건설업 근로자의 업무 관련 근골격계 통증에 영향을 미치는 직무요구-통제-지지 요인 분석
Analysis of Job Demand–Control–Support Factors Influencing Work-Related Musculoskeletal Pain among Construction Workers
Construction workers experience a high burden of work-related musculoskeletal pain due to physically demanding tasks and hazardous working environments. However, evidence based on nationally representative data examining psychosocial job characteristics and work-related musculoskeletal pain among construction workers remains limited. This study aimed to investigate factors associated with work-related musculoskeletal pain among Korean construction workers using the job demand–control –support (JDCS) model. Methods: This study is a cross-sectional study utilizing data from the 7th Korean Working Conditions Survey (KWCS), with a final sample of 1,313 construction workers. To account for the complex sampling design of the KWCS, final weights recommended by the data provider were applied, and all statistical analyses were performed using complex sample procedures in SAS version 9.4. Job demand, control, and support were measured using standardized questionnaire items. Differences in characteristics based on the presence of work-related musculoskeletal pain were examined using the Rao-Scott χ²test for categorical variables and complex sample regression analysis for continuous variables. Finally, multivariate logistic regression analysis, adjusted for sociodemographic and occupational confounding factors, was conducted to identify independent risk factors affecting work-related musculoskeletal pain. Results were presented as adjusted odds ratios (aOR) with 95% confidence intervals (CI). Results: Among the participants, 43.0% reported work-related musculoskeletal pain. Workers with musculoskeletal pain had significantly higher job demand and lower levels of job control and job support compared with those without pain (p<0.05). In the logistic regression analysis, job demand was significantly associated with an increased risk of work-related musculoskeletal pain (odds ratio [aOR] = 1.04, 95% confidence interval [CI] = 1.02–1.05). Job control and job support were not significantly associated with musculoskeletal pain. Female sex, older age, low level of education, dissatisfaction with the work environment and longer weekly working hours were also significantly associated with work-related musculoskeletal pain. Conclusions: Work-related musculoskeletal pain among construction workers was primarily associated with high job demand, demographic factors, and long working hours, whereas job control and job support showed limited associations. These findings highlight the importance of reducing physical and ergonomic job demand, improving working conditions, and implementing targeted preventive strategies for vulnerable groups to protect the musculoskeletal health of construction workers.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구 방법 1. 연구설계 2. 연구대상 3. 자료수집방법 4. 연구도구 5. 자료분석방법 Ⅲ. 연구 결과 1. 연구 대상자의 일반적인 특성 2. 직무요구, 직무통제 및 직무지지 수준 3. 직무요구, 직무통제 및 직무지지 수준과 업무 관련 근골격계 통증 여부에 따른 차이 4. 건설업 근로자의 업무 관련 근골격계 통증에 영향을 미치는 요인 Ⅳ. 논의 Ⅴ. 결론 및 제언 참고문헌