在怀孕期间失去工作,以及流产和死产的风险
Alessandro Di Nallo1, Selin Köksal2
1Dondena Centre for Research on Social Dynamics and Public Policy, Bocconi University, Milan, Italy.
Human reproduction (Oxford, England)
|September 27, 2023
概括
怀孕期间失去工作,无论是母亲还是伴侣都经历过,都会显著增加流产和死产的风险. 这凸显了需要加强劳动力市场保护和社会保障对准备生育的家庭.
科学领域:
- 社会学 社会学 社会学
- 公共卫生 公共卫生
- 生殖健康 生殖健康
背景情况:
- 之前的研究将环境压力因素 (如经济衰退) 和个人压力因素 (如财务压力) 与增加流产风险联系起来.
- 影响妊娠流产的心理社会因素已被调查,但妊娠期间失业的具体影响需要进一步研究.
研究的目的:
- 调查怀孕期间失业与流产或死产风险之间的关联.
- 为了确定父母在怀孕期间失业是否是不良妊娠结果的重要风险因素.
主要方法:
- 利用来自英国代表性样本的"理解社会"纵向调查 (波段1-12,2009-2022) 的数据.
- 分析了8142个怀孕情节,将暴露定义为自己的或伴侣的失业和结果作为流产或死产.
- 采用后勤回归模型,调整社会人口统计,经济和伙伴关系相关的共变量.
主要成果:
- 怀孕期间 (自己的或伴侣的) 失业的暴露与失去怀孕的风险增加了近两倍 (OR = 1.99).
- 在调整多个共同变量 (OR = 1.81) 后,这种关联仍然很强.
- 这些发现在所有灵敏度分析中都是一致的,表明失业和流产之间存在可靠的联系.
结论:
- 怀孕期间失业是一个重要的,可预防的公共卫生问题.
- 调查结果强调了政策干预的必要性,以加强劳动力市场保护和孕妇及其伴侣的社会保障.
- 由于样本大小的限制,需要进一步的研究来探索这种跨不同社会经济层的关联.
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