Sim Sai Tin1, Viroj Wiwanitkit2. 1. Department of Medical Science, Medical Center, Shantou, China. E-mail: simsaitin@gmail.com. 2. Department of Tropical Medicine, Visiting Professor, Hainan Medical University, Hainan, China.
Sir,The report on “Health issues among call center employees(1)” is very interesting. Raja and Bhasin reported that “workers in the business process outsourcing (BPO) sector experience high levels of stress and its related disorders, primarily due to its contemporary work settings.(1)” In fact, due to increased volume of mobile phone usage and e-commerce at present, the increased workload of call center can be expected. To manage the health issues, especially for stress, among call center employees, the fact about underlying indicators should be mentioned. Kazi and Haslam noted that “higher levels of stress were associated with reduced job performance, job motivation and increased intention to quit but low stress levels were associated with reduced job satisfaction.(2)” In addition, Bohle et al. reported that “permanent workers reported greater work intensity, which was associated with both lower work schedule control and greater work-life conflict(3)” and “greater work-life conflict was associated with more fatigue and psychological symptoms.(3)” These facts should be considered in planning for good management of the health problems of call center employees. It should be promoted that all workers should ideally be on fixed contract.