Who is the most precarious among the nonstandard workers? A comparative study of unmet medical needs among standard workers and subtypes of nonstandard workers

IF 2.6 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Occupational Health Pub Date : 2023-06-24 DOI:10.1002/1348-9585.12414

Joonho Ahn, Dong-Wook Lee, Jaesung Choi, Mo-Yeol Kang

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Abstract

Objective

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.

Methods

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.

Results

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.

Conclusions

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.

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在非标准工人中，谁是最不稳定的?标准工人与非标准工人亚型未满足医疗需求的比较研究

目的非标准职工医疗需求未得到满足的风险高于标准职工。本研究对非标准劳工进行细分，探讨非标准就业对未满足医疗需求的影响。方法使用韩国健康委员会2011-2018年的数据。自变量，雇佣合同，使用国际劳工组织描述的非标准形式定义:临时工，兼职工人和临时代理工人。本研究使用的分析方法是考虑重复测量参与者的面板logit模型。通过控制定常个体固定效应，以标准工作为参照，研究细分非标准工作与未满足医疗需求风险之间的关系。结果分析结果清楚地显示，与标准工人相比，临时劳务人员的医疗需求未得到满足的风险明显更高(优势比= 1.182,95% CI = 1.016 ~ 1.374)。造成这一现象的主要原因是经济原因。结论:本研究发现，在一般韩国人群中，临时代理工作者有明显更高的未满足医疗需求的风险。这项研究的结果表明，经济困难可能是非标准就业工人的基本健康危害。

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来源期刊

Journal of Occupational Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

3.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The scope of the journal is broad, covering toxicology, ergonomics, psychosocial factors and other relevant health issues of workers, with special emphasis on the current developments in occupational health. The JOH also accepts various methodologies that are relevant to investigation of occupational health risk factors and exposures, such as large-scale epidemiological studies, human studies employing biological techniques and fundamental experiments on animals, and also welcomes submissions concerning occupational health practices and related issues.