J Korean Med Sci.  2016 Jul;31(7):1042-1048. 10.3346/jkms.2016.31.7.1042.

Does High Emotional Demand with Low Job Control Relate to Suicidal Ideation among Service and Sales Workers in Korea?

Affiliations
  • 1The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea.
  • 2Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. chang0343@yonsei.ac.kr
  • 4Institute of Occupational & Environmental Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.

Abstract

We examined the relationship of high emotional demands and low job control to suicidal ideation among service and sales workers in Korea. A total of 1,995 service and sales workers participated in this study. Suicidal ideation and level of emotional demand and job control were assessed by self-reported questionnaire in 4th Korean National Health and Nutrition Examination Survey. Gender-specific odds ratio (OR) and 95% confidence intervals (95% CI) for suicidal ideation were calculated using logistic regression analysis. The results show that workers who suffered from high emotional demands (OR, 2.07; 95% CI, 1.24-3.45 in men, OR, 1.97; 95% CI, 1.42-2.75 in women) or low job control (OR, 1.96; 95% CI, 1.42-2.75 in men, OR, 1.33; 95% CI, 0.91-1.93 in women) were more likely to experience suicidal ideation after controlling for age, household income, and employment characteristics. The interaction model of emotional demands and job control revealed that workers with high emotional demands and high job control (OR, 1.93; 95% CI, 1.08-3.45 in men, OR, 1.60; 95% CI,1.06-2.42 in women) and high emotional demands and low job control (OR; 4.60, 95% CI;1.88-11.29 in men, OR; 2.78, 95% CI;1.64-4.44 in women) had a higher risk for suicidal ideation compared to those with low emotional demands and high job control after controlling for age, household income, employment characteristics, smoking, alcohol drinking and physical activity habit. These results suggest that high emotional demands in both genders and low job control in men might play a crucial role in developing suicidal ideation among sales and service workers in Korea.

Keyword

Emotional Demands; Job Control; Sales Worker; Service Worker; Suicidal Ideation

MeSH Terms

Adult
Emotions/*physiology
Employment/economics/*psychology
Female
Humans
Income
Job Satisfaction
Logistic Models
Male
Middle Aged
Nutrition Surveys
Odds Ratio
Republic of Korea
Risk Factors
*Suicidal Ideation
Young Adult

Figure

  • Fig. 1 Prevalence (%) of suicidal ideation for high emotional demands with low job control.


Cited by  2 articles

Depressive symptoms among dance artists in South Korea: balance between self- and social identity on job value
Sung-Shil Lim, Jihyun Kim, Seahee Yune, Jin-Ha Yoon
Ann Occup Environ Med. 2019;31(1):.    doi: 10.35371/aoem.2019.31.e14.

Emotional labor and job types of male firefighters in Daegu Metropolitan City
Sung Kyu Park, Han Cheol Heo, Joon Sakong, Man Joong Jeon
Ann Occup Environ Med. 2019;31(1):.    doi: 10.35371/aoem.2019.31.e25.


