Department of Preventive Medicine, College of Medicine, Seoul National University, Seoul, Republic of Korea.
Institute of Health and Environment, Seoul National University, Seoul, Republic of Korea.
Am J Ind Med. 2019 Sep;62(9):783-790. doi: 10.1002/ajim.23023. Epub 2019 Jul 22.
Self-employed business owners in Korea make up one-quarter of the working population, and half of those who are self-employed are in micro and small businesses. Compared to the significant research interest in business management and economics, to date, there has been little interest in the health of small business owners. We investigated the health status of self-employed small business owners compared to standard workers.
The third Korean Working Conditions Survey, which included a total of 32 630 adults aged 20 to 59 years, was analyzed. A small business was defined as an enterprise with between 0 and 4 workers. Standard employment included full-time employment with a permanent or 1-year contract. Health outcomes included eight types of physical health and mental health problems assessed using the WHO-5 Wellbeing Index.
Small business groups were found to have an increased prevalence of depression after controlling for all potential covariates (odds ratio [OR] = 1.37; 95% confidence interval [CI] 1.29-1.47). In addition, the prevalence of work-related physical health problems was significantly higher among self-employed small business owners in a full adjusted model: backache (OR = 1.16; 95% CI, 1.06-1.26), muscular pains in upper limbs (OR = 1.19; 95% CI, 1.12-1.27), and muscular pains in lower limbs (OR = 1.14; 95% CI, 1.07-1.22).
We found a positive association between small business entrepreneurs and increased prevalence of mental and physical illness in adults in the Republic of Korea.
韩国的个体经营者占劳动力人口的四分之一，其中一半是微型和小型企业的个体经营者。与对商业管理和经济学的浓厚研究兴趣相比，迄今为止，对小企业主的健康问题关注甚少。我们调查了自营小型企业主与标准工人的健康状况。
分析了共包含 32630 名 20 至 59 岁成年人的第三次韩国工作条件调查。小企业的定义是员工人数在 0 至 4 人的企业。标准就业包括全职工作，有永久或 1 年合同。健康结果包括使用世界卫生组织-5 幸福感指数评估的 8 种身体和心理健康问题。
在控制所有潜在协变量后，发现小企业群体的抑郁患病率增加（优势比[OR] = 1.37；95%置信区间[CI] 1.29-1.47）。此外，在充分调整的模型中，自营小型企业主的与工作相关的身体健康问题的患病率显著更高：背痛（OR = 1.16；95%CI，1.06-1.26）、上肢肌肉疼痛（OR = 1.19；95%CI，1.12-1.27）和下肢肌肉疼痛（OR = 1.14；95%CI，1.07-1.22）。
我们发现韩国成年人中，小企业企业家与精神和身体健康问题的患病率增加之间存在正相关关系。
