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Original Article
Construction of a musculoskeletal job-exposure matrix in Korea
Myong-Hwan Kim, Eun-Soo Lee, Dongmug Kang, Ki-Hun Kim, Youngki Kim
Ann Occup Environ Med 2026;38:e21.   Published online June 18, 2026
DOI: https://doi.org/10.35371/aoem.2026.38.e21
AbstractAbstract AbstractAbstract in Korean PDFSupplementary Material
Background
Musculoskeletal disorders (MSDs) are a major occupational health issue in Korea; however, a standardized job-exposure matrix (JEM) has not been established. This study aimed to develop an MSD-specific JEM using data from the Korean Working Conditions Survey (KWCS) to evaluate the exposure time proportion by job category and body segment.
Methods
Data from the 2nd to 6th KWCS (2006–2020), covering 210,500 workers, were analyzed. The jobs of the subjects were reclassified based on the unit groups of the 7th Korean Standard Classification of Occupations. Exposure time proportion for key MSD risk factors—repetitive movements, awkward postures, heavy lifting, and prolonged standing—was categorized as high, moderate, or low based on self-reported responses. Validity was assessed through expert review and statistical analysis, including Cohen’s kappa coefficients and logistic regression.
Results
Duration-based exposure to musculoskeletal (MS) risk factors was estimated for each occupation. The JEM classified exposure time proportion for three body regions: upper extremity and neck, lower back, and lower extremity. Expert review showed high agreement for the upper extremity and neck and for the lower back (kappa > 0.8), whereas agreement was lower for the lower extremity. Logistic regression analysis indicated an exposure–response relationship between JEM-derived exposure time proportion and MS symptoms for the upper extremity and neck and the lower back.
Conclusions
This study developed Korea’s first MS-specific JEM, providing a standardized framework for occupational MSD risk assessment. The JEM demonstrated strong validity for most body regions and can be a valuable tool for research, workplace risk evaluation, and policy development. Further refinements incorporating detailed job classifications and ergonomic factors are recommended to enhance its applicability.
한국형 근골격계 질환 위험 평가를 위한 직무-노출 매트릭스(Job-Exposure Matrix, JEM) 구축
배경
근골격계 질환(Musculoskeletal disorders, MSDs)은 한국 내 주요 직업적 건강 문제임에도 불구하고, 표준화된 직무-노출 매트릭스(Job-Exposure Matrix, JEM)는 아직 구축되어 있지 않다. 본 연구는 한국근로환경조사(Korean Working Conditions Survey, KWCS) 데이터를 활용하여 직종 및 신체 부위별 노출 시간 비율을 평가할 수 있는 근골격계 질환 특화 JEM을 개발하는 것을 목적으로 한다.
방법
제2차에서 제6차 한국근로환경조사(2006–2020년) 데이터를 분석하였으며, 총 210,500명의 근로자가 포함되었다. 대상자의 직종은 제7차 한국표준직업분류(Korean Standard Classification of Occupations, KSCO) 단위 그룹을 기준으로 재분류되었다. 반복적인 동작, 부자연스러운 자세, 중량물 들기, 장시간 서 있기 등 주요 근골격계 위험 요인에 대한 노출 시간 비율을 근로자의 자기보고식 응답을 바탕으로 '높음', '보통', '낮음'으로 범주화하였다. 연구의 타당도는 전문가 검토와 Cohen's kappa 계수 및 로지스틱 회귀분석을 포함한 통계적 검증을 통해 평가되었다.
결과
각 직업군에 대한 기간 기반의 근골격계 위험 요인 노출 정도가 추정되었다. 개발된 JEM은 상지 및 목, 요추부, 하지 등 세 가지 신체 부위에 대한 노출 시간 비율을 분류하였다. 전문가 검토 결과, 상지 및 목과 요추부에 대해서는 높은 일치도(kappa > 0.8)를 보였으나, 하지에 대해서는 상대적으로 낮은 일치도를 나타냈다. 로지스틱 회귀분석 결과, JEM을 통해 도출된 노출 시간 비율과 상지 및 목, 그리고 요추부의 근골격계 증상 사이에서 유의미한 노출-반응 관계(exposure-response relationship)가 확인되었다.
결론
본 연구는 국내 최초로 근골격계 질환 특화 JEM을 개발하여 직업적 MSD 위험 평가를 위한 표준화된 틀을 마련하였다. 해당 JEM은 대부분의 신체 부위에 대해 높은 타당성을 입증하였으며, 향후 연구, 작업장 위험 평가, 정책 개발을 위한 유용한 도구로 활용될 수 있을 것이다. 보다 정밀한 직무 분류와 인체공학적 요인을 반영한 후속 연구를 통해 적용성을 더욱 개선할 것을 제언한다.
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Original Article
Occupation classification model based on DistilKoBERT: using the 5th and 6th Korean Working Condition Surveys
Tae-Yeon Kim, Seong-Uk Baek, Myeong-Hun Lim, Byungyoon Yun, Domyung Paek, Kyung Ehi Zoh, Kanwoo Youn, Yun Keun Lee, Yangho Kim, Jungwon Kim, Eunsuk Choi, Mo-Yeol Kang, YoonHo Cho, Kyung-Eun Lee, Juho Sim, Juyeon Oh, Heejoo Park, Jian Lee, Jong-Uk Won, Yu-Min Lee, Jin-Ha Yoon
Ann Occup Environ Med 2024;36:e19.   Published online August 6, 2024
DOI: https://doi.org/10.35371/aoem.2024.36.e19
AbstractAbstract AbstractAbstract in Korean PDFSupplementary Material
Background

