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KMID : 0191120230380370284
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Journal of Korean Medical Science
2023 Volume.38 No. 37 p.284 ~ p.284
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Self-Esteem Trajectories After Occupational Injuries and Diseases and Their Relation to Changes in Subjective Health: Result From the Panel Study of Workers’ Compensation Insurance (PSWCI)
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Baek Seong-Uk
Lee Won-Tae
Kim Min-Seok
Lim Myeong-Hun
Yoon Jin-Ha
Won Jong-Uk
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Abstract
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Background : Occupational injuries and diseases are life events that significantly impact an individuals’ identity. In this study, we examined the trajectories of self-esteem among victims of occupational injury and disease and their relation to health.
Methods : The Panel Study of Workers’ Compensation Insurance conducted annual follow-ups on workers who had experienced occupational injury or disease. A total of 2,000 participants, who had completed medical care, were followed from 2013 to 2017. Growth mixture modeling was utilized to identify latent classes in the self-esteem trajectory. Additionally, logistic regressions were conducted to explore the association between trajectory membership, baseline predictors, and outcomes.
Results : Three distinct trajectory classes were identified. Total 65.8% of the samples (n = 1,316) followed an increasing self-esteem trajectory, while 31.1% (n = 623) exhibited a constant trajectory, and 3.1% (n = 61) showed a decreasing trajectory. Individuals with an increasing trajectory were more likely to have a higher educational attainment (odds ratio [OR], 1.86; 95% confidence interval [CI], 1.20?2.88), an absence of a moderate-to-severe disability rating (OR, 0.49; 95% CI, 0.25?0.96), no difficulty in daily living activities (OR, 0.81; 95% CI, 0.75?0.88), and were economically active (re-employed: OR, 2.46; 95% CI, 1.52?3.98; returned to original work: OR, 4.46; 9% CI, 2.65?7.50). Those with a decreasing self-esteem trajectory exhibited an increased risk of poor subjective health (OR, 1.89; 95% CI, 0.85?4.85 in 2013 to OR, 3.17; 95% CI, 1.04?13.81 in 2017), whereas individuals with an increasing trajectory showed a decreased risk (OR, 0.54; 95% CI, 0.43?0.68 in 2013 to OR, 0.44; 95% CI, 0.33?0.57 in 2017).
Conclusion : Our findings emphasize the diversity of psychological responses to occupational injury or disease. Policymakers should implement interventions to enhance the self-esteem of victims.
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KEYWORD
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Psychological Health, Work-Related Injury, Work-Related Disease, Return-to-Work, Self-Rated Health
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