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Original Articles
Ecological Correlates of Cardiovascular Disease Risk in Korean Blue-collar Workers: A Multi-level Study
Won Ju Hwang, Yunhee Park
J Korean Acad Nurs 2015;45(6):857-867.   Published online December 15, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.6.857
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to investigate individual and organizational level of cardiovascular disease (CVD) risk factors associated with CVD risk in Korean blue-collar workers working in small sized companies.

Methods

Self-report questionnaires and blood sampling for lipid and glucose were collected from 492 workers in 31 small sized companies in Korea. Multilevel modeling was conducted to estimate effects of related factors at the individual and organizational level.

Results

Multilevel regression analysis showed that workers in the workplace having a cafeteria had 1.81 times higher CVD risk after adjusting for factors at the individual level (p=.022). The explanatory power of variables related to organizational level variances in CVD risk was 17.1%.

Conclusion

The results of this study indicate that differences in the CVD risk were related to organizational factors. It is necessary to consider not only individual factors but also organizational factors when planning a CVD risk reduction program. The factors caused by having cafeteria in the workplace can be reduced by improvement in the CVD-related risk environment, therefore an organizational-level intervention approach should be available to reduce CVD risk of workers in small sized companies in Korea.

Citations

Citations to this article as recorded by  
  • Multilevel Analysis of Factors Affecting Health-Related Quality of Life of the Elderly
    Hyunjung Moon, Sunkyung Cha
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 391.     CrossRef
  • Socioeconomic Disparities in Cardiovascular Health in South Korea
    Chi-Young Lee, Eun-Ok Im
    Journal of Cardiovascular Nursing.2021; 36(1): 8.     CrossRef
  • Health promotion program for office workers with SEM based on the WHO’s healthy workplace framework
    Hosihn Ryu, Jiyeon Jung, Jihyun Moon
    Health Promotion International.2020; 35(6): 1369.     CrossRef
  • Effects of a Yoga Program in Reducing Cardiovascular Disease Risk Factors in Workers of Small Workplaces: A Pilot Test
    Won Ju Hwang, Jin Ah Kim, Ji Sun Ha
    Sustainability.2020; 12(23): 10038.     CrossRef
  • An Exploration of Contextual Aspects that Influence Cardiovascular Disease Risks Perceived by Workers in a Small–Medium-Sized Workplace
    Jin Ah Kim, Won Ju Hwang, Juhye Jin
    International Journal of Environmental Research and Public Health.2020; 17(14): 5155.     CrossRef
  • Measurement of Socioeconomic Position in Research on Cardiovascular Health Disparities in Korea: A Systematic Review
    Chi-Young Lee, Yong-Hwan Lee
    Journal of Preventive Medicine and Public Health.2019; 52(5): 281.     CrossRef
  • Developing a Health-Promotion Program Based on the Action Research Paradigm to Reduce Cardiovascular Disease Risk Factors among Blue Collar Workers
    Won Ju Hwang, Jin Ah Kim
    International Journal of Environmental Research and Public Health.2019; 16(24): 4958.     CrossRef
  • Regional Factors on the Self-rated Health of Wage Workers
    Minjung Kwon, Eunsuk Choi
    Journal of Korean Academy of Community Health Nursing.2018; 29(1): 21.     CrossRef
  • A Systematic Review of Interventions for Workers with Cardiovascular Disease Risk Factors: Using an Ecological Model
    Won Ju Hwang, Yunhee Park, Jin Ah Kim
    Korean Journal of Occupational Health Nursing.2016; 25(1): 41.     CrossRef
  • CVD-related Knowledge, Perception, Belief and Prevention Behaviors of Korean Blue-collar Workers: Needs Assessment for Developing the Intervention Program through Qualitative Approach
    Won Ju Hwang, Yunhee Park
    Korean Journal of Occupational Health Nursing.2016; 25(4): 362.     CrossRef
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  • 10 Crossref
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Factors Associated with Blue-collar Workers' Risk Perception of Cardiovascular Disease
Won Ju Hwang, OiSaeng Hong, Mi Ja Kim
J Korean Acad Nurs 2012;42(7):1095-1104.   Published online December 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.7.1095
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the contribution of actual cardiovascular disease (CVD) risk, as well as, individual, psychosocial, and work-related factors as predictors of CVD risk perception among Korean blue-collar workers.

