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生殖健康需求对女性就业的影响:对子宫内膜异位症管理与工作的质性洞察。

The impact of reproductive health needs on women's employment: a qualitative insight into managing endometriosis and work.

作者信息

Hvala Tom, Hammarberg Karin

机构信息

Research Affiliate, Global and Women's Health Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Global and Women's Health Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

出版信息

BMC Womens Health. 2025 May 7;25(1):216. doi: 10.1186/s12905-025-03726-y.

DOI:10.1186/s12905-025-03726-y
PMID:40336029
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12060336/
Abstract

BACKGROUND

Reproductive health conditions present various challenges for women in all aspects of their lives, including in the workplace. This study explores the workplace experiences of employed women with reproductive healthcare needs arising predominantly from endometriosis, as well as adenomyosis and infertility.

METHODS

Semi-structured interviews were conducted with 12 women with one or more of these conditions who were employed while experiencing symptoms of their condition or seeking treatment (such as in-vitro fertilization or laparoscopic surgery).

RESULTS

Interviewees reported significant physical and psychological hardship because of their reproductive health conditions, namely pain associated with endometriosis. The impact of reproductive health needs and treatment on women's ability to work included: difficulty managing symptoms, additional pressure to perform, exhaustion of 'sick leave', and working less and negative impact on career progression. In terms of how workplaces can improve the wellbeing of women with endometriosis and other reproductive health needs, women would benefit from: flexibility and working from home, access to paid reproductive health leave, and improved workplace education, trust and understanding.

CONCLUSIONS

Women's own accounts of how endometriosis and their reproductive health impacts their working lives, and what employers can do to support them, provides a platform to better understand women's needs. These findings can inform public-policy solutions and workplace policies to better meet the needs of women with endometriosis and improve their workforce participation.

摘要

背景

生殖健康状况在女性生活的各个方面都带来了各种挑战,包括在工作场所。本研究探讨了主要因子宫内膜异位症、子宫腺肌病和不孕症而有生殖健康需求的职业女性的工作场所经历。

方法

对12名患有上述一种或多种疾病的女性进行了半结构化访谈,她们在经历疾病症状或寻求治疗(如体外受精或腹腔镜手术)时仍在工作。

结果

受访者报告称,由于她们的生殖健康状况,即与子宫内膜异位症相关的疼痛,她们在身体和心理上都承受了巨大的痛苦。生殖健康需求和治疗对女性工作能力的影响包括:症状管理困难、工作压力增加、“病假”用尽、工作时间减少以及对职业发展产生负面影响。在工作场所如何改善患有子宫内膜异位症和其他生殖健康需求的女性的福祉方面,女性将受益于:灵活性和在家工作、获得带薪生殖健康假以及改善工作场所的教育、信任和理解。

结论

女性自身关于子宫内膜异位症及其生殖健康如何影响她们工作生活的叙述,以及雇主可以采取哪些措施来支持她们,为更好地了解女性需求提供了一个平台。这些发现可为公共政策解决方案和工作场所政策提供参考,以更好地满足患有子宫内膜异位症的女性的需求,并提高她们的劳动力参与度。

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本文引用的文献

1
Adenomyosis and Adolescence: A Challenging Diagnosis and Complex Management.子宫腺肌病与青春期:具有挑战性的诊断与复杂的管理
Diagnostics (Basel). 2024 Oct 22;14(21):2344. doi: 10.3390/diagnostics14212344.
2
Understanding the impact of endometriosis on women's life: an integrative review of systematic reviews.了解子宫内膜异位症对女性生活的影响:系统评价的综合评价。
BMC Womens Health. 2024 Sep 19;24(1):524. doi: 10.1186/s12905-024-03369-5.
3
Transgender and gender diverse people with endometriosis: A perspective on affirming gynaecological care.患有子宫内膜异位症的跨性别和性别多样化人群:肯定妇科护理的视角。
Womens Health (Lond). 2024 Jan-Dec;20:17455057241251974. doi: 10.1177/17455057241251974.
4
Policies, Guidelines, and Practices Supporting Women's Menstruation, Menstrual Disorders and Menopause at Work: A Critical Global Scoping Review.支持职场女性月经、月经失调和更年期的政策、指南与实践:一项重要的全球范围综述
Healthcare (Basel). 2023 Nov 10;11(22):2945. doi: 10.3390/healthcare11222945.
5
The impact of endometriosis on work ability in young Australian women.内异症对年轻澳州女性工作能力的影响。
Aust N Z J Obstet Gynaecol. 2023 Aug;63(4):556-563. doi: 10.1111/ajo.13683. Epub 2023 Apr 26.
6
Women's Health and Working Life: A Scoping Review.女性健康与工作生活:范围综述。
Int J Environ Res Public Health. 2023 Jan 7;20(2):1080. doi: 10.3390/ijerph20021080.
7
Economic Implications of Endometriosis: A Review.内异症的经济学意义:综述。
Pharmacoeconomics. 2022 Dec;40(12):1143-1158. doi: 10.1007/s40273-022-01211-0. Epub 2022 Nov 8.
8
Endometriosis and the workplace: Lessons from Australia's response to COVID-19.子宫内膜异位症与工作场所:从澳大利亚应对 COVID-19 中吸取的教训。
Aust N Z J Obstet Gynaecol. 2022 Feb;62(1):164-167. doi: 10.1111/ajo.13458. Epub 2021 Nov 22.
9
The impact of surgically diagnosed symptomatic endometriosis on women's social lives, work and education: An inductive classical content analysis.手术诊断的症状性子宫内膜异位症对女性社交生活、工作和教育的影响:一项归纳性经典内容分析
Aust N Z J Obstet Gynaecol. 2022 Apr;62(2):274-279. doi: 10.1111/ajo.13447. Epub 2021 Oct 22.
10
"I'm in iso all the time anyway": A mixed methods study on the impact of COVID-19 on women with endometriosis.“反正我一直都处于隔离状态”:一项关于 COVID-19 对子宫内膜异位症女性影响的混合方法研究。
J Psychosom Res. 2021 Jul;146:110508. doi: 10.1016/j.jpsychores.2021.110508. Epub 2021 May 6.