Studies of employment-related stress as a risk factor for preterm delivery suggest that contextual factors unrelated to occupation, as well as work-related characteristics, must be examined in assessing this relationship.
In this study, the relationship of work and contextual characteristics to preterm delivery was examined among 943 black and 425 white low-income multiparous women who were at risk for a poor pregnancy outcome.
Questions in the occupational section of the questionnaire included most of those previously used by Mamelle and coworkers in 1984 and 1987 to construct an occupational fatigue index.
The overall preterm delivery rate for black women was 14.0 percent and for white women, 9.6 percent.
No relationships were observed between age, education, or marital status and preterm delivery, or between work status, hours per week, transportation, travel time, reliability of child care, or home physical activity and preterm delivery for either black women or white women.
Black women who continued to work at midpregnancy and who reported being able to take rest breaks when they felt tired had a lower preterm delivery rate compared with those who could or did not.
Generally, scores for individual sources and levels of occupational fatigue, as well as total occupational fatigue index scores, were unrelated to preterm delivery in this relatively homogeneous group of low-income high-risk women.
Mots-clés Pascal : Prématurité, Nouveau né, Homme, Epidémiologie, Stress, Milieu professionnel, Mère, Fatigue, Race, Pauvreté, Alabama, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Prematurity, Newborn, Human, Epidemiology, Stress, Occupational environment, Mother, Fatigue, Race, Poverty, Alabama, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0485047
Code Inist : 002B27B11. Création : 01/03/1996.