Reproductive health outcomes among female flight attendants - An exploratory study
Reproductive health outcomes among female flight attendants - An exploratory study
复制标题
DOI：
10.1097/00043764-199803000-00002
复制
发表时间：
1998-03-01
影响因子：
3.2
通讯作者：
Samuels, SJ
中科院分区：
文献类型：
--
作者：
Cone, JE;Vaughan, LM;Samuels, SJ
最近的研究表明，女乘务员可能会遇到自然流产率增加。我们对1990年1月1日至1991年12月31日期间任何时间怀孕的女性空乘人员（n = 418）进行了一项调查，采用邮寄的自我管理兴趣调查（应答率，60%）和关于生殖结局和不良结局潜在危险因素的随访问卷（应答率，64%）。使用考克斯生命表回归模型，当控制母亲年龄、吸烟、饮酒和既往自然流产时，自然流产的累积风险为17%。在外出工作的女性乘务员中，321人中有47人（15%）经历了自然流产，而在怀孕期间没有外出工作的73人中有6人（8%）（比值比[OR] = 1.91，95%置信区间[CIT] = 0.78-4.66）。在研究期间，在第一次怀孕期间经历自然流产的夜班乘务员在怀孕期间每月工作的飞行时间（每月74小时）明显多于分娩活产的乘务员（每月64小时）（Student t =-3.30，It = 0.002）。我们的结论是，虽然这项研究的结果必须被认为是初步的，因为相对较低的整体响应率（38%），我们没有发现一个整体的风险增加自然流产的空乘人员，与其他职业女性（10%-20%）。然而，与不从事此类工作的空乘人员相比，在怀孕期间继续从事空乘工作的妇女以及在怀孕期间飞行时间相对较多的妇女可能面临更大的自然流产风险。
Recent studies have suggested that female flight attendants may experience increased rates of spontaneous abortion. We conducted a survey of female flight attendants who were pregnant at any time between January 1, 1990, and December 31, 1991 (n = 418) using a mailed self-administered interest survey (response rate, 60%) and follow-up questionnaire regarding reproductive outcomes and potential risk factors for adverse outcomes (response rate, 64%). The cumulative hazard of spontaneous abortion was 17% when maternal age, smoking, alcohol use, and prior spontaneous abortions were controlled for, using a Cox life-table regression model. Of the female flight attendants who worked outside the home, 47 of 321 (15%) experienced a spontaneous abortion, compared with 6 of 73 (8%) who did not work outside the home during the pregnancy period (odds ratio [OR] = 1.91, 95% confidence interval [CIT] = 0.78-4.66). night attendants who experienced a spontaneous abortion during their first pregnancy during the study period reported working significantly more flight hours per month during their pregnancy (74 hours per month) than did flight attendants who delivered a live birth (64 hours per month) (Student's t = -3.30, It = 0.002). We conclude that although the results of this study must be considered preliminary because of the relatively low overall response rate (38%) we did not find an overall increased risk for spontaneous abortion among flight attendants, compared with other working women (10%-20%). Women who continue working as flight attendants during pregnancy and those who work relatively higher numbers of flight hours during pregnancy may, however, be at increased risk for spontaneous abortion, compared with flight attendants who do not perform such work.