当前的政策是否反映了有关职业风险和早产之间的关系的现有证据,并且是否一致? 一个政策内容分析分析
H A Adane1, R Iles1, J A Boyle2
1Healthy Working Lives Research Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Public health
|July 31, 2024
概括
大多数政策都不充分解决与早产相关的工作场所风险. 政策往往缺乏严格的方法和利益相关者的意见,需要基于证据的更新,以保护母亲和婴儿的健康.
科学领域:
- 职业健康 职业健康 职业健康
- 公共卫生政策 公共卫生政策
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 过早分娩是全球新生儿死亡的主要原因.
- 系统审查表明,工作场所的身体和心理社会风险增加了早产风险.
- 这种证据如何转化为当前的政策并未得到充分理解.
研究的目的:
- 评估当前政策如何反映职业风险和早产的科学证据.
- 识别政策制定和建议中的差距.
主要方法:
- 跨多个数据库和机构网站的三步搜索策略.
- 从2000年起出版的政策文件的描述性和解释性内容分析.
- 包括公开可用的,来自可信来源的英语文档.
主要成果:
- 分析了13份政策文件;大多数 (8/13) 发现证据不确.
- 五项政策承认职业风险与早产之间存在潜在联系.
- 建议包括职位重新设计,信息/教育和政策变化;开发往往缺乏多学科利益相关者参与.
结论:
- 目前的政策仅部分反映了将职业风险与早产相关的证据.
- 政策制定往往缺乏严格的方法和利益相关者的参与.
- 迫切需要以实证为基础的政策,以强有力的研究为基础.
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