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加利福尼亚州洛杉矶的一个以拉丁裔为主的人群中,母亲的职业与足月低出生体重。

Maternal occupation and term low birth weight in a predominantly latina population in los angeles, california.

机构信息

Departments of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, CA 90095, USA.

出版信息

J Occup Environ Med. 2013 Sep;55(9):1046-51. doi: 10.1097/JOM.0b013e31829888fe.

Abstract

OBJECTIVES

Focusing on Latinas, we investigated whether maternal occupations during pregnancy increase term low birth weight (TLBW) (less than 2500 g; 37 weeks or more).

METHODS

In a case-control study (n = 1498) nested within a 2003 birth cohort (n = 58,316) in Los Angeles County, California (65% Latina), we assessed the influence of maternal occupation on TLBW, using Occupational Codes based on the 2000 US Census Occupational Classification System.

RESULTS

Odds ratios (ORs) for TLBW were increased among women working during pregnancy in "transportation and material moving operations" (adjusted OR = 3.28; 95% confidence interval = 1.00 to 10.73), "food preparation and serving occupations" (adjusted OR = 3.03, 95% confidence interval = 1.21 to 7.62), or "production occupations" (adjusted OR = 2.63, 95% confidence interval = 1.01 to 6.82) compared with "office occupations;" 73% to 93% of women working in these higher-risk jobs were immigrant Latinas.

CONCLUSIONS

Working conditions in various jobs held mainly by first-generation immigrant Latinas increase risks for TLBW and need to be addressed to develop strategies to reduce TLBW.

摘要

目的

我们专注于拉丁裔女性,调查孕期母亲的职业是否会增加足月低出生体重(TLBW)(体重不足 2500 克;37 周或以上)的风险。

方法

在加利福尼亚州洛杉矶县(65%为拉丁裔)进行的一项病例对照研究(n=1498)中,我们对孕期母亲职业与 TLBW 的关系进行了评估,使用了基于 2000 年美国人口普查职业分类系统的职业代码。

结果

与从事“运输和物料搬运作业”(调整后的比值比 [OR] = 3.28;95%置信区间 [CI] = 1.00 至 10.73)、“食品制备和服务职业”(调整后的 OR = 3.03;95%CI = 1.21 至 7.62)或“生产职业”(调整后的 OR = 2.63;95%CI = 1.01 至 6.82)的女性相比,从事“办公室职业”的女性 TLBW 的风险增加(调整后的 OR = 2.04;95%CI = 1.56 至 2.68);从事这些高风险职业的女性中,73%至 93%为第一代移民拉丁裔。

结论

由第一代移民拉丁裔女性主要从事的各种工作的工作条件增加了 TLBW 的风险,需要解决这些问题,以制定减少 TLBW 的策略。

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