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Exposure to occupational hazards for pregnancy and sick leave in pregnant workers: a cross-sectional study

机译:横断面研究:怀孕工人怀孕和病假的职业危害暴露

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BackgroundThis study aimed to investigate the association between exposure to occupational hazards for pregnancy and sick leave (SL) in pregnant workers. MethodsA cross-sectional study was performed in French occupational health services in 2014. Occupational hazards for pregnancy were assessed by occupational health physicians (OHPs). After delivery and at the time of returning to work, 1,495 eligible workers were interviewed by OHPs. Information on SL was self-reported. Risk ratios (RRs) were calculated from multivariable analyses based on a generalized linear model with a Bernoulli distribution and a log link adjusted for selected confounders for binary outcomes or zero-inflated negative binomial regression for count outcomes. ResultsAmong recruited workers, 74.9% presented “at least one SL” during pregnancy. After adjustment, the cumulative index of occupational hazards (0, 1–2, 3–4, ≥ 5 risks) for pregnancy was significantly associated with “at least one SL” during pregnancy in a dose–response relationship. This gradient was also observed with “early SL” ( ConclusionsOur results support the assertion that pregnant workers exposed to occupational hazards for pregnancy without medical complications are also at risk of taking SL during pregnancy. More prevention in the workplace for pregnant workers exposed to occupational hazards could reduce SL.
机译:背景本研究旨在调查怀孕职业危害与孕妇的病假(SL)之间的关系。方法2014年在法国职业健康服务部门进行了横断面研究。职业健康医生(OHPs)对怀孕的职业危害进行了评估。分娩后和恢复工作时,OHP对1495名合格的工人进行了采访。有关SL的信息是自我报告的。根据具有伯努利分布的广义线性模型和对数链接,针对选定的混杂因素对二进制结果进行调整的对数链接,对计数结果进行零膨胀的负二项式回归,从多变量分析中计算风险比(RRs)。结果在招募的工人中,有74.9%的人在怀孕期间表现出“至少一个SL”。调整后,妊娠的职业危害累积指数(0、1-2、3-4,≥5风险)与妊娠期间的“至少一种SL”呈显着剂量-反应关系。在“早期SL”中也观察到了这种梯度(结论我们的结果支持这样的论断,即怀孕而没有医疗并发症的职业危害怀孕孕妇也有在怀孕期间服用SL的危险。可以减少SL。

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