Factors Affecting the Designation of Cerebrovascular Diseases as Work-Related in Administrative Litigation

Hyeongsu Kim,Jaewook Choi,Hwayoung Rim,Sounghoon Chang,Kunsei Le 대한의학회 2008 Journal of Korean medical science Vol.23 No.2

The purpose of this study was to identify factors that could be used as standardized criteria for evaluating occupational diseases in initial assessments or requests for examination. Using 100 administrative litigation cases on the work-relatedness of cerebrovascular diseases (CVDs) by the Seoul Branch of the Korea Labor Welfare Corporation (KLWC) from 1997 to 2002, we estimated the relationship between the investigated variables and designation of the work-relatedness of the CVD. As for the age, the odds ratio of the acceptance rate of a case as work-related in subjects over 60 yr of age was 0.08 (95% CI, 0.01-0.75), which was compared to subjects under 30 yr of age. Regarding working hours, the odds ratio of the acceptance rate of a case as work-related in CVDs in those over 56 hr was 9.50 (95% CI, 1.92-47.10) when compared to those less than 56 hr. As for the benefit type, the odds ratio of the acceptance rate of a case as work-related in medical benefits was 5.74 (95% CI, 1.29-25.54), compared to survivor benefits. As for the criteria for defining situations as work overload, the odds ratio of the acceptance rate of a case as work-related in injured workers was 12.06 (95% CI, 3.12-46.62), compared to that in non-injured workers. Our findings show that the criteria for defining situations of work overload played an important role in assessing the work-relatedness of CVDs in administrative litigation, and it is necessary to make the scientific evidence on judgement of workrelatedness on overwork.

Factors Affecting the Designation of Cerebrovascular Diseases as Work-Related in Administrative Litigation

Kim, Hyeongsu,Choi, Jaewook,Rim, Hwayoung,Chang, Sounghoon,Lee, Kunsei The Korean Academy of Medical Sciences 2008 JOURNAL OF KOREAN MEDICAL SCIENCE Vol.23 No.2

<P>The purpose of this study was to identify factors that could be used as standardized criteria for evaluating occupational diseases in initial assessments or requests for examination. Using 100 administrative litigation cases on the work-relatedness of cerebrovascular diseases (CVDs) by the Seoul Branch of the Korea Labor Welfare Corporation (KLWC) from 1997 to 2002, we estimated the relationship between the investigated variables and designation of the work-relatedness of the CVD. As for the age, the odds ratio of the acceptance rate of a case as work-related in subjects over 60 yr of age was 0.08 (95% CI, 0.01-0.75), which was compared to subjects under 30 yr of age. Regarding working hours, the odds ratio of the acceptance rate of a case as work-related in CVDs in those over 56 hr was 9.50 (95% CI, 1.92-47.10) when compared to those less than 56 hr. As for the benefit type, the odds ratio of the acceptance rate of a case as work-related in medical benefits was 5.74 (95% CI, 1.29-25.54), compared to survivor benefits. As for the criteria for defining situations as work overload, the odds ratio of the acceptance rate of a case as work-related in injured workers was 12.06 (95% CI, 3.12-46.62), compared to that in non-injured workers. Our findings show that the criteria for defining situations of work overload played an important role in assessing the work-relatedness of CVDs in administrative litigation, and it is necessary to make the scientific evidence on judgement of work-relatedness on overwork.</P>

공군 항공기 소음이 초등학생의 소음 민감도, 정서 및 행동에 미치는 영향

오원기(Wonki Oh),김형수(Hyeongsu Kim),장성훈(Sounghoon Chang),이건세(Kunsei Lee),김근회(Keunwhoe Kim),최희정(Heejung Choe),함은미(Eunmee Ham),손주형(Juhyoung Son) 한국농촌의학 지역보건학회 2008 농촌의학·지역보건 Vol.33 No.3