Accurate occupation classification is essential in various fields, including policy development and epidemiological studies. This study aims to develop an occupation classification model based on DistilKoBERT.

Methods

This study used data from the 5th and 6th Korean Working Conditions Surveys conducted in 2017 and 2020, respectively. A total of 99,665 survey participants, who were nationally representative of Korean workers, were included. We used natural language responses regarding their job responsibilities and occupational codes based on the Korean Standard Classification of Occupations (7th version, 3-digit codes). The dataset was randomly split into training and test datasets in a ratio of 7:3. The occupation classification model based on DistilKoBERT was fine-tuned using the training dataset, and the model was evaluated using the test dataset. The accuracy, precision, recall, and F1 score were calculated as evaluation metrics.

Results

The final model, which classified 28,996 survey participants in the test dataset into 142 occupational codes, exhibited an accuracy of 84.44%. For the evaluation metrics, the precision, recall, and F1 score of the model, calculated by weighting based on the sample size, were 0.83, 0.84, and 0.83, respectively. The model demonstrated high precision in the classification of service and sales workers yet exhibited low precision in the classification of managers. In addition, it displayed high precision in classifying occupations prominently represented in the training dataset.

Conclusions

This study developed an occupation classification system based on DistilKoBERT, which demonstrated reasonable performance. Despite further efforts to enhance the classification accuracy, this automated occupation classification model holds promise for advancing epidemiological studies in the fields of occupational safety and health.

DistilKOBERT를 기반으로 한 직업 분류 모델 개발: 제5차, 6차 한국근로실태조사를 이용하여
목적
정확한 직업분류는 정책 개발 및 역학 연구를 포함한 다양한 분야에서 중요하다. 본 연구는 자연어처리모델인 DistilKoBERT를 기반으로 한 직업 분류 모델을 개발하는 것을 목표로 한다.
방법
본 연구는 2017년과 2020년에 실시된 제5차와 제6차 근로환경조사 (KWCS)의 데이터를 활용하였다. 대한민국 근로자를 국가적으로 대표하는 총 99,665명의 참가자가 포함되었고, 직무 내용과 관련된 자연어 응답과 그에 맞는 대한민국 표준직업 분류코드(7차 개정, 3자리 코드)를 연구에 사용하였다. 데이터셋은 7:3의 비율로 훈련 및 테스트 데이터셋으로 무작위로 분할되었고, 사전 학습된 DistilKoBERT을 훈련 데이터셋을 통해 파인튜닝하여 모델을 학습시키고, 테스트 데이터셋을 사용하여 그 기능을 평가하였다. 정확도, 정밀도, 재현율 및 F1 점수가 평가 지표로 계산되었다.
결과
테스트 데이터셋의 28,996명의 참가자를 142개의 직업 코드로 분류한 최종 모델은 84.44%의 정확도를 보였다. 샘플 크기를 기준으로 가중치를 적용하여 계산한 모델의 정밀도, 재현율 및 F1 점수는 각각 0.83, 0.84 및 0.83 이었다. 최종 모델은 서비스, 판매 종사자 그룹에서 높은 정밀도를 보여주었지만 관리자 그룹에서는 낮은 정밀도를 보였다. 또한 훈련 데이터셋에서 표본의 수가 많았던 직업에서 대체로 높은 정밀도를 보였다.
결론
본 연구는 DistilKoBERT를 기반으로 합리적인 성능을 보이는 직업 분류 모델을 개발하였다. 분류의 정확성을 향상시키기 위한 추가적인 노력이 필요하지만, 자동화된 직업 분류 모델은 직업 안전 및 보건 분야의 유행병 연구를 발전시키는 데 기여할 것이라 기대된다.

