Psychosocial and physical work environment, and risk of pelvic pain in pregnancy. A study within the Danish national birth cohort
Psychosocial and physical work environment, and risk of pelvic pain in pregnancy. A study within the Danish national birth cohort
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心理和身体工作环境以及怀孕期间骨盆疼痛的风险。
DOI：
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发表时间：
2005
影响因子：
6.3
通讯作者：
A. Andersen
中科院分区：
文献类型：
--
作者：
M. Juhl;P. Andersen;J. Olsen;A. Andersen
目的：对妊娠期盆腔疼痛病因的认识不足，使循证预防成为一种有限的选择。本研究的目的是探讨妊娠期骨盆疼痛与生理和心理工作条件之间的关系。研究方法：这项研究使用了1219例病例和1539例对照的自我报告的工作条件数据，作为丹麦国家出生队列的巢式病例对照研究。根据自我报告的盆腔疼痛强度、疼痛定位和疼痛对日常生活活动的影响选择病例和对照。前瞻性收集暴露数据;在妊娠早期和盆腔疼痛发作之前。主要结果测量是作为身体和心理社会工作条件的函数的妊娠盆腔疼痛的比值比。结果如下：与白天工作的妇女相比，晚上固定工作和轮班（无夜班）的孕妇在怀孕期间盆腔疼痛的比值比分别为1.76（95%置信区间1.04至2.96）和1.65（1.22至2.24）。体力劳动与妊娠期骨盆疼痛风险增加近50%相关（1.47; 1.17至1.84）。与工作压力低的女性相比，工作压力高的女性的优势比为1.39（1.12至1.74）。结论：无论是身体和心理社会要求的工作条件，测量体力劳动，轮班，高工作压力，与增加报告的盆腔疼痛在怀孕。
Objective: The sparse knowledge of the aetiology of pelvic pain in pregnancy makes evidence based prevention a limited option. The aim of this study was to examine the relation between pelvic pain in pregnancy and physical and psychosocial working conditions. Methods: This study used self reported data on working conditions for 1219 cases and 1539 controls, sampled as a nested case-control study within the Danish national birth cohort. Cases and controls were selected on the basis of self reported pelvic pain intensity, pain localisation, and pain impact on daily living activities. Exposure data were collected prospectively; early in pregnancy and before the onset of pelvic pain. Main outcome measures were odds ratios for pelvic pain in pregnancy as a function of physical and psychosocial working conditions. Results: Pregnant women with fixed evening work and with rotating shifts (without night shift) had odds ratios for pelvic pain in pregnancy of 1.76 (95% confidence intervals 1.04 to 2.96) and 1.65 (1.22 to 2.24), respectively, compared with women with day work. Physically strenuous work was associated with an almost 50% increased risk of pelvic pain in pregnancy (1.47; 1.17 to 1.84). In women who were under high psychosocial strain at work odds ratio was 1.39 (1.12 to 1.74) compared with women with low job strain. Conclusion: Both physically and psychosocially demanding working conditions, measured by physically strenuous work, rotating shifts, and high job strain, are associated with an increased reporting of pelvic pain in pregnancy.
影响因子：
20.8
作者：
SCHNALL, PL;LANDSBERGIS, PA;BAKER, D
通讯作者：
BAKER, D