中华劳动卫生职业病杂志
中華勞動衛生職業病雜誌
중화노동위생직업병잡지
CHINESE JOURNAL OF INDUSTRIAL HYGIENE AND OCCUPATIONAL DISEASES
2008年
9期
518-521
,共4页
韩轲%黄杏端%谭华霖%彭晓珊%陈青%张建平%肖作源%陈裕明%陈维清
韓軻%黃杏耑%譚華霖%彭曉珊%陳青%張建平%肖作源%陳裕明%陳維清
한가%황행단%담화림%팽효산%진청%장건평%초작원%진유명%진유청
应激%婴儿,出生时低体重%生活变动事件
應激%嬰兒,齣生時低體重%生活變動事件
응격%영인,출생시저체중%생활변동사건
Stress%Infant,low birth weight%Life change events
目的 探讨孕期职业应激和不良生活事件对低体重儿的影响.方法 以某省2家妇幼保健院出生的孕周≥28周且<42周、体重<2500 g的单胎、活产、无畸形的438例低体重儿为病例组,按1:1匹配的原则,选择同一家医院分娩、新生儿同性别、分娩时间不超过1周的438例足月正常体重儿为对照组,进行病例对照研究.由培训合格的调查员对其母亲进行调查,内容包括产妇一般情况、职业应激和孕期不良生活事件等.在控制产妇年龄、职业、文化程度和家庭月人均收入等因素后,应用条件logisfic回归探讨孕期职业应激和不良生活事件对低体重儿的影响.结果 与低技术使用度和低工作决策相比,拥有高技术使用度(OR=0.62;95%CI=0.43～0.91)和高工作决策(OR=0.67;95%CI=0.46～0.97)可明显降低低体重儿的危险性.与孕期未发生生活事件的孕妇相比,在孕中期生活事件指数3分及以上(OR:18.85:95%CI=1.58～225.02)、孕晚期生活事件指数1分(OR=2.67;95%CI=1.14～6.28)、整个孕期生活事件指数2分(OR=2.80;95%CI=1.04～7.52)和≥3分(OR=2.94;95%CI=1.22-7.09)是低体重儿的危险因素.结论 孕期发生不良生活事件可影响低体重儿的发生,且不同孕期发生的不良生活事件对低体重儿的影响存在差异.
目的 探討孕期職業應激和不良生活事件對低體重兒的影響.方法 以某省2傢婦幼保健院齣生的孕週≥28週且<42週、體重<2500 g的單胎、活產、無畸形的438例低體重兒為病例組,按1:1匹配的原則,選擇同一傢醫院分娩、新生兒同性彆、分娩時間不超過1週的438例足月正常體重兒為對照組,進行病例對照研究.由培訓閤格的調查員對其母親進行調查,內容包括產婦一般情況、職業應激和孕期不良生活事件等.在控製產婦年齡、職業、文化程度和傢庭月人均收入等因素後,應用條件logisfic迴歸探討孕期職業應激和不良生活事件對低體重兒的影響.結果 與低技術使用度和低工作決策相比,擁有高技術使用度(OR=0.62;95%CI=0.43～0.91)和高工作決策(OR=0.67;95%CI=0.46～0.97)可明顯降低低體重兒的危險性.與孕期未髮生生活事件的孕婦相比,在孕中期生活事件指數3分及以上(OR:18.85:95%CI=1.58～225.02)、孕晚期生活事件指數1分(OR=2.67;95%CI=1.14～6.28)、整箇孕期生活事件指數2分(OR=2.80;95%CI=1.04～7.52)和≥3分(OR=2.94;95%CI=1.22-7.09)是低體重兒的危險因素.結論 孕期髮生不良生活事件可影響低體重兒的髮生,且不同孕期髮生的不良生活事件對低體重兒的影響存在差異.
목적 탐토잉기직업응격화불량생활사건대저체중인적영향.방법 이모성2가부유보건원출생적잉주≥28주차<42주、체중<2500 g적단태、활산、무기형적438례저체중인위병례조,안1:1필배적원칙,선택동일가의원분면、신생인동성별、분면시간불초과1주적438례족월정상체중인위대조조,진행병례대조연구.유배훈합격적조사원대기모친진행조사,내용포괄산부일반정황、직업응격화잉기불량생활사건등.재공제산부년령、직업、문화정도화가정월인균수입등인소후,응용조건logisfic회귀탐토잉기직업응격화불량생활사건대저체중인적영향.결과 여저기술사용도화저공작결책상비,옹유고기술사용도(OR=0.62;95%CI=0.43～0.91)화고공작결책(OR=0.67;95%CI=0.46～0.97)가명현강저저체중인적위험성.여잉기미발생생활사건적잉부상비,재잉중기생활사건지수3분급이상(OR:18.85:95%CI=1.58～225.02)、잉만기생활사건지수1분(OR=2.67;95%CI=1.14～6.28)、정개잉기생활사건지수2분(OR=2.80;95%CI=1.04～7.52)화≥3분(OR=2.94;95%CI=1.22-7.09)시저체중인적위험인소.결론 잉기발생불량생활사건가영향저체중인적발생,차불동잉기발생적불량생활사건대저체중인적영향존재차이.
Objective To explore the influence of occupational stress and negative life events on low birth weight (LBW). Methods 1:1 matched case-control study was employed, in which 438 singleton LBW infants with birth weight less than 2500 g (their pregnancy term being 28 to 42 weeks ) served as case group while 438 with singleton term normal birth weight served as control group matched by sex,delivery time and hospital. All of their mothers were inquired by well trained investigators about their socio-demographic characteristics,occupational stress,and negative life events occurring in different pregnancy tenn. After controlling for mother's age, occupation, education level and family income, conditional logistic regression was employed to asses the influence of occupational stress and negative life events on LBW. Results Compared with those with low technical skill utilization and low job decision, mothers with high technical skill utilization (OR=0.62;95%CI=0.43～0.91) and high job decision (OR=0.67;95%CI=0.46～0.97) significantly decreased the risk of laboring LBW. Compared with those not exposed to negative life events, mothers with negative life event scorebeing ≥ 3 in the middle three months of pregnancy( OR=18.85;95%CI=1.58-225.02),with negative life event score being 1 in the later three months of pregnancy (OR=2.67;95% Cl=1.14～6.28),with negative life event score being 2( OR=2.80;95%CI=1.04～7.52 and ≥ 3 in the whole time of pregnancy( OR=2.94;95%CI=1.22～7.09) were the risk factors of LBW. Conclusion Negative life events might affect LBW and negative life events occurring in the different term of pregnancy impact LBW differently.
