J Korean Med Sci.  2016 Feb;31(2):164-170. 10.3346/jkms.2016.31.2.164.

The Perceived Socioeconomic Status Is an Important Factor of Health Recovery for Victims of Occupational Accidents in Korea

Affiliations
  • 1Graduate School of Public Health, Yonsei University, Seoul, Korea. juwon@yuhs.ac
  • 2Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Preventive Medicine and Public Health, Yonsei University College of Medicine, Seoul, Korea.
  • 4Incheon Workers' Health Center, Incheon, Korea.
  • 5Department of Occupational and Environmental Medicine, Sahmyook Medical Center, Seoul, Korea.

Abstract

We aimed to examine whether there is a correlation between the health recovery of industrial accident victims and their perceived socioeconomic status. Data were obtained from the first Panel Study of Worker's Compensation Insurance, which included 2,000 participants. We performed multivariate regression analysis and determined the odds ratios for participants with a subjectively lower socioeconomic status and for those with a subjectively lower middle socioeconomic status using 95% confidence intervals. An additional multivariate regression analysis yielded the odds ratios for participants with a subjectively lower socioeconomic status and those with a subjectively upper middle socioeconomic class using 95% confidence intervals. Of all participants, 299 reported a full recovery, whereas 1,701 did not. We examined the odds ratio (95% confidence intervals) for participants' health recovery according to their subjective socioeconomic status while controlling for sex, age, education, tobacco use, alcohol use, subjective state of health prior to the accident, chronic disease, employment duration, recovery period, accident type, disability status, disability rating, and economic participation. The odds of recovery in participants with a subjectively lower middle socioeconomic status were 1.707 times greater (1.264-2.305) than that of those with a subjectively lower socioeconomic status. Similarly, the odds of recovery in participants with a subjectively upper middle socioeconomic status were 3.124 times greater (1.795-5.438) than that of those with a subjectively lower socioeconomic status. Our findings indicate that participants' perceived socioeconomic disparities extend to disparities in their health status. The reinforcement of welfare measures is greatly needed to temper these disparities.

Keyword

Social Class; Accidents, Occupational; Recovery; Korea

MeSH Terms

Accidents, Occupational/psychology/*statistics & numerical data
Adult
Age Factors
Cross-Sectional Studies
Female
Health Status Disparities
Humans
Insurance Benefits
Male
Middle Aged
Odds Ratio
Regression Analysis
Republic of Korea
Sex Factors
*Social Class
Workers' Compensation

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