Annals of Occupational and Environmental Medicine

  • Volume 35
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  • Pages.26.1-26.15
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  • 2023
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  • 1225-3618(pISSN)
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  • 2052-4374(eISSN)
The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
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Incidence rates of injury, musculoskeletal, skin, pulmonary and chronic diseases among construction workers by classification of occupations in South Korea: a 1,027 subject-based cohort of the Korean Construction Worker's Cohort (KCWC)

  • Seungho Lee (Department of Occupational and Environmental Medicine, Pusan National University Yangsan Hospital) ;
  • Yoon-Ji Kim (Department of Preventive, and Occupational & Environmental Medicine, School of Medicine, Pusan National University) ;
  • Youngki Kim (Department of Occupational and Environmental Medicine, Pusan National University Yangsan Hospital) ;
  • Dongmug Kang (Department of Occupational and Environmental Medicine, Pusan National University Yangsan Hospital) ;
  • Seung Chan Kim (Department of Biostatistics Cooperation Center, Gyeongsang National University Hospital) ;
  • Se-Yeong Kim (Department of Occupational and Environmental Medicine, Pusan National University Yangsan Hospital)
  • Received : 2022.12.26
  • Accepted : 2023.06.12
  • Published : 2023.12.31
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Abstract

Background: The objective of this study is to investigate the differences in incidence rates of targeted diseases by classification of occupations among construction workers in Korea. Methods: In a subject-based cohort of the Korean Construction Worker's Cohort, we surveyed a total of 1,027 construction workers. As occupational exposure, the classification of occupations was developed using two axes: construction business and job type. To analyze disease incidence, we linked survey data with National Health Insurance Service data. Eleven target disease categories with high prevalence or estimated work-relatedness among construction workers were evaluated in our study. The average incidence rates were calculated as cases per 1,000 person-years (PY). Results: Injury, poisoning, and certain other consequences of external causes had the highest incidence rate of 344.08 per 1,000 PY, followed by disease of the musculoskeletal system and connective tissue for 208.64 and diseases of the skin and subcutaneous tissue for 197.87 in our cohort. We especially found that chronic obstructive pulmonary disease was more common in construction painters, civil engineering welders, and civil engineering frame mold carpenters, asthma in construction painters, landscape, and construction water proofers, interstitial lung diseases in construction water proofers. Conclusions: This is the first study to systematically classify complex construction occupations in order to analyze occupational diseases in Korean construction workers. There were differences in disease incidences among construction workers based on the classification of occupations. It is necessary to develop customized occupational safety and health policies for high-risk occupations for each disease in the construction industry.

Keywords

Acknowledgement

We would like to express our gratitude to the Occupational Safety and Health Research Institute (OSHRI) for funding this research. The contents of the paper are solely the author's responsibility and do not necessarily represent the official views of the OSHRI.