Methods

The participants were 238 Korean blue-collar workers who worked in small companies. Data were collected through a survey; anthropometric and blood pressure measures; and blood sampling for lipid levels.

Results

Blue-collar workers had high actual CVD risk and low CVD risk perception. The significant predictors of risk perception included perceived health status, alcohol consumption, knowledge of CVD risk, actual CVD risk, decision latitude, and shift work. The model explained 26% of the variance in CVD risk perception.

Conclusion

The result suggests when occupational health nurses are giving routine health examination in small companies, they can enhance CVD risk perception in blue-collar workers by providing essential information about CVD risk factors and personal counseling on the individual worker's CVD risk status.

Citations

Citations to this article as recorded by  
  • The impact of perception bias for cardiovascular disease risk on physical activity and dietary habits
    Zhiting Guo, Yujia Fu, Xuyang Wang, Aline Aparecida Monroe, Yuping Zhang, Jingfen Jin, Meifen Chen
    International Journal of Nursing Sciences.2024; 11(5): 505.     CrossRef
  • Work-Life Conflict, Burnout, and Associated Factors Among Hydroelectric Power Plant Employees: A Cross-Sectional Study in Turkey
    İrem Medeni, Volkan Medeni, Osman Burak Demirbaş, Mustafa Necmi İlhan
    Cureus.2024;[Epub]     CrossRef
  • Cardiovascular disease in patients with systemic autoimmune diseases: The relationship between self-perceived risk and actual risk
    Cristiana Sieiro Santos, Maria Miguel Oliveira, Paulo Ney Solari, Pedro Mateus, Maria José Santos, Hector Corominas, Carolina Álvarez Castro, Elvira Díez Álvarez
    Reumatología Clínica.2024; 20(5): 229.     CrossRef
  • Cardiovascular disease in patients with systemic autoimmune diseases: The relationship between self-perceived risk and actual risk
    Cristiana Sieiro Santos, Maria Miguel Oliveira, Paulo Ney Solari, Pedro Mateus, Maria José Santos, Hector Corominas, Carolina Álvarez Castro, Elvira Díez Álvarez
    Reumatología Clínica (English Edition).2024; 20(5): 229.     CrossRef
  • Cardiovascular disease risk perception among community adults in South China: a latent profile analysis
    Zhiting Guo, Yong Yuan, Yujia Fu, Nianqi Cui, Qunfei Yu, Erling Guo, Chuanqi Ding, Yuping Zhang, Jingfen Jin
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Risk perception of non-communicable diseases: A systematic review on its assessment and associated factors
    Miaw Yn Jane Ling, Norfazilah Ahmad, Azimatun Noor Aizuddin, Ghobad Moradi
    PLOS ONE.2023; 18(6): e0286518.     CrossRef
  • Good general health and lack of family history influence the underestimation of cardiovascular risk: a cross-sectional study
    Åsa Grauman, Jorien Veldwijk, Stefan James, Mats Hansson, Liisa Byberg
    European Journal of Cardiovascular Nursing.2021; 20(7): 676.     CrossRef
  • Eating control and eating behavior modification to reduce abdominal obesity: a 12-month randomized controlled trial
    Soo Kyoung Kim, Norma Patricia Rodriguez Rocha, Hyekyeong Kim
    Nutrition Research and Practice.2021; 15(1): 38.     CrossRef
  • An Exploration of Contextual Aspects that Influence Cardiovascular Disease Risks Perceived by Workers in a Small–Medium-Sized Workplace
    Jin Ah Kim, Won Ju Hwang, Juhye Jin
    International Journal of Environmental Research and Public Health.2020; 17(14): 5155.     CrossRef
  • Perceptions of the impact of non-standard work schedules on health in Australian graduates: an exploratory study
    Meagan E. CROWTHER, Amy C. REYNOLDS, Sally A. FERGUSON, Robert ADAMS
    Industrial Health.2020; 58(1): 54.     CrossRef
  • Risk Perception & Risk-Reduction Behavior Model for Blue-Collar Workers: Adapted From the Health Promotion Model
