HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Brett, K M Articles by Savitz, D A Search for Related Content PubMed PubMed Citation Articles by Brett, K M Articles by Savitz, D A

Employment, job strain, and preterm delivery among women in North Carolina.

K M Brett, D S Strogatz and D A Savitz

Division of Epidemiology, National Center for Health Statistics, Hyattsville, Md 20782, USA.

OBJECTIVES: A population-based case-control study was conducted in central North Carolina to assess the relationship between occupational stress and preterm delivery. METHODS: Four hundred twenty-one women delivering infants before 37 weeks' gestation and 612 women delivering infants at term were interviewed a median of 6 months after delivery. Exposure information was collected for all jobs held for at least 1 month during pregnancy. RESULTS: Work in a "high strain" job (i.e., high demand and low control) was not associated with increased risk of preterm delivery compared with work in "low strain" jobs (all other combinations of job demand and control). Narrowing the exposure window to the third trimester did not modify the results. However, women who worked at a high-strain job full-time (odds ratio [OR] = 1.4, 95% confidence interval [CI] = 0.9, 2.0) or for 30 or more weeks (OR = 1.4, CI = 1.0, 2.2) had a modestly increased risk. Several analyses suggested that Black women were at greater risk from job strain than White women. CONCLUSIONS: This study suggests that chronic exposure during pregnancy to work characterized by high demand and low control may be modestly associated with preterm delivery.

This article has been cited by other articles:

				A. Croteau, S. Marcoux, and C. Brisson Work Activity in Pregnancy, Preventive Measures, and the Risk of Preterm Delivery Am. J. Epidemiol., October 15, 2007; 166(8): 951 - 965. [Abstract] [Full Text] [PDF]

				I. Figa-Talamanca Occupational risk factors and reproductive health of women Occup. Med., December 1, 2006; 56(8): 521 - 531. [Abstract] [Full Text] [PDF]

				M J Saurel-Cubizolles, J Zeitlin, N Lelong, E Papiernik, G C Di Renzo, and G Breart Employment, working conditions, and preterm birth: results from the Europop case-control survey J. Epidemiol. Community Health, May 1, 2004; 58(5): 395 - 401. [Abstract] [Full Text] [PDF]

				E. L. Mozurkewich, B. Luke, M. Avni, and F. M. Wolf WORKING CONDITIONS AND ADVERSE PREGNANCY OUTCOME: A META-ANALYSIS Obstet. Gynecol., April 1, 2000; 95(4): 623 - 635. [Abstract] [Full Text] [PDF]