Reference

1. Totterdell P, Holman D. Emotion regulation in customer service roles: testing a model of emotional labor. J Occup Health Psychol. 2003; 8:55–73.
2. Lewig KA, Dollard MF. Emotional dissonance, emotional exhaustion and job satisfaction in call centre workers. Eur J Work Organ Psychol. 2003; 12:366–392.
3. Zapf D. Emotion work and psychological well-being: a review of the literature and some conceptual considerations. Hum Resour Manage Rev. 2002; 12:237–268.
4. Härmä M, Kompier MA, Vahtera J. Work-related stress and health--risks, mechanisms and countermeasures. Scand J Work Environ Health. 2006; 32:413–419.
5. Grandey AA. Emotion regulation in the workplace: a new way to conceptualize emotional labor. J Occup Health Psychol. 2000; 5:95–110.
6. Hochschild AR. The Managed Heart: Commercialization of Human Feeling (Twentieth Anniversary Edition With a New Afterword). Berkeley (CA): University of California Press;2003.
7. Demerouti E, Bakker AB, de Jonge J, Janssen PP, Schaufeli WB. Burnout and engagement at work as a function of demands and control. Scand J Work Environ Health. 2001; 27:279–286.
8. Castanheira F, Chambel MJ. JD-C model to explain burnout in frontline workers: the useful contribution of emotional demands. Hum Factors Ergon Manuf Serv Ind. 2013; 23:412–423.
9. Sterud T, Hem E, Lau B, Ekeberg O. Suicidal ideation and suicide attempts in a nationwide sample of operational Norwegian ambulance personnel. J Occup Health. 2008; 50:406–414.
10. Yoon SL, Kim JH. Job-related stress, emotional labor, and depressive symptoms among Korean nurses. J Nurs Scholarsh. 2013; 45:169–176.
11. Lynch TR, Cheavens JS, Morse JQ, Rosenthal MZ. A model predicting suicidal ideation and hopelessness in depressed older adults: the impact of emotion inhibition and affect intensity. Aging Ment Health. 2004; 8:486–497.
12. Yoon JH, Lee KH, Hahn KY, Chang SJ, Cha BS, Min SH, Lee KS, Chae HS, Eom A, Koh SB. Suicide trend of standardized mortality ratio and age standardized proportion mortality ratio according to occupational groups in Korea: 1993-2007. Korean J Occup Environ Med. 2011; 23:173–182.
13. Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry. 1999; 56:617–626.
14. Siu C, Yuen SK, Cheung A. Burnout among public doctors in Hong Kong: cross-sectional survey. Hong Kong Med J. 2012; 18:186–192.
15. Karasek RA, Theorell T, Schwartz JE, Schnall PL, Pieper CF, Michela JL. Job characteristics in relation to the prevalence of myocardial infarction in the US Health Examination Survey (HES) and the Health and Nutrition Examination Survey (HANES). Am J Public Health. 1988; 78:910–918.
16. Laschinger HK, Havens DS. The effect of workplace empowerment on staff nurses' occupational mental health and work effectiveness. J Nurs Adm. 1997; 27:42–50.
17. Kang SH, Boo YJ, Lee JS, Han HJ, Jung CW, Kim CS. High occupational stress and low career satisfaction of Korean surgeons. J Korean Med Sci. 2015; 30:133–139.
18. Tsutsumi A, Kayaba K, Ojima T, Ishikawa S, Kawakami N, Grp JM; Jichi Medical School Cohort Study Group. Low control at work and the risk of suicide in Japanese men: a prospective cohort study. Psychother Psychosom. 2007; 76:177–185.
19. Häusser JA, Mojzisch A, Niesel M, Schulz-Hardt S. Ten years on: a review of recent research on the job demand–control (-support) model and psychological well-being. Work Stress. 2010; 24:1–35.
20. Yoon JH, Chang SJ. 0130 The combined effects of high emotional demands and low job control at work on suicidal ideation in Korean sales and service workers. Occup Environ Med. 2014; 71:A76–7.
21. Yoon JH, Won JU, Lee W, Jung PK, Roh J. Occupational noise annoyance linked to depressive symptoms and suicidal ideation: a result from nationwide survey of Korea. PLoS One. 2014; 9:e105321.
22. Seok H, Yoon JH, Lee W, Lee JH, Jung PK, Kim I, Won JU, Roh J. The association between concealing emotions at work and medical utilization in Korea. Ann Occup Environ Med. 2014; 26:31.
23. Nishimura M, Terao T, Soeda S, Nakamura J, Iwata N, Sakamoto K. Suicide and occupation: further supportive evidence for their relevance. Prog Neuropsychopharmacol Biol Psychiatry. 2004; 28:83–87.
24. Stallones L, Doenges T, Dik BJ, Valley MA. Occupation and suicide: Colorado, 2004-2006. Am J Ind Med. 2013; 56:1290–1295.
25. Kelly S, Charlton J, Jenkins R. Suicide deaths in England and Wales, 1982-92: the contribution of occupation and geography. Popul Trends. 1995; 16–25.
26. Kposowa AJ. Suicide mortality in the United States: differentials by industrial and occupational groups. Am J Ind Med. 1999; 36:645–652.
27. Yoon JH, Junger W, Kim BW, Kim YJ, Koh SB. Investigating the time lag effect between economic recession and suicide rates in agriculture, fisheries, and forestry workers in Korea. Saf Health Work. 2012; 3:294–297.
28. Zapf D, Seifert C, Schmutte B, Mertini H, Holz M. Emotion work and job stressors and their effects on burnout. Psychol Health. 2001; 16:527–545.
29. Iacovides A, Fountoulakis KN, Kaprinis S, Kaprinis G. The relationship between job stress, burnout and clinical depression. J Affect Disord. 2003; 75:209–221.
30. Dyrbye LN, Thomas MR, Massie FS, Power DV, Eacker A, Harper W, Durning S, Moutier C, Szydlo DW, Novotny PJ, et al. Burnout and suicidal ideation among U.S. medical students. Ann Intern Med. 2008; 149:334–341.
31. Kposowa AJ. Unemployment and suicide: a cohort analysis of social factors predicting suicide in the US National Longitudinal Mortality Study. Psychol Med. 2001; 31:127–138.
32. Park SC, Lee SK, Oh HS, Jun TY, Lee MS, Kim JM, Kim JB, Yim HW, Park YC. Hazardous drinking-related characteristics of depressive disorders in Korea: the CRESCEND study. J Korean Med Sci. 2015; 30:74–81.
33. Ko MJ, Lee EY, Kim K. Relationship between socioeconomic position and suicide attempts among the Korean adolescents. J Korean Med Sci. 2014; 29:1287–1292.
34. Kim J, Oh J. Characteristics of self-injury, suicide by sex, age, educational attainments and occupation. J Korean Soc Emerg Med. 2014; 25:152–158.
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr