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韩国职业女性的工作时长和工作类型会影响肥胖状况吗?基于韩国社区健康调查的分析

Do Working Hours and Type of Work Affect Obesity in South Korean Female Workers? Analysis of the Korean Community Health Survey.

作者信息

Yoon Chang-Gyo, Kang Mo-Yeol, Bae Kyu-Jung, Yoon Jin-Ha

机构信息

1 Department of Preventive Medicine, Armed Forces Medical Command , Seongnam, South Korea .

2 Occupational Safety and Health Research Institute , Ulsan, South Korea .

出版信息

J Womens Health (Larchmt). 2016 Feb;25(2):173-80. doi: 10.1089/jwh.2014.5161. Epub 2015 Dec 14.

Abstract

BACKGROUND

The prevalence of obesity and the female labor participation rate have been rapidly increasing in South Korea. To examine the relationship between these factors, we investigated the association between timing and type of work and obesity in the Korean female working population.

METHODS

Data collected by the 2008 Community Health Survey (CHS) were analyzed using a complex, stratified, multistage, probability cluster sampling method. Descriptive analysis of relevant variables was performed using the chi-square test, and work-related variables by work type were identified using multivariate logistic regression. The relationship between long working hours, night/shift work, and body-mass index in female workers and explanatory, stratifying, and dependent variables and covariates was analyzed using multiple logistic regression models.

RESULTS

A total of 42,234 CHS participants were eligible for study inclusion. Among both manual and nonmanual workers, working less than 40 (adjusted odds ratio [aOR] 1.18, 95% confidence interval [CI] 1.07-1.31 and aOR 1.29; 95% CI 1.09-0.52, respectively) or more than 60 (aOR 1.18, 95% CI 1.06-1.30 and aOR 1.28, 95% CI 1.04-1.57, respectively) hours per week was significantly associated with obesity after controlling for covariates. However, working type (day or night/shift) was significantly associated with obesity only in nonmanual workers (aOR 1.20, 95% CI 1.01-1.42). When we controlled working type in the model, manual workers who work more than 60 hours show higher likelihood of being obese (OR 1.10, 95% CI 1.02-1.18).

CONCLUSION

Working fewer (<40) or more than (>60) hours per week is significantly associated with obesity in the Korean female working population, regardless of the type of work. The type of work (day vs. night/shift work) was significantly associated with obesity only in only nonmanual workers.

摘要

背景

韩国肥胖症的患病率和女性劳动力参与率一直在迅速上升。为了研究这些因素之间的关系,我们调查了韩国职业女性的工作时间和工作类型与肥胖之间的关联。

方法

使用复杂的分层多阶段概率整群抽样方法对2008年社区健康调查(CHS)收集的数据进行分析。使用卡方检验对相关变量进行描述性分析,并使用多变量逻辑回归确定按工作类型划分的与工作相关的变量。使用多重逻辑回归模型分析女性工人的长时间工作、夜间/轮班工作与体重指数之间以及解释变量、分层变量、因变量和协变量之间的关系。

结果

共有42234名CHS参与者符合纳入研究的条件。在体力劳动者和非体力劳动者中,每周工作少于40小时(调整后的优势比[aOR]分别为1.18,95%置信区间[CI]为1.07 - 1.31和aOR为1.29;95% CI为1.09 - 1.52)或多于60小时(aOR分别为1.18,95% CI为1.06 - 1.30和aOR为1.28,95% CI为1.04 - 1.57)在控制协变量后与肥胖显著相关。然而,工作类型(白班或夜班/轮班)仅在非体力劳动者中与肥胖显著相关(aOR为1.20,95% CI为1.01 - 1.42)。当我们在模型中控制工作类型时,每周工作超过60小时的体力劳动者肥胖的可能性更高(OR为1.10,95% CI为1.02 - 1.18)。

结论

无论工作类型如何,韩国职业女性每周工作少于(<40)或多于(>60)小时均与肥胖显著相关。工作类型(白班与夜班/轮班工作)仅在非体力劳动者中与肥胖显著相关。

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