임금근로자의 사회적 시차와 신체적 불편감의 관계에서 피로의 매개효과 - 2024년 국민건강영양조사 자료를 활용한 연구 -
Mediating Effect of Fatigue on the Relationship between Social Jetlag and Physical Discomfort of Wage Workers - An Analysis of the 2024 Korea National Health and Nutrition Examination Survey -
Purpose : This study aimed to examine the relationship between social jetlag and physical discomfort of wage workers and to verify the mediating effect of fatigue on this relationship. Methods : This cross-sectional secondary data analysis utilized the data from the 2024 Korea National Health and Nutrition Examination Survey (KNHANES). The study included 2,220 wage workers aged 19 years or older with the complete data on primary variables. Social jetlag was calculated as the absolute difference (in hours) between mid-sleep time on off days and workdays. Fatigue was measured using a single fatigue item from the Patient Health Questionnaire-9 (range: 0–3), and physical discomfort was measured as the number of days during the past two weeks in which poor physical health limited activities (range: 0–14 days). Complex sample analyses incorporating sampling weights, stratification, and clustering were performed using R version 4.4.3. The mediating effect of fatigue was evaluated using weighted linear regression and 5,000 bootstrap resamples after adjusting for sociodemographic, occupational, and health-related covariates. Results : Social jetlag was positively associated with fatigue (B=0.06, p=.007), and fatigue was positively associated with physical discomfort (B=0.55, p<.001). The direct effect of social jetlag on physical discomfort was not statistically significant (B=-0.12, p=.113). However, the indirect effect of social jetlag on physical discomfort through fatigue was statistically significant (indirect effect=0.03, 95% CI 0.01~0.06), indicating an indirect-only mediation pattern. Conclusion : A significant indirect association between social jetlag and physical discomfort through fatigue was observed among wage workers. These findings indicate that occupational health interventions should go beyond simply managing sleep duration to incorporate fatigue assessment, sleep hygiene education, and organizational strategies aimed at minimizing sleep-schedule discrepancies between workdays and off days.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구방법 1. 연구설계 2. 연구대상 3. 자료수집방법 4. 연구도구 5. 자료분석방법 Ⅲ. 연구결과 1. 대상자의 일반적 특성, 특성에 따른 신체적불편감 및 주요 변수 간 상관관계 2. 신체적 불편감 관련 요인 3. 사회적 시차와 신체적 불편감의 관계에서피로의 매개효과 Ⅳ. 논의 Ⅴ. 결론 및 제언 Conflicts of Interest 참고문헌