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Unmanaged "Managed Heart": Associations Between Emotional Labor and Cardiovascular Disease Risk Factors
Heejoo Ko1, Seong-Sik Cho, Dong-Wook Lee
1From the College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea (H.K.); Department of Occupational and Environmental Medicine, College of Medicine, Dong-A University, Busan, Republic of Korea (S.-S.C.); Department of Occupational and Environmental Medicine, Inha University Hospital, Incheon, Republic of Korea (D.-W.L.); Department of Global Economics, Sungkyunkwan University, Seoul, Republic of Korea (J.C.); and Department of Occupational and Environmental Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea (M.-Y.K.).
Objectives:
This study aimed to investigate the association between emotional labor and cardiovascular disease (CVD) risk factors among Korean workers.
Methods:
This study used data from the Korean Work, Health, and Sleep Study. Emotional labor was measured using the Korean Emotional Labour Scale-11, and participants were classified into high- and low-risk groups. CVD risk factors assessed included smoking, alcohol consumption, exercise, sleep duration, obesity, hypertension, diabetes mellitus, and dyslipidemia. Generalized estimating equation models were used to analyze the associations.
Results:
High-risk emotional labor was significantly associated with increased odds of smoking, lack of exercise, and insufficient sleep. Chronic conditions such as hypertension, diabetes, and dyslipidemia also showed elevated odds in the high-risk group, particularly among males.
Conclusions:
This study suggests emotional labor as a critical occupational stressor contributing to various CVD risk factors.
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