Relationship between menstruation status and work conditions in Japan.

Relationship between menstruation status and work conditions in Japan.
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DOI:
10.1186/s13030-017-0112-x
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发表时间:
2017
影响因子:
2.1
通讯作者:
Yano E
Yano E
中科院分区:
医学4区
文献类型:
--
作者:
Nishikitani M;Nakao M;Tsurugano S;Inoure M;Yano E

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月经问题会严重影响日常和工作生活。为了应对人口减少,日本政府正在鼓励更多女性加入劳动力大军。然而,实现这一目标的实际成功是有限的。具体地说,妇女在育龄期间参加劳动大军受到其健康状况的影响,这不仅涉及工作条件,而且还涉及传统的家庭环境。因此,重要的是进一步评估和收集更多关于日本育龄妇女健康状况的信息。具体地说,女性的健康状况可以通过月经状况来代表,月经状况是一个关键指标。在这项研究中,我们评估了工作间隔中的短暂休息时间与月经和其他健康状况指标之间的关系。研究参与者是从一所提供统一教育水平的大学的校友中招募的。所有9864名女校友都被要求参加调查,1630人(17%)接受了调查。最终的研究参与者样本(n=1505)年龄在23-43岁之间,保持相同工作状态至少1年,不是倒班工人,没有母亲身份,也不缺乏任何相关信息。参与者根据间隔时间分为两组,以工作结束到恢复日常工作之间的11小时为基准。这一间歇时间是基于欧盟的规定和日本政府设定的目标。健康结果包括:月经周期、痛经症状、对健康的焦虑以及对健康的满意度。通过调整包括心理社会因素和生物因素在内的混杂变量,进行多元Logistic回归分析,以估计健康指数与间隔时间相关的优势比(OR)和95%可信区间(CI)。我们比较了有和没有足够的间歇时间为11小时/天的职场女性的健康状况。间隔时间短的工人对健康的焦虑和对自己健康的不满的患病率明显更高。在月经状况方面,短间隔组工人中仅观察到月经周期异常的频率高于长间隔组。然而,当在多变量回归模型中调整生物混杂因素时,这种关联消失了。痛经症状与短间隔时间之间没有统计学意义的相关性。这项研究发现,每天不到11小时的短间隔时间与主观健康指标和职场女性的月经健康状况之间存在显著关联。生理因素比社会心理因素对月经健康的影响更大。长时间的工作和短的间隔时间可能会增加工人的焦虑和不满,并可能恶化月经周期。
Menstrual problems can significantly impact daily and work life. In reaction to a shrinking population, the Japanese government is encouraging more women to participate in the labor force. Actual success in achieving this aim, however, is limited. Specifically, participation in the workforce by women during their reproductive years is impacted by their health, which involves not only work conditions, but also traditional family circumstances. Therefore, it is important to further assess and gather more information about the health status of women who work during their reproductive years in Japan. Specifically, women’s health can be represented by menstruation status, which is a pivotal indicator. In this study, we assessed the association between short rest periods in work intervals and menstruation and other health status indicators among female workers in Japan. Study participants were recruited from the alumnae of a university, which provided a uniform educational level. All 9864 female alumnae were asked to join the survey and 1630 (17%) accepted. The final sample of study participants (n = 505) were aged 23–43 years, had maintained the same job status for at least 1 year, and were not shift workers, had no maternal status, and did not lack any related information. The participants were divided into two groups according to interval time, with 11 h between end of work and resumption of daily work as a benchmark. This interval time was based on EU regulations and the goal set by the government of Japan. Health outcomes included: menstrual cycle, dysmenorrhoea symptoms, anxiety regarding health, and satisfaction in terms of health. Multiple logistic regression analyses were conducted to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) for health indexes in association with interval time by adjusting for confounding variables that included both psychosocial and biological factors. We compared the health status of women in the workforce with and without a sufficient interval time of 11 h/day. Workers who had a short interval time had a significantly higher prevalence of anxiety about health and dissatisfaction with their health. For menstruation status, only abnormal menstruation cycles were observed more often among workers in the short interval group than those of the long interval group. However, this association disappeared when biological confounding factors were adjusted in a multivariable regression model. Dysmenorrhea symptoms did not show a statistically significant association with short interval time. This study found a significant association between a short interval time of less than 11 h/day and subjective health indicators and the menstrual health status of women in the workforce. Menstrual health was more affected by biological factors than social psychological factors. A long work time and short interval time could increase worker anxiety and dissatisfaction and may deteriorate the menstrual cycle.
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