J Korean Med Sci.  2021 May;36(17):e119. 10.3346/jkms.2021.36.e119.

The Occupational Characteristics and Health Status of Workers in Geographically Isolated and Confined Areas in the Republic of Korea

Affiliations
  • 1Department of Occupational and Environmental Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
  • 2Department of Occupational and Environmental Medicine, Gachon University Gil Medical Center, Incheon, Korea
  • 3Department of Occupational and Environmental Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea

Abstract

Background
This study investigates the safety and health status of geographically isolated and confined workers.
Methods
This study was conducted in Baekryeong Island in Korea in 2020. The agestandardized prevalence ratios (aSPR) for occupational injury, unmet medical needs, psychological status, and lifestyle were estimated from the available data. Also, we compared the aSPRs of workers in Baekryeong Island with a reference study population who participated in a nationally representative survey in Korea.
Results
The study revealed that Baekryeong Island workers had an increased risk of acquiring health and safety problems compared to the general worker population. The island workers showed a significant increase in unmet medical care (aSPR, 5.319; 95% confidence interval [CI], 3.984–6.958) and occupational injury (aSPR, 8.371; 95% CI, 3.820–15.892).
Conclusion
This study identified the safety and health problems of geographically isolated workers in Baekryeong Island. The risk of occupational injury and unmet medical care are simultaneously highlighted in the region's population, thereby underscoring the importance of prevention.

Keyword

Occupational Injuries; Health Status; Employment; Isolated workers; Islands

Figure

  • Fig. 1 The location of Baekryeong Island.


Cited by  1 articles

The Health Status and Management of Migrant Workers in Cheonan: A Comparison Study With Korean Citizens
Sungyeon Kim, Dong Jun Lee, Seung Hyeon Kim, Min Su Byun, Young Sun Yun, Nam Kyu Lim
J Korean Med Sci. 2023;38(46):e398.    doi: 10.3346/jkms.2023.38.e398.


