Park Sung-Min, Kim Hwan-Cheol, Park Shin-Goo, Jang Hyun-Suk, Choi Go, Leem Jong-Han
1Department of Occupational and Environmental Medicine, School of Medicine, Inha University Hospital, 7-206 3rd St. Shinhung-dong, Jung-gu, Incheon, 400-711 Republic of Korea.
2Department of Social and Preventive Medicine, School of Medicine, Inha University, Incheon, Republic of Korea.
Ann Occup Environ Med. 2018 Aug 2;30:49. doi: 10.1186/s40557-018-0260-x. eCollection 2018.
Occupational injuries increase burden on society as well as personal health. Low satisfaction with life may not only increases the risk of occupational injuries directly, but also influences other factors that increase the risk of occupational injury. Along with previous studies on the risk of occupational injury, we sought to explore the relationship between satisfaction with life and occupational injury.
The study participants were 6234workers health screened at a university hospital in Incheon. Information on occupational injury and satisfaction with life scale (SWLS) was obtained in a self-report format. Participants were allocated to one of four SWLS groups; the dissatisfied group, the slightly dissatisfied group, the slightly satisfied group, and the satisfied group. The analysis was performed using the chi-square test primarily and by logistic regression adjusted for potential confounders.
In men, the un-adjusted and adjusted odds ratios (ORs) of low satisfaction with life (SWLS< 20) were 1.98(CI1.55-2.53) and 1.81(CI 1.41-2.32), respectively. When the SWLS were divided into four groups, the adjusted ORs of the slightly satisfied (20-25), slightly dissatisfied(15-19), and dissatisfied(≤14) groups were 1.21, 1.72, and 2.70, respectively. That is ORs tended to increase linearly with decreasing SWLS score (p for trend < 0.001). In women, this relation was of borderline significance at best.When subjects were dichotomized based on SWLS scores, for males, the cured and adjusted RRs of occupational injury in the low satisfaction with life group were1.91 (95% CI: 1.50-2.42) and 1.66 (95% CI: 1.30-2.13), and for females, the adjusted-RR was marginally significant (1.67; 95% CI: 0.93-2.99).When subjects were divided into four groups by SWLS scores, adjusted RRs tended to increase linearly with decreasing SWLS score for males (slightly satisfied: 1.18, 95% CI: 0.77-1.82; slightly dissatisfied: 1.65, 95% CI: 1.08-2.52; dissatisfied: 2.22, 95% CI: 1.44-3.42; p for trend < 0.001) and for females (slightly satisfied: 1.17, 95% CI: 0.42-3.30; slightly dissatisfied: 1.56, 95% CI: 0.56-4.36; dissatisfied: 2.38, 95% CI: 0.84-6.74; p for trend = 0.040).
This study suggests that the risk of occupational injury was higher in workers not satisfied with life, and indicates attention to satisfaction with life may promote the health of workers.
职业伤害增加了社会负担以及个人健康负担。对生活的低满意度不仅可能直接增加职业伤害风险,还会影响其他增加职业伤害风险的因素。结合先前关于职业伤害风险的研究,我们试图探究生活满意度与职业伤害之间的关系。
研究参与者为在仁川一家大学医院接受健康筛查的6234名工人。通过自我报告的形式获取职业伤害信息以及生活满意度量表(SWLS)。参与者被分配到SWLS的四个组之一;不满意组、轻度不满意组、轻度满意组和满意组。主要使用卡方检验进行分析,并通过对潜在混杂因素进行调整的逻辑回归分析。
在男性中,生活满意度低(SWLS<20)的未调整和调整后的优势比(OR)分别为1.98(CI 1.55 - 2.53)和1.81(CI 1.41 - 2.32)。当将SWLS分为四组时,轻度满意(20 - 25)、轻度不满意(15 - 19)和不满意(≤14)组的调整后OR分别为1.21、1.72和2.70。即OR倾向于随着SWLS分数的降低而线性增加(趋势p<0.001)。在女性中,这种关系充其量具有临界显著性。当根据SWLS分数将受试者二分法划分时,对于男性,生活满意度低组的职业伤害治愈和调整后的相对危险度(RR)分别为1.91(95%CI:1.50 - 2.42)和1.66(95%CI:1.30 - 2.13),对于女性,调整后的RR具有边缘显著性(1.67;95%CI:0.93 - 2.99)。当根据SWLS分数将受试者分为四组时,男性和女性的调整后RR均倾向于随着SWLS分数的降低而线性增加(男性:轻度满意:1.18,95%CI:0.77 - 1.82;轻度不满意:1.65,95%CI:1.08 - 2.52;不满意:2.22,95%CI:1.44 - 3.42;趋势p<0.001;女性:轻度满意:1.17,95%CI:0.42 - 3.30;轻度不满意:1.56,95%CI:0.56 - 4.36;不满意:2.38,95%CI:0.84 - 6.74;趋势p = 0.040)。
本研究表明,对生活不满意的工人职业伤害风险更高,并表明关注生活满意度可能促进工人健康。