한국 성인근로자의 근무일정 및 근로시간이 흡연에 미치는 영향 = Associations between the Smoking Status of Korean Employees and Their Work Schedule & Working Hours

국문 초록 (Abstract)

연구배경: 근무일정 및 근로시간은 암, 심장질환, 심혈관질환의 발병률에 영향을 준다고 알려져 있으며, 불건강한 건강행태와도 연관이 있다. 본 연구는 한국 성인 근로자에서 근무일정 및 근로시간과 흡연율의 연관성을 평가하기 위해 수행되었다.
방법: 2013년에서 2017년 국민건강영양조사 자료를 바탕으로 19세 초과의 근로자 15,904명을 대상으로 연구를 수행하였다. 근무일정은 주간근무, 저녁근무, 밤근무, 교대근무로 분류하였고, 근무시간은 주당 40시간 이하, 40-50시간, 50-60시간, 60시간 초과로 구분하여 분석하였다. 연관성은 다변량 로지스틱 회귀분석을 사용하여 평가하였고 분석은 SPSS ver. 24.0을 사용하였다.
결과: 대상자의 27.4%가 현재 흡연자였다. 흡연에 영향을 주는 다른 변수들을 보정한 뒤에도 저녁 및 밤에 근무하는 여성근로자의 흡연률은 주간근로자에 비해 유의하게 높았다(저녁근무자 OR=1.797, 95% CI=1.306-2.471, 밤근무자 OR=6.835, 95% CI=4.075-11.461). 근로 시간에 따른 흡연율은 주당 60시간을 초과하여 일하는 남성과 여성근로자에서 모두 유의하게 높았다(60시간 초과 남성근로자 OR =1.328, 95% CI=1.117-1.578, 60시간 초과 여성근로자 OR=1.835, 95% CI=1.247-2.701).
결론: 한국 성인 근로자의 근무일정 및 근로시간은 흡연율에 영향을 준다. 담배규제 프로그램을 기획 시, 직장의 근로형태 및 근로시간을 고려해야 한다.

참고문헌 (Reference)

1 김지윤, "한국 임금근로자의 작업환경과 흡연율 간의 관계에 대한 연구" 한국직업건강간호학회 24 (24): 204-213, 2015

2 Angrave D, "Working time and cigarette smoking: evidence from Australia and the United Kingdom" 112 : 72-79, 2014

3 Bara AC, "Working shifts and mental health--findings from the British Household Panel Survey (1995-2005)" 35 (35): 361-367, 2009

4 Sokejima S, "Working hours as a risk factor for acute myocardial infarction in Japan: case-control study" 317 (317): 775-780, 1998

5 Bushnell PT, "Work schedules and health behavior outcomes at a large manufacturer" 48 (48): 395-405, 2010

6 Korean Ministry of Health and Welfare, "The 7th Korea National Health and Nutrition Examination Survey, 2017" Korean Ministry of Health and Welfare 2017

7 Korean Ministry of Health and Welfare, "The 5-7th Korea National Health and Nutrition Examination Survey, 2013-2017" Korean Ministry of Health and Welfare 2017

8 Molarius A, "Socioeconomic conditions, lifestyle factors, and self-rated health among men and women in Sweden" 17 (17): 125-133, 2007

9 Siasos G, "Smoking and atherosclerosis: mechanisms of disease and new therapeutic approaches" 21 (21): 3936-3948, 2014

10 van Amelsvoort LG, "Smoking among shift workers : More than a confounding factor" 23 (23): 1105-1113, 2006

11 Frost P, "Shift work and the risk of ischemic heart disease-a systematic review of the epidemiologic evidence" 35 (35): 163-179, 2009

12 Torquati L, "Shift work and the risk of cardiovascular disease. A systematic review and metaanalysis including dose-response relationship" 44 (44): 229-238, 2018

13 Mosendane T, "Shift work and its effects on the cardiovascular system" 19 (19): 210-215, 2008

14 Wang X, "Shift work and chronic disease: the epidemiological evidence" 61 : 2011

15 Shan Z, "Rotating night shift work and adherence to unhealthy lifestyle in predicting risk of type 2diabetes: results from two large US cohorts of female nurses" 363 : k4641-, 2018

16 Bekkers MB, "Relationship of night and shift work with weight change and lifestyle behaviors" 57 (57): e37-e44, 2015

17 장성미, "Relationship between Work Hours and Smoking Behaviors in Korean Male Wage Workers" 대한직업환경의학회 25 (25): 35-35, 2013

18 Caruso CC, "Possible broad impacts of long work hours" 44 (44): 531-536, 2006

19 Karhula K, "Permanent night workers sleep and psychosocial factors in hospital work. A comparison to day and shift work" 35 (35): 785-794, 2018

20 Lawless MH, "Perceived stress and smoking-related behaviors and symptomatology in male and female smokers" 51 : 80-83, 2015

21 Thomas C, "Night work, long working hours, psychosocial work stress and cortisol secretion in mid-life: evidence from a British birth cohort" 66 (66): 824-831, 2009

22 Nakanishi N, "Lifestyle and the development of hypertension: a 3-year follow-up study of middle-aged Japanese male office workers" 49 (49): 109-114, 1999

23 Pietroiusti A, "Incidence of metabolic syndrome among night-shift healthcare workers" 67 (67): 54-57, 2010

24 Organisation for Economic Co‐operation and Development, "Hours worked (indicator)" Organisation for Economic Co‐operation and Development

25 Jung-Choi KH, "Hidden female smokers in Asia: a comparison of self-reported with cotinine-verified smoking prevalence rates in representative national data from an Asian population" 21 (21): 536-542, 2012

26 Bildt C, "Gender differences in the effects from working conditions on mental health: a 4-year follow-up" 75 (75): 252-258, 2002

27 Raediker B, "Extended working hours and health" 23 (23): 1305-1316, 2006

28 Hayashi T, "Effect of overtime work on 24-hour ambulatory blood pressure" 38 (38): 1007-1011, 1996

29 Siegel A, "Direct and Indirect Effects of Psychological Distress on Stress-Induced Smoking" 78 (78): 930-937, 2017

30 Virdis A, "Cigarette smoking and hypertension" 16 (16): 2518-2525, 2010