Absence and Early Leave Status due to Job Stress and its Relationship to Job Stress Factors According to the Korean Occupational Stress Scale among Workers in Small and Medium Scale Industry

중소규모 사업장 근로자의 직무스트레스로 인한 결근, 조퇴 현황과 한국형직무스트레스 하부요인과의 관련성

Kim, Jeong-Hoon;Park, Shin-Goo;Kim, Dong-Hyun;Kim, Hwan-Cheol;Leem, Jong-Han;Lee, Eui-Cheol;Lee, Dong-Hoon;Lee, Ji-Young
김정훈;박신구;김동현;김환철;임종한;이의철;이동훈;이지영

  • Published : 20090600

Abstract

Objective: The aim of this study was to examine the actual conditions of absence and early leave due to job stress of 4,350 workers in 83 small and medium scale industries, and its relationship to job stress factors using Korean Occupational Stress Scale-Short Form (KOSS-SF). Methods: A structured self-reported questionnaire was used to assess each respondent's sociodemographics, job stress, experience of absence and early leave due to job stress. Seven KOSS-SF domains of job stress were used. We estimated the relation of absence and early leave due to job stress and job stress factors using logistic regression analyses. Results: Absence or early leave due to job stress occurred in 7% of male workers and 8% of female workers. Multiple regression analysis revealed a significantly positive association job stress-related absence/early leave and job demand, interpersonal conflict, organizational system, lack of rewards and occupational climate. Conclusions: Absence and early leave due to job stress is significantly attributed to organizational system and lack of reward for men, and occupational climate and organizational system for women.

목적: 중소규모 사업장 근로자들의 직무 스트레스로 인한 결근, 조퇴의 현황과 한국형 직무 스트레스 하부 요인과의 관련성을 알아보고자 하였다. 방법: 중소규모 사업장 83곳 근로자들에 대해 한국형 직무스트레스요인 평가도구-단축형(KOSS-SF)과 사회일반적 특성, 직업적 특성 및 직무스트레스로 인한 결근이나 조퇴 경험여부 등을 묻는 구조화된 자가 기입식 설문을 실시하였고, 응답한 4,350명에 대해 최종 분석을 시행하였다. 직무스트레스로 인한 결근, 조퇴와 한국형 직무스트레스 하부 요인들과의 관련성을 확인하기 위하여 로지스틱 회귀분석을 시행 하였다. 결과: 직무 스트레스로 인한 결근, 조퇴를 한 근로자는 남자에서 7%(196명), 여자에서 8%(113명) 로 조사되었고 한국형 직무 스트레스 하부요인과의 관련성에서는 남, 여 모두 직무요구, 관계갈등, 조직체계, 보상부적절, 직장문화 영역의 스트레스가 높은 군에서 통계적으로 의미있게 직무스트레스로 인한 결근, 조퇴율이 증가하였다. 결론: 중소규모 사업장 근로자들의 직무 스트레스로 인한 결근, 조퇴와 한국형 직무 스트레스 하부요인과의 관련성은 남자에서는 조직체계 영역이 가장 높았고, 여자는 직장문화 영역에서 가장 높은 관련성을 보였다.

