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长工时作业和通勤时间对中国女护士月经异常的影响
引用本文:蒋兆强, 于常艳, 靳明英, 刘爽, 陈俊斐, 冯玲芳, 李泳欣, 徐华东, 周坚红, 叶研, 梅良英, 俞文兰, 楼建林. 长工时作业和通勤时间对中国女护士月经异常的影响[J]. 中华疾病控制杂志, 2022, 26(8): 897-901. doi: 10.16462/j.cnki.zhjbkz.2022.08.005
作者姓名:蒋兆强  于常艳  靳明英  刘爽  陈俊斐  冯玲芳  李泳欣  徐华东  周坚红  叶研  梅良英  俞文兰  楼建林
作者单位:1.310013 杭州,杭州医学院公共卫生学院职业健康研究室;;2.100050 北京,中国疾病预防控制中心职业卫生与中毒控制所;;3.310006 杭州,浙江大学医学院附属妇产科医院妇产科;;4.100013 北京,北京市疾病预防控制中心职业卫生所;;5.430079 武汉,湖北省疾病预防控制中心卫生监测所
基金项目:全国妇联、国务院妇儿工委办公室、全总女职工委员会联合委托项目:妇女健康调查(生殖健康和心理健康)项目FH20151101杭州医学院基本科研业务费KYYB202113
摘    要:目的  评价长工时作业和通勤时间对女护士月经状况的影响,为相关部门合理调配护士的工作时间提供依据。方法  2016年5月―2016年11月对中国8 904名女护士进行问卷调查,收集人口学、职业和月经状况数据,用二分类logistic回归分析模型分析长工时作业与通勤时间对月经异常的影响。结果  女护士工作时间为(8.2±1.1)h、中位通勤时间为1.0(0.5, 1.0)h。月经异常率为41.0%。工作时间>8 h对女护士的月经异常各指标均有影响,其中对月经持续时间变化的影响最大(OR=1.651, 95% CI: 1.403~1.942, P < 0.001)。通勤时间>1 h对月经异常各指标均有影响,其中对月经持续时间变化的影响最大(OR=1.368, 95% CI: 1.178~1.588, P < 0.001)。结论  长工时作业与通勤时间较长会导致女护士月经异常风险升高,是月经异常的影响因素。

关 键 词:长工时   通勤时间   护士   月经
收稿时间:2022-04-02
修稿时间:2022-06-16

Study on the effects of long working hours and commuting time on menstrual abnormalities among Chinese female nurses
JIANG Zhao-qiang, YU Chang-yan, JIN Ming-ying, LIU Shuang, CHEN Jun-fei, FENG Ling-fang, LI Yong-xin, XU Hua-dong, ZHOU Jian-hong, YE Yan, MEI Liang-ying, YU Wen-lan, LOU Jian-lin. Study on the effects of long working hours and commuting time on menstrual abnormalities among Chinese female nurses[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(8): 897-901. doi: 10.16462/j.cnki.zhjbkz.2022.08.005
Authors:JIANG Zhao-qiang  YU Chang-yan  JIN Ming-ying  LIU Shuang  CHEN Jun-fei  FENG Ling-fang  LI Yong-xin  XU Hua-dong  ZHOU Jian-hong  YE Yan  MEI Liang-ying  YU Wen-lan  LOU Jian-lin
Affiliation:1. Occupational Health Research Office, School of Public Health, Hangzhou Medical College, Hangzhou 310013 China;;2. Institute of Occupational Health and Poisoning Control, China Center for Disease Control and Prevention, Beijing 100050, China;;3. Department of Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China;;4. Institute of Occupational Health, Beijing Center for Disease Control and Prevention, Beijing 100013, China;;5. Institute of Health Surveillance, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
Abstract:  Objective  To evaluate the effects of long-time work and commuting time on the menstrual status of female nurses, and to provide a basis for relevant departments to reasonably allocate the working hours of nurses.  Methods  A questionnaire survey was conducted among 8 904 female nurses in China from May to November 2016. Demographic, occupational and menstrual data were collected. The effects of long-time work and commuting time on menstrual abnormalities were analyzed by binary logistic regression models.  Results  The working time of female nurses was (8.2±1.1) h, and the median commuting time was 1.0 (0.5, 1.0) h; The abnormal rate of menstruation was 41.0%. Working time > 8 h had a significant impact on all indexes of menstrual abnormalities of female nurses, and had the greatest impact on the change of menstrual duration (OR=1.651, 95% CI: 1.403-1.942, P < 0.001). Commuting time > 1 h had a significant impact on all indicators of menstrual abnormalities, among which it had the greatest impact on the change of menstrual duration (OR=1.368, 95% CI: 1.178-1.588, P < 0.001).  Conclusion  Long working hours and long commuting time increase the risk of abnormal menstruation in female nurses, and it is the influencing factor of abnormal menstruation.
Keywords:Long working hours  Commuting time  Nurses  Menstruation
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