Kou Z X, Wang S L, Chen Z L, He Y H, Yu W L, Mei L Y, Zhang H D
Gansu province center for disease control and prevention, Lanzhou 73000, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2018 Feb 20;36(2):139-143. doi: 10.3760/cma.j.issn.1001-9391.2018.02.016.
To investigate the reproductive health status of female workers in petrochemical industry, and to provide a reference for improving reproductive health status and developing preventive and control measures for female workers in petrochemical industry. A face-to-face questionnaire survey was performed from January to October, 2016. The Questionnaire on Women's Reproductive Health was used to investigate the reproductive health of female workers in petrochemical industry. The multivariate logistic regression model was used to identify the influencing factors for reproductive health of female workers in petrochemical industry. Among the 7485 female workers, 1 268 (40.9%) had abnormal menstrual period, 1 437 (46.4%) had abnormal menstrual volume, 177 (28.5%) had hyperplasia of mammary glands, and 1 807 (24.6%) had gynecological inflammation. The reproductive system diseases in female workers in petrochemical industry were associated with the factors including age, marital status, education level, unhealthy living habits, abortion, overtime work, work shift, workload, video operation, occupational exposure, positive events, and negative events, and among these factors, negative events (odds ratio[]= 1.856) , unhealthy living habits (=1.542) , and positive events (=1.516) had greater impact on reproductive system diseases. Many chemical substances in the occupational environment of petrochemical industry can cause damage to the reproductive system, which not only affects the health of the female workers, but also poses potential threats to the health of their offspring. Occupational exposure, unhealthy living habits, overtime work, and work shift have great influence on reproductive system diseases in female workers.
为调查石化行业女职工的生殖健康状况，为改善石化行业女职工生殖健康状况及制定防控措施提供参考。于2016年1月至10月进行了面对面问卷调查。采用《妇女生殖健康调查问卷》对石化行业女职工的生殖健康进行调查。运用多因素logistic回归模型分析石化行业女职工生殖健康的影响因素。7485名女职工中，月经异常者1268人（40.9%），月经量异常者1437人（46.4%），乳腺增生者177人（28.5%），妇科炎症者1807人（24.6%）。石化行业女职工生殖系统疾病与年龄、婚姻状况、文化程度、不良生活习惯、流产史、加班、倒班、工作量、视频作业、职业暴露、正性事件、负性事件等因素有关，其中负性事件（比值比=1.856）、不良生活习惯（比值比=1.542）、正性事件（比值比=1.516）对生殖系统疾病影响较大。石化行业职业环境中的多种化学物质可对生殖系统造成损害，不仅影响女职工自身健康，还对其后代健康构成潜在威胁。职业暴露、不良生活习惯、加班、倒班对女职工生殖系统疾病影响较大。
