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[女性温室工人生殖系统疾病风险较低——是安全的工作条件还是因从事轻松工作而进行的健康筛选?]

[Low risk of reproductive disorders among female greenhouse workers--safe work conditions or health selection for the light work?].

作者信息

Jurewicz Joanna, Hanke Wojciech, Makowiec-Dabrowska Teresa

机构信息

Zakład Epidemiologii Srodowiskowej, Instytut Medycyny Pracy im. prof. J. Nofera, Lódź.

出版信息

Med Pr. 2008;59(2):123-31.

Abstract

BACKGROUND

There are two major potential hazards typical of work in greenhouses: hard physical work or exposure to pesticides. The aim of the study was to investigate whether the work in greenhouse during pregnancy have an adverse effect on its outcome (preterm delivery, spontaneous abortion and birth defects).

MATERIALS AND METHODS

The study was performed in a group of 460 women employed in 14 greenhouses involved in growing vegetables and flowers.

RESULTS

The rate of spontaneous abortions was much elbeit insignificantly higher in the women working in greenhouses during pregnancy than in those employed out of them; that applied mostly to the women performing light jobs in greenhouses. An increased risk of preterm delivery and spontaneous abortion was also observed in women performing greenhouse light jobs. No significantly increased risk of birth defects was observed in children born to women working in greenhouses. Neither was there any relationship between exposure to RD or ED pesticides exposure--and the occurrence of preterm delivery, spontaneous abortion and birth defects.

CONCLUSIONS

No higher risk of pathological pregnancy that could be associated with hard physical work and pesticide exposure was observed. This may result from the fact that women themselves select an appropriate kind of job during pregnancy and a possible removal of women with pathological pregnancy from jobs involving pesticide exposure, as well as from the promotion of biological protection. The greenhouse workers should be aware of the two typical hazards found in greenhouses (hard work and exposure to pesticides) and their potential negative effects on the reproduction. The results of this study warrant the need for further study of the effect of pesticide exposure and work load on the pregnancy outcome.

摘要

背景

温室工作有两种典型的潜在危害:繁重的体力劳动或接触农药。本研究的目的是调查孕期从事温室工作是否会对妊娠结局(早产、自然流产和出生缺陷)产生不利影响。

材料与方法

该研究对14个从事蔬菜和花卉种植的温室中受雇的460名女性进行。

结果

孕期在温室工作的女性自然流产率略高于不在温室工作的女性,不过差异不显著;这主要适用于在温室从事轻体力工作的女性。从事温室轻体力工作的女性早产和自然流产风险也有所增加。在温室工作的女性所生孩子中,未观察到出生缺陷风险显著增加。接触RD或ED农药与早产、自然流产和出生缺陷的发生之间也没有任何关联。

结论

未观察到与繁重体力劳动和农药接触相关的病理性妊娠风险升高。这可能是因为女性在孕期会自行选择合适的工作类型,以及可能将患有病理性妊娠的女性从涉及农药接触的工作中调离,同时也得益于生物防护措施的推广。温室工人应了解温室中存在的两种典型危害(繁重工作和农药接触)及其对生殖的潜在负面影响。本研究结果表明有必要进一步研究农药接触和工作负荷对妊娠结局的影响。

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