开发一个定量性的工作暴露矩阵,用于孕妇工人站立,行走和向前曲 - - 精确的JEM
Hannah Nørtoft Frankel1, Esben Meulengracht Flachs, Camilla Sandal Sejbaek
1Department of Occupational and Environmental Medicine, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark. hannah.noertoft.frankel.01@regionh.dk.
Scandinavian journal of work, environment & health
|September 18, 2025
概括
这项研究开发了一种工作暴露矩阵 (JEM) 来量化怀孕工人的职业体力活动 (OPA),如站立和行走. 新的JEM改进了对暴露的评估,以了解OPA.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 怀孕研究 怀孕研究
背景情况:
- 怀孕期间的职业体力活动 (OPA) 与不良结果有关.
- 准确的暴露评估对于OPA研究中的因果推断至关重要.
- 现有的评估孕妇OPA的方法往往是粗的.
研究的目的:
- 开发一个定量,季度特定的工作暴露矩阵 (JEM).
- 评估怀孕工人的职业站立,行走和向前曲.
- 改善流行病学研究中的客观暴露评估.
主要方法:
- 收集了丹麦109个职位代码的403名女性工人的加速计数据.
- 使用线性混合效应模型估计1171个职位代码的暴露水平.
- 纳入年龄,妊娠期和专家评级作为固定效应,用职位代码和工人作为随机效应.
主要成果:
- 开发了一个JEM,在工作之间存在很大的差异 (56%站立,51%走路,45%向前曲).
- 发现一个三个月的效果,在第三个三个月中,站立时间减少了0.38小时.
- 确定了暴露率最高的职业:面包师 (站立),服务员 (行走) 和畜牧生产者 (向前曲).
结论:
- 特定于三个月的JEM提供了对OPA和怀孕结果的客观暴露评估.
- 这种工具可以加强流行病学研究,并为指导方针提供信息.
- 改进的评估可能有助于预防不良妊娠结果.
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