Department of Family Medicine and Community Health, Program in Health Disparities Research, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Division of Biostatistics, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA.
Neurourol Urodyn. 2024 Jan;43(1):69-80. doi: 10.1002/nau.25297. Epub 2023 Oct 4.
Lower urinary tract symptoms (LUTS) are common among employed women. An underexplored topic is whether characteristics of women's occupations may influence LUTS. The present study examined whether job strain and its individual components (psychological demands, decision latitude) were associated with greater LUTS and their impact and whether, compared to managerial and professional occupations, occupations characterized by manual labor, sales, service, nursing, and teaching were associated with greater LUTS and their impact.
Coronary Artery Risk Development in Young Adults cohort study data were analyzed. Job strain and occupation were assessed in 1987-88 and 1995-96. In 2012-13, LUTS and their impact were assessed. LUTS/impact category (a composite variable ranging from bladder health to mild, moderate, and severe LUTS/impact) was regressed on job strain and occupation in separate analyses, adjusting for age, race, parity, education, and financial hardship (n = 1006).
Job strain and its individual components were not associated with LUTS/impact. In comparison to managerial and professional occupations, service occupations in 1987-88 and 1995-96 were both associated with greater odds of LUTS/impact in proportional odds logistic regression analyses. Employment as a nurse, health assistant, or health aide in 1995-96 was associated with greater odds of any LUTS/impact versus bladder health. Support positions in 1987-88 and sales positions in 1995-96 were associated with greater odds of moderate or severe LUTS/impact versus bladder health or mild LUTS/impact.
Future research should examine characteristics of workplaces that may promote or constrain bladder health (e.g., time and autonomy to void when desired, infrastructure to void).
下尿路症状（LUTS）在职业女性中较为常见。目前，人们对于职业女性的工作特点是否会影响 LUTS 这一问题研究较少。本研究旨在探讨工作压力及其组成部分（心理需求、决策自由度）是否与更大的 LUTS 及其影响相关，以及与管理和专业职业相比，体力劳动、销售、服务、护理和教学等职业是否与更大的 LUTS 及其影响相关。
对冠状动脉风险发展（CARDIA）研究队列数据进行分析。1987-88 年和 1995-96 年评估了工作压力和职业。2012-13 年评估了 LUTS 及其影响。LUTS/影响类别（一个从膀胱健康到轻度、中度和重度 LUTS/影响的复合变量）在单独的分析中，通过调整年龄、种族、产次、教育程度和经济困难（n=1006），回归到工作压力和职业上。
工作压力及其组成部分与 LUTS/影响无关。与管理和专业职业相比，1987-88 年和 1995-96 年的服务职业在比例优势逻辑回归分析中均与更大的 LUTS/影响几率相关。1995-96 年从事护士、健康助理或健康助手工作与任何 LUTS/影响的几率高于膀胱健康相关。1987-88 年的支持职位和 1995-96 年的销售职位与中重度 LUTS/影响的几率更高，而不是膀胱健康或轻度 LUTS/影响。
未来的研究应研究可能促进或限制膀胱健康的工作场所特征（例如，有时间和自主意愿排尿，基础设施可以排尿）。
