Exposure to occupational hazards for pregnancy and sick leave in pregnant workers : a cross-sectional study :a cross-sectional study

Jean-Bernard Henrotin; Monique Vaissière; Maryline Etaix; Mathieu Dziurla; Stéphane Malard; Dominique Lafon

추천

검색

질문

자료유형: 학술저널

저자정보: Jean-Bernard Henrotin (National Research and Safety Institute) Monique Vaissière (Santé Travail Béziers Coeur d’Hérault) Maryline Etaix (Santé Travail Loire Nord) Mathieu Dziurla (National Research and Safety Institute) Stéphane Malard (National Research and Safety Institute) Dominique Lafon (Raymond Poincaré Hospital)

저널정보: 대한직업환경의학회 대한직업환경의학회지 대한직업환경의학회지 제29권 제4호

발행연도: 2017.5

수록면: 27 - 37 (11page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background: This study aimed to investigate the association between exposure to occupational hazards for pregnancy and sick leave (SL) in pregnant workers.
Methods: A cross-sectional study was performed in French occupational health services in 2014. Occupational hazards for pregnancy were assessed by occupational health physicians (OHPs). After delivery and at the time of returning to work, 1,495 eligible workers were interviewed by OHPs. Information on SL was self-reported. Risk ratios (RRs) were calculated from multivariable analyses based on a generalized linear model with a Bernoulli distribution and a log link adjusted for selected confounders for binary outcomes or zero-inflated negative binomial regression for count outcomes.
Results: Among recruited workers, 74.9% presented “at least one SL” during pregnancy. After adjustment, the cumulative index of occupational hazards (0, 1–2, 3–4, ≥ 5 risks) for pregnancy was significantly associated with “at least one SL” during pregnancy in a dose–response relationship. This gradient was also observed with “early SL” (＜15 week gestation): from 1 to 2 risks, RR = 1.48 (95% confidence intervals (CIs): 0.92-2.38); from 3 to 4 risks, RR = 2.03 (95% CI: 1.25-3.30); equal to or higher than five risks, RR = 2.90 (95% CI: 1.89-4.44); with “duration of absence” (adjusted mean): from 1 to 2 risks, m= 38.6 days; from 3 to 4 risks, m= 46.8 days; equal to or higher than five risks, m= 53.8 days. We also found that deprivation, pregnancy at risk, assisted reproductive therapy, work-family conflicts, home-work commuting felt as difficult and young age are associated with a higher risk of SL.
Conclusions: Our results support the assertion that pregnant workers exposed to occupational hazards for pregnancy without medical complications are also at risk of taking SL during pregnancy. More prevention in the workplace for pregnant workers exposed to occupational hazards could reduce SL.

참고문헌 (37)

참고문헌 신청

Salihu HM, Myers J, August EM. Pregnancy in the workplace. Occup Med (Lond). 2012;62(2):88?97. Paul J. Healthy beginnings: guidance on safe maternity at work. Geneva: International Labour Office; 2004. Servan-Schreiber E, Lafon D, Puech F, Deruelle P. Knowing the main occupational risks for pregnant women. Rev Prat. 2014;64(2):247?56. Alexanderson K, Hensing G, Carstensen J, Bjurulf P. Pregnancy-related sickness absence among employed women in a Swedish county. Scand J Work Environ Health. 1995;21(3):191?8. Sydsjo A, Sydsjo G, Alexanderson K. Influence of pregnancy-related diagnoses on sick-leave data in women aged 16?44. J Womens Health Gend Based Med. 2001;10(7):707?14.

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!