Citations

Citations to this article as recorded by  
  • New Trends in the Use of Artificial Intelligence and Natural Language Processing for Occupational Risks Prevention
    Natalia Orviz-Martínez, Efrén Pérez-Santín, José Ignacio López-Sánchez
    Safety.2026; 12(1): 7.     CrossRef
  • Enhancing multi-level prediction consistency in business activity classification through a hierarchical approach
    Isnaeni Noviyanti, Rizal F. Aji, Indra Budi
    PeerJ Computer Science.2026; 12: e4039.     CrossRef
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Original Article
Characteristics and Odds Ratio of Work Related Musculoskeletal Disorders According to Job Classification in Small-to-medium-sized Enterprises
Shin Goo Park, Jong Young Lee
Korean Journal of Occupational and Environmental Medicine 2004;16(4):422-435.   Published online December 31, 2004
DOI: https://doi.org/10.35371/kjoem.2004.16.4.422
AbstractAbstract PDF
OBJECTIVES
This study was carried to investigate the prevalence and odds ratio of work related musculoskeletal disorders according to the job classification in small-to-medium-sized enterprises(<300 employee).
METHODS
A questionnaire survey was given to 746 workers in 8 workplaces. 501 workers (67.2%) were finally selected in this study. The workers in the 8 workplaces was divided into 7 jobs. Those were manufacturers(metal), assemblers(appliances), cashiers, packers(cosmetics), garbage collectors, and VDT workers. Multiple logistic regression was used to estimate the odds ratios of the musculoskeletal symptoms according to the job classification.
RESULTS
Univariate analysis showed that the significantly related risk factors for musculoskeletal symptoms are as follows; age, marital status, gender, work load change, work duration, hours worked per day, job demand, decision latitude, type of job. According to the type of job, the prevalence of musculoskeletal symptoms were 7.7%(clerks), 24.3%(manufacturers), 30.0%(assemblers), 23.0%(cashiers), 30.4%(packers), 11.9%(garbage collectors), 29.2%(VDT workers). Multiple logistic regression showed that the following significant odds ratios (referenceclerks): 7.32(packers), 5.63(assemblers), 5.11(cashiers), 4.79(VDT workers), 3.11(manufacturers).
CONCLUSION
In small-to-medium-sized enterprises, the job classification was major risk factor for work related musculoskeletal disorders. According to the job classification, the odds ratios of the work related musculoskeletal disorders were different. Considering the odds ratios, the establishment of a prevention program of work related mus-culoskeletal disorders is recommended.

Citations

Citations to this article as recorded by  
  • The association between long working hours and work-related musculoskeletal symptoms of Korean wage workers: data from the fourth Korean working conditions survey (a cross-sectional study)
    Jae-Gwang Lee, Guang Hwi Kim, Sung Won Jung, Sang Woo Kim, June-Hee Lee, Kyung-Jae Lee
    Annals of Occupational and Environmental Medicine.2018;[Epub]     CrossRef
  • Musculoskeletal Disorder Symptoms and Its Related Factors among Male Workers in Manufacturing Industries
    Seung-Hyun Lee, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(10): 6627.     CrossRef
  • Related Factors to Musculoskeletal Discomfort Symptoms on Some Middle·High school Teachers
    Jae-Yoon Lee, Byeong-Yeon Moon, Youn-Hong Jeong, Hyun-Kyung Woo
    Journal of the Korea Academia-Industrial cooperation Society.2012; 13(1): 264.     CrossRef
  • Musculoskeletal Disorder Symptoms and Related Factors among Male Workers in Small-scale Manufacturing Industries
    Seung-Hyun Lee, Ju-Yeon Lee, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2012; 13(9): 4025.     CrossRef
  • Gender-related Factors Associated with Upper Extremity Function in Workers
    Kyoo Sang Kim, Min Gi Kim
    Safety and Health at Work.2010; 1(2): 158.     CrossRef
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