본 연구는 공군 항공기 소음에 노출되는 초등학생을 대상으로 소음에 대한 민감도와 정서상태 및 아동의 행동에 대한 부모의 평가를 통해 항공기 소음 노출과 초등학생의 정서 및 행동과의 관련성을 파악하고자 수행되었다. 연구는 먼저 소음노출 지역과 대조지역간 주간 소음을 측정하여 비교하였으며, 다음으로 항공기 소음노출 지역 6개 초등학교 4, 5, 6학년 학생 272명과 학부모 272명, 대조지역 2개 초등학교 4, 5, 6학년 학생 91명과 학부모 91명을 대상으로 초등학생은 소음에 대한 민감도와 정신심리적 특성 및 학부모는 소음에 대한 민감도 및 초등학생에 대한 행동평가를 구조화된 설문지를 이용하여 평가하였다. 먼저 항공기 이착륙관련 환경소음은 수준은 노출지역의 주중 주간 소음수준(Leg55)은 평균 67.6 dB(A)으로 대조지역의 소음수준 57.1 dB(A), 58.2 dB(A), 60.2 dB(A)보다 유의하게 높은 것으로 나타났다. 노출군에서 초등학생의 소음 민감도 점수는 15.1점으로 대조군의 16.6점에 비해 낮았으나 유의성은 없었다(p=0.056). 또한 노출군에서 초등학생의 간이정신진단점수는 18.6점으로 대조군의 20.5점에 비해 낮았으나 역시 유의성은 없었다(p=0.165). 노출군에서 학부모에 의한 초등학생 행동평가점수는 15.5점으로 대조군의 13.2점보다 유의하게 높았다(p=0.043). 노출군에서 부모의 소음민감도 점수는 27.5점으로 대조군 학부모의 민감도 점수 24.1에 비해 유의하게 높았다(p=0.045). 본 연구결과는 부모의 초등학생 행동평가는 실제 소음노출에 의한 영향보다는 부모의 소음에 대한 민감도가 학생에게 더 큰 영향을 미치고 있음을 보여주고 있다. 공군 항공기 소음이 초등학생에게 미치는 건강영향에 대하여 지속적인 연구가 진행되어야 할 것이다. Objectives : We evaluated the effect of the aircraft noise on the behavior and affect status of the local elementary school students. Methods : The daytime noise levels of the exposed and control areas were compared and the self answered questionnaires from 272 students and their parents of the exposed area and 91 of the control area were collected. The questionnaires are regarding the noise sensitivity and the psychosocial status of the students, noise sensitivity of the parents and the parents" behavioral evaluation for their children. Results : The mean noise level of the exposed area (67.6 dB(A)) showed higher level than the control area (57.1 dB(A), 58.2 dB(A), 60.2 dB(A)) and it was statistically significant. The mean score for noise sensitivity and the mean score for brief mental exam. in the exposed students were lower than the mean scores in the control group but they were not statistically significant (p=0.056 & 0.165). The mean score for behavioral evaluation of students by their parents in the exposed area(15.5) was higher than the mean score in the control group(13.2) and it was statistically significant(p=0.043). The mean score for noise sensitivity in the exposed parent(27.5) was higher than the mean score in the control group(24.1) and it was statistically significant(p=0.045). Conclusions : This study revealed that the noise sensitivity of the parents affected the behavioral evaluation of the students than noise-exposure itself. The further study is needed to evaluate relationship between aircraft noise and it"s effect on children"s health.

