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Relationship between Changes in the Working Condition due to COVID-19 and Unmet Medical Needs: Results from the 2021 Korean Community Health Survey

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초록

The purpose of this study was to identify the association between changes in the working condition due to COVID-19 and Unmet Medical Needs (UMN) for those aged 19 or older in South Korea. In this study, the 2021 Korea Community Health Survey was used to analyze 127,520 participants excluding missing values. Chi-square, logistic regression were used to investigate the association between changes in the working condition due to COVID-19 and UMN. ‘Negative change than before’ group had higher odds of UMN than ‘unchanged from before’ group (AOR: 1.552, 95% CI: 1.457-1.653). after stratified analysis by sex, age, income and type of occupation, Female, under 49 years, high income and blue collar groups had a strong association between positive/negative changes in the working condition due to COVID-19 and UMN. However, among the Male, over 50 years, low income and white collar group, negative changes group had an association between relationship. As a result of the study, it was found that negative change in the working condition due to COVID-19 had a higher rate of UMN than unchanged group. However, among the Female, under 49 years, high income, the experience rate of UMN was higher in the positive/negative change in the working condition. Based on these research findings, it is anticipated that by identifying groups experiencing decreased access to healthcare due to changes in the employment market, highlighted as a major social issue during the pandemic period, and further providing policy evidence to address UMN that can be prevented through adequate access to medical services, such as severe illnesses and deaths, it will be possible to reduce healthcare inequalities.

Abstract

The purpose of this study was to identify the association between changes in the working condition due to COVID-19 and Unmet Medical Needs (UMN) for those aged 19 or older in South Korea. In this study, the 2021 Korea Community Health Survey was used to analyze 127,520 participants excluding missing values. Chi-square, logistic regression were used to investigate the association between changes in the working condition due to COVID-19 and UMN. ‘Negative change than before’ group had higher odds of UMN than ‘unchanged from before’ group (AOR: 1.552, 95% CI: 1.457-1.653). after stratified analysis by sex, age, income and type of occupation, Female, under 49 years, high income and blue collar groups had a strong association between positive/negative changes in the working condition due to COVID-19 and UMN. However, among the Male, over 50 years, low income and white collar group, negative changes group had an association between relationship. As a result of the study, it was found that negative change in the working condition due to COVID-19 had a higher rate of UMN than unchanged group. However, among the Female, under 49 years, high income, the experience rate of UMN was higher in the positive/negative change in the working condition. Based on these research findings, it is anticipated that by identifying groups experiencing decreased access to healthcare due to changes in the employment market, highlighted as a major social issue during the pandemic period, and further providing policy evidence to address UMN that can be prevented through adequate access to medical services, such as severe illnesses and deaths, it will be possible to reduce healthcare inequalities.

참고문헌 (28)

  1. Arnault, L., "Economic vulnerability and unmet healthcare needs among the population aged 50+ years during the COVID-19 pandemic in Europe", European Journal of Ageing, 19(4), pp.811~825 (2022)
  2. Arora, A. S., "qCurrent perspective of COVID-19 spread across South Korea: Exploratory data analysis and containment of the pandemic", Environment, Development and Sustainability, 23(5), pp.6553~6563 (2021)
  3. Bunce, D., "Changing work environments : Innovative coping responses to occupational stress", Work & Stress, 8(4), pp.319~331 (1994)
  4. Byun, G. S., "The Impact of Employment Instability on Mental Health : The Case of South Korea", Health and Social Welfare Review, 38(3), pp.129~160 (2018)
  5. Choi, J. W., "The Effect of Employment Status on the Unmet Needs of Medical Utilization in Workers", The Korean Journal of Health Service Management, 12(4), pp.31~41 (2018)
  6. Hopkin, T. J., "Sedentary behavior of white collar office workers-review", EC Nutrition, 3(6), pp.726~736 (2016)
  7. Huh, S. I., "Unmet needs for health care among Korean adults : differences across age groups", The Korean Journal of Health Economics and Policy, 13(2), pp.1~16 (2007)
  8. Changes in the employment structure and income gap before and after COVID-19:Analysis using Quarterly Data of KLIPS, "Hwang, S. K.", ~, pp.KDI Policy Study 6 (2022)
  9. Jung, B., "Determining the reasons for unmet healthcare needs in South Korea : a secondary data analysis", Health and Quality of Life Outcomes, 19, pp.1~17 (2021)
  10. Jung, H. W., "Effect of experience of catastrophic health expenditure on Unmet medical need caused by economic reason", The Korean Journal of Health Economics and Policy, 23(1), pp.27~51 (2017)
  11. Kim, J., "Factors influencing unmet need for health care services in Korea", Asia Pacific Journal of Public Health, 27(2), pp.NP2555~NP2569 (2015)
  12. Kim, J., "Impact of the COVID-19 pandemic on unmet healthcare needs in Seoul, South Korea: A cross-sectional study", BMJ open, 11(8), pp.e045845~ (2021)
  13. Kim, S. J., "Financial burden of health care expenditures and unmet needs by socioeconomic status", The Korean Journal of Health Economics and Policy, 30(1), pp.47~70 (2011)
  14. Kim, Y. R., "The work and lives of dependent self-employed workers in the COVID-19 pandemic : focusing on the differences in employment type", Health and Social Welfare Review, 43(1), pp.30~49 (2023)
  15. Korea Disease Control and Prevention Agency, "Annual rate of unmet medical needs", ~ (2021)
  16. Kwon, E. J., "Factors with changes of cetabolic cbnormalities among general population in COVID-19 Pandemic", Korean Journal of Health Promotion, 23(2), pp.55~64 (2023)
  17. A Study on the effect of the Infectious disease disaster on the mental health due to COVID-19, "Lee, E. H.", Gyeonggi Research Institute, 1~135 (2021)
  18. Lee, S. -Y., "Unmet healthcare needs depending on employment status", Health Policy, 119(7), pp.899~906 (2015)
  19. Lee, Y. J., "Is Income change due to COVID-19 Pandemic associated with unmet healthcare needs in S. Korea. using representative national community health survey of 2021", Korean Public Health Research, 49(2), pp.55~66 (2023)
  20. Lundin, A., "Unemployment and mortality : a longitudinal prospective study on selection and causation in 49321 Swedish middle-aged men", Journal of Epidemiology & Community Health, 64(1), pp.22~28 (2010)
  21. Min, J., "The fourth industrial revolution and its impact on occupational health and safety, worker’s compensation and labor conditions", Safety and Health at Work, 10(4), pp.400~408 (2019)
  22. Muntaner, C., "Unemployment, informal work, precarious employment, child labor, slavery, and health inequalities : pathways and mechanisms", International Journal of Health Services, 40(2), pp.281~295 (2010)
  23. Nalbandian, A., "Post-COVID-19 condition", Annual Review of Medicine, 74(1), pp.55~64 (2023)
  24. Newacheck, P. W., "The unmet health needs of America’s children", Pediatrics, 105(4 Pt 2), pp.989~997 (2000)
  25. Shin, H. R., "The Influence of medical expenditure on unmet needs for health care : focused on the moderating effect of private health insurance", Journal of Regional Studies, 22(3), pp.25~48 (2014)
  26. Statistics Korea, "Employment Trends", ~ (2020)
  27. Statistics Korea, "Household Survey Data", ~ (2021)
  28. Woo, S. L., "Differences in unmet healthcare needs by employment status and gender", Health and Social Welfare Review, 40(1), pp.592~616 (2020)

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