Wennborg H, Bodin L, Vainio H, Axelsson G
The National Institute of Environmental Medicine, Division of Environmental Health Risk Assessment, Karolinska Institute, Sweden.
Occup Environ Med. 2001 Apr;58(4):225-31. doi: 10.1136/oem.58.4.225.
To elucidate possible effects on fecundability from chemical, biological, and physical agents in laboratories, a retrospective study based on a questionnaire was conducted among female personnel who worked in Swedish biomedical research laboratories. Female personnel in non-laboratory departments were used as a reference group. The maximum number of women included in the analyses was 560. This corresponded to 2519 menstrual cycles. These women had given birth at least once during the period 1990-4.
Time to pregnancy was used to estimate the fecundability-that is, probability of conception of a clinically detectable pregnancy per cycle. The fecundability ratio (FR) between exposed and unexposed cycles was calculated with a discrete time analogue of the Cox's proportional-hazards model. The FR estimates below unity indicate subfecundity.
Work with organic solvents in general in laboratory work, gave a decreased adjusted fecundability ratio (FR) of 0.79 (95% confidence interval (95 % CI) 0.68 to 0.93). Moreover, work with acetone and use of viruses also showed decreased FRs, 0.72 (0.53 to 0.97) and 0.66 (0.49 to 0.90), respectively.
The results of the present study give some indications of reduced fecundability for work with specific agents in laboratories, and support previously reported findings of a negative influence of organic solvents on fecundity among female laboratory personnel.
为阐明实验室中的化学、生物及物理因素对受孕能力可能产生的影响,我们对瑞典生物医学研究实验室的女性工作人员开展了一项基于问卷调查的回顾性研究。非实验室部门的女性工作人员作为对照组。纳入分析的女性最多有560名。这相当于2519个月经周期。这些女性在1990年至1994年期间至少生育过一次。
采用受孕时间来估算受孕能力,即每个周期临床可检测到妊娠的受孕概率。通过Cox比例风险模型的离散时间模拟计算暴露周期与未暴露周期之间的受孕能力比(FR)。FR估计值低于1表明生育力低下。
一般而言,实验室工作中接触有机溶剂会使调整后的受孕能力比(FR)降低至0.79(95%置信区间(95%CI)为0.68至0.93)。此外,接触丙酮和使用病毒也显示FR降低,分别为0.72(0.53至0.97)和0.66(0.49至0.90)。
本研究结果表明,实验室中接触特定物质会使受孕能力有所下降,并支持先前报道的有机溶剂对女性实验室工作人员生育力有负面影响的研究结果。