide ideation. Considering regional characteristics, suicidal ideation tended to increase significantly as the number of hospital beds per 1,000 people and the rate of obesity was lower, the rate of stress perception was higher, and the odds value was small. When both individual and regional factors were considered, the model conformity of the suicidal ideation improved (ICC=0.0814). Conclusion: In order to lower the suicidal rate of the elderly, it seems that both individual and community factors need to be comprehensively approached from the stage of suicidal ideation in the community.","PeriodicalId":37541,"journal":{"name":"Journal of Korean Academy of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46395993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-01DOI: 10.12799/JKACHN.2020.31.S.525
Bohyun Park, E. Tarlov, C. Park
Purpose: Workers in special employment relationship (WSERs) are workers in nonstandard employment arrangements who lack worker protection accorded in standard employment arrangements. This study aimed to describe self-rated health (SRH) and depressive symptoms (DS) among Korean WSERs in comparison to regular wage workers (RWW) and identify associations between working conditions and those outcomes. Methods: In this study, secondary data analysis using the 5th Korean Working Conditions Survey was used. The sample totaled 29,120, including 1,538 WSERs and 27,564 RWWs. Sociodemographic and work-related characteristics were employed as explanatory variables and SRH and DS as dependent variables. Using multiple logistic regression, the determinants of fair/poor SRH and DS were identified. Results: The prevalence rates for fair/poor SRH and DS in WSERs were 25.2% and 28.3%, respectively, and 20.7% and 25.0% in RWWs, respectively. Compared to RWWs, WSERs had 31% (aOR=1.31, 95% CI=1.14~1.49) and 20% (aOR=1.20, 95% CI=1.06~1.36) higher odds of SRH and DS, respectively. Some factors, such as a lack of rest guarantee and sickness presenteeism, had a larger influence in the WSER than in the RWW group. Conclusion: Compared to RWWs, WSERs reported having poorer working conditions and were more likely to report poor general and mental health. Therefore, in Korea, public health policymakers should consider measures to protect the working conditions and health of WSERs, a growing segment of the working population. The study produced new epidemiological evidence regarding the relationships between employment arrangements and health.
{"title":"Is Nonstandard Employment Hazardous to Workers' Health Status? A Focus on Special Employment in South Korea","authors":"Bohyun Park, E. Tarlov, C. Park","doi":"10.12799/JKACHN.2020.31.S.525","DOIUrl":"https://doi.org/10.12799/JKACHN.2020.31.S.525","url":null,"abstract":"Purpose: Workers in special employment relationship (WSERs) are workers in nonstandard employment arrangements who lack worker protection accorded in standard employment arrangements. This study aimed to describe self-rated health (SRH) and depressive symptoms (DS) among Korean WSERs in comparison to regular wage workers (RWW) and identify associations between working conditions and those outcomes. Methods: In this study, secondary data analysis using the 5th Korean Working Conditions Survey was used. The sample totaled 29,120, including 1,538 WSERs and 27,564 RWWs. Sociodemographic and work-related characteristics were employed as explanatory variables and SRH and DS as dependent variables. Using multiple logistic regression, the determinants of fair/poor SRH and DS were identified. Results: The prevalence rates for fair/poor SRH and DS in WSERs were 25.2% and 28.3%, respectively, and 20.7% and 25.0% in RWWs, respectively. Compared to RWWs, WSERs had 31% (aOR=1.31, 95% CI=1.14~1.49) and 20% (aOR=1.20, 95% CI=1.06~1.36) higher odds of SRH and DS, respectively. Some factors, such as a lack of rest guarantee and sickness presenteeism, had a larger influence in the WSER than in the RWW group. Conclusion: Compared to RWWs, WSERs reported having poorer working conditions and were more likely to report poor general and mental health. Therefore, in Korea, public health policymakers should consider measures to protect the working conditions and health of WSERs, a growing segment of the working population. The study produced new epidemiological evidence regarding the relationships between employment arrangements and health.","PeriodicalId":37541,"journal":{"name":"Journal of Korean Academy of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41557872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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