Korean J Health Promot.  2021 Jun;21(2):73-82. 10.15384/kjhp.2021.21.2.73.

Associations between Depressive Symptoms and Work-Related Musculoskeletal Symptoms, and Health-Promoting Behaviors among Korean Coast Guards

• Jung SH
• Choo J
• Kim HJ

• KMID: 2517412
• DOI: http://doi.org/10.15384/kjhp.2021.21.2.73

Abstract

Background
The purpose of the study was to examine associations between depressive symptoms and work-related musculoskeletal symptoms, and health-promoting behaviors in Korean Coast Guards who are exposed to a vulnerable working environment.
Methods
A cross-sectional correlational study was conducted with 271 Korean Coast Guards in Gangwon-do. Depressive symptoms were measured using the Korean version of Center for Epidemiologic Studies Depressive Scale-Revised. Work-related musculoskeletal symptoms were measured using the KOSHA (Korea Occupational Safety and Health Agency) GUIDE H-9-2012. Health-promoting behaviors were measured using the Health Promoting Lifestyle Profile-II.
Results
Of all the Korean Coast Guards, 17.3% represents the risk of clinical depression, and 43.5% reported work-related musculoskeletal symptoms in any body parts. The average score of health-promoting behaviors were 2.4 (range, 1-4 scores). Depressive symptoms and work-related musculoskeletal symptoms were significantly negatively associated with health-promoting behaviors, respectively. Depressive symptoms were significantly negatively associated with the spiritual growth, interpersonal relationship, physical activity, and stress management in subscales of the Health Promoting Lifestyle Profile-II. Work-related musculoskeletal symptoms were significantly negatively associated with the physical activity and stress management in subscales of the Health Promoting Lifestyle Profile-II.
Conclusions
Among Korean Coast Guards, health-promoting behaviors were significantly associated with depressive symptoms and work-related musculoskeletal symptoms. Therefore, nursing strategies to promote health-promoting behaviors may be enhanced psychological health and physical health outcome of Korean Coast Guards.

Keyword

Police; Depression; Musculoskeletal pain; Health promotion; Health behavior

Reference

1. Korea National Statistical Korea. 2017 Korean standard classification of occupations. Daejeon: Statistics Korea;2017. p. 8–471.

2. Lee SA, Jang SH. The research on improving mental health care for officials in Korea Coast Guard. KAMPS. 2019; 9(3):223–47.

3. Park JS. Study on relationship between sleep disorder, fatigue, depression and quality of life in Korea coast guard officer worked vessel. J Korean Soc Priv Secur. 2015; 14(3):145–68.

4. Lee KH. A study on the job stress of maritime police officers. KAMPS. 2011; 1(1):55–74.

5. Lee BD, Lee CH, Moon JS. The effects of maritime police officers’ level of perception about job risk on depression: focusing on mediation effects of stress vulnerability. KAMPS. 2014; 4(1):61–77.

6. Kim IA, Kim SH. A study on the integration and operation plan of mental health project for the police, firefighter, and maritime police. Seoul: Korea Coast Guard & Hanyang University;2017. p. 1–140.

7. Yang SY, Fu SH, Chen KL, Hsieh PL, Lin PH. Relationships between depression, health‑related behaviors, and internet addiction in female junior college students. PLoS On. 2019; 14(8):e0220784.

8. Suh HJ, Kim JS, Kim JO, Kim HS, Cho IY, Kim HS. Effects of emotional labor, depression and self-efficacy on health promotion behavior of taxi driving workers. J Digit Converg. 2017; 15(8):489–500.

9. Korea Coast Guard. Basic plan for health-safety and welfare-promotion of Korea Coast Guard: 2019-2023. Incheon: Korea Coast Guard;2019. p. 1–38.

10. Cho JH, Kang MJ, Seok JM, Jeun SJ, Lim YS, Jeong JK, et al. Survey of the musculoskeletal disorders of riot police and conscripted policeman in radiologic examination. JKSR. 2011; 5(6):315–24.

11. Hong SW, Uhm DC, Jun MH. Job stress and work-related musculoskeletal symptoms of 119 emergency medical technicians. Korean J Occup Health Nurs. 2010; 19(2):223–35.