References

  1. Yang L, Branscum A, Smit E, Dreher D, Howard K, Kincl L. Work-related injuries and illnesses and their association with hour of work: analysis of the Oregon construction industry in the US using workers' compensation accepted disabling claims, 2007-2013. J Occup Health 2020;62(1):e12118.
  2. Ringen K, Dong XS, Goldenhar LM, Cain CT. Construction safety and health in the USA: Lessons from a decade of turmoil. Ann Work Expo Health 2018;62(suppl_1):S25-33.  https://doi.org/10.1093/annweh/wxy069
  3. Korean Statistical Information Service. Summary of occupational accidents by industry (divisions). https://kosis.kr/statHtml/statHtml.do?orgId=118&tblId=DT_11806_N000&conn_path=I2&language=en. Updated 2022. Accessed October 18, 2022. 
  4. Dong XS, Wang X, Daw C, Ringen K. Chronic diseases and functional limitations among older construction workers in the United States: a 10-year follow-up study. J Occup Environ Med 2011;53(4):372-80. https://doi.org/10.1097/JOM.0b013e3182122286
  5. Arndt V, Rothenbacher D, Daniel U, Zschenderlein B, Schuberth S, Brenner H. All-cause and cause specific mortality in a cohort of 20 000 construction workers; results from a 10 year follow up. Occup Environ Med 2004;61(5):419-25. https://doi.org/10.1136/oem.2003.008680
  6. Soderberg M, Stattin M, Robroek SJ, Burdorf A, Jarvholm B. Industry mobility and disability benefits in heavy manual jobs: a cohort study of Swedish construction workers. Scand J Work Environ Health 2021;47(3):217-23. https://doi.org/10.5271/sjweh.3932
  7. Stocks SJ, McNamee R, Carder M, Agius RM. The incidence of medically reported work-related ill health in the UK construction industry. Occup Environ Med 2010;67(8):574-6. https://doi.org/10.1136/oem.2009.053595
  8. van der Molen HF, de Vries SC, Stocks SJ, Warning J, Frings-Dresen MH. Incidence rates of occupational diseases in the Dutch construction sector, 2010-2014. Occup Environ Med 2016;73(5):350-2. https://doi.org/10.1136/oemed-2015-103429
  9. Alicandro G, Bertuccio P, Sebastiani G, La Vecchia C, Frova L. Mortality among Italian male workers in the construction industry: a census-based cohort study. Eur J Public Health 2020;30(2):247-52. https://doi.org/10.1093/eurpub/ckz129
  10. Korean Statistical Information Service. Unit wages by job family. https://kosis.kr/statHtml/statHtml.do?orgId=365&tblId=TX_36504_A001_1&vw_cd=MT_ETITLE&list_id=P1_2&scrId=&seqNo=&language=en&obj_var_id=&itm_id=&conn_path=A6&path=%252Feng%252Fsearch%252FsearchList.do. Updated 2022. Accessed October 18, 2022. 
  11. Stocks SJ, Turner S, McNamee R, Carder M, Hussey L, Agius RM. Occupation and work-related ill-health in UK construction workers. Occup Med (Lond) 2011;61(6):407-15. https://doi.org/10.1093/occmed/kqr075
  12. Pettersson H, Olsson D, Jarvholm B. Occupational exposure to noise and cold environment and the risk of death due to myocardial infarction and stroke. Int Arch Occup Environ Health 2020;93(5):571-5. https://doi.org/10.1007/s00420-019-01513-5
  13. Sauve JF, Beaudry C, Begin D, Dion C, Gerin M, Lavoue J. Silica exposure during construction activities: statistical modeling of task-based measurements from the literature. Ann Occup Hyg 2013;57(4):432-43.
  14. Blanc PD, Jarvholm B, Toren K. Prospective risk of rheumatologic disease associated with occupational exposure in a cohort of male construction workers. Am J Med 2015;128(10):1094-101. https://doi.org/10.1016/j.amjmed.2015.05.001
  15. Jonsson E, Jarvholm B, Andersson M. Silica dust and sarcoidosis in Swedish construction workers. Occup Med (Lond) 2019;69(7):482-6. https://doi.org/10.1093/occmed/kqz118
  16. Jarvholm B, Astrom E. The risk of lung cancer after cessation of asbestos exposure in construction workers using pleural malignant mesothelioma as a marker of exposure. J Occup Environ Med 2014;56(12):1297-301. https://doi.org/10.1097/JOM.0000000000000258
  17. Calvert GM, Luckhaupt S, Lee SJ, Cress R, Schumacher P, Shen R, et al. Lung cancer risk among construction workers in California, 1988-2007. Am J Ind Med 2012;55(5):412-22. https://doi.org/10.1002/ajim.22010
  18. Meding B, Wrangsjo K, Burdorf A, Jarvholm B. Disability pensions due to skin diseases: a cohort study in Swedish construction workers. Acta Derm Venereol 2016;96(2):232-6. https://doi.org/10.2340/00015555-2215
  19. Jarvholm B, Englund A. The impact of asbestos exposure in Swedish construction workers. Am J Ind Med 2014;57(1):49-55. https://doi.org/10.1002/ajim.22264
  20. Jackson JA, Olsson D, Punnett L, Burdorf A, Jarvholm B, Wahlstrom J. Occupational biomechanical risk factors for surgically treated ulnar nerve entrapment in a prospective study of male construction workers. Scand J Work Environ Health 2019;45(1):63-72.  https://doi.org/10.5271/sjweh.3757
  21. Statistics Korea. 6th Korean Standard Classification of Occupations. https://kssc.kostat.go.kr:8443/ksscNew_web/kssc/ccc/forwardPage.do?gubun=001_1#. Updated 2017. Accessed October 18, 2022. 
