“…The assessment of occupational exposures was carried out by OHPs with good knowledge of the workstations and the workers answered the questionnaire before visiting the OHPs. Also our results were improved by adjustment for socioeconomic deprivation based on the EPICES scale [12, 31]. The other advantages of our study were its large size and the wide range of possible confounders collected, for which we adjusted our data.…”
Section: Discussionmentioning
confidence: 99%
“…From literature data, early SL was more frequent among pregnant workers with unstable jobs and with less-qualified occupational categories [12]. Deprived pregnant workers were exposed to more occupational hazards for pregnancy and higher risk of pregnancy-related illnesses [12, 31]. In France, pregnant workers can adapt their jobs using occupational health services, but not all women seem to benefit from those adjustments.…”
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” (<15 week gestation): from 1 to 2 risks, RR = 1.48 (95% confidence intervals (CIs): 0.92-2.38); from 3 to 4 risks, RR = 2.03 (95% CI: 1.25-3.30); equal to or higher than five risks, RR = 2.90 (95% CI: 1.89-4.44); with “duration of absence” (adjusted mean): from 1 to 2 risks, m = 38.6 days; from 3 to 4 risks, m = 46.8 days; equal to or higher than five risks, m = 53.8 days. We also found that deprivation, pregnancy at risk, assisted reproductive therapy, work-family conflicts, home-work commuting felt as difficult and young age are associated with a higher risk of 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.
“…The assessment of occupational exposures was carried out by OHPs with good knowledge of the workstations and the workers answered the questionnaire before visiting the OHPs. Also our results were improved by adjustment for socioeconomic deprivation based on the EPICES scale [12, 31]. The other advantages of our study were its large size and the wide range of possible confounders collected, for which we adjusted our data.…”
Section: Discussionmentioning
confidence: 99%
“…From literature data, early SL was more frequent among pregnant workers with unstable jobs and with less-qualified occupational categories [12]. Deprived pregnant workers were exposed to more occupational hazards for pregnancy and higher risk of pregnancy-related illnesses [12, 31]. In France, pregnant workers can adapt their jobs using occupational health services, but not all women seem to benefit from those adjustments.…”
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” (<15 week gestation): from 1 to 2 risks, RR = 1.48 (95% confidence intervals (CIs): 0.92-2.38); from 3 to 4 risks, RR = 2.03 (95% CI: 1.25-3.30); equal to or higher than five risks, RR = 2.90 (95% CI: 1.89-4.44); with “duration of absence” (adjusted mean): from 1 to 2 risks, m = 38.6 days; from 3 to 4 risks, m = 46.8 days; equal to or higher than five risks, m = 53.8 days. We also found that deprivation, pregnancy at risk, assisted reproductive therapy, work-family conflicts, home-work commuting felt as difficult and young age are associated with a higher risk of 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.
“…At the area level, greater deprivation is associated with worse clinical outcomes,1 2 higher comorbidity levels3 4 and lower levels of healthcare access and utilisation 5 6. Higher individual-level socioeconomic deprivation has been linked to poorer health for secondary school students in New Zealand,7 higher oral health-related hospitalisation rates in Australia,8 poorer self-reported health in Germany and the USA,9 10 worse perinatal outcomes in France11 and higher all-cause and cause-specific mortality in England and Wales 12…”
Overall and health-related deprivation patterns persisted in England, with large and unchanging health inequalities between the North and the South. The spatial aspect of deprivation can inform the targeting of health and social care interventions, particularly in areas with high levels of deprivation clustering.
“…Потапенко и M.R. Alex [5,13], одной из самых проблем-ных отраслей для женского здоровья является здравоохранение. Так, класс условий труда хи-рургов, стоматологов, акушеров-гинекологов, фтизиатров, медсестер, сотрудников клинико-диагностических и бактериологических лабора-торий оценивался как 3.3; рентгенологов, фи-зиотерапевтов, специалистов функциональной диагностики -как 3.2.…”
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