期刊
SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT & HEALTH
卷 35, 期 3, 页码 233-240出版社
SCANDINAVIAN JOURNAL WORK ENVIRONMENT & HEALTH
DOI: 10.5271/sjweh.1317
关键词
case-control study; health; occupational exposure; woman
资金
- National Institutes of Health (NIH) [R01 HD33792, F31 NR009164, P30 CA015704, T32 HD052462]
- Maternal and Child Health Leadership Training Program
- Woodrow Wilson-Johnson & Johnson dissertation grant in women's health
Objectives Endometriosis is the presence of functioning endometrial glands and stroma outside the uterine cavity, most often in the pelvic peritoneal cavity Women with endometriosis commonly have dysmenorrhea, dyspareunia, pain, menorrhagia, and/or metrorrhagia. Disease complications can include adhesions, chronic pain, and infertility. In this exploratory case-control study, we investigated the relationship between lifetime occupational history and surgically confirmed endometriosis in a population-based sample. Methods We conducted interviews with participants, all reproductive-aged female members of a large health-maintenance organization who were first diagnosed with surgically confirmed endometriosis between April 1, 1996 and March 31, 2001. Interviews were also conducted with randomly selected controls, reproductive-aged female enrollees of the same organization from the same time period. Each reported job was coded using US Census Occupations and Industries codes, and classified into categories. We used unconditional logistic regression to compare having worked in a given job class with never having done so. Results Our study found that an increased risk of endometriosis was associated with having worked as a flight attendant, service station attendant, or health worker, particularly as a nurse or health aide (flight attendant: odds ratio (OR) 9.80, 95% CI 1.08-89.02; service station attendant: OR 5.77, 95% CI 1.03-32.43; health worker: OR 1.49, 95% CI 1.03-2.15). Income and education did not make a difference in the OR estimates for the occupations examined. Conclusions This exploratory study suggested that there might be an associated risk of endometriosis for those women who have worked as a flight attendant, service station attendant, or health worker, particularly a nurse.
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