Table. 1.

Contexts and Coping Strategies for Health Problem of Workers in Special Employment Relationships

Context Health problem Coping strategy
Special employment relationship Unstable employment status and income No fixed base salary, salary depended on incentives Common health problems Individual-level
Excessive work to compensate for income Accidents and falls due to insufficient travel time Taking their health problems as a personal matter
Short-term contract renewal system Vocal cords symptoms due to continuous product description Never thought about asking for help from their company
No official working or resting hour Not guaranteed on legal holidays Emotional labor and mental stress due to excessive demands from customers To be treated under private or national health insurance only
Lack of fixed start and end times
Official rest time and place not guaranteed Unique health problems by occupation Company-level
Absence of protection system for workers in companies Absence of a disease treatment compensation system H: cystitis and gynecological diseases due to restrictions on toilet use / gastritis and obesity due to non-preservation of meal time / neck and waist disorder caused by heavy bags Emphasize self-employed status and avoids company's responsibilities
Lack of preventive safety education
Lack of emotional and psychological support system
Malfunction of health insurance system Induce industrial insurance subscription cancellation or non-subscription I: decreased vision acuity and hearing loss due to excessive use of mobile phone or laptop Organizational culture is formed that does not require compensation for health problems to their companies
Non-subscription due to burden of insurance premium C: mental distress caused by a report mistaken as an illegal act
Increased demand for private health care

H=home-visit tutor; I=insurance salesperson; C=credit card recruiter.

Korean J Occup Health Nurs 2019;28:208~220 https://doi.org/10.5807/kjohn.2019.28.4.208
© Korean J Occup Health Nurs