Annals of Occupational and Environmental Medicine

The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
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Association Between Job-Stress and VDT Work, and Musculoskeletal Symptoms of Neck and Shoulder Among White-Collar Workers

사무직 근로자에서 직무스트레스 및 VDT작업과 목.어깨 근골격계 증상과의 관련성

Lee, Eui-Cheol;Kim, Hawn-Cheol;Jung, Dal-Young;Kim, Dong-Hyun;Leem, Jong-Han;Park, Shin-Goo
이의철;김환철;정달영;김동현;임종한;박신구

  • Published : 20070900
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Abstract

Objective: The purpose of this study was to evaluate and compare the association of job stress and working with video display terminal (VDT) to musculoskeletal symptoms of the neck-shoulder which were most common in white-collar workers. Methods: From 122 workplaces, 1,790 white-collar workers with no trauma, and no history of musculoskeletal disease were selected for the study. The questionnaire survey included general characteristics, work related characteristics, Job Content Questionnaire (JCQ) and musculoskeletal symptoms. Multiple logistic regression, adjusted for age, smoking status, drinking habit, housekeeping, work time, job tenure, and work-load change, were used to evaluate the effects of job stress and VDT-work on the symptoms. Results: The prevalence of neck-shoulder symptoms was overall 24.3% overall. The prevalence odds ratio of job demand (high/low) to neck-shoulder symptoms, adjusted for general and work-related factors, was 1.56 (95% confidence interval 1.12~2.17), and that of job strain (high strain/low strain) was 1.72 (1.07~2.79). However, VDT-work was not associated with neck-shoulder symptoms in the multiple logistic regression model. Conclusions: To prevent musculoskeletal disorders in white-collar workers, it is important to consider psychosocial factors such as job demand and job strain, as well as VDT-work.

목적: 사무직 근로자에서 호발하는 목·어깨 근골격계 증상과 VDT 작업 및 직무스트레스와의 관련성을 평가하고자 한다. 방법: 인천지역 122개 중소규모 사업장의 사무직 근로자 중 외상 및 과거 질환력이 없으며, 실제적인 업무내용이 사무직인 1790명을 연구대상으로 하였다. 설문조사는 일반적 특성, 업무관련 특성, 직무스트레스(JQC), 근골격계 증상을 포함하고 있다. 일반적 특성 및 작업관련 특성의 영향을 보정한 다중 로지스틱 회귀분석을 통해 직무 요구도 및 직무긴장과 VDT 작업의 근골격계 증상에 대한 영향을 비교하였다. 결과: 연구대상의 목·어깨 증상 유병률은 전체적으로 24.3%이었다. 일반적 특성 및 작업관련 특성을 보정한 다변량 분석에서 목·어깨 근골격계 증상에 대한 직무요구도의 유병률 교차비(high/low)는 1.56(95% confidence interval 1.12~2.17)이었으며, 직무긴장의 유병률 교차비(high strain/low strain)는 1.72(1.07-2.79)이었다. 그러나 집중적인 VDT 작업은 통계적으로 유의한 관련성을 보이지 않았다. 직무요구도와 직무긴장은 VDT 작업의 영향을 보정하고도 통계적으로 유의한 관련성이 있었다. 결론: VDT 작업자뿐만 아니라 VDT 작업을 하지 않는 일반 사무직 근로자 또한 근골격계질환 관리가 중요하며, 이를 위해서는 VDT 작업뿐만 아니라 직무스트레스 요인에 대한 관리가 중요하다.

Keywords

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