Cooklin Amanda R, Rowe Heather J, Fisher Jane R W
Key Centre for Women's Health in Society, School of Population Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
Aust N Z J Obstet Gynaecol. 2007 Dec;47(6):483-90. doi: 10.1111/j.1479-828X.2007.00784.x.
Antenatal psychological well-being is multifactorially determined, including by social circumstances. Evidence suggests that workplace conditions are salient determinants of mental health, but it is not known whether employment conditions influence antenatal psychological well-being.
To investigate the relationship between employment conditions and antenatal psychological well-being in Australian women.
A sociodemographically diverse consecutive cohort of employed nulliparous women was recruited in late pregnancy. Data were collected by a structured interview assessing sociodemographic characteristics, employment arrangements, experience of pregnancy-related discrimination, and access to maternity leave entitlements. Participants completed two standardised psychometric measures of maternal mood: the Edinburgh Depression Scale (EDS) and the Profile of Mood States (PoMS). Comparisons of self-reported mood were made between women by experience of workplace adversity, using a composite measure of workplace events.
Of 205 eligible women, 165 agreed to participate. Of these, 114 of 165 (69%) reported at least one form of workplace adversity during pregnancy. More women without private health insurance (78%) reported workplace adversity than those who were privately insured (57%) (chi2(1)=6.95, P=0.008). Women experiencing workplace adversity had significantly worse psychological well-being as indicated by the EDS score (7.7+/-5.1) than those who were experiencing no workplace adversity (5.5+/-3.4), mean difference (95% CI)=-2.2 (-3.7 to -0.8), P=0.003. Similar results were reported for the PoMS.
Workplace adversity during pregnancy is associated with poorer maternal psychological well-being. Workplace conditions and entitlements are salient factors for consideration in assessments of antenatal psychosocial well-being.
产前心理健康受多种因素影响，包括社会环境。有证据表明工作场所条件是心理健康的重要决定因素，但尚不清楚就业状况是否会影响产前心理健康。
调查澳大利亚女性就业状况与产前心理健康之间的关系。
在妊娠晚期招募了一个社会人口统计学特征多样的在职未生育女性连续队列。通过结构化访谈收集数据，评估社会人口统计学特征、就业安排、与怀孕相关的歧视经历以及产假权利。参与者完成了两项评估产妇情绪的标准化心理测量指标：爱丁堡产后抑郁量表（EDS）和情绪状态剖面图（PoMS）。通过使用工作场所事件的综合指标，根据工作场所逆境经历对女性自我报告的情绪进行比较。
在205名符合条件的女性中，165名同意参与。其中，165名中有114名（69%）报告在怀孕期间至少经历过一种形式的工作场所逆境。没有私人医疗保险的女性（78%）报告工作场所逆境的比例高于有私人医疗保险的女性（57%）（χ²(1)=6.95，P=0.008）。如EDS评分所示，经历工作场所逆境的女性心理健康状况明显比未经历工作场所逆境的女性更差（7.7±5.1），平均差异（95%CI）=-2.2（-3.7至-0.）
