Imai Yuya, Endo Motoki, Kuroda Keiji, Tomooka Kiyohide, Ikemoto Yuko, Sato Setsuko, Mitsui Kiyomi, Ueda Yuito, Deshpande Gautam A, Tanaka Atsushi, Sugiyama Rikikazu, Nakagawa Koji, Sato Yuichi, Kuribayashi Yasushi, Itakura Atsuo, Takeda Satoru, Tanigawa Takeshi
Department of Public Health, Juntendo University Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan.
Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Bunkyo-ku, Tokyo, Japan.
Occup Environ Med. 2020 Dec 3;78(6):426-32. doi: 10.1136/oemed-2020-106745.
To elucidate the risk factors associated with resignation from work of Japanese women undergoing infertility treatment.
A total of 1727 female patients who attended a private fertility clinic in Japan participated in the Japan-Female Employment and Mental health in Assisted reproductive technology study. Questions related to demographic, clinical and socioeconomic characteristics were employed in the questionnaire. Out of the 1727 patients, 1075 patients who were working at the time of initiating infertility treatment and felt infertility treatment incompatible with work were included in the analysis. Risk factors for resignation were assessed by using multivariable logistic regression models.
Among 1075 working women who started infertility treatment, 179 (16.7%) subsequently resigned. Multivariable-adjusted ORs for resignation in those with lower educational background and infertility for ≥2 years were 1.58 (95% CI: 1.07 to 2.34) and 1.82 (95% CI: 1.15 to 2.89), respectively. The OR for resignation in non-permanent workers undergoing infertility treatment was 2.65 (95% CI: 1.61 to 4.37). While experiencing harassment in the workplace approached significance, lack of support from the company was significantly associated with resignation after starting infertility treatment, with ORs of 1.71 (95% CI: 0.98 to 2.99) and 1.91 (95% CI: 1.28 to 2.86), respectively.
One-sixth of women resigned after starting infertility treatments. It was found that factors related to education, infertility duration and work environment were significantly associated with resignation. Reducing the physical and psychological burden endured by women, for example, by increasing employer-provided support, is vitally important in balancing infertility treatment with maintenance of work life.
阐明接受不孕症治疗的日本女性辞职的相关风险因素。
共有1727名在日本一家私立生育诊所就诊的女性患者参与了“辅助生殖技术中的日本女性就业与心理健康”研究。问卷中包含了与人口统计学、临床和社会经济特征相关的问题。在这1727名患者中，有1075名在开始不孕症治疗时正在工作且认为不孕症治疗与工作不相容的患者被纳入分析。通过使用多变量逻辑回归模型评估辞职的风险因素。
在1075名开始不孕症治疗的职业女性中，有179人（16.7%）随后辞职。教育背景较低且不孕时间≥2年的女性辞职的多变量调整后比值比分别为1.58（95%置信区间：1.07至2.34）和1.82（95%置信区间：1.15至2.89）。接受不孕症治疗的非长期工辞职的比值比为2.65（95%置信区间：1.61至4.37）。虽然在工作场所遭受骚扰接近显著水平，但公司缺乏支持与开始不孕症治疗后辞职显著相关，比值比分别为1.71（95%置信区间：0.98至2.99）和1.91（95%置信区间：1.28至2.86）。
六分之一的女性在开始不孕症治疗后辞职。研究发现，与教育、不孕持续时间和工作环境相关的因素与辞职显著相关。例如，通过增加雇主提供的支持来减轻女性承受的身心负担，对于平衡不孕症治疗与维持工作生活至关重要。
