목적: 본 연구는 실업으로 인한 건강관련행태의 변화와 건강영향을 파악하고, 이후 실업에 의한 건강장해 및 사회적 비용을 감소시키는데 필요한 방안을 마련하기 위한 기초자료로 활용하고자 한다. 방법: 구조적 실업으로 인한 실업군 123명과 취업군 155명을 대상으로 설문조사를 하였다. 인구학적 특성과 건강관련행태, 건강수준에 대한 평가를 위해서는 도구 36-Item Short-Form Health Survey(SF-36)을 사용하였다. 결과: 실업군에 있어서 불규칙적인 식사, 흡연 및 음주량의 증가가 관찰되었다(p<0.05). 혼란변수를 보정 후 다중 로지스틱 회귀분석한 결과 취업군에 비해 실업군에서 SF-36의 건강수준 점수가 낮은 군의 비차비는 8개 하부 영역 중 신체적 역할 제한(OR 2.20, 95% CI=1.01~4.78), 감정적 역할 제한(OR 4.51, 95% CI=1.90~10.69), 정신 건강(OR 3.43, 95% CI=1.52~7.74) 영역에서 유의하게 나타났다. 결론: 실업은 건강관련행태의 부정적인 변화와 정신적, 육체적 건강수준의 저하와 관련이 있다. 실업근로자의 건강증진과 사회적인 비용감소를 위한 체계적인 연구가 필요하다.
Objectives: This study aimed to examine the effects of unemployment on health-related behavioral changes and worker’s health, and to produce the basic data that is needed to formulate the necessary measures for reducing the health hazards and social costs caused by unemployment. Methods: A questionnaire survey was conducted with a group of 123 people who had lost their jobs due to structural unemployment (the unemployment group) and with a group of 155 employed people (the employment group). The 36-Item Short-Form Health Survey (SF-36) was used as a tool for evaluating the demographic characteristics, the health-related behaviors and the health level. Results: Irregular mealtimes and increased smoking and drinking rates were observed in the unemployment group (p<0.05). The results of the logistic regression analysis that was conducted after correcting for the confounding variable showed that in the unemployment group, unlike in the employment group, the odds ratio of the group with a low health level score on the SF-36 has a significant difference in “Role limitation resulting from physical problems” (OR 2.20, 95% CI=1.01~4.78), “Role limitation resulting from emotional problems” (OR 4.51, 95% CI=1.90~10.69) and “Mental health” (OR 3.43, 95% CI=1.52~7.74) among the eight lower areas. Conclusions: Unemployment causes a negative change in health-related behaviors and lower levels of mental and physical health. Systematic research must be conducted to promote good health among unemployed workers and to reduce their social costs.