Demographic, Clinical and Occupational Characteristics Associated with Early Onset of Delivery: Findings from the Duke Health and Safety Surveillance System, 2001–2004

Details

• Personal Author:
  Dement, John M. ; Rodriguez-Acosta RL ; Schoenfisch AL
• Description:
  Background: This cross-sectional study explores associations between preterm delivery and demographic, clinical and occupational characteristics of women employed within a university and health system. Methods: A comprehensive surveillance system linking individual-level data from Human Resources, medical insurance claims and a job-exposure matrix was used to identify women with a single live birth between 2001 and 2004 and describe maternal characteristics during pregnancy. Results: Preterm delivery occurred in 7.1% (n=74) of the 1,040 women, a lower preterm delivery prevalence than observed in the general U.S. population. Nearly all (>99.5%) women utilized prenatal care services. Prevalence of preterm delivery was highest for inpatient nurses, nurses' aides and office staff. In multivariate analyses, preterm delivery was positively associated with several clinical conditions: placenta previa, diabetes and cardiovascular disorder/disease. Conclusions: We observed associations between preterm delivery and several previously indicated clinical conditions. Further study of the effect of job characteristics on preterm delivery is warranted. [Description provided by NIOSH]
• Subjects:
  Demography Health Personnel Occupational Health Pregnancy Safety Urogenital System Women
• Keywords:
  Administrative Data Author Keywords: Preterm Delivery Demographic-characteristics Job-analysis Maternal Occupation Nurses Occupations Office-workers Prevalence Ratio Reproductive-effects Surveillance-programs Surveillance System

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  North Carolina ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  51
• Issue:
  12
• NIOSHTIC Number:
  nn:20034820
• Citation:
  Am J Ind Med 2008 Dec; 51(12):911-922
• Contact Point Address:
  Ashley L. Schoenfisch, Division of Occupational and Environmental Medicine, Department of Community and Family Medicine, Duke University Medical Center, 2200 West Main Street, Suite 400, Durham, NC 27705
• Email:
  ashley.schoenfisch@duke.edu
• Federal Fiscal Year:
  2009
• NORA Priority Area:
  Research Tools and Approaches: Surveillance Research Methods
• Performing Organization:
  Duke University
• Peer Reviewed:
  True
• Start Date:
  20010930
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20060929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:82ef10237ba5f82767e906326fd02aaf9e9159b9de3131763089d5cb2d338370d5c52997fa1b2dfed55f9e55d3e8bcc5f198026029438c36ea855a15525fd5ff
• Download URL:
  https://stacks.cdc.gov/view/cdc/186884/cdc_186884_DS1.pdf
• File Type:
  [PDF - 134.92 KB ]