1.Impact of Reduced Working Hours and Night Work Hours on Metabolic Syndrome: A Quasi-Experimental Study
Safety and Health at Work 2023;14(1):59-65
Objectives:
Epidemiological evidence linking long working hours and shift work to metabolic syndrome remains inadequate. We sought to evaluate the impact of reducing working hours on metabolic syndrome.
Methods:
We compared the prevalence of metabolic syndrome among male manual workers in a manufacturing company (N = 371) before and after the introduction of policy to reduce daily work hours from 10 to 8 hours. Components of metabolic syndrome were measured in periodic health examinations before the intervention, 6–9 months after, and 1.5–2 years after the intervention. Generalized estimating equation models were used to estimate changes in the prevalence of metabolic syndrome. Analyses were stratified by day work versus shift work.
Results:
The results showed a significantly decreased prevalence of metabolic syndrome 6–9 months following the intervention in day workers (risk ratio = 0.68, 95% confidence interval 0.52–0.88), but the benefit disappeared after 1.5–2 years. Shift workers showed a decreased prevalence of metabolic syndrome for the whole follow-up duration after the intervention, although the change was not statistically significant.
Conclusion
Reducing working hours was associated with short-term improvement in metabolic syndrome in male manual workers.
2.Association Between Unpredictable Work Schedules and Depressive Symptoms in Korea
Safety and Health at Work 2021;12(3):351-358
Background:
sIrregular and unpredictable work schedules have become more common in most societies. The purpose of this study was to investigate the association between unpredictable work schedules and depressive symptoms in Korea.
Methods:
Data from 34,486 workers who participated in the Korean Working Condition Survey in 2017 were used. Unpredictable work schedules were measured by questions about the frequency of changes in work schedule and limited advanced notice. Depressive symptoms were assessed by a single item asking if the participants had depressive symptoms over the last 12 months. Multivariable-adjusted logistic regression analysis was used to calculate odds ratios (ORs) for high depressive symptoms.
Results:
The OR for depressive symptoms was significantly higher in the workers with unpredictable work schedules compared to those with predictable work schedules after controlling for age, sex, education, salary, marital status, occupation, contract period, full-time versus part-time, shift work, weekly working hours, and having a child under the age of 18 years (OR = 2.43, 95% confidence interval 1.93–3.07).
Conclusion
Unpredictable work schedules were associated with depressive symptoms controlling for the other dimensions of precarious employment in a representative working population in Korea.
3.Association Between Unpredictable Work Schedules and Depressive Symptoms in Korea
Safety and Health at Work 2021;12(3):351-358
Background:
sIrregular and unpredictable work schedules have become more common in most societies. The purpose of this study was to investigate the association between unpredictable work schedules and depressive symptoms in Korea.
Methods:
Data from 34,486 workers who participated in the Korean Working Condition Survey in 2017 were used. Unpredictable work schedules were measured by questions about the frequency of changes in work schedule and limited advanced notice. Depressive symptoms were assessed by a single item asking if the participants had depressive symptoms over the last 12 months. Multivariable-adjusted logistic regression analysis was used to calculate odds ratios (ORs) for high depressive symptoms.
Results:
The OR for depressive symptoms was significantly higher in the workers with unpredictable work schedules compared to those with predictable work schedules after controlling for age, sex, education, salary, marital status, occupation, contract period, full-time versus part-time, shift work, weekly working hours, and having a child under the age of 18 years (OR = 2.43, 95% confidence interval 1.93–3.07).
Conclusion
Unpredictable work schedules were associated with depressive symptoms controlling for the other dimensions of precarious employment in a representative working population in Korea.
4.Cancer Incidence by Occupation in Korea: Longitudinal Analysis of a Nationwide Cohort
Hye-Eun LEE ; Masayoshi ZAITSU ; Eun-A KIM ; Ichiro KAWACHI
Safety and Health at Work 2020;11(1):41-49
Background:
We performed this study to investigate the inequalities in site-specific cancer incidences among workers across different occupations in Korea.
Methods:
Subjects included members of the national employment insurance. Incident cancers among 8,744,603 workers were followed from 1995 to 2007. Occupational groups were classified according to the Korean Standard Occupational Classification. Age-standardized incidence rate ratios were calculated.
Results:
We found that men in service/sales and blue-collar occupations had elevated rates of esophageal, liver, laryngeal, and lung cancer. Among women, service/sales workers had elevated incidences of cervical cancer. Male prostate cancer, female breast, corpus uteri, and ovarian cancers, as well as male and female colorectal, kidney, and thyroid cancer showed lower incidences among workers in lower socioeconomic occupations.
Conclusions
Substantial differences in cancer incidences were found depending on occupation reflecting socioeconomic position, in the Korean working population. Cancer prevention policy should focus on addressing these socioeconomic inequalities.
5.Informal Caregiving Patterns in Korea and European Countries: A Cross-National Comparison.
Soong Nang JANG ; Mauricio AVENDANO ; Ichiro KAWACHI
Asian Nursing Research 2012;6(1):19-26
PURPOSE: This ecological study examined demographic and institutional differences in informal caregiving. We conducted a cross-national study about the characteristics of informal caregivers in 12 European countries and Korea. METHODS: Data were collected from individuals aged 50 years and older participating in the 2004/2005 Survey of Health, Ageing and Retirement in Europe and the 2006 Korean Longitudinal Study of Ageing. We examined the associations between informal caregiving and macrolevel characteristics (gross domestic product, total fertility rates, labor force participation rates, level of women's empowerment, long-term care resources). RESULTS: Korea and some southern European countries, notably Spain and Italy, had high percentages of women, homemakers, coresidents, and spouses in informal caregiving roles. In contrast, Northern European countries such as Denmark and Sweden had high proportions of employed informal caregivers. Lower female labor force participation was associated with higher proportions of women caregivers. A higher proportion of women caregivers in the population were also associated with a lower national gross domestic product per capita. CONCLUSION: Our findings suggest that several contextual and institutional variables are associated with the proportion of women participating in caregiving.
Aged
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Birth Rate
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Caregivers
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Cross-Cultural Comparison
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Denmark
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Employment
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Europe
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Female
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Gross Domestic Product
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Humans
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Italy
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Korea
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Long-Term Care
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Longitudinal Studies
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Power (Psychology)
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Retirement
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Spain
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Spouses
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Sweden
6.How Iwate Prefecture in Japan maintained a low COVID-19 infection rate
Shuko Takahashi ; Ichiro Kawachi
Western Pacific Surveillance and Response 2021;12(4):61-64
The first case of coronavirus disease 2019 (COVID-19) in Japan was confirmed on 16 January 2020. The first wave of cases peaked on 10 April 2020 (n = 710) and the second on 7 August 2020 (n = 1595). Iwate Prefecture in north-eastern Japan was the last prefecture to confirm a case of COVID-19, on 29 July 2020, 110 days after all other prefectures had confirmed cases. No cases were reported during the first wave.1 As of 21 September 2021, there had been 3469 cases (282.8/100 000 population) and 52 deaths (1.50% fatality rate) in Iwate and 1.7 million cases (1333.2/100 000 population) and 17 294 deaths (1.03% fatality rate) in Japan overall. This article discusses possible reasons for the low number of COVID-19 cases in Iwate.