Disparities in precarious workers’ health care access in South Korea

Min, Jin Young; Park, Shin Goo; Hwang, Sang Hee; Min, Kyung Soo

doi:10.1002/ajim.22658

Cited by 19 publications

(15 citation statements)

References 29 publications

(39 reference statements)

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“…A person can be directly employed, employed through an agency or self-employed as well as being employed in other indirect ways depending on context. In the quantitative studies, being employed through an agency or being self-employed was usually contrasted to being directly employed (23,27,28,31,34,49,51,57). From the analysis of the qualitative definitions, it was possible to capture the negative connotations associated with some of these subthemes, although no explicit comparison was made.…”

Section: Included Dimensionsmentioning

confidence: 99%

What is precarious employment? A systematic review of definitions and operationalizations from quantitative and qualitative studies

Kreshpaj¹,

Orellana²,

Burström³

et al. 2020

Scand J Work Environ Health

204

188

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Section: Included Dimensionsmentioning

confidence: 99%

What is precarious employment? A systematic review of definitions and operationalizations from quantitative and qualitative studies

Kreshpaj¹,

Orellana²,

Burström³

et al. 2020

Scand J Work Environ Health

204

188

View full text Add to dashboard Cite

show abstract

“…Another issue in Theme 3 is the employment status of affected workers. Workers’ employment status affects health and causes safety disparities, which is exacerbated by unregulated and unsafe workplaces [ 23 - 25 ]. International reviews have found that occupational injury rates for nonstandard and temporary workers are greater than those for permanent workers [ 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Topic Modeling of Social Networking Service Data on Occupational Accidents in Korea: Latent Dirichlet Allocation Analysis

2020

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Background In most industrialized societies, regulations, inspections, insurance, and legal options are established to support workers who suffer injury, disease, or death in relation to their work; in practice, these resources are imperfect or even unavailable due to workplace or employer obstruction. Thus, limitations exist to identify unmet needs in occupational safety and health information. Objective The aim of this study was to explore hidden issues related to occupational accidents by examining social network services (SNS) data using topic modeling. Methods Based on the results of a Google search for the phrases occupational accident, industrial accident and occupational diseases, a total of 145 websites were selected. From among these websites, we collected 15,244 documents on queries related to occupational accidents between 2002 and 2018. To transform unstructured text into structure data, natural language processing of the Korean language was conducted. We performed the latent Dirichlet allocation (LDA) as a topic model using a Python library. A time-series linear regression analysis was also conducted to identify yearly trends for the given documents. Results The results of the LDA model showed 14 topics with 3 themes: workers’ compensation benefits (Theme 1), illicit agreements with the employer (Theme 2), and fatal and non-fatal injuries and vulnerable workers (Theme 3). Theme 1 represented the largest cluster (52.2%) of the collected documents and included keywords related to workers’ compensation (ie, company, occupational injury, insurance, accident, approval, and compensation) and keywords describing specific compensation benefits such as medical expense benefits, temporary incapacity benefits, and disability benefits. In the yearly trend, Theme 1 gradually decreased; however, other themes showed an overall increasing pattern. Certain queries (ie, musculoskeletal system, critical care, and foreign workers) showed no significant variation in the number of queries. Conclusions We conducted LDA analysis of SNS data of occupational accident–related queries and discovered that the primary concerns of workers posting about occupational injuries and diseases were workers’ compensation benefits, fatal and non-fatal injuries, vulnerable workers, and illicit agreements with employers. While traditional systems focus mainly on quantitative monitoring of occupational accidents, qualitative aspects formulated by topic modeling from unstructured SNS queries may be valuable to address inequalities and improve occupational health and safety.

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“…In South Korea, self-employed individuals account for more than 30% of the labor market [28], of which 80% are self-employed insurance beneficiaries [8]. Previous studies demonstrate that precarious employment conditions with lower purchasing power and job insecurity result in poor health status or outcomes; moreover, such workers generally experience significant barriers to medical care access [29][30][31]. Recently, Choi et al clearly verified that self-employed status, defined as workers who manage their own businesses or carry out professional matters under their own responsibility, affects unmet dental care needs [24].…”

Section: Discussionmentioning

confidence: 99%

Unmet Dental Care Needs among Korean National Health Insurance Beneficiaries Based on Income Inequalities: Results from Five Waves of a Population-Based Panel Study

2020

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This study investigates whether self-employed beneficiaries experience greater difficulties in accessing dental care than insured employees based on their income level. This analysis uses 2011–2015 data from the Korea Health Panel, a population-based and nationally representative sample, covering 7083 participants aged 18 years and older. We measured barriers to dental access based on unmet needs or the inability to receive necessary dental care owing to the past year’s economic burdens. The type of health insurance and household income are considered independent variables. We applied multiple panel logistic regressions and two-panel logistic regression models with a fixed-effects approach to analyze the data. Self-employed beneficiaries were 1.16 times (95% confidence interval (CI) = 1.08–1.24) more likely to experience unmet dental needs than were insured employees. Insured employees and self-employed beneficiaries belonging to the lowest income bracket were 1.76 times (95% CI = 1.53–2.03) and 2.33 times (95% CI = 1.89–2.87) more likely to have unmet needs than those in the highest income bracket. Self-employed beneficiaries were 1.31 times (95% CI = 1.21–1.43) more likely to experience unmet dental needs caused by economic burdens than are insured employees. Insured employees of the lowest income quintile were 4.15 times (95% CI = 3.41–5.05) more likely to experience unmet needs caused by economic burdens, while the odds ratio for self-employed beneficiaries was 5.47 (95% CI = 4.05–7.39). Our findings indicate gaps in unmet dental needs between self-employed beneficiaries and insured employees. The government should adopt strategies to reduce unmet needs among marginalized groups and redefine the role of national health insurance.

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Disparities in precarious workers’ health care access in South Korea

Abstract: We found that precarious workers had more difficulty accessing health care or receiving health checkups or cancer screenings than their non-precarious counterparts. Am. J. Ind. Med. 59:1136-1144, 2016. © 2016 Wiley Periodicals, Inc.

Cited by 19 publications

References 29 publications

What is precarious employment? A systematic review of definitions and operationalizations from quantitative and qualitative studies

What is precarious employment? A systematic review of definitions and operationalizations from quantitative and qualitative studies

Topic Modeling of Social Networking Service Data on Occupational Accidents in Korea: Latent Dirichlet Allocation Analysis

Unmet Dental Care Needs among Korean National Health Insurance Beneficiaries Based on Income Inequalities: Results from Five Waves of a Population-Based Panel Study

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