ObjectivesThis study aimed to evaluate the risk factors associated with depression and suicidal ideation in a rural population.MethodsA survey was conducted with 543 farmers from Chungcheongnam-do Province using the Center for Epidemiologic Studies Depression Scale (CES-D) for depression, Lubben Social Network Scale (LSNS) for social support, Swedish Q16 for neurotoxicity symptoms and a survey tool for farmer’s syndrome.ResultsAfter adjusting for socioeconomic factors using logistic regression analysis, poor self-rated health, low social support and neurotoxicity were positively associated with the risk of depression (odds ratio [OR], 15.96; 95% confidence interval [CI], 3.11 to 81.97; OR, 3.14; 95% CI, 1.26 to 7.82; and OR, 3.68; 95% CI, 1.08 to 12.57, respectively). The risk of suicidal ideation significantly increased with low social support, neurotoxicity and farmer’s syndrome (OR, 2.28; 95% CI, 1.18 to 4.40; OR, 6.17; 95% CI, 2.85 to 13.34; and OR, 3.70; 95% CI, 1.51 to 9.07, respectively).ConclusionsGiven the overall results of this study, there is a need to establish programs which can improve the health and social relationships of farmers. Also, when farmers have neurological symptoms from pesticide exposure and characteristic symptoms of farmer’s syndrome, a monitoring system for depression and suicide must be made available.Conclusions: Given the overall results of this study, there is a need to establish programs which can improve the health and social relationships of farmers. Also, when farmers have neurological symptoms from pesticide exposure and characteristic symptoms of farmer's syndrome, a monitoring system for depression and suicide must be made available.

BackgroundThis study aimed to identify the emotional labor and workplace violence status among toll collectors by assessing and comparing the same with that in workers in other service occupation. It also aimed to analyze the relationship between emotional labor and workplace violence.MethodsThis study examined emotional labor and workplace violence status in 264 female toll collectors from August 20 to September 4, 2015. The emotional labor was assessed using the Korean Emotional Labor Scale (K-ELS), and a questionnaire was used to examine the presence or absence, and type and frequency of workplace violence experienced by the subjects. A linear regression analysis was also performed to analyze the relationship between workplace violence and emotional labor.ResultsThe scores on “emotional demanding and regulation (p < 0.001),” “overload and conflict in customer service (p = 0.005),” “emotional disharmony and hurt (p < 0.001),” and “organizational surveillance and monitoring (p < 0.001)” among the sub-categories of emotional labor were significantly high and indicated “at-risk” levels of emotional labor in those who experienced workplace violence, whereas they were “normal” of emotional labor in those who did not. Even after being adjusted in the linear regression analysis, the emotional labor scores for the above 4 sub-categories were still significantly high in those who experienced workplace violence. On comparing the present scores with 13 other service occupations, it was found that toll collectors had the highest level in “emotional disharmony and hurt,” “organizational surveillance and monitoring,” and “organizational supportive and protective system”.ConclusionsThis study found that the toll collectors engaged in a high level of emotional labor. Additionally, there was a significant relationship between emotional labor and the experience of workplace violence among the toll collectors.

Objectives: This study was designed to assess the level of physical exposure to heavy metals among residents who live around a Chungcheongnam-do Province industrial complex and to provide baseline data on the effects and harms of heavy metals on the human body by comparing their exposure levels to those of people from control regions. Methods:We measured blood lead and cadmium levels and urine mercury and chromium levels and conducted a survey among 559 residents from the affected area and 347 residents of other areas.Results: Blood lead and cadmium levels and urine mercury levels were significantly higher in the case region than among those in the control region (p=0.013, p<0.001, p<0.001, respectively). In the thermoelectric power plant area, blood cadmium and urine mercury levels were significantly higher than in the control region (p<0.001, p<0.001, respectively). In the steel mill and petrochemical industry areas, blood cadmium level was significantly higher than that in the control region (p<0.001). Dividing groups by the reference level of blood cadmium (2 µg/L), the odds ratios between the case and control regions were 2.56 (95% CI=1.83-3.58), 3.11 (95% CI=2.06-4.71) for the thermoelectric power plant area, 1.78 (95% CI=1.19-2.65) for the steel mill area and 4.07 (95% CI=2.40-6.89) for petrochemical industry area. Conclusion:This study showed that the levels of exposure to heavy metals among residents living near a Chungcheongnam-do Province industrial complex were significantly higher than those in the control region. This seems to be attributable to exposure to heavy metals emissions from the industrial complex. Further research and safety measures are required to protect residents' health.