Occupational exposures and sick leave during pregnancy: results from a Danish cohort study

Hansen, Mette Lausten; Thulstrup, Ane Marie; Juhl, Mette; Kristensen, Jette Kolding; Ramlau‐Hansen, Cecilia Høst

doi:10.5271/sjweh.3507

Cited by 45 publications

(44 citation statements)

References 29 publications

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“…High absence rates among pregnant workers may be caused by other characteristics not captured by the variables chosen in our study (e.g. job strain, other psychosocial factors) [19]. Information on outcomes was based on retrospectively collected self-reported information which may lead to errors with respect to both time of occurrence and duration.…”

Section: Discussionmentioning

confidence: 99%

“…With respect to the average number of days’ absence without inclusion of the 15 days accepted for pathological leave, one study in French hospitals from 2005 to 2008 using data obtained from employers’ records reported 33.6 days on average versus 31.9 to 53.8 days for our study (see Table 3) [9]. But it is difficult to compare the different studies globally because the populations studied and the definitions chosen are not similar [4, 19]. …”

Section: Discussionmentioning

confidence: 99%

“…However, our results adjusted for “pregnancy at risk” and ART argue strongly for the independent implication of occupational factors in the decision to take SL. Several studies have also reported that some working conditions were statistically related to SL: heavy lifting [7, 19, 37]; work with a lot of walking or standing [7]; uncomfortable working positions [7, 19]; night or shift work [7, 19, 24]; long working days [7]. Several studies have reported an association between the combination of occupational hazards and SL [9, 18, 37].…”

Section: Discussionmentioning

confidence: 99%

“…Several factors have been reported in the literature to be associated with SL during pregnancy: occupational groups [4, 8, 9, 12–14], assisted reproductive therapy (ART) [15], body mass index [14, 15], social benefits [16, 17], attitudes regarding SL in the workplace [6, 10, 16], and young women [8]. Also, some occupational exposures have also been associated with SL during pregnancy [4, 7, 13, 15, 16, 18, 19]. …”

Section: Introductionmentioning

confidence: 99%

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

Henrotin

Vaissière

Etaix³

et al. 2017

Ann of Occup and Environ Med

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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” (<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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Henrotin

Vaissière

Etaix³

et al. 2017

Ann of Occup and Environ Med

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“…They found that night or shift work was a risk factor for sick leave corresponding to >10% of the scheduled work time (OR 1.4, 95% CI 1.0 to 1.9 adjusted for age, occupation, full-time or part-time job and previous sick leave). Using data from the Danish National Birth Cohort from 1996 to 2002, Hansen et al investigated occupational exposures in relation to sick leave during pregnancy among 51 874 women 5. They included primarily sick leave periods of >15 days from the Danish Register for Evaluation of Marginalisation (DREAM).…”

Section: Discussionmentioning

confidence: 99%

Night work and sick leave during pregnancy: a national register-based within-worker cohort study

et al. 2019

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ObjectiveThe aim of our study was to investigate the acute effect of night work during pregnancy on the risk of calling in sick the following day using register-based information and the workers as their own controls.MethodsUsing the payroll-based national Danish Working Hour Database, including all public hospital employees in Denmark, we identified 9799 pregnant women with ≥1 day shift and ≥1 night shift and ≥1 day of sick leave during the first 32 pregnancy weeks from January 2007 to December 2013. We performed fixed effects logistic regression, that is, within-worker comparisons, of the risk of sick leave of any duration starting within 24 hours after night shifts of different length versus day shifts.ResultsMost of the participants were nurses (64%) or physicians (16%). We found an increased relative risk of sick leave following night shifts compared with day shifts during all pregnancy trimesters. The risk was highest for night shifts lasting >12 hours (OR 1.37, 95% CI 1.15 to 1.63 for nurses; OR 1.87, 95% CI 1.69 to 2.08 for physicians) and among women aged >35 years (OR 1.42, 95% CI 1.24 to 1.63).ConclusionAmong Danish public hospital employees night shifts during pregnancy, especially shifts longer than 12 hours, increased the risk of calling in sick the following day independent of personal factors and time-invariant confounders in all pregnancy trimesters.

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Protection of Pregnant Women at Work in Switzerland: Implementation and Experiences of Maternity Protection Legislation

Zellweger

Krief

Mercier

et al. 2018

Advances in Intelligent Systems and Computing

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Objectives Like most industrialized countries, Switzerland has introduced legislation to protect the health of pregnant workers and their unborn children from workplace hazards. This study aims to assess legislation's degree of implementation in the French-speaking part of Switzerland and understand the barriers to and resources supporting its implementation. Methods Data were collected using mixed methods: 1) an online questionnaire send to 333 gynecologist-obstetricians (GOs) and 637 midwives; 2) exploratory semi-structured interviews with 5 workers who had had a pregnancy in the last 5 years. Results Questionnaire response rates were 32% for GOs and 54% for midwives. Data showed that several aspects of the implementation of maternity protection policies could be improved. Where patients encounter workplace hazards, GOs and midwives estimated that they only received a risk assessment from the employer in about 5% and 2% of cases, respectively. Preventive leave is underprescribed: 32% of GOs reported that they "often" or "always" prescribed preventive leave in cases involving occupational hazards; 58% of GOs reported that they "often" or "always" prescribed sick leave instead. Interviews with workers identified several barriers to the implementation of protective policies in workplaces: a lack of information about protective measures and pregnancy rights; organizational problems triggered by job and schedule adjustments; and discrepancies between some safety measures and their personal needs. Conclusions Results demonstrate the need to improve the implementation and appropriateness of maternity protection legislation in Switzerland. More research is required to identify the factors affecting its implementation.

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Occupational exposures and sick leave during pregnancy: results from a Danish cohort study

Cited by 45 publications

References 29 publications

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

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

Night work and sick leave during pregnancy: a national register-based within-worker cohort study

Protection of Pregnant Women at Work in Switzerland: Implementation and Experiences of Maternity Protection Legislation

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