Kou Zhen-Xia, Li Hui, He Yu-Hong, Yu Wen-Lan, Jin Na, Zhou An-Shou
Gansu Province Center for Disease Control and Prevention, Lanzhou, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2011 Sep;29(9):653-6. doi: 10.3760/cma.j.issn.1001-9391.2011.09.005.
To understand the reproductive health status of female workers in pharmaceutical industry of Gansu Province, to explore influencing factors, and to propose some reference basis of intervening measures.
The cluster sampling method was used to study 1801 female workers from 16 pharmaceutical industries in 6 cities (Pingliang, Qingyang, Lanzhou, Dingxi, Zhangye and Jiuquan cities) of Gansu Province. The investigation was performed by interviewing and adopting questionnaires.
There were the problems of labor and organization, which included the overtime work, continuous work, standing for long periods, rapid monotonous action assignments, the loading work and a variety of harmful factors in the working environment of the pharmaceutical industry in Gansu Province. There were many problems in the reproductive health status of female workers. The morbidities of abnormal menstruation and breast diseases in female workers were 43.25% and 20.43%. The order of high morbidities was hyperplasia of mammary glands (91.30%), breast adenofibroma (5.43%) and mastitis (2.99%). The order of morbidities for three reproductive system disease was adnexitis (21.57%), cervical erosion (20.06%) and vaginitis (11.09%). The rates of abnormal menstrual cycle, abnormal menstrual amount and cervical erosion increased with the length of service (P < 0.01). The taking breaks, long standing, loading work, exposure to harmful factors were related to abnormal menstruation (P < 0.05). The rapid repeat monotonous action was an important influencing factor for female reproductive system disease (OR = 1.255, 95%CI = 1.031 ∼ 1.528).
There are relatively serious occupational hazards in the pharmaceutical industry of Gansu Province. The reproductive health status of female workers is not improved. Social public should pay attention to the protection for female workers.
了解甘肃省制药行业女职工生殖健康状况，探讨影响因素，为提出干预措施提供参考依据。
采用整群抽样方法，对甘肃省平凉、庆阳、兰州、定西、张掖、酒泉6市16家制药企业的1801名女职工进行研究。通过访谈和问卷调查的方式进行调查。
甘肃省制药行业存在劳动组织方面的问题，包括加班、连续工作、长时间站立、快速单调动作作业、负重作业以及工作环境中的多种有害因素。女职工生殖健康状况存在诸多问题。女职工月经异常患病率为43.25%，乳腺疾病患病率为20.43%。患病率高低顺序为乳腺增生（91.30%）、乳腺纤维瘤（5.43%）、乳腺炎（2.99%）。三种生殖系统疾病患病率高低顺序为附件炎（21.57%）、宫颈糜烂（20.06%）、阴道炎（11.09%）。月经周期异常、月经量异常和宫颈糜烂患病率随工龄延长而升高（P<0.01）。休息情况、长时间站立、负重作业、接触有害因素与月经异常有关（P<0.05）。快速重复单调动作是女性生殖系统疾病的重要影响因素（OR=1.255，95%CI=1.031～1.528）。
甘肃省制药行业存在较为严重的职业危害。女职工生殖健康状况未得到改善。社会公众应关注对女职工的保护。
