工作压力和不良怀孕结果:范围审查和元分析
Kota Nakayama1, Etsuji Suzuki2,3, Natalie Slopen4
1Okayama University Medical School, Okayama, Japan.
American journal of industrial medicine
|September 5, 2024
概括
工作压力与早产 (PTB) 有着适度的关联. 改善整体工作条件对于更好的妊娠结果至关重要.
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
- 围产期研究 围产期研究
背景情况:
- 以前的研究将工作压力与不良妊娠结果联系起来,例如低出生体重 (LBW),早产 (PTB) 和对于妊娠年龄来说小 (SGA).
- 在Karasek需求控制模型中,就业压力被概念化,强调与工作相关的压力因素.
研究的目的:
- 进行范围审查和元分析,评估工作压力和不良怀孕结果之间的关联.
- 量化工作压力与特定结果之间的关系:LBW,PTB和SGA.
主要方法:
- 在PubMed上进行了全面的文献搜索,包括英语研究.
- 采用随机效应元分析,从符合条件的研究中汇集数据,评估异质性和偏差.
- 包括基于卡拉塞克需求控制模型检查工作压力的研究和关于怀孕结果的报告.
主要成果:
- 分析显示,LBW (1.23),PTB (1.10) 和SGA (1.16) 的合并赔率比率显示出适度的关联.
- 在工作压力和早产 (PTB) 之间发现了统计学上显著的温和关联.
- 结果的异质性各不相同,并注意到SGA的潜在出版偏差.
结论:
- 在工作压力和早产 (PTB) 之间存在温和的关联.
- 工作压力是更广泛的不健康工作环境中的一个因素.
- 建议针对整体改善工作条件的干预措施,以提高母亲和婴儿的健康.
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