Keywords

References

  1. Ramirez AJ, Graham J, Richards MA, Cull A, Gregory WM. Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet 1996;347(9003):724-8 https://doi.org/10.1016/S0140-6736(96)90077-X
  2. Chandola T, Siegrist J, Marmot M. Do changes in effortreward imbalance at work contribute to an explanation of the social gradient in angina? Occup Environ Med 2005;62(4):223-30 https://doi.org/10.1136/oem.2004.016675
  3. Ariens GAM, Bongers PM, Hoogendoorn WE, van der Wal G, van Mechelen W. High physical and psychosocial load at work and sickness absence due to neck pain. Scand J Work Environ Health 2002;28(4):222-31 https://doi.org/10.5271/sjweh.669
  4. Hoogendoorn WE, Bongers PM, de Vet HCW, Ariens GAM, van Mechelen W, Bouter LM. High physical work load and low job satisfaction increase the risk of sickness absence due to low back pain: results of a prospective cohort study. Occup Environ Med 2002;59(5):323-8 https://doi.org/10.1136/oem.59.5.323
  5. Henderson M, Glozier N, Holland Elliott K. Long term sickness absence. BMJ 2005;330(7495):802-3 https://doi.org/10.1136/bmj.330.7495.802
  6. Kearns J. Stress at Work: The Challenge of Change. In: BUPA Series The Management of Health. BUPA. London 1986. pp 79-87
  7. Voss M, Floderus B, Diderichsen F. Physical, psychosocial, and organisational factors relative to sickness absence: a study based on Sweden Post. Occup Environ Med 2001;58(3):178-84 https://doi.org/10.1136/oem.58.3.178
  8. Virtanen M, Vahtera J, Pentti J, Honkonen T, Elovainio M, Kivimaki M. Job strain and psychologic distress: influence on sickness absence among finnish employees. Am J Prev Med 2007;33(3):182-7 https://doi.org/10.1016/j.amepre.2007.05.003
  9. Vahtera J, Kivimaki M, Pentti J, Theorell T. Effect of change in the psychosocial work environment on sickness absence: a seven year follow up of initially healthy employees. J Epidemiol Community Health 2000;54(7):484-93 https://doi.org/10.1136/jech.54.7.484
  10. Stansfeld S, Feeney A, Head J, Canner R, North F, Marmot M. Sickness absence for psychiatric illness: the Whitehall II study. Soc Sci Med 1995;40(2):189-97 https://doi.org/10.1016/0277-9536(94)E0064-Y
  11. Rael EG, Stansfeld SA, Shipley M, Head J, Feeney A, Marmot M. Sickness absence in the Whitehall II study, London: the role of social support and material problems. J Epidemiol Community Health 1995;49(5):474-81 https://doi.org/10.1136/jech.49.5.474
  12. Morikawa Y, Martikainen P, Head J, Marmot M, Ishizaki M, Nakagawa H. A comparison of socio-economic differences in long-term sickness absence in a Japanese cohort and a British cohort of employed men. Eur J Public Health 2004;14(4):413-6 https://doi.org/10.1093/eurpub/14.4.413
  13. Merete L, Karl BC, Thomas L, Martin Lindhardt N, Finn D. Multilevel analysis of workplace and individual risk factors for long-term sickness absence. J Occup Environ Med 2006;48(9):923-9 https://doi.org/10.1097/01.jom.0000229783.04721.d2
  14. Lund T, Labriola M, Christensen KB, Bultmann U, Villadsen E. Physical work environment risk factors for long term sickness absence: prospective findings among a cohort of 5357 employees in Denmark. BMJ 2006;332(7539):449-52 https://doi.org/10.1136/bmj.38731.622975.3A
  15. Kivimaki M, Elovainio M, Vahtera J. Workplace bullying and sickness absence in hospital staff. Occup Environ Med 2000;57(10):656-60 https://doi.org/10.1136/oem.57.10.656
  16. Karasek RA. Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Q 1979;24(2):285-308 https://doi.org/10.2307/2392498
  17. Moreau M, Valente F, Mak R, Pelfrene E, de Smet P, De Backer G, Kornitzer M. Occupational stress and incidence of sick leave in the Belgian workforce: the Belstress study. J Epidemiol Community Health 2004;58(6):507-16 https://doi.org/10.1136/jech.2003.007518
  18. Gimeno D, Benavides FG, Amick BC, Benach J, Martinez JM. Psychosocial factors and work related sickness absence among permanent and non-permanent employees. J Epidemiol Community Health 2004;58(10):870-6 https://doi.org/10.1136/jech.2003.016634
  19. Smulders PGW, Nijhuis FJN. The job demands-job control model and absence behaviour: results of a 3-year longitudinal study. Work Stress 1999;13(2):115-31 https://doi.org/10.1080/026783799296093
  20. Virtanen M, Kivimaki M, Elovainio M, Vahtera J. Selection from fixed term to permanent employment: prospective study on health, job satisfaction, and behavioural risks. J Epidemiol Community Health 2002;56(9):693-9 https://doi.org/10.1136/jech.56.9.693
  21. Aronsson G, Gustafsson K, Dallner M. Sick but yet at work. An empirical study of sickness presenteeism. J Epidemiol Community Health 2000;54(7):502-9 https://doi.org/10.1136/jech.54.7.502
  22. Chang SJ, Koh SB, Kang D, Kim SA, Chung JJ, Lee CG, Kang MG, Hyun SJ, Cho JJ, Cha BS. Fatigue as a predictor of medical utilization, occupational accident and sickness absence. Korean J Occup Environ Med 2005;17(4):318-332.(Korean)
  23. Ala-Mursula L, Vahtera J, Linna A, Pentti J, Kivimaki M. Employee worktime control moderates the effects of job strain and effort-reward imbalance on sickness absence: the 10-town study. J Epidemiol Community Health 2005;59(10):851-7 https://doi.org/10.1136/jech.2004.030924
  24. Cha BS, Koh SB, Chang SJ, Choi HR, Kim HS. Effects of job strains on absenteeism from work. Korean J Prev Med 1999;32(4):505-12.(Korean)
  25. Kondo K, Kobayashi Y, Hirokawa K, Tsutsumi A, Kobayashi F, Haratani T, Araki S, Kawakami N. Job strain and sick leave among Japanese employees: a longitudinal study. Int Arch Occup Environ Health 2006;79(3):213-9 https://doi.org/10.1007/s00420-005-0027-x
  26. Seward J. Occupational Stress. In: Ladou J(eds) Occupational and Environmental Medicine. Appleton and Lange. New Jersey 1997. pp 585-601
  27. Janssen N, Kant I, Swaen GMH, Janssen PPM, Schroer CAP. Fatigue as a predictor of sickness absence: results from the Maastricht cohort study on fatigue at work. Occup Environ Med 2003;60(Suppl I):i71-6 https://doi.org/10.1136/oem.60.suppl_1.i71
  28. Voss M, Stark S, Alfredsson L, Vingard E, Josephson M. Comparisons of self-reported and register data on sickness absence among public employees in Sweden. Occup Environ Med 2008;65(1):61-7 https://doi.org/10.1136/oem.2006.031427
  29. Ferrie JE, Kivimaki M, Head J, Shipley MJ, Vahtera J, Marmot MG. A comparison of self-reported sickness absence with absences recorded in employers' registers: evidence from the Whitehall II study. Occup Environ Med 2005;62(2):74-9 https://doi.org/10.1136/oem.2004.013896