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Cardiovascular health status between standard and nonstandard workers in Korea

Seon, JJ; Lim, YJ; Lee, HW; Yoon, JM; Kim, SJ; Choi, S; Kawachi, I; (2017) Cardiovascular health status between standard and nonstandard workers in Korea. PLoS One , 12 (6) , Article e0178395. 10.1371/journal.pone.0178395. Green open access

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Abstract

OBJECTIVES: The effect of employment insecurity on employee health is an important public health issue due to the recent effects of neoliberalism and the global financial crisis (2007-2008) on labor markets. This study aims to evaluate the differences in cardiovascular health status and the use of preventive screening services between standard and nonstandard workers. METHODS: Waged employees (N = 5,338) between the ages of 20 and 64 were grouped into standard (full-time, permanent) and nonstandard (part-time, temporary, or daily) employees. Data from the Fourth Korea National Health and Nutrition Examination Survey, 2007-2009, a nationwide representative survey, were examined, including cardiovascular health risk behaviors (tobacco, alcohol, physical inactivity), measured morbidities (blood pressure, blood glucose level, lipid profiles, body mass index), and the use of screening services for hypertension and diabetes mellitus. RESULTS: Female nonstandard employees tended to have higher blood pressure than did female standard employees (adjusted odds ratio, aOR 1.42, 95% confidence interval, CI 1.02 to 1.98). However, nonstandard employees (both men and women) were less likely to use preventive screening services for hypertension (aOR 0.72, 95% CI 0.54 to 0.94 in men; aOR 0.56, 95% CI 0.43 to 0.73 in women) and diabetes (aOR 0.58, 95% CI 0.43 to 0.79 in men; aOR 0.55, 95% CI 0.43 to 0.71 in women). CONCLUSION: Nonstandard work is associated with the underuse of screening services and poorer cardiovascular health in a specific population. Policies to reduce employment insecurity and encourage nonstandard employees to receive health screening services should be prioritized.

Type: Article
Title: Cardiovascular health status between standard and nonstandard workers in Korea
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1371/journal.pone.0178395
Publisher version: https://doi.org/10.1371/journal.pone.0178395
Language: English
Additional information: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: Adult, Cardiovascular Physiological Phenomena, Female, Health Status, Humans, Male, Middle Aged, Republic of Korea, Young Adult
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10037752
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