Reference

1. Nickson D, Siddons S. Remote Working: Linking People and Organizations. Burlington, MA, USA: Taylor & Francis;2012.
2. Bishop L, Gale L, Laverty M. Responding to injuries in remote and rural Australia. Canberra, Australia: Royal Flying Doctor Service of Australia;2016.
3. Comcare. Comcare's Guide to Remote or Isolated Work. Canberra, Australia: Comcare;2013.
4. Reddy R, Kafoa B, Wainiqolo I, Kool B, Gentles D, McCaig E, et al. Workplace injuries in Fiji: a population-based study (TRIP 7). Occup Med (Lond). 2013; 63(4):284–286. PMID: 23535710.
Article
5. CRANA. Remote Health Workforce Safety & Security Report: Literature Review, Consultation & Survey Report. Cairns: CRANAplus, Australia;2017.
6. Pine R, Konidari V. Islands of the Mind: Psychology, Literature and Biodiversity. Newcastle, UK: Cambridge Scholars Publishing;2020.
7. Ko KH, Moon G, Sohn SJ, Choi JS. The survey on the health status of an islands-district residents: I. 2 week-prevalence of morbidity and its related factors. Korean J Rural Med. 1992; 17(2):103–111.
8. Im JS, Kim CY. Health care problems and solutions among island inhabitants. Korean J Rural Med. 2002; 27(1):185–196.
9. Kim NO, Lee MW. A study on the sustainable marine ecology tourism development plan for islands in Korea. Int J Tourism Hosp Res. 2020; 34(6):21–41.
Article
10. Iordache R, Mihaela S, Viorica P, Ileana G. Working in isolation. Risk factors and effects on mental health state. In : Proceedings of Occupational Risk Prevention Conference (ORP 2014); 2014 May 21-22; Zaragoza, Spain. Madrid, Spain: Occupational Risk Prevention;2014.
11. Kim KT, Choi S, Park MJ, Park S, Ko S, Park H. The effect of family structures and psycho-social factors on suicidal ideation of senior citizens. J Welf Aged. 2011; 52:205–228.
12. Cho S, Lee TK, Bang YW, Kim CJ, Im HJ, Kwon YJ, et al. Factors associated with unmet needs for medical care among island inhabitants in Korea. J Agric Med Community Health. 2010; 35(2):151–164.
Article
13. Kim HH, Kim DB, Song HH, Hwang GY, Kong WS. Phytogeographical characteristics of outermost islands in the Korean peninsula. J Korean Geogr Soc. 2018; 53(2):117–132.
14. Choi SB, Yoon JH, Lee W. The Modified International Standard Classification of Occupations defined by the clustering of occupational characteristics in the Korean Working Conditions Survey. Ind Health. 2020; 58(2):132–141. PMID: 31527354.
15. Lee BO, Lee CH, Lee PG, Choi MJ, Namkoong K. Development of Korean Version of Alcohol Use Disorders Identification Test (AUDIT-K): its reliability and validity. J Korean Acad Addict Psychiatry. 2000; 4(2):85–92.
16. Han MA, Kim KS, Park J, Kang MG, Ryu SY. Association between levels of physical activity and poor self-rated health in Korean adults: the third Korea National Health and Nutrition Examination Survey (KNHANES), 2005. Public Health. 2009; 123(10):665–669. PMID: 19854457.
Article
17. Sohn SI, Kim DH, Lee MY, Cho YW. The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index. Sleep Breath. 2012; 16(3):803–812. PMID: 21901299.
Article
18. Han C, Jo SA, Kwak JH, Pae CU, Steffens D, Jo I, et al. Validation of the Patient Health Questionnaire-9 Korean version in the elderly population: the Ansan Geriatric study. Compr Psychiatry. 2008; 49(2):218–223. PMID: 18243897.
Article
19. Lee S, Huh Y, Kim J, Han C. Finding optimal cut off points of the Korean version of the Patient Health Questionnaire (PHQ-9) for screening depressive disorders. J Korean Soc Depress Bipolar Disord. 2014; 12(1):32–36.
20. Ahn J, Cho SS, Kim HR, Myong JP, Kang MY. Comparison of work environment and occupational injury in direct and indirect employment in Korea and Europe. Ann Occup Environ Med. 2019; 31(1):e24. PMID: 31620301.
Article
21. Breslow NE, Day NE. Statistical methods in cancer research. Volume II--The design and analysis of cohort studies. IARC Sci Publ. 1987; (82):1–406.
22. Lehmann J. Human services management in rural contexts. Br J Soc Work. 2005; 35(3):355–371.
Article
23. Kouabenan DR, Medina M, Gilibert D, Bouzon F. Hierarchical position, gender, accident severity, and causal attribution. J Appl Soc Psychol. 2001; 31(3):553–575.
Article
24. Park JH, Sung JH, Sim CS, Lee CB, Park SJ, Lee JH, et al. Associations between physical factors and working conditions and occupational injuries among Korean workers. J Korean Soc Occup Environ Hyg. 2015; 25(3):405–417.
Article
25. Waehrer GM, Miller TR. Does safety training reduce work injury in the United States? Ergon Open J. 2009; 2(1):26–39.
Article
26. Dainty AR, Ison SG, Root DS. Bridging the skills gap: a regionally driven strategy for resolving the construction labour market crisis. Eng Construct Architect Manag. 2004; 11(4):275–283.
Article
27. Mitullah WV, Njeri Wachira I. Informal Labour in the Construction Industry in Kenya: a Case Study of Nairobi. Nairobi, Kenya: International Labour Organization;2003.
28. Nichols T. The Sociology of Industrial Injury. London, UK: Mansell;1997.
29. Cassell C, Nadin S, Gray M, Clegg C. Exploring human resource management practices in small and medium sized enterprises. Person Rev. 2002; 31(6):671–692.
Article
30. Youn I. Analysis of factors affecting prehospital time of emergency department patient with occupational injury [dissertation]. Seoul, Korea: Seoul National University;2013.
31. Stephen L, Laird I, Olsen K, Hasle P. Creating healthy work in small enterprises - from understanding to action: Summary of current knowledge. Small Enterp Res. 2014; 21:139–147.
32. Eakin J. Towards a ‘Standpoint’ perspective: health and safety in small workplaces from the perspective of the workers. Policy Pract Health Saf. 2010; 8(2):113–127.
Article
33. Park JS. Micro-scale workplaces with fewer than 5 employees need attention from occupational health. Occup Health. 2017; (350):2–5.
34. McDonell AC, Veitch C, Aitken P, Elcock M. The organisation of trauma services for rural Australia. Australas J Paramedicine. 2009; 7(2):990308.
Article
35. Orthner DK, Rose R. Work separation demands and spouse psychological well-being. Fam Relat. 2009; 58(4):392–403.
Article
36. Dawson C, Veliziotis M, Hopkins B. Temporary employment, job satisfaction and subjective well-being. Econ Ind Democracy. 2017; 38(1):69–98.
Article
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