FACTORS AFFECTING THE HEALTH OF EMPLOYED PREGNANT WOMEN

影响就业孕妇健康的因素

• 批准号: 6141424
• 负责人: KATHRYN J LUCHOK
• 金额: $ 24.96万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-09-30 至 2001-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6141424
• 关键词: anxiety; clinical research; depression; employment of women; female; human subject; interview; occupational stressor; outcomes research; postpartum; pregnancy; quality of life; racial /ethnic difference; social support network; statistics /biometry; women's health

Description: (Adapted from Investigator's Abstract) Employed women who are pregnant may be at an increased risk of poor pregnancy outcomes, as well as postpartum depression, anxiety, and poor functional health status, if they are exposed to high levels of occupational stress during their pregnancies. The purposes of this study are to: (1) assess the effects of occupational stress, social resources and non-occupation-specific chronic stressors on employed women's prenatal and postpartum levels of anxiety, depressive symptoms, and functional health; (2) investigate these effects on pregnancy outcomes of both mothers and infants; and (3) examine whether these effects vary across racial categories for women within service-clerical-sales-manufacturing categories. It is hypothesized that employed women who experience fewer stressors and perceive their families, friends, co-workers, and supervisors as supportive during the last trimester of pregnancy will have lower postpartum levels of anxiety and depressive symptoms, better functional health status, and better pregnancy outcomes than women who perceive more stressors and less support. A four-wave prospective panel study of 168 employed women will be conducted over a 3-year period. The women will be recruited from three obstetric clinics in Kentucky. Data will be collected during in-home interviews between 28-40 weeks gestation, via medical record reviews, and in-home interviews 4-6 weeks after returning to work postpartum, and again at 6 months after returning to work. Measures of depressive symptoms, anxiety, functional health status, non-occupation-specific chronic stressors, social support from family, friends, co-workers and supervisors, and occupational stress will be obtained. Data on pregnancy outcomes for mothers and infants will be obtained via medical record review after delivery. Data will be analyzed using descriptive and inferential statistics, including multivariate linear regression and logistic regression. The findings may have implications for changes in the organization of work for pregnant and postpartum women in service-clerical-sales-manufacturing positions. Occupational stress can lead to poor pregnancy outcomes, as well as mental and physical health problems, which in turn can lead to lost work time, low productivity, and increased use of health and community social services. Better understanding of how these stressors operate during pregnancy and the postpartum may have implications for policy changes that save industry and community resources, and more importantly, that improve the well-being of working mothers.

描述：(改编自《调查者摘要》)受雇女性 怀孕可能会增加不良妊娠结局的风险，以及 产后抑郁、焦虑和功能健康状况不佳，如果他们 在怀孕期间暴露在高度的职业压力之下。 本研究的目的是：(1)评估职业病危害的影响。 压力、社会资源和非特定职业慢性压力源 职业女性产前和产后焦虑、抑郁水平的研究 症状和功能健康；(2)调查这些对妊娠的影响 母亲和婴儿的结局；以及(3)检查这些影响 女性在不同种族类别之间存在差异 服务-文书-销售-制造类别。据推测， 有工作的女性感受到的压力源更少，对家庭的认知更强， 朋友、同事和主管在最后三个月中给予支持 怀孕的人产后焦虑和抑郁水平较低 症状、更好的功能健康状况和更好的妊娠结局 相比那些感受到更多压力源和更少支持的女性。四次浪潮 对168名就业女性进行的前瞻性小组研究将在 3年期。这些妇女将从#年的三家产科诊所招募。 肯塔基州。数据将在28-40岁之间的家庭访谈期间收集 怀孕几周，通过医疗记录审查和家庭访谈4-6 产后几周重返工作岗位，6个月后再次上岗 回去工作了。测量抑郁症状、焦虑、功能性 健康状况、非特定职业慢性应激源、社会支持 来自家人、朋友、同事和主管，以及职业压力 将会被获得。关于母婴妊娠结局的数据将 在分娩后通过病历审查获得。将对数据进行分析 使用描述性和推断性统计，包括多变量线性 回归和Logistic回归。这一发现可能会对 年孕妇和产后妇女工作组织的变化 服务业-文员-销售-制造业的职位。职业压力可能会 导致不良的妊娠结局以及心理和身体健康 问题，这反过来可能导致工作时间损失、工作效率低下以及 更多地利用卫生和社区社会服务。更好地理解 这些应激源在孕期和产后如何起作用 对节约行业和社区资源的政策变化的影响， 更重要的是，这提高了职业母亲的幸福感。