The Effects of Occupational Stress and Musculoskeletal Symptoms on Health-Related Quality of Life in Female Labor Workers

생산직 여성근로자의 직무스트레스와 근골격계증상이 건강관련 삶의 질에 미치는 영향

Lee, Young-Mee;Phee, Young Gyu

  • Received : 2016.05.16
  • Accepted : 2016.06.24
  • Published : 2016.06.30


Objectives: The objectives of this study were to investigate female labor workers' occupational stress and musculoskeletal symptoms and to identify the effects of their occupational stress and musculoskeletal symptoms on their health-related quality of life. Methods: A survey was conducted through direct interviews using a musculoskeletal symptoms questionnaire, the Korean Occupational Stress Scale(KOSS), and the Short-Form 36-Item Health Survey(SF-36). Subjects were 112 female labor workers in three factories in D city who were selected by convenience sampling. Results: Factors significantly affecting health-related quality of life were found to be: occupational stress(${\beta}$=-.36); degree of pain, with medium pain(${\beta}$=-.31) and extremely severe pain(${\beta}$=-.24); duration of pain, with more than 1 week-less than 1 month(${\beta}$=-.25) and more than 6 months(${\beta}$=-.16); frequency of pain, with once per 2-3 months(${\beta}$=-.22); responses to pain such as medical leave, use of worker's compensation insurance, task change, etc.(${\beta}$=-.16), and Slightly difficult(${\beta}$=-.16) versus Not hard at all. These variables demonstrated that health-related quality of life is 48%(F=11.72, p<.001) in female workers. Conclusions: To improve female labor workers' health-related quality of life based on the above results, occupational health managers should reduce the workers' occupational stress, develop and apply health interventions regarding musculoskeletal symptoms, prevent the early onset of musculoskeletal symptoms, and protect and promote the workers' health.


