Feasibility and effectiveness of preconception check-ups at workplaces in Japan.

IF 2.6 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Occupational Health Pub Date : 2024-01-04 DOI:10.1093/joccuh/uiae021

Akiko Fujishima, Eri Maeda, Koki Sato, Hidekazu Saito, Chihiro Ozeki, Yukihiro Terada

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引用次数: 0

Abstract

Objectives: Despite the recent increase in infertility and perinatal complications, preconception care is not commonly available in Japan. Working women are considered to have the greatest need for preconception care, as increasingly they marry and have children later in life. This study aimed to assess the feasibility and effectiveness of preconception check-ups in the workplace.

Methods: We provided 51 female employees aged 18-39 years with free preconception check-ups, including additional blood tests and an online medical questionnaire, during mandatory health check-ups at their workplace. A doctor provided online counseling based on the check-up results. We assessed fertility knowledge using the Cardiff Fertility Knowledge Scale (CFKS-J) and childbearing desire pre- and postintervention.

Results: Preconception check-ups revealed various potential risk factors for future pregnancies, including underweight (12%), obesity (20%), Chlamydia trachomatis IgG antibody positivity (22%), low rubella IgG antibody levels (47%), iron deficiency (12%), and 25-hydroxyvitamin D levels <30 ng/mL (98%). Postintervention, the participants reported high satisfaction with the check-ups and significantly advanced their reproductive plans (P = .008). Furthermore, 95% of the participants indicated an intention to seek medical attention or make lifestyle changes. The postintervention CFKS-J score (mean [SD]) was higher than the preintervention score (71.7 [19.3] vs 63.0 [22.0]; P = .006).

Conclusions: We developed a preconception check-up package that can be integrated into workplace health examinations, complemented by tailored counseling. This novel check-up package is a feasible and effective approach for improving preconception health and fertility awareness.

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日本工作场所孕前检查的可行性和有效性。

目的：尽管不孕症和围产期并发症近年来有所增加，但在日本，孕前保健并不普遍。职业女性被认为最需要孕前保健，因为她们越来越多地晚婚晚育。本研究旨在评估在工作场所进行孕前检查的可行性和有效性：我们为 51 名年龄在 18-39 岁之间的女员工提供了免费的孕前检查，包括额外的血液化验和在线医疗问卷。医生根据检查结果提供在线咨询。我们使用卡迪夫生育知识量表（CFKS-J）对生育知识和干预前后的生育意愿进行了评估：结果：孕前检查发现了未来怀孕的各种潜在风险因素，包括体重不足（12%）、肥胖（20%）、沙眼衣原体 IgG 抗体阳性（22%）、风疹 IgG 抗体水平低（47%）、缺铁（12%）和 25- 羟维生素 D 水平：我们开发了一套孕前体检套餐，可将其纳入工作场所健康检查，并辅以量身定制的咨询。这种新颖的检查套餐是改善孕前健康和提高生育意识的一种可行而有效的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Occupational Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

3.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The scope of the journal is broad, covering toxicology, ergonomics, psychosocial factors and other relevant health issues of workers, with special emphasis on the current developments in occupational health. The JOH also accepts various methodologies that are relevant to investigation of occupational health risk factors and exposures, such as large-scale epidemiological studies, human studies employing biological techniques and fundamental experiments on animals, and also welcomes submissions concerning occupational health practices and related issues.