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Performance-Based Pay System and Job Stress Related to Depression/Anxiety in Korea: Analysis of Korea Working Condition Survey

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  • Myeong-Hun Lim

    (Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
    The Institute for Occupational Health, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
    Graduate School of Public Health, Yonsei University College of Medicine, Seoul 03722, Republic of Korea)

  • Jin-Ha Yoon

    (Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
    The Institute for Occupational Health, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
    Department of Preventive Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea)

  • Won-Tae Lee

    (Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
    The Institute for Occupational Health, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
    Graduate School of Public Health, Yonsei University College of Medicine, Seoul 03722, Republic of Korea)

  • Min-Seok Kim

    (Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
    The Institute for Occupational Health, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
    Graduate School of Public Health, Yonsei University College of Medicine, Seoul 03722, Republic of Korea)

  • Seong-Uk Baek

    (Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
    The Institute for Occupational Health, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
    Graduate School, Yonsei University College of Medicine, Seoul 03722, Republic of Korea)

  • Jong-Uk Won

    (Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
    The Institute for Occupational Health, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
    Graduate School of Public Health, Yonsei University College of Medicine, Seoul 03722, Republic of Korea)

Abstract

The adoption rate of performance-based pay systems has increased in recent years, and the adverse effects of systems have been emphasized. However, no study has analyzed the increase in the risk of depression/anxiety symptoms caused by the pay system in Korea. This study aimed to reveal the association between performance-based pay systems and symptoms of depression/anxiety, using data from the fifth Korean Working Conditions Survey. Depressive/anxiety symptoms were assessed using “yes” or “no” questions regarding medical problems related to depression/anxiety. The performance-based pay system and job stress were estimated using self-response answers. Logistic regression analyses were conducted to determine the association between performance-based pay systems, job stress, and symptoms of depression/anxiety using data from 27,793 participants. The performance-based pay system significantly increased the risk of the symptoms. Additionally, risk increments were calculated after grouping by pay system and job stress. Workers with two risk factors had the highest risk of symptoms of depression/anxiety for both sexes (male: OR 3.05; 95% CI 1.70–5.45; female: OR 2.15; 95% CI 1.32–3.50), implying synergistic effect of performance-based pay system and job stress on depression/anxiety symptoms. Based on these findings, policies should be established for early detection and protection against the risk of depression/anxiety.

Suggested Citation

  • Myeong-Hun Lim & Jin-Ha Yoon & Won-Tae Lee & Min-Seok Kim & Seong-Uk Baek & Jong-Uk Won, 2023. "Performance-Based Pay System and Job Stress Related to Depression/Anxiety in Korea: Analysis of Korea Working Condition Survey," IJERPH, MDPI, vol. 20(5), pages 1-13, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:4065-:d:1079229
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    References listed on IDEAS

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