Multiple Job Holding, Job Changes, and Associations with Gestational Diabetes and Pregnancy-Related Hypertension in the National Birth Defects Prevention Study

Details

• Personal Author:
  Agopian AJ ; Fujishiro K ; Gilboa SM ; Omari A ; Rocheleau CM ; Romitti PA ; Shi D ; Siegel MR ; Van Buren K
• Description:
  We used National Birth Defects Prevention Study data to investigate associations between working patterns shortly before and during pregnancy and gestational diabetes and pregnancy-related hypertension. We analyzed working patterns (multiple-job holders, job changers, single-job holders) during the three months before and during pregnancy for 8140 participants who delivered a live-born child without a birth defect. "Multiple-job holders" worked more than one job simultaneously, "job changers" worked more than one job with no overlap, and "single-job holders" (referent) worked one job. We used multivariable logistic regression to estimate associations between working pattern and each outcome, adjusting for maternal age and educational attainment at delivery. We explored effect measure modification by household income, peak weekly working hours, and maternal race/ethnicity. Multiple-job holders had higher odds of gestational diabetes (adjusted odds ratio [aOR]: 1.5; 95% confidence interval [CI]: 1.1-2.1) and pregnancy-related hypertension (aOR: 1.5; 95% CI: 1.0-2.2) compared with single-job holders. Multiple-job holders with a household income of more than 30