PSYCHOLOGIC STRESS IN THE WORKPLACE AND SPONTANEOUS-ABORTION

被引:93
作者
FENSTER, L
SCHAEFER, C
MATHUR, A
HIATT, RA
PIEPER, C
HUBBARD, AE
VONBEHREN, J
SWAN, SH
机构
[1] KAISER PERMANENTE DIV RES,OAKLAND,CA
[2] DUKE UNIV,MED CTR,DURHAM,NC
关键词
ABORTION; OCCUPATIONAL EXPOSURE; OCCUPATIONAL HEALTH; PREGNANCY; STRESS; PSYCHOLOGICAL;
D O I
10.1093/oxfordjournals.aje.a117576
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The relation of work-related psychologic stress to spontaneous abortion was examined in a prospective study of 3,953 pregnant, employed members of a prepaid health plan in California, recruited between 1990 and 1991. information on occupation, psychologic stress-related factors at work, social support at work, physical exertion at work, life events, pregnancy worries, and potential confounders was obtained by a telephone interview. Psychologic job stress and social support at work were assessed using an abbreviated version of the instrument developed by Karasek and colleagues (Los Angeles: University of Southern California, 1986). Results from the multivariate model indicated that, overall, stressful work was not associated with an increased risk of spontaneous abortion. However, interactions were observed between stressful work and maternal age over 32 years (p = 0.04), cigarette smoking (p = 0.02), and primigravidity (p = 0.06). Relative to the odds ratio for stressful work in young, nonsmoking, multigravid women without a history of two or more spontaneous abortions, the odds ratios for spontaneous abortion given stressful work were higher by 2.45 (95% confidence interval (CI) 1.03-5.81) for older women, 2.96 (95% CI 1.16-7.52) for smokers, and 2.27 (95% CI 0.97-5.27) for primigravid women.
引用
收藏
页码:1176 / 1183
页数:8
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