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Published on: September 26, 2018
Work-related cerebrovascular and cardiovascular diseases (WR-CVDs) in Korea
Jungsun Park1, Yangho Kim, Naomi Hisanaga
1Occupational Health Department, Korea Occupational Safety and Health Agency, Bupeong-Gu, Incheon 403-711, South Korea. jsunpark@chol.com
Insights
Clinicians often overlook workplace exposures contributing to cardiovascular diseases. This study reviews chemical, physical, and psychosocial workplace stressors linked to work-related cardiovascular diseases in Korea.
Area of Science:
- Occupational Health
- Cardiology
- Public Health
Background:
- Workplace stressors, including chemical, physical, and psychological factors, significantly impact cardiovascular health.
- Standard clinical practice often neglects assessing occupational risk factors for cardiovascular diseases.
- Work-related cerebrovascular and cardiovascular diseases (WR-CVDs) are a major compensated condition in Korea, posing financial burdens.
Purpose of the Study:
- To review physicochemical agents contributing to cardiovascular diseases in the Korean workplace.
- To examine the impact of psychosocial factors, such as work-related stress, on WR-CVDs in Korea.
- To compare Korean and Japanese perspectives on WR-CVDs.
Main Methods:
- Literature review of physicochemical agents associated with WR-CVDs in Korea.
- Analysis of studies on psychosocial factors and their link to WR-CVDs in Korea.
- Comparative analysis of WR-CVD concepts between Korea and Japan.
Main Results:
- Identification of key physicochemical agents prevalent in Korean workplaces that affect cardiovascular health.
- Evidence demonstrating the significant role of work-related stress and other psychosocial factors in WR-CVDs.
- Insights into the differing conceptualizations and management of WR-CVDs in Korea and Japan.
Conclusions:
- There is a critical need to integrate workplace risk factor assessment into routine clinical practice for cardiovascular disease prevention.
- Understanding the interplay of occupational exposures and psychosocial stressors is crucial for managing WR-CVDs.
- Cross-cultural comparisons highlight potential areas for improved policy and clinical guidelines in managing work-related cardiovascular diseases.
Abstract:
The effects of work on the heart are mediated by chemical, physical, and psychological stressors. It is standard clinical practice to assess personal risk factors such as cigarette smoking, hypertension, and cholesterol. Evaluation of a patient's acute symptoms and activity level at the time of presentation is also standard practice. However, clinicians typically do not assess workplace risk factors; nor do they usually identify the location and its possible exposures that may have contributed to the patient's symptoms. In Korea, work-related cerebrovascular and cardiovascular diseases (WR-CVDs) are among the most compensated cases, second only to work-related musculoskeletal disorders (WR-MSDs). The average accumulated insurance benefit per injured worker is an estimated USD 75,000, which is thought to have a major impact on the financial stability of insurers. Therefore, the present study was performed to 1) review the physicochemical agents of cardiovascular diseases in Korea, 2) review the effects of psychosocial factors such as work-related stress on WR-CVDs in Korea, and 3) discuss the concepts and perspectives of WR-CVDs in Korea by comparing with those in Japan.
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