12. Choi IJ, Won JU, Kim CN, Kim HK, Roh JH. Affecting factors and musculoskeletal symptoms among workers in manufacture of lectronic components. KSMS. 2017; 19(3):71–9.

13. Kim JS, Kim JO, Seo JY, Kim HS. Study on the musculoskeletal subjective symptoms disorders and health promotion behavior of daily plant construction workers in one area. Korean J Occup Health Nurs. 2014; 23(1):28–38.

14. Heidari M, Borujeni MG, Khosravizad M. Health-promoting lifestyles of nurses and its association with musculoskeletal disorders: a cross-sectional study. J Lifestyle Med. 2018; 8(2):72–8.

15. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 7th ed. New Jersey: Pearson Education, Inc.;2015. p. 1–315.

16. Ryu GW, Choi M. Association of job stress and health promotion behaviors with quality of life among female riot police officers. Korean J Occup Health Nurs. 2019; 28(4):187–96.

17. Kim HJ, Choo J. Gender-specific association between emotional labor and health-promoting behavior in call center workers. Korean J Health Promot. 2020; 20(2):79–89.

18. Park HS. Associations of vocational calling, emotional intelligence, and major commitment with the happiness of nursing students: focusing on mediating effects of major commitment. J Korean Acad Psych Mental Health Nurs. 2018; 27(4):332–41.

19. Soper DS. A-priori sample size calculator for multiple regression [Internet]. Fullerton: Soper DS;2020. [cited 2020 Nov 30]. Available from: https://www.danielsoper.com/statcalc.

20. Eaton WW, Smith C, Ybarra M, Muntaner C, Tien A. Center for epidemiologic studies depression scale: review and revision (CESD and CESD-R). In : Maruish ME, editor. The use of psychological testing for treatment planning and outcomes assessment. 3rd ed. New Jersey: Lawrence Erlbaum;2004. p. 363–77.

21. Lee S, Oh ST, Ryu SY, Jun JY, Lee K, Lee E, et al. Validation of the Korean version of center for epidemiologic studies depression scale-revised (K-CESD-R). Korean J Psychosom Med. 2016; 24(1):83–93.

22. Choo J, Kang H. Predictors of initial weight loss among women with abdominal obesity: a path model using self‐efficacy and health‐promoting behaviour. J Adv Nurs. 2015; 71(5):1087–97.

23. Lim JY. One-person household women’s problem drinking in early adulthood: associations with alcohol xpectancy, loneliness, stress, and depression. [dissertation]. Seoul: Yonsei University;2020. Korean.

24. Shin YC. Effectiveness of occupation based lifestyle intervention program for health management of community dwelling elderly. [dissertation]. Seoul: Yonsei University;2019. Korean.

25. Chung K, Jeon MJ, Park J, Lee S, Kim CO, Park JY. Development and evaluation of a mobile-optimized daily selfrating depression screening app: a preliminary study. PLoS One. 2018; 13(6):e0199118.

26. Kim DS, Moon MK, Kim KS. A survey of musculoskeletal symptoms & risk factors for the 119 emergency medical services(EMS) activities. J Ergon Soc Korea. 2010; 29(2):211–6.

27. Kim JO, Kim JS, Park A, Han SJ. Influencing factors on health promotion behavior of fire officers. Korean J Occup Health Nurs. 2013; 22(3):218–27.

28. Kim MY, Choi SO, Yeun JH. The effects of nurse' fatigue and perceived health status on health promoting behavior. JKDAS. 2018; 20(5):2665–77.

29. Yun JY, Ham OK, Cho IS, Lim JY. Effects of health promoting behaviors and mental health status of shift and non-shift nurses on quality of life. J Korean Pubilc Health Nurs. 2012; 26(2):268–79.

30. Kim JG. Impact of emotional labor on job burnout marine police officials. Korean Soc Mar Environ Saf. 2015; 21(6):721–8.

31. Kim M, Hong JE, Lee EY. The relationship between fatigue, health-promoting behavior, and depression among infertile women. Korean J Women Health Nurs. 2019; 25(3):273–84.

32. Jung JS, Eun Y. Factors associate with musculoskeletal symptoms in small and medium sized hospital nurses. J Muscle and Health. 2017; 24(3):159–70.