轮班工作和月经:一个元分析研究
Fengying Hu1, Cuiyun Wu2, Yunfei Jia1
1Department of Occupational Health and Environmental Health, School of Public Health, Anhui Medical University, Hefei, 230032, China.
SSM - population health
|November 13, 2023
概括
轮班工作增加了女性月经不规则,疼痛期 (经期失调) 和早期更年期的风险. 这项研究强调了非传统工作时间表对女性生殖健康的影响.
科学领域:
- 生殖健康 生殖健康
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
背景情况:
- 轮班工作越来越被认为是影响妇女生殖健康的潜在风险因素.
- 现有证据将轮班工作与月经障碍,生殖障碍和不良妊娠结果联系在一起.
- 之前缺乏对轮班工作者的月经不规则,缺经症和早期更年期的系统检查.
研究的目的:
- 调查轮班工作与女性月经关键特征之间的关联.
- 具体地检查不规则的月经,经管障碍和早期更年期的风险.
主要方法:
- 进行了全面的元分析,搜索了四个主要数据库 (PubMed,Embase,Cochrane,Web of Science) 到2022年12月.
- 从21项涉及195,538名女性参与者的研究中提取和分析了数据.
- 统计方法包括计算几率比率 (ORs),相对风险 (RRs) 和危险比率 (HRs) 的95%置信区间 (CI),以及异质性和偏差评估.
主要成果:
- 分析显示,轮班工作与不规则的月经 (OR=1.30) 和失经 (OR=1.35) 之间存在显著的积极关联.
- 轮班工作也与早期更年期的风险增加有关 (HR=1.09),没有显著的异质性.
- 包含的21项研究具有很高的方法质量.
结论:
- 轮班工作者表现出明显更高的经历月经障碍,经期障碍和早期更年期的几率.
- 这些发现强调了解决职业时间表的重要性,以保护女性生殖健康.
- 对优化女性员工的工作时间和轮班安排存在影响.
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