Department of Occupational and Environmental Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Department of Occupational and Environmental Medicine, Inha University Hospital, Inha University, Incheon, Republic of Korea.
J Occup Health. 2023 Jan-Dec;65(1):e12414. doi: 10.1002/1348-9585.12414.
Nonstandard workers might have a relatively higher risk of unmet medical needs than standard workers. This study subdivided nonstandard workers to investigate the effects of nonstandard employment on unmet medical needs.
We used the Korea Health Panel 2011-2018 data. The independent variable, employment contract, was defined using the nonstandard form described by the ILO: Temporary workers, Part-time workers, and Temporary agent workers. The analytical method used in this study was a panel logit model that accounted for repeated measured participants. By controlling for time-invariant individual-fixed effects, we investigate the relationship between subdivided nonstandard work and the risk of unmet medical needs with reference to standard work.
The results of the analysis clearly showed that compared with standard workers, temporary agency workers had a significantly higher risk of unmet medical needs (Odds ratio = 1.182, 95% CI = 1.016-1.374). The main cause of this phenomenon was economic reasons in this group.
This study found that temporary agency workers in the general Korean population have a significantly higher risk of unmet healthcare needs. The result of this study implies that financial hardship might be a fundamental health hazard among workers with nonstandard employment.
非标准工人的未满足医疗需求的风险可能高于标准工人。本研究将非标准工人进一步细分，以调查非标准就业对未满足医疗需求的影响。
我们使用了韩国健康面板 2011-2018 年的数据。就业合同这一自变量是根据国际劳工组织（ILO）所描述的非标准形式来定义的：临时工、兼职人员和临时代理工人。本研究采用的分析方法是面板逻辑回归模型，该模型考虑了重复测量的参与者。通过控制个体固定效应的时不变性，我们将细分的非标准工作与标准工作进行了参照，以研究未满足的医疗需求的风险之间的关系。
分析结果清楚地表明，与标准工人相比，临时代理工人未满足医疗需求的风险显著更高（优势比=1.182，95%置信区间=1.016-1.374）。造成这种现象的主要原因是该群体的经济原因。
本研究发现，韩国普通人群中的临时代理工人未满足医疗保健需求的风险显著更高。本研究结果表明，经济困难可能是非标准就业工人的一个基本健康危害。
