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母亲轮班工作和家庭收入对早产产生的影响:一项嵌套病例控制研究

Jia Sun¹, Yiming Zhang², Hong Xian³

¹Department of Epidemiology and Biostatistics, SUNY Downstate Health Sciences University, New York City, New York, USA.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

|August 19, 2025

概括

母亲轮班工作增加了早产 (PTB) 的风险. 在低收入家庭的妇女中,这种风险更高,这突显了怀孕结果的社会经济差异.

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
社会医学科学社会医学科学

背景情况:

轮班工作在劳动女性中越来越普遍.
过早分娩 (PTB) 仍然是一个重要的全球健康问题,原因多重.
职业暴露,如轮班工作对PTB风险的影响需要进一步调查.

研究的目的:

检查母亲轮班工作与早产发病 (PTB) 之间的关联.
确定母亲的家庭收入是否会改变轮班工作和PTB之间的关系.

主要方法:

在中国武汉 (2011-2013) 进行了一项前性队列嵌套病例控制研究.
数据是通过对母亲的家庭访问采访收集的,包括职业和社会经济因素.
使用后勤回归模型和分层分析来评估轮班工作和收入对PTB风险的影响.

主要成果:

该研究包括2393个PTB和4263个对照.
母亲轮班工作与PTB的风险增加有关 (aOR 1.19,95% CI 1.05-1.34).
轮班工作和PTB之间的关联在家庭收入低于城市中位数的妇女中更为强烈 (aOR 1.26,95% CI 1.09-1.45).

结论:

轮班工作的孕妇面临着更高的早产风险.
来自低收入家庭的妇女更容易受到轮班工作对怀孕结果的不利影响.
需要进一步的研究来证实这些发现,并探索潜在的机制.

关键词:

效果修改器效果修改器收入就是收入.嵌套案例控制研究过早分娩过早分娩是什么轮班工作时间表轮班工作时间表

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