Effects of the maternal work environment on psychological distress during pregnancy: A cross-sectional research-The Japan Environment and Children's Study.

Sumitaka Kobayashi, Yasuaki Saijo, Mariko Itoh, Naomi Tamura, Maki Tojo, Hiroyoshi Iwata, Takeshi Yamaguchi, Yoshiya Ito, Reiko Kishi
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Abstract

Objectives: As part of the "Japan Environment and Children's Study (JECS)," a national prospective birth cohort study, we examined the association between the maternal work environment and psychological distress during pregnancy in Japan.

Methods: Employing a cross-sectional design, we analyzed data from 42,797 participants, originally collected between 2011 and 2014. Associations between the maternal work environment and psychological distress (Kessler 6) were examined using generalized estimation equation models adjusted for confounding factors.

Results: Pregnant women who worked ≥51 h/week had a 1.19-fold higher odds ratio (OR) of psychological distress than those who worked 36-40 h/week (95% confidence intervals [CI], 1.07-1.32). Pregnant women who worked ≥5 days/month of shift work had a 1.11-fold higher OR of psychological distress than those who worked 0 days/month (1.00-1.24).

Conclusions: We observed an association between the maternal work environment and psychological distress during pregnancy.

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母亲工作环境对怀孕期间心理困扰的影响:一项横断面研究——日本环境与儿童研究。
目的:作为“日本环境与儿童研究(JECS)”的一部分,一项全国性的前瞻性出生队列研究,我们研究了日本怀孕期间母亲工作环境与心理困扰之间的关系。方法:采用横断面设计,我们分析了42797名参与者的数据,这些数据最初收集于2011年至2014年。母亲的工作环境和心理困扰之间的关系(Kessler 6)检验使用广义估计方程模型调整混杂因素。结果:与每周工作36-40小时的孕妇相比,每周工作≥51小时的孕妇心理困扰的优势比(OR)高1.19倍(95%置信区间[CI], 1.07-1.32)。轮班工作≥5天/月的孕妇的心理困扰OR比轮班工作0天/月的孕妇高1.11倍(1.00-1.24)。结论:我们观察到母亲的工作环境与怀孕期间的心理困扰之间存在关联。
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