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Combined effect of emotional labor and job insecurity on sleep disturbance among customer service workers

Choi Sung-Uk, 고권, 박재범, 이경종, 이승호, 정인철,
소속 상세정보
 ( Choi Sung-Uk ) - Ajou University Hospital Department of Occupational and Environmental Medicine
고권 ( Ko Kwon ) - Ajou University Hospital Department of Occupational and Environmental Medicine
박재범 ( Park Jae-Bum ) - Ajou University Hospital Department of Occupational and Environmental Medicine
이경종 ( Lee Kyung-Jong ) - Ajou University Hospital Department of Occupational and Environmental Medicine
이승호 ( Lee Seung-Ho ) - Ajou University Hospital Department of Occupational and Environmental Medicine
정인철 ( Jeong In-Chul ) - Ajou University Hospital Department of Occupational and Environmental Medicine

Abstract


Background: Job insecurity and emotional labor are poor job-related factors that are known to cause sleep disturbances in customer service workers. This study investigates the combined effect of emotional labor and job insecurity on sleep disturbance.

Methods: This study used data from the Fifth Korean Working Condition Survey and included 15,147 paid workers who serve customers below 65 years. We re-classified into 6 groups based on whether the degree of emotional labor increased (Rarely/Sometimes/Always) or whether job insecurity (No/Yes) was present. We performed propensity score matching for several covariates and calculated odds ratio (OR) and 95% confidence intervals (CIs) for sleep disturbance by logistic regression models using only matched subjects.

Results: Workers exposed to emotional labor and job insecurity had significantly higher risk for 3 dimensions of sleep disturbance (difficulty falling asleep, waking up repeatedly during the sleep, and waking up with feeling of fatigue) (OR [95% CI]: 1.44 [1.22?1.69], 1.18 [0.99?1.40], 1.52 [1.30?1.79] for emotional labor; and 2.00 [1.75?2.29], 2.20 [1.91?2.53], 1.67 [1.45?1.92] for job insecurity). Compared to those who were exposed to both emotional labor rarely and without job insecurity, when workers had both poor job factors, the OR (95% CI) for sleep disturbance for difficulty falling asleep, waking up repeatedly during the sleep, and waking up with feeling of fatigue were 3.05 (2.42?3.86), 2.89 (2.26?3.69), and 2.60 (2.06?3.29), respectively. The relative excess risk due to Interaction of job insecurity and emotional labor was significant only for difficulty falling asleep, but not the other 2 sleep disturbance dimensions.

Conclusions: Customer service workers suffered from severe sleep disturbances according to the existing degree of emotional labor and job insecurity. The combined effect of both could have an additive influence on serious sleep disturbance among customer service workers.

키워드

Customer service; Emotional labor; Job insecurity; Sleep disturbance; Korean Working Condition Survey; Propensity score matching

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