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KMID : 1003720220310010011
Korean Journal of Occupational Health Nursing
2022 Volume.31 No. 1 p.11 ~ p.21
Relationships Among Musculoskeletal Problems, Sleep Problems, and Self-Rated Mental Health of Home-Care Workers: Focusing on the Mediating Effect of Sleep Problems
Yang Ju-Hyeon

Lee Eun-Jung
Jung In-Ok
Park Bo-Hyun
Abstract
Purpose: This study aimed to identify the relationship among musculoskeletal problems, sleep problems, and self-rated mental health of home-care workers.

Methods: Data were collected from 447 home-care workers spanning three occupation types: life supporters for the elderly, home-visit caregivers, and life supporters for the disabled. Musculoskeletal problems, sleep problems, and self-rated mental health were assessed using structured questionnaires. Factors affecting self-rated mental health were analyzed using multiple regression.
SPSS was used to test the mediating effects of sleep problems on musculoskeletal problems and self-rated mental health.

Results: Among the general characteristics, the variables that showed significant differences in musculoskeletal problems were monthly income level, caring-related career duration, weekly working hours, and occupation type; and the variable that showed significant differences in self-rated mental health was occupation type. Among the occupation types, supporters for the disabled had the most musculoskeletal problems and the lowest self-rated mental health. Musculoskeletal problems among home-care workers had a direct negative effect on self-rated mental health and indirect negative effects on sleep problems.

Conclusion: Measures are needed to reduce the differences in working conditions and health status among the occupation types of home-care workers. Considering the relevance between the health issues of home-care workers, the development of a carefully designed health promotion strategy is required.
KEYWORD
Home health aides, Musculoskeletal pain, Sleep deprivation, Mental health, Mediation analysis
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