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Contraintes psychosociales au travail et symptômes dépressifs majeurs chez les femmes enceintes
| Content Provider | Semantic Scholar |
|---|---|
| Author | Fall, Aïssatou |
| Copyright Year | 2013 |
| Abstract | Our study objectives were as follows: Assess exposure to psychosocial work demands among working pregnant women and women on preventive withdrawal from work; and measure the association between psychosocial work demands and major depressive symptoms, according to time of withdrawal from work. Methodology: Karasek's abbreviated scale was used to measure psychosocial work demands (Job strain and "Iso-strain"). The CES-D scale (Center for Epidemiological Studies Depression Scale) was used to measure major depressive symptoms (CES-D score ≥23) among 3043 pregnant women who worked at paid jobs at least 15 hours/week and at least four consecutive weeks since the beginning of their pregnancy. Multivariate logistic regression models were built. Results At 24-26 weeks of pregnancy, 31.4% (956/3043) of pregnant women were on preventive withdrawal from work. They were more in "high-strain" (31.1% vs. 21.1%) and "Isostrain" groups (21.0% vs. 14.2%) than those who continued to work (p<0.0001). The prevalence of major depressive symptoms was higher in women on preventive withdrawal from work (10.8%; CI 95%: 8.9 to 12.9) compared to working women (7.1%; CI 95%: 6.1-8.3). After adjustment for personal and professional risk factors, "Iso-strain" remained significantly associated with major depressive symptoms in working women (adjusted OR=1.75; CI 95%: [1.05 to 2.92]) and women on preventive withdrawal from work, regardless of duration of activity before withdrawal: 4 to 12 weeks (adjusted OR=2.72; CI 95%: [1.19-6.12]), 13 to 20 weeks (adjusted OR=3.51; CI 95%: [1.54-7.97]), and ≥21 weeks (adjusted OR=2.39; CI 95%: [1.10-5.20]). Conclusion Exposure to psychosocial work demands is associated with major depressive symptoms among pregnant workers who are still working at 24-26 weeks of pregnancy or have received a preventive withdrawal from work. Psychosocial work demands are an important risk factor for the mental health of pregnant workers and require that preventive actions be put forward. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://papyrus.bib.umontreal.ca/xmlui/bitstream/handle/1866/10761/Fall_Aissatou_2013_these.pdf?isAllowed=y&sequence=6 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