    Won Ju Hwang, Mi Jeong Kim
    Frontiers in Psychology.2020;[Epub]     CrossRef
  • Alcohol consumption in Spanish mental health patients vs. working population
    Miguel Ruiz-Flores Bistuer, Maria Teofila Vicente-Herrero, Silvia Lladosa-Marco, Ángel Arturo López-González, Luisa Mercedes Capdevila-García
    Revista de la Facultad de Medicina.2018; 66(2): 171.     CrossRef
  • Cardiovascular Disease and Type 2 Diabetes Risk Across Occupational Groups and Industry in a Statewide Study of an Australian Working Population
    Helen Louise Kelsall, Palamandadige Harsha Suranga Fernando, Stella May Gwini, Malcolm Ross Sim
    Journal of Occupational & Environmental Medicine.2018; 60(3): 286.     CrossRef
  • Psychometric Testing of the Effort-Reward Imbalance–Short Form Among Blue-Collar Workers Employed in Small Industrial Settings in Korea
    Won Ju Hwang, Oi Saeng Hong, Dae Ryong Kang
    Workplace Health & Safety.2018; 66(12): 597.     CrossRef
  • Evaluating the prevalence, awareness, and control of hypertension, diabetes, and dyslipidemia in Korea using the NHIS-NSC database
    Sunjoo Boo, Young Joo Yoon, Hyunjin Oh
    Medicine.2018; 97(51): e13713.     CrossRef
  • CVD-related Knowledge, Perception, Belief and Prevention Behaviors of Korean Blue-collar Workers: Needs Assessment for Developing the Intervention Program through Qualitative Approach
    Won Ju Hwang, Yunhee Park
    Korean Journal of Occupational Health Nursing.2016; 25(4): 362.     CrossRef
  • Occupational differences for nutrient intake and physical-activity levels in young and middle-aged men
    Eric C. Conchola, Abbie E. Smith-Ryan, Brennan J. Thompson, Eric J. Sobolewski, Eric D. Ryan
    Work.2016; 55(1): 187.     CrossRef
  • Association of Work-related Characteristics and Hypertension among White Collar Workers
    Chae-Bong Kim, KyooSang Kim
    Journal of Korean Society of Occupational and Environmental Hygiene.2015; 25(3): 418.     CrossRef
  • Ecological Correlates of Cardiovascular Disease Risk in Korean Blue-collar Workers: A Multi-level Study
    Won Ju Hwang, Yunhee Park
    Journal of Korean Academy of Nursing.2015; 45(6): 857.     CrossRef
  • 10-Year Risk for Cardiovascular Disease Among Male Workers in Small-Sized Industries
    Kyongok Park, Seon Young Hwang
    Journal of Cardiovascular Nursing.2015; 30(3): 267.     CrossRef
  • Casual Dock Work: Profile of Diseases and Injuries and Perception of Influence on Health
    Marta Cezar-Vaz, Marlise De Almeida, Clarice Bonow, Laurelize Rocha, Anelise Borges, Diéssica Piexak
    International Journal of Environmental Research and Public Health.2014; 11(2): 2077.     CrossRef
  • Prevalence of Metabolic Syndrome and Its Predicting Factors among Small-sized Company Workers
    Soo Kyoung Choi, Jeong A Jo, Seon Young Hwang
    Korean Journal of Adult Nursing.2014; 26(2): 244.     CrossRef
  • Actual Cardiovascular Disease Risk and Related Factors
    Jong Uk Won, Oi Saeng Hong, Won Ju Hwang
    Workplace Health & Safety.2013; 61(4): 163.     CrossRef
  • Grape Polyphenols Increase the Activity of HDL Enzymes in Old and Obese Rats
    Andriy L. Zagayko, Ganna B. Kravchenko, Oksana A. Krasilnikova, Yuri O. Ogai
    Oxidative Medicine and Cellular Longevity.2013; 2013: 1.     CrossRef
  • Prevalence and Associated Risk Factors of the Metabolic Syndrome in the Korean Workforce
    Dae Ryong KANG, Yeongmi HA, Won Ju HWANG
    Industrial Health.2013; 51(3): 256.     CrossRef
  • Actual Cardiovascular Disease Risk and Related Factors: A Cross-sectional Study of Korean Blue Collar Workers Employed by Small Businesses
    Jong Uk Won, Oi Saeng Hong, Won Ju Hwang
    Workplace Health & Safety.2013; 61(4): 163.     CrossRef
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  • 26 Crossref
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