Abstract

BackgroundTo improve working conditions and prevent illness and deaths related to overwork, the Taiwanese government in 2015, 2016, and 2018 amended regulations regarding working time, overtime, shifts, and rest days. Such policy changes may lead to a rising public awareness of overwork-related issues, which may in turn reinforce policy development.ObjectiveThis study aimed to investigate to what extent public awareness of overwork-related issues correlated with policy changes.MethodsPolicies, laws, and regulations promulgated or amended in Taiwan between January 2004 and November 2019 were identified. We defined 3 working conditions (overwork, long working hours, and high job stress) related to overwork prevention, generated a keyword for each condition, and extracted the search volumes for each keyword on the Google search engine as proxy indicators of public awareness. We then calculated the monthly percentage change in the search volumes using the Joinpoint Regression Program.ResultsApparent peaks in search volumes were observed immediately after policy changes. Especially, policy changes in 2010 were followed by a remarkable peak in search volumes for both overwork and working hours, with the search volumes for overwork increased by 29% per month from June 2010 to March 2011. This increase was preceded by the implementation of new overwork recognition guidelines and media reports of several suspected overwork-related events. The search volumes for working hours also steadily increased, by 2% per month in September 2013 and afterward, reaching a peak in January 2017. The peak was likely due to the amendment to the Labor Standards Act, which called for “1 fixed and 1 flexible day off per week,” in 2016. The search volumes for job stress significantly increased (P=.026) but only by 0.4% per month since March 2013.ConclusionsOver the past 15 years, Taiwanese authorities have revised and implemented several policies to prevent overwork-related health problems. Our study suggests a relationship between the implementation of policies that clearly defined the criteria for overwork and working hours and the rising public awareness of the importance of overwork prevention and shorter working hours.

Highlights

  • Overwork—including long hours or high physical or psychological effort or strain—may lead to the occurrence of cerebrovascular and cardiovascular diseases, mental disorders, and even karoshi [1,2,3]

  • We identified 2 working conditions related to the aforementioned policy changes: (1) overwork, which has no official definition in Taiwan but is understood to describe both working too long and as working too hard; and (2) long working hours, which are regulated through both regular working time and overtime policies

  • Comparing the relative average search volumes of the 3 working conditions between January 2004 and November 2019, we found the highest volume was for working hours, followed by overwork and job stress

Read more

Summary

Introduction

Overwork—including long hours or high physical or psychological effort or strain—may lead to the occurrence of cerebrovascular and cardiovascular diseases, mental disorders, and even karoshi (occupational sudden death) [1,2,3]. With regard to prevention of overwork problems, the government adopted new prevention measures in the Occupational Safety and Health Act in 2013; revised legal regular working hour limit stipulated in the Labor Standards Act in 2015 from 84 hours over 2 weeks to 40 hours per week; and twice—in 2016 and again in 2018—amended regulations pertaining to regular working time, overtime, annual leave, shifts, and rest days. Through these actions, the government has demonstrated its commitment to preventing overwork by shortening working hours and improving working conditions. Such policy changes may lead to a rising public awareness of overwork-related issues, which may in turn reinforce policy development

Methods
Results
Discussion
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call