Article 2026-04-23 under-review v1

Abnormal environmental temperature exposure at work and depressive symptoms among Korean employees: a nationwide cross-sectional study

S
Sung-Kyung Kim Yonsei University Wonju College of Medicine
J
Jae-Yeop Kim Yonsei University Wonju College of Medicine
J
Jihyun Kim Yonsei University College of Medicine
J
Jin-Ha Yoon Yonsei University College of Medicine
S
Sang Yeol Yong Yonsei University Wonju College of Medicine

Abstract

Given limited prior research, especially with small samples, this study examined the association between abnormal workplace temperature exposure and depressive symptoms among Korean employees. Using data from 30,108 workers in the fifth Korean Working Conditions Survey (KWCS), we analyzed this relationship by sex and job classification. Temperature exposure was categorized as mild or severe, and depressive symptoms were assessed using the World Health Organization Well-Being Index (WHO-5). The prevalence of depressive and anxiety symptoms was 12.36% in male and 11.72% in female. Severe exposure to both high and low temperatures was significantly associated with increased adjusted odds ratios (aOR = 1.35 for both, 95%CI:1.04–1.46 for high temperature, and 95%CI:1.12–1.62 for low temperature). Stratified analyses showed that severe heat exposure increased aOR in both men and women. Severe cold exposure was linked to higher aOR among service (aOR = 1.34, 95%CI:1.09–1.64) and blue-collar workers (aOR = 1.54, 95%CI:1.22–1.95), while heat exposure showed no significant differences across job types. Due to the cross-sectional design, causal relationships cannot be established. Nonetheless, severe temperature exposure may contribute to increased depressive symptoms, highlighting the need to reduce such exposure and improve workers’ mental health.

Citation Information

@article{sungkyungkim2026,
  title={Abnormal environmental temperature exposure at work and depressive symptoms among Korean employees: a nationwide cross-sectional study},
  author={Sung-Kyung Kim and Jae-Yeop Kim and Jihyun Kim and Jin-Ha Yoon and Sang Yeol Yong},
  journal={Scientific Reports},
  year={2026},
  doi={https://doi.org/10.21203/rs.3.rs-9265106/v1}
}
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