Lihm Ho-Seob, Park Sang-Hyun, Gong Eun-Hee, Choi Jong-Soon, Kim Jung-Won
Department of Family Medicine, Kosin University College of Medicine, Busan, Korea.
Korean J Fam Med. 2012 Sep;33(5):311-9. doi: 10.4082/kjfm.2012.33.5.311. Epub 2012 Sep 27.
Physical and mental health of workers is threatened due to various events and chronic occupational stress. This study was conducted to investigate the relationship between occupational stress and gastric disease in male workers of the shipbuilding industry.
Occupational stress measured among a total of 498 workers of a shipbuilding firm who visited the hospital for health examination using the Korean Occupational Stress Scale (KOSS)-short form, and the relationship between sociodemographic factors, health-related behaviors, occupational stress, and gastric disease, and the distribution of occupational stress by sociodemographic factors in the gastric disease group was examined.
There was no significant association between gastric disease and total occupational stress score and its seven sub-factors. The analysis showed that risk of gastric disease was significantly higher in the Q1 group in which the stress caused by occupational discomfort among seven sub-factors was lowest than that in the Q4 group (odds ratio, 2.819; 95% confidence interval, 1.151 to 6.908). Analysis only on the gastric disease group showed that the stress score of laborers was higher in the four sub-factors than that of office workers (P < 0.05). Analysis on educational background showed that the scores of the three sub-factors were lower in subjects who's highest level of education was high school (P < 0.01).
This study suggests that it is necessary to improve the culture of Korean collectivism in the workplace and to manage the occupational stress in the low-educated and laborers. It is recommended for future studies to confirm the causal relationship between occupational stress and gastric disease by large scale studies using a KOSS which appropriately reflects workplace culture.
由于各种事件和慢性职业压力，工人的身心健康受到威胁。本研究旨在调查造船业男性工人职业压力与胃病之间的关系。
使用韩国职业压力量表（KOSS）简表对一家造船公司前来医院进行健康检查的498名工人进行职业压力测量，并检查社会人口学因素、健康相关行为、职业压力与胃病之间的关系，以及胃病组中按社会人口学因素划分的职业压力分布情况。
胃病与职业压力总分及其七个子因素之间无显著关联。分析表明，七个子因素中职业不适引起的压力最低的Q1组患胃病的风险显著高于Q4组（优势比，2.819；95%置信区间，1.151至6.908）。仅对胃病组进行分析发现，体力劳动者在四个子因素上的压力得分高于办公室职员（P<0.05）。按教育背景分析发现，最高学历为高中的受试者在三个子因素上的得分较低（P<0.01）。
本研究表明，有必要改善韩国职场的集体主义文化，并管理低学历者和体力劳动者的职业压力。建议未来的研究通过使用能够适当反映职场文化的KOSS进行大规模研究，以确认职业压力与胃病之间的因果关系。
