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A dose-response relationship between long working hours and unmet need for access to hospital facilities

Authors
 Hongdeok Seok  ;  Jong-Uk Won  ;  Tae Il Lee  ;  Yeong-Kwang Kim  ;  Wanhyung Lee  ;  June-Hee Lee  ;  Jaehoon Roh  ;  Jin-Ha Yoon 
Citation
 SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT & HEALTH, Vol.42(2) : 135-143, 2016 
Journal Title
 SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT & HEALTH 
ISSN
 0355-3140 
Issue Date
2016
MeSH
Adult ; Cross-Sectional Studies ; Female ; Health Services Accessibility/statistics & numerical data* ; Health Services Needs and Demand/statistics & numerical data* ; Healthcare Disparities/statistics & numerical data ; Humans ; Male ; Middle Aged ; Republic of Korea ; Work Schedule Tolerance ; Workload*
Keywords
dose–response ; dose–response relationship ; health inequity ; Korea ; Korea National Health and Nutrition Examination Survey ; long working hour ; unmet healthcare need ; working hour
Abstract
OBJECTIVES: Lack of access to hospital facilities, indicating unmet healthcare need, plays an important role in health inequity in the workplace. We aimed to investigate the association between long working hours and unmet healthcare need. METHODS: We used data from the Korea National Health and Nutrition Examination Surveys collected during 2007-2012, which included 8369 participants (4765 males, 3604 females) aged 20-54 years, who were paid workers. We used a logistic regression model with gender stratification to investigate the association between working hours and unmet healthcare need. RESULTS: Of the 8369 participants, 855 males (17.94%) and 981 females (27.22%) experienced unmet healthcare need. After adjusting for covariates, and compared to 30-39 working hours per week, the odds ratios (OR) of unmet healthcare need were 1.07 [(95% confidence interval (95% CI) 0.76-1.51], 1.46 (95% CI 1.03-2.07), and 1.57 (95% CI 1.11-2.23) in males, and 1.13 (95% CI 0.92-1.40), 1.30 (95% CI 0.99-1.69), and 1.60 (95% CI 1.21-2.10) in females, for 40-49, 50-59, and ≥ 60 work hours per week, respectively. There was a dose-response relationship between working hours per week and unmet healthcare need in both genders. CONCLUSIONS: Those who work long hours are more likely to have unmet healthcare needs, the cause of which seems to be lack of time.
Full Text
http://www.sjweh.fi/show_abstract.php?abstract_id=3551
DOI
10.5271/sjweh.3551
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
5. Research Institutes (연구소) > Institute for Occupational Health (산업보건연구소) > 1. Journal Papers
Yonsei Authors
Kim, Yeong Kwang(김영광)
Roh, Jae Hoon(노재훈)
Won, Jong Uk(원종욱) ORCID logo https://orcid.org/0000-0002-9200-3297
Yoon, Jin Ha(윤진하) ORCID logo https://orcid.org/0000-0003-4198-2955
Lee, Wan Hyung(이완형)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146926
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