female;musculoskeletal;quality of life;stress;workers


  1. Franz F. Statistical power analysis using G*Power 3.1: Tests for correlation and regression analysis. Behavior Research Methods 2009;41(4):1149-1160
  2. Han YM. The existence of musculoskeletal symptoms to women workers engaged in automotive part manufacturing industry, its related factors. Graduate school of Dankook University, Seoul; Dankook University Press. 2002. p. 1-3
  3. Hong SY. Factors affecting the health-related quality of life in vulnerable young and old-old elderly. Graduate school of Kyungpook National University. Daegu; Kyungpook University Press. 2013. p. 5-7
  4. Jo YG. Factors impacting on health-related quality of life(HRQoL) in stroke patients. Graduate school of public health. Seoul; Korea University Press; 2013. p. 10-17
  5. Joo YJ. A path analysis for health related quality of life in elderly. Graduate school of Kongju University. Chungnam; Kongju University Press. 2013. p. 5-8
  6. Kim DS. Study of the work-related musculoskeletal disorders and job stress in auto part company. Graduate school of Dong-Eui University. Pusan; Dong-Eui University Press. 2012a. p. 15-21
  7. Kim HM. Health- related quality of life and associated factors in patients with knee osteoarthritis. Graduate school of Ajou University. Gyeonggi; Ajou University Press. 2012b. p. 2-8
  8. Kim. ES. Analysis of job stress-targeted blue-collar workers. Graduate school of Kyunghee University. Gyeonggi; Kyunghee University Press. 2011. p. 10-15
  9. Kim GS. Work stress and related factors among married working women in the manufacturing sector. J of Korea Community health nursing academic soc 2003;17(2):212-223
  10. Ahn HM. Factors of health related quality of life of Korea male and female adults according to life cycle : by using 4th national health and nutrition examination survey. Graduate school of Yonsei University. Seoul; Yonsei University Press; 2010. p. 12-1
  11. Chang SJ, Koh SB, Kang DB, Kim SA, Kang MG, Lee CG et al. Developing an occupational stress scale for Korean employees. Korean J of Occup and Environ Med 2005;17(4):297-317
  12. Sohn SY. A study on health status and health related quality of life by job characteristics in Korea adult women. Korea J of Occup Health Nursing 2009;18(1):33-43
  13. Spilker B, Revicki DA. Taxonomy of quality of life. In: Spiker B. editor. Quality of life and pharmaco economics inclinical trials. 2nd ed. Philadelphia : Lippinicott-Raven Publisher, (1996) 25-31.
  14. Tung HH, Wei J, Chang CY. Gender difference in quality of life for post coronary artery bypass grafting patients in Taiwan. J of Nursing Research 2007;15(4):275-284
  15. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey(SF-36): conceptual framework and item selection. Med Care 1992;30(6):473-483
  16. Won SJ. Health related quality of life in patient with cardiac surgery. Graduate school of Konkuk University. Seoul; Konkuk University Press. 2010. p. 2-22
  17. Yang JB. A study on the major factors affecting health-related quality of life of elderly stroke survivors. Journal of the Korean Gerontological Society 2010;30(4):1239-1261
  18. Yoo MS, Kim YS, Kim KS. A study about health related quality of life, burden and coping ability for family care givers caring for dementia elderly. J of Korea gerontological soc 2010;30(4):1117-1127
  19. Yoon CM. Effects of job stress and job satisfaction of child care teachers on the quality of child care services. Graduate school of Dong Yang University. Gyeongbuk; Dong Yang University Press. 2008. p. 22-28
  20. Kim HY. The effect of married woman's job stress on the marriage satisfaction. Graduate school of Donga University. Seoul; Donga University Press. 2010. p. 4-11
  21. Kim JB, Lee KJ, Park JA, Han SH. The affecting factors in health status among selected female labor workers. Korean Ind Hyg Assoc J 2003;13(2): 164-171
  22. Kim SY, Kim HJ, Jeon HJ. Influencing factors on workrelated musculoskeletal disorders of women workers. Korean J of Occup Heal Nursing 2005;14(1):5-15
  23. Koh SB, Chang SJ, Kang MG, Cha BS, Park JG. Reliability and validity on measurement instrument for health status assessment in occupational workers. J of Prev Med & Public Health 1997;30(2):251-265.
  24. Korea Occupational Safety & Health Agency(KOSHA). Questionnaires for musculoskeletal disorder symptom survey, 2003. p. 2-6
  25. Lee JG, Gwak WS. Structural relation among job stressors, job stress, and organizational performance=Job stress of blue-color workers in small and medium sized manufacturing companies. Korean J of Health Psychology 2001;6(2):97-122
  26. Lee JM. The relationship between hope and health related quality of life according to cancer pain. Graduate school of Konkuk University. Seoul; Konkuk University Press. 2006. p. 22-26
  27. Lee KJ, Han SH, Ahn YS, Hwang JH, Kim JJ. Related factors on musculoskeletal symptoms in selected Korean female office and blue-collar workers. Korean Ind Hyg Assoc J 2007;17(4):289-299
  28. Lee SG. Analysis of influencing factors and development of prediction model for the health related quality of life in elderly with chronic diseases. Graduate school of public health. Seoul; Seoul National University Press. 2013. p. 7-17
  29. Lee SH. A study for association between job stress and quality of life of clinical research associates. Graduate school of public health. Seoul; The Catholic University of Korea Press. 2009. p. 3-12
  30. Lee SM. Relations between ergonomic risk factors and work-related musculo-skeletal symptoms among female workers of cellular phone assembly factories. Graduate school of Kyungpook National University. Deagu; Kyungpook National University Press. 2007. p. 22-27
  31. Lim SM. A study on affecting factors of musculoskeletal disorder among selected female sitting workers. Graduate school of public health. Chuungnam; Soonchunhyang University Press. 2007. p. 2-17
  32. Ministry of Employment and Labor(MoEL). 2014 Industrial accident. Ministry of Employment and Labor.; 2014. p. 12-19
  33. Ryu JW. Prevalence of musculoskeletal symptoms and their related factors among care givers in long-term care hospitals. Graduate school of public health. Kyungnam; Inje University Press. 2012. p. 2-13
  34. Shim OS. Effects of stress on health-related quality of life and moderating effect of self-esteem in patients on renal dialysis. J of Korean Gerontol Nursing 2010;12(2):95-107