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职业妊娠歧视与孕妇及其子女的健康不良影响有关。

Occupational Pregnancy Discrimination Is Associated With Negative Health Impacts for Pregnant Persons and Their Children.

机构信息

From the The University of Iowa, Iowa City, IA (J.D.B., R.K., K.M.W.); and Oakland University, Rochester, Michigan (M.J.).

出版信息

J Occup Environ Med. 2023 Dec 1;65(12):e791-e796. doi: 10.1097/JOM.0000000000002984. Epub 2023 Sep 25.

Abstract

OBJECTIVE

The aim of the study is to examine associations between occupational pregnancy discrimination, maternal, and child health.

METHODS

A nationwide sample of individuals currently in their third trimester of pregnancy who worked full-time (>35 hr/wk) were recruited. Surveys were completed during the third trimester and 6 weeks postpartum.

RESULTS

Respondents ( N = 183) were mostly White (57.9%), had at least a bachelor's degree (60.8%), and worked 40.3 hr/wk. Occupational pregnancy discrimination increased the odds of clinically significant depressive/anxiety symptoms by 8% and 17%, respectively (odds ratio = 1.1, 95% confidence interval: 1.0-1.1; odds ratio = 1.2, 95% confidence interval: 1.1-1.2). Discrimination was also associated with postpartum depression occurrence ( P = 0.02). Social support level mitigated the association between pregnancy discrimination, depressive symptoms (β = 2.1, P < 0.01), and anxiety symptoms (β = 7.25, P < 0.01).

CONCLUSIONS

Poorer mental health during and after pregnancy was associated with occupational pregnancy discrimination but effects were mitigated by social support.

摘要

目的

本研究旨在探讨职业妊娠歧视与产妇和儿童健康之间的关联。

方法

招募了一组目前处于妊娠晚期(>35 小时/周)的全职工作的个体作为全国性样本。调查在妊娠晚期和产后 6 周进行。

结果

受访者(N=183)主要为白人(57.9%),至少拥有学士学位(60.8%),每周工作 40.3 小时。职业妊娠歧视分别使临床显著抑郁/焦虑症状的几率增加了 8%和 17%(优势比=1.1,95%置信区间:1.0-1.1;优势比=1.2,95%置信区间:1.1-1.2)。歧视也与产后抑郁症的发生有关(P=0.02)。社会支持水平减轻了妊娠歧视与抑郁症状(β=2.1,P<0.01)和焦虑症状(β=7.25,P<0.01)之间的关联。

结论

妊娠期间和之后较差的心理健康与职业妊娠歧视有关,但社会支持减轻了这种关联。

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