Abstract
Objectives
This survey was designed to determine whether depressive symptoms had an effect on the risk of self-reported occupational injury in South Korea.
Methods
We conducted a prospective follow-up survey of workers at 44 small- to medium-sized companies classified into manufacturing or service businesses; 1,350 questionnaires were used in the final analysis. The first survey requested information regarding personal characteristics, work characteristics, and depressive symptoms (CES-D); the second survey queried participants in the first survey about self-reported occupational injuries (including minor scratches or cuts) experienced in the previous 4 months. Risk ratios (RRs) were calculated through Poisson regression analysis. The number of occupational injuries during the previous 4 months served as the dependent variable, and depressive symptoms served as the independent variable.
Results
After adjustment for demographic factors, the RRs were 1.75 (95% CI: 1.41–2.18) and 2.68 (95% CI: 1.98–3.64) in male and female, respectively. Additional adjustment for work-related variables did not alter the RR considerably in females (2.65; 95% CI: 1.95–3.59). Among the male workers, however, the RR was not significant (1.21; 95% CI: 0.95–1.55). On the other hand, when the analysis was limited to blue-collar workers, after adjustment for demographic and work-related factors, the RRs remained significant in both genders (male: 1.34; 95% CI: 1.03–1.74; female: 2.04; 95% CI: 1.41–2.95).
Conclusions
We found that the risk of self-reported occupational injury experience was higher in workers who reported depressive symptoms. Additional study using objective data is required to confirm our results.
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References
Berndt ER, Bailit HL, Keller MB, Verner JC, Finkelstein SN (2000) Health care use and at- work productivity among employees with mental disorders. Health Aff (Millwood) 19(4):244–256
Birnbaum HG, Leong SA, Greenberg PE (2003) The economics of women and depression: an employer’s perspective. J Affect Disord 74:15–22
Bhattacherjee A, Chau N, Sierra CO, Legras B, Benamghar L, Michaely JP, Ghosh AK, Guillemin F, Ravaud JF, Mur JM, Lorhandicap Group (2003) Relationships of job and some individual characteristics to occupational injuries in employed people: a community-based study. J Occup Health 45(6):382–391
Centers for Disease Control, Prevention (1998) Nonfatal occupational injuries treated in hospital Emergency Departments-United States. MMWR 50:313–317
Cho MJ, Kim KH (1993) Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc 32:381–399
Cho MJ, Nam JJ, Suh GH (1998) Prevalence of symptoms of depression in a nationwide sample of Korean adults. Psychiatry Res 81:341–352
Cooper CL, Sutherland VJ (1987) Job stress, mental health, and accidents among offshore workers in the oil and gas extraction industries. J Occup Med 29:119–125
Dembe AE, Erickson JB, Delbos R (2004) Predictors of work-related injuries and illnesses: national survey findings. J Occup Environ Hyg 1:542–550
Dewa CS, Lin E, Kooehoorn M, Goldner E (2007) Association of chronic work stress, psychiatric disorders, and chronic physical conditions with disability among workers. Psychiatr Serv 58(5):652–658
Gilmore TM, Alexander BH, Mueller BA, Rivara FP (1996) Occupational injuries and medication use. Am J Ind Med 30(2):234–239
Greiner BA, Krause N, Ragland DR, Syme SL, Fisher JM (1998) Objective stress factors, accidents, and absenteeism in transit operators: a theoretical framework and empirical evidence. J Occup Health Psychol 3:130–146
Guastello SJ, Gershon RR, Murphy LR (1999) Catastrophe model for the exposure to blood-borne pathogens and other accidents in health care settings. Accid Anal Prev 31:739–749
Hofmann DA, Stetzer A (1998) The role of safety climate and communication in accident interpretation: implications for learning from negative events. Acad Manage J 41:644–657
Holcom ML, Lehman WEK, Simpson DD (1993) Employee accidents: influences of personal characteristics, job characteristics, and substance use in jobs differing in accident potential. J Safety Res 24:205–221
Johnson J, Weissman MM, Klerman GL (1992) Service utilization and social morbidity associated with depressive symptoms in the community. JAMA 267(11):1478–1483
