母亲职业风险因素和早产:系统性审查和元分析
Haimanot Abebe Adane1, Ross Iles1, Jacqueline A Boyle1,2
1School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia.
Public health reviews
|November 8, 2023
概括
长时间工作和轮班工作等物理工作风险增加了早产风险. 孕妇工人应该意识到并减轻这些职业危险,以实现更健康的怀孕.
科学领域:
- 职业健康 职业健康 职业健康
- 生殖流行病学 生殖流行病学
- 公共卫生 公共卫生
背景情况:
- 过早分娩仍然是一个重大的全球健康问题.
- 物理职业风险越来越多地被认为是导致不良妊娠结果的潜在因素.
- 了解这些联系对于开发有针对性的干预措施至关重要.
研究的目的:
- 系统地审查和元分析身体职业风险与早产之间的关联.
- 量化与特定职业暴露相关的早产风险.
- 为政策和工作场所干预提供证据.
主要方法:
- 在六个数据库中进行系统的文献搜索.
- 包括37项研究,检查身体职业风险和早产.
- 对已识别的风险进行元分析,以计算概率比率和置信区间.
主要成果:
- 适度的证据将高体力工作量,长时间工作,轮班工作和全身振动与早产有关.
- 长时间工作与44%的早产风险增加有关 (OR 1.44).
- 轮班工作显示,早产风险增加了63% (OR 1.63).
结论:
- 身体苛刻的工作,长时间工作,轮班工作和全身振动都会增加早产的风险.
- 建议包括支持性工作场所,保护性政策和告知孕妇工人.
- 需要进一步的研究和有针对性的干预措施来减轻这些职业风险.
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