  22. Statistics Korea. 9th Korean Standard Industrial Classification. https://kssc.kostat.go.kr:8443/ksscNew_web/kssc/main/main.do?gubun=1#. Updated 2017. Accessed October 18, 2022. 
  23. Construction Workers Mutual Aid Association. Construction worker skill class system. https://cw.or.kr/plus/skill/system/introduction.do. Accessed October 18, 2022. 
  24. Cheol Seong S, Kim YY, Khang YH, Heon Park J, Kang HJ, Lee H, et al. Data resource profile: the National Health Information database of the National Health Insurance Service in South Korea. Int J Epidemiol 2017;46(3):799-800.
  25. National Health Insurance Sharing Service. What is customized health information data? http://nhiss.nhis.or.kr/bd/ab/bdaba032eng.do. Accessed October 18, 2022. 
  26. Jang TW, Kim HR, Lee HE, Myong JP, Koo JW, Ye BJ, et al. Overwork and cerebrocardiovascular disease in Korean adult workers. J Occup Health 2015;57(1):51-7. https://doi.org/10.1539/joh.14-0086-OA
  27. Statistics Korea. The introduction page of Korean Standard Classification of Diseases. http://kssc.kostat.go.kr/ksscNew_web/ekssc/common/selectIntroduce.do?part=2&top_menu=102&bbsId=icd_s&categoryNameCode=802&categoryMenu=001. Accessed October 18, 2022. 
  28. Jung S, Kim TK, Kim YJ, Kim YK, Kang D, Kim SY. Epidemiology of occupational injuries in construction workers between 2009 and 2018 in South Korea. Am J Ind Med 2023;66(2):155-66. https://doi.org/10.1002/ajim.23448
  29. Arndt V, Rothenbacher D, Daniel U, Zschenderlein B, Schuberth S, Brenner H. Construction work and risk of occupational disability: a ten year follow up of 14,474 male workers. Occup Environ Med 2005;62(8):559-66. https://doi.org/10.1136/oem.2004.018135
  30. Khosravi Y, Asilian-Mahabadi H, Hajizadeh E, Hassanzadeh-Rangi N, Bastani H, Behzadan AH. Factors influencing unsafe behaviors and accidents on construction sites: a review. Int J Occup Saf Ergon 2014;20(1):111-25. https://doi.org/10.1080/10803548.2014.11077023
  31. Kaur H, Wurzelbacher SJ, Bushnell PT, Grosch JW, Tseng CY, Scholl JC, et al. Workers' compensation claim rates and costs for musculoskeletal disorders related to overexertion among construction workers - Ohio, 2007-2017. MMWR Morb Mortal Wkly Rep 2021;70(16):577-82. https://doi.org/10.15585/mmwr.mm7016a1
  32. Park JS, Park EK, Kim HK, Choi GS. Prevalence and risk factors of occupational skin disease in Korean workers from the 2014 Korean Working Conditions Survey. Yonsei Med J 2020;61(1):64-72. https://doi.org/10.3349/ymj.2020.61.1.64
  33. Aalto-Korte K, Koskela K, Pesonen M. Construction workers' skin disorders in the Finnish Register of Occupational Diseases 2005-2016. Contact Dermat 2020;83(6):437-41. https://doi.org/10.1111/cod.13648
  34. Toren K, Jarvholm B. Effect of occupational exposure to vapors, gases, dusts, and fumes on COPD mortality risk among Swedish construction workers: a longitudinal cohort study. Chest 2014;145(5):992-7. https://doi.org/10.1378/chest.13-1429
  35. Dement JM, Welch LS, Ringen K, Cranford K, Quinn P. Longitudinal decline in lung function among older construction workers. Occup Environ Med 2017;74(10):701-8. https://doi.org/10.1136/oemed-2016-104205
  36. Dement JM, Cloeren M, Ringen K, Quinn P, Chen A, Cranford K, et al. COPD risk among older construction workers-updated analyses 2020. Am J Ind Med 2021;64(6):462-75. https://doi.org/10.1002/ajim.23244
  37. Sekhavati E, Yengejeh RJ. Particulate matter exposure in construction sites is associated with health effects in workers. Front Public Health 2023;11:1130620.
  38. Wada K, Eguchi H, Prieto-Merino D. Differences in stroke and ischemic heart disease mortality by occupation and industry among Japanese working-aged men. SSM Popul Health 2016;2:745-9. https://doi.org/10.1016/j.ssmph.2016.10.004
  39. Tannis C, Chernov C, Perlman S, McKelvey W, Toprani A. Cardiovascular health risk behaviors by occupation in the NYC Labor Force. J Occup Environ Med 2020;62(9):757-63. https://doi.org/10.1097/JOM.0000000000001960
  40. Chung JW, Wong BY, Yan VC, Chung LM, So HC, Chan A. Cardiovascular health of construction workers in Hong Kong: a cross-sectional study. Int J Environ Res Public Health 2018;15(6):1251. 
  41. Thabit H, Burns N, Shah S, Brema I, Crowley V, Finnegan F, et al. Prevalence and predictors of diabetes and cardiometabolic risk among construction workers in Ireland: the Construction Workers Health Trust screening study. Diab Vasc Dis Res 2013;10(4):337-45. https://doi.org/10.1177/1479164113479808
  42. Ghimire R, Neupane GP. Prevalent health problems among Nepalese underground construction workers. J Environ Public Health 2020;2020:9436068.
  43. Toren K, Bergdahl IA, Nilsson T, Jarvholm B. Occupational exposure to particulate air pollution and mortality due to ischaemic heart disease and cerebrovascular disease. Occup Environ Med 2007;64(8):515-9. https://doi.org/10.1136/oem.2006.029488
  44. Berhanu F, Gebrehiwot M, Gizaw Z. Workplace injury and associated factors among construction workers in Gondar town, Northwest Ethiopia. BMC Musculoskelet Disord 2019;20(1):523.