Kessler RC, Greenberg PE, Mickelson KD, Meneades LM, Wang PS (2001) The effects of chronic medical conditions on work loss and work cutback. J Occup Environ Med 43(3):218–225
Lerner D, Adler DA, Chang H, Berndt ER, Irish JT, Lapitsky L, Hood MY, Reed J, Rogers WH (2004) The clinical and occupational correlates of work productivity loss among employed patients with depression. J Occup Environ Med 46(6 Suppl):S46–S55
Li CY, Chen KR, Wu CH, Sung FC (2001) Job stress and dissatisfaction in association with non-fatal injuries on the job in a cross-sectional sample of petrochemical workers. Occup Med (Lond) 51:50–55
Lindberg G, Larsson G, Setterlind S, Rastam L (1994) Serum lipids and mood in working men and women in Sweden. J Epidemiol Community Health 48(4):360–363
Marlowe JF (2002) Depression’s surprising toll on worker productivity. Empl Benefits J 27:16–21
Murata K, Kawakami N, Amari N (2000) Does job stress affect injury due to labor accident in Japanese male and female blue-collar workers? Ind Health 38:246–251
Nakata A, Ikeda T, Takahashi M, Haratani T, Fujioka Y, Fukui S, Swanson NG, Hojou M, Araki S (2005) Sleep-related risk of occupational injuries in Japanese small and medium-scale enterprises. Ind Health 43:89–97
Nakata A, Ikeda T, Takahashi M, Haratani T, Hojou M, Fujioka Y, Swanson NG, Araki S (2006) Impact of psychosocial job stress on non-fatal occupational injuries in small and medium-sized manufacturing enterprises. Am J Ind Med 49:658–669
Peele PB, Tollerud DJ (2005) Depression and occupational injury: results of a pilot investigation. J Occup Environ Med 47:424–427
Poole GV, Lewis JL, Devidas M, Hauser CJ, Martin RW, Thomae KR (1997) Psychopathologic risk factors for intentional and nonintentional injury. J Trauma 42(4):711–715
Radloff LS (1977) The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1:385–401
Salminen S, Kivimaki M, Elovinio M, Vahtera J (2003) Stress factors predicting injuries of hospital personnel. Am J Ind Med 44:32–36
Simon GE, Revicki D, Heiligenstein J, Grothaus L, VonKorff M, Katon WJ, Hylan TR (2000) Recovery from depression, work productivity, and health care costs among primary care patients. Gen Hosp Psychiatry 22(3):153–162
Simon GE, Barber C, Birnbaum HG, Frank RG, Greenberg PE, Rose RM, Wang PS, Kessler RC (2001) Depression and work productivity: the comparative costs of treatment versus nontreatment. J Occup Environ Med 43:2–9
Simpson SA, Wadsworth EJ, Moss SC, Smith AP (2005) Minor injuries, cognitive failures and accidents at work: incidence and associated features. Occup Med (Lond) 55(2):99–108
Stansfeld S, Feeney A, Head J, Canner R, North F, Marmot M (1995) Sickness absence for psychiatric illness: the Whitehall II study. Soc Sci Med 40:189–197
Steward WF, Ricci JA, Chee E, Hahn SR, Morganstein D (2003) Cost of lost productive work time among US workers with depression. JAMA 289:3135–3144
Suzuki K, Ohida T, Kaneita Y, Yokoyama E, Miyake T, Harano S, Yagi Y, Ibuka E, Haneko A, Tsutsui T, Uchiyama M (2004) Mental health status, shift work, and occupational accidents among hospital nurses in Japan. J Occup Health 46:448–454
Swaen GM, van Amelsvoort LG, Bültmann U, Kant IJ (2003) Fatigue as a risk factor for being injured in an occupational accident: results from the Maastricht Cohort Study. Occup Environ Med 60(Suppl 1):88–92
Swaen GM, van Amelsvoort LP, Bültmann U, Slangen JJ, Kant IJ (2004) Psychosocial work characteristics as risk factors for being injured in an occupational accident. J Occup Environ Med 46:521–527
Wadsworth EJ, Moss SC, Simpson SA, Smith AP (2005) Psychotropic medication use and accidents, injuries and cognitive failures. Hum Psychopharmacol 20(6):391–400
Wilkins K, Beaudet MP (1998) Work stress and health. Health Rep 10:47–62
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This work was supported by Inha University Research Grant.
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Kim, HC., Park, SG., Min, KB. et al. Depressive symptoms and self-reported occupational injury in small and medium-sized companies. Int Arch Occup Environ Health 82, 715–721 (2009). https://doi.org/10.1007/s00420-008-0365-6
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DOI: https://doi.org/10.1007/s00420-008-0365-6