제조업사업장의 산업안전보건 비용

오원기,김형수,엄창수,장성훈,이건세,정최경희,김근회,이관형 大韓産業醫學會 2008 대한직업환경의학회지 Vol.20 No.1

목적: 산재예방과 근로자의 건강증진을 위하여 대부분의 사업장은 산업안전보건 비용을 지출하고 있다 본 연구는 근로자 규모별 및 업종별 제조업 사업장의 산업안전 보건 비용의 규모 및 구성요소의 상대적 크기를 파악하여 제조업 사업장의 산업안전보건 비용의 수준을 제시하고자 하였다. 방법: 2005년도 동향조사에 참여한 제조업 사업장 중 근로복지공단의 2004년도 확정보험료 자료와 연결이 가능하였던 1,228개 제조업 사업장에 대하여 동향조사에서 파악한 8개 항목의 산재예방 투자비용과 산재보험료 자료를 이용하여 산업안전보건 비용을 계산하였다. 결과: 근로자 1인당 산업안전보건 비용은 근로자 5인 이상 50인 미만 사업장의 경우 99만원,근로자 50인 이상 300인 사업장 87만원 및 근로자 300인 이상 사업장 177만원이었다. 5인 이상 50인 미만 사업장과 50인 이상 300인 미만 사업장에서는 산업안전보건 비용중 산재보험료가 각각 62.8%와 52.8%로 가장 많았으며,다음으로 안전시설 및 보호장치 투자비로 각각 20.1%,19.1%이었다. 300인 이상 사업장에서는 산재보험료 37.5%,인력유지비 23.0%,안전시설 및 보호장비 투자비 22.8% 순이었다. 5인 이상 50인 미만 사업장에 비해 근로자 규모가 증가할수록 인력유지비,활동비,건강관리비 및 기타비용은 유의하게 증가하였으며,작업환경측정비와 산재 보험료는 유의하게 감소하였다. 결론: 2004년도 제조업 사업장이 지출한 산업안전보건 비용의 수준은 규모별 및 업종별로 매우 다양하였다. 산재 예방과 건강증진 측면에서 산업안전보건 비용에 대한 체계적이고 지속적인 접근이 요구된다. Objective: This study evaluated the cost for occupational health and safety in manufacturing factories in Korea according to the factory's size and the industrial classification. Methods: The costs to prevent occupational injuries and promote the general health of the workers were calculated by using the data of The Occupational Safety and Health Survey in Korea in the year of 2005 and the data of the Industrial Accident Compensation Insurance (IACI) Premiums at the same factories for the year of 2004. Results: The mean cost per one worker was as follows: 990,000 won for the factory with 5∼49 workers, 869,000 won for the factory with 50∼299 workers and 1,773,000 won for the factory with more than 300 workers, In the factories with 5∼49 workers and 50∼299 workers, the premium for the IACI was the largest portion of the cost (62.8% and 52.8%, respectively) and the cost for gear to protect workers from dangerous machinehes was the next biggest portion of the cost (20.1% and 19.1%, respectively). The largest portion of the cost in the factories with more than 300 workers was the premium for the IACI (37.5%). Conclusions: The investment costs to prevent occupational injuries and to promote the general health of the workers were very diverse according to the size of the factories and the industrial classification. To reduce the occupational injuries and to promote the general health of the workers, systematic and continuous approaches to evaluate the investment costs for the occupational health and safety are required.

톨루엔 및 크실렌 노출 근로자에서 안식향산나트륨 섭취에 따른 요중 대사산물 농도의 시간적 변화

정최경희(Kyunghee Jung-Choi),장성훈(Sounghoon Chang),김형수(Hyeongsu Kim),오원기(Wonki Oh),고상백(Sang Baek Koh),이건세(Kunsei Lee),박수경(Suekyung Park) 대한직업환경의학회 2006 대한직업환경의학회지 Vol.18 No.3

지역사회의 특성이 우리나라 성인의 식품불안정에 미치는 영향

박준 ( Jun Park ),강길원 ( Gilwon Kang ),탁양주 ( Yangju Tak ),장성훈 ( Sounghoon Chang ),이건세 ( Kunsei Lee ),김형수 ( Hyeongsu Kim ) 한국보건행정학회 2016 보건행정학회지 Vol.26 No.3

Background: This study was conducted to analyze the influence of socioeconomic characteristics of community on the food insecurity under the control of personal socioeconomic factors which may be influence to the food security. Methods: Food insecurity and individual socioeconomic characteristics were obtained from 2012 community health survey. Socioeconomic characteristics of communities were extracted from the data of Statistics Korea and local governments. Personal socioeconomic factors were sex, age, educational status, job, and monthly family income. Socioeconomic characteristics of communities were administrative district (urban vs. rural), senior population rate, degree of financial self reliance, degree of financial independence, portion of welfare budget, number of welfare facilities, and unemployment rate. We analysed the relationships between the food insecurity and socioeconomic characteristics of community using multi-level analysis under the control of personal characteristics. Results: On personal level age, sex, education status, and monthly family income were related with food insecurity. On community level administrative district (urban vs. rural), degree of financial independence, unemployment rate, and proportion of welfare budget among local general government accounts were related to individual food insecurity. Rural area, district with low levels of financial independence, low portion of welfare budget, and greater unemployment rate showed a higher level of food insecurity. Conclusion: To reduce the level of food insecurity in a community it is necessary to decrease the unemployment rate, in addition to providing support from the central government by increasing the proportion of the welfare budget so that both factors contribute to raising the degree of financial independence.

상이한 분류 기준에 따른 근로형태별 자가평가건강수준 : 한국노동패널조사 자료를 이용한 패널회귀분석

김근회(Keunwhoe Kim),정헌종(Hun-Jong Chung),장성훈(Sounghoon Chang),김형수(Hyeongsu Kim),노대희(Daehee Noh),정최경희(Kyunghee Jung-Choi) 대한직업환경의학회 2010 대한직업환경의학회지 Vol.22 No.3