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      The association between effort-reward imbalance, work-life balance and depressive mood in Korean wage workers: The 4th Korean Working Conditions Survey

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          Abstract

          Background

          This study was conducted to determine the association between work-life (WL) balance, effort-reward (ER) imbalance, and depressive mood in Korean wage workers when 2 models were considered simultaneously.

          Methods

          We analyzed 26,014 Korean workers including 13,471 men and 12,543 women from the 4th Korean Working Conditions Survey data. Multiple logistic regression was used to analyze the association between WL, ER status, and the depressive mood of Korean workers. We classified the subjects into a total of 4 groups as follows. Group 1: WL and ER status are both “balanced”, group 2: WL status is “imbalanced” and ER status is “balanced”, group 3: WL status is “balanced” and the ER status is “imbalanced”, group 4: WL and ER status are both “imbalanced.”

          Results

          We found significantly increased odds ratios (ORs) for depressive mood in groups 2, 3, and 4 compared with group 1 after adjusting for the general and occupational characteristics of the subjects in both men and women. We also found that the trend of ORs increased gradually from groups 2 to 4 compared with group 1 in both men and women; group 2: OR: 1.23 (95% confidence interval [CI]: 1.12–1.35), group 3: OR: 1.40 (95% CI: 1.27–1.55), group 4: OR: 1.99 (95% CI: 1.74–2.28) compared with group 1 in men; group 2: OR: 1.28 (95% CI: 1.15–1.42), group 3: OR: 1.45 (95% CI: 1.31–1.59), group 4: OR: 2.04 (95% CI: 1.76–2.36) compared with group 1 in women.

          Conclusions

          As a result, we found the association between imbalanced WL, ER status, and depressive mood in Korean workers using 2 models simultaneously. It is important to provide a balanced WL and ER condition to improve the mental health of workers.

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          Most cited references38

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          • Article: not found

          The WHO-5 Well-Being Index: a systematic review of the literature.

          The 5-item World Health Organization Well-Being Index (WHO-5) is among the most widely used questionnaires assessing subjective psychological well-being. Since its first publication in 1998, the WHO-5 has been translated into more than 30 languages and has been used in research studies all over the world. We now provide a systematic review of the literature on the WHO-5.
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            Sources of Conflict Between Work and Family Roles

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              Adverse health effects of high-effort/low-reward conditions.

              J Siegrist (1996)
              In addition to the person-environment fit model (J. R. French, R. D. Caplan, & R. V. Harrison, 1982) and the demand-control model (R. A. Karasek & T. Theorell, 1990), a third theoretical concept is proposed to assess adverse health effects of stressful experience at work: the effort-reward imbalance model. The focus of this model is on reciprocity of exchange in occupational life where high-cost/low-gain conditions are considered particularly stressful. Variables measuring low reward in terms of low status control (e.g., lack of promotion prospects, job insecurity) in association with high extrinsic (e.g., work pressure) or intrinsic (personal coping pattern, e.g., high need for control) effort independently predict new cardiovascular events in a prospective study on blue-collar men. Furthermore, these variables partly explain prevalence of cardiovascular risk factors (hypertension, atherogenic lipids) in 2 independent studies. Studying adverse health effects of high-effort/low-reward conditions seems well justified, especially in view of recent developments of the labor market.

                Author and article information

                Journal
                Ann Occup Environ Med
                Ann Occup Environ Med
                AOEM
                Annals of Occupational and Environmental Medicine
                Korean Society of Occupational & Environmental Medicine
                2052-4374
                2021
                25 January 2021
                : 33
                : e2
                Affiliations
                [1 ]Department of Preventive Medicine, Seoul National University, College of Medicine, Seoul, Korea.
                [2 ]Institute of Environmental Medicine, Seoul National University Medical Research Center, Seoul, Korea.
                Author notes
                Correspondence: Yun-Chul Hong. Department of Preventive Medicine, Seoul National University, College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul 03080, Korea. ychong1@ 123456snu.ac.kr
                Author information
                https://orcid.org/0000-0003-1057-756X
                https://orcid.org/0000-0002-5010-1614
                https://orcid.org/0000-0001-6850-8343
                https://orcid.org/0000-0001-6575-9833
                https://orcid.org/0000-0003-0649-9562
                https://orcid.org/0000-0001-9010-7271
                Article
                10.35371/aoem.2021.33.e2
                7952773
                34754463
                72de2dc2-dcf8-47f1-9f14-93c0ac95df66
                Copyright © 2021 Korean Society of Occupational & Environmental Medicine

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 29 September 2020
                : 23 December 2020
                Categories
                Research Article

                effort-reward imbalance,work-life balance,depressive mood,depression,working conditions

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