Relationship between Occupational Stress and Gastric Disease in Male Workers
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background: Physical and mental health of workers is threatened due to various events and chronic occupational stress. This study was conducted to investigate the relationship between occupational stress and gastric disease in male workers of the shipbuilding industry. Methods: Occupational stress measured among a total of 498 workers of a shipbuilding firm who visited the hospital for health examination using the Korean Occupational Stress Scale (KOSS)-short form, and the relationship between sociodemographic factors, health-related behaviors, occupational stress, and gastric disease, and the distribution of occupational stress by sociodemographic factors in the gastric disease group was examined. Results: There was no significant association between gastric disease and total occupational stress score and its seven sub-factors. The analysis showed that risk of gastric disease was significantly higher in the Q1 group in which the stress caused by occupational discomfort among seven sub-factors was lowest than that in the Q4 group (odds ratio, 2.819; 95%confidence interval, 1.151 to 6.908). Analysis only on the gastric disease group showed that the stress score of laborers was higher in the four sub-factors than that of office workers (P < 0.05). Analysis on educational background showed that the scores of the three sub-factors were lower in subjects who’s highest level of education was high school (P < 0.01). Conclusion: This study suggests that it is necessary to improve the culture of Korean collectivism in the workplace and to manage the occupational stress in the low-educated and laborers. It is recommended for future studies to confirm the causal relationship between occupational stress and gastric disease by large scale studies using a KOSS which appropriately reflects workplace culture.
Abstract
Background: Physical and mental health of workers is threatened due to various events and chronic occupational stress. This study was conducted to investigate the relationship between occupational stress and gastric disease in male workers of the shipbuilding industry. Methods: Occupational stress measured among a total of 498 workers of a shipbuilding firm who visited the hospital for health examination using the Korean Occupational Stress Scale (KOSS)-short form, and the relationship between sociodemographic factors, health-related behaviors, occupational stress, and gastric disease, and the distribution of occupational stress by sociodemographic factors in the gastric disease group was examined. Results: There was no significant association between gastric disease and total occupational stress score and its seven sub-factors. The analysis showed that risk of gastric disease was significantly higher in the Q1 group in which the stress caused by occupational discomfort among seven sub-factors was lowest than that in the Q4 group (odds ratio, 2.819; 95%confidence interval, 1.151 to 6.908). Analysis only on the gastric disease group showed that the stress score of laborers was higher in the four sub-factors than that of office workers (P < 0.05). Analysis on educational background showed that the scores of the three sub-factors were lower in subjects who’s highest level of education was high school (P < 0.01). Conclusion: This study suggests that it is necessary to improve the culture of Korean collectivism in the workplace and to manage the occupational stress in the low-educated and laborers. It is recommended for future studies to confirm the causal relationship between occupational stress and gastric disease by large scale studies using a KOSS which appropriately reflects workplace culture.
참고문헌 (25)
- The Korean Academy of Family Medicine, "Textbook of family medicine" (2007), Hankook Medicine Co.
- Alfthan G, "Relation of serum homocysteine and lipoprotein(a) concentrations to atherosclerotic disease in a prospective Finnish population based study", Atherosclerosis, 106, pp.9~19 (1994)
- Anda RF, "Self-perceived stress and the risk of peptic ulcer disease: a longitudinal study of US adults", Arch Intern Med, 152, pp.829~833 (1992)
- Paykel ES, "Life events and depression: a controlled study", Arch Gen Psychiatry, 21, pp.753~760 (1969)
- Thoits PA, "Dimensions of life events that influence psychological distress: an evaluation and synthesis of the literature, In Psychosocial stress: trends in theory and research", pp.33~103 (1983), Academic Press
- 전수현, "직장인에서 작업특성 및 직무스트레스가 건강행태에 미치는 영향", Korean Journal of Family Medicine, 31(6), pp.444~452 (2010), 대한가정의학회
- 장세진, "우리나라 직장인 스트레스의 역학적 특성", 예방의학회지, 38(1), pp.25~37 (2005), 대한예방의학회
- 조광희, "사무직 공무원의 스트레스 수준 밀 관련 요인", Annals of Occupational and Environmental Medicine, 19(1), pp.26~37 (2007), 대한직업환경의학회
- Langeluddecke P, "Psychological factors in dyspepsia of unknown cause: a comparison with peptic ulcer disease", J Psychosom Res, 34, pp.215~222 (1990)
- Alp MH, "Personality pattern and emotional stress in the genesis of gastric ulcer", Gut, 11, pp.773~777 (1970)
- Mirsky IA, "Etiology of duodenal ulcer. I. Relation of specific psychological characteristics to rate of gastric secretion (serum pepsinogen)", Psychosom Med, 19, pp.1~10 (1957)
- Levenstein S, "Stress and peptic ulcer: life beyond Helicobacter", BMJ, 316, pp.538~541 (1998)
- Jansson C, "Stressful psychosocial factors and symptoms of gastroesophageal reflux disease: a population-based study in Norway", Scand J Gastroenterol, 45, pp.21~29 (2010)
- Kim NY, "Distribution of upper gastroduodenal diseases in health check-up subjects in 2006", Korean J Helicobacter Up Gastrointest Res, 8, pp.1~8 (2008)
- Cho JJ, "Gastritis", J Korean Acad Fam Med, 23(11), pp.S66~S72 (2002)
- 장세진, "한국인 직무 스트레스 측정도구의 개발 및 표준화", Annals of Occupational and Environmental Medicine, 17(4), pp.297~317 (2005), 대한직업환경의학회
- 차경태, "사무직 근로자들의 직무 스트레스와 피로", Annals of Occupational and Environmental Medicine, 20(3), pp.182~192 (2008), 대한직업환경의학회
- Occupational Safety and Health Research Institute, "Evaluation of the accuracy and reliability of KOSS" (2005), Occupational Safety and Health Research Institute
- Choi KH, "Prevalence of Helicobacter pylori infection among Korean adults in Pusan", Korean J Gastroenterol, 28, pp.758~763 (1996)
- Stemmermann GN, "Relative impact of smoking and reduced pulmonary function on peptic ulcer risk: a prospective study of Japanese men in Hawaii", Gastroenterology, 96, pp.1419~1424 (1989)
- Kurata JH, "Meta-analysis of risk factors for peptic ulcer: nonsteroidal antiinflammatory drugs, Helicobacter pylori, and smoking", J Clin Gastroenterol, 24, pp.2~17 (1997)
- Moon JI, "Comparison of stressful life events among peptic ulcer, not ulcer dyspepsia and control groups", J Korean Acad Fam Med, 20, pp.804~811 (1999)
- Hur SO, "The assessment of stress between white and blue collar workers by using psychosocial well-being index", Korean J Prev Med, 29, pp.609~616 (1996)
- Cha BS, "Social support and phychosocial distress among white-collar workers", Korean J Prev Med, 25, pp.429~447 (1992)
- Sakong J, "The effects of job stress on psychosomatic strain and gastrointestinal symptom", Korean J Occup Environ Med, 9, pp.530~542 (1997)
