Association of psychosocial factors at work with fertility and menstrual disorders: A systematic review

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science Pub Date : 2024-10-17 DOI:10.1111/jjns.12624

Natsu Sasaki, Kotaro Imamura, Kazuhiro Watanabe, Yui Hidaka, Asuka Sakuraya, Emiko Ando, Hisashi Eguchi, Akiomi Inoue, Kanami Tsuno, Yu Komase, Mako Iida, Yasumasa Otsuka, Mai Iwanaga, Yuka Kobayashi, Reiko Inoue, Akihito Shimazu, Akizumi Tsutsumi, Norito Kawakami

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引用次数: 0

Abstract

Objectives

This systematic review aimed to assess the association between psychosocial factors in the workplace and menstrual abnormalities or fertility, focusing on literature implementing a prospective cohort design.

Methods

We searched MEDLINE, EMBASE, PsycINFO, PsycARTICLES, and Japan Medical Abstracts Society electronic databases for studies published from inception to February 26, 2020, and updated the search in PubMed on May 29, 2024. Inclusion criteria were (P) adult female workers (over 18 years old), (E) presence of adverse psychosocial factors at work, (C) absence of adverse psychosocial factors at work, and (O) any menstrual cycle disorders, menstrual-related symptoms, or fertility issues. Prospective cohort studies were included. The included studies were summarized descriptively.

Results

Database searching yielded 14,238 abstracts, with nine studies meeting the inclusion criteria. Outcomes included fertility (n = 5), irregular menstrual cycle (n = 1), early menopause (n = 1), endometriosis (n = 1), and serum hormones (n = 1). Study findings included that women with high job demands and low job control were less likely to conceive, and working over 40 h per week and frequent heavy lifting, and rotating night shift work increased the risk of earlier menopause. Studies on night shift/rotating work and fertility outcomes showed no significant differences.

Conclusion

This review underscores the insufficient high-level evidence regarding the association of psychosocial factors at work with fertility and menstrual disorders, emphasizing the necessity for future well-designed studies.

查看原文本刊更多论文

工作中的社会心理因素与生育和月经失调的关系：系统回顾

目的本系统综述旨在评估工作场所的社会心理因素与月经异常或生育能力之间的关系，重点关注采用前瞻性队列设计的文献。方法我们检索了 MEDLINE、EMBASE、PsycINFO、PsycARTICLES 和日本医学文摘社电子数据库中从开始到 2020 年 2 月 26 日发表的研究，并于 2024 年 5 月 29 日更新了 PubMed 中的检索。纳入标准为：（P）成年女工（18 岁以上）；（E）工作中存在不良社会心理因素；（C）工作中不存在不良社会心理因素；（O）有月经周期紊乱、月经相关症状或生育问题。研究纳入了前瞻性队列研究。对纳入的研究进行了描述性总结。结果数据库检索共获得 14,238 篇摘要，其中 9 项研究符合纳入标准。研究结果包括生育能力（5 项）、月经周期不规律（1 项）、更年期提前（1 项）、子宫内膜异位症（1 项）和血清激素（1 项）。研究结果包括：工作要求高、工作控制力低的女性受孕几率较低；每周工作 40 小时以上、经常提重物和轮换夜班会增加更年期提前的风险。关于夜班/轮班工作与生育结果的研究没有显示出明显的差异。结论本综述强调，关于工作中的社会心理因素与生育和月经失调之间的关系，目前还没有足够的高水平证据，因此强调今后有必要进行精心设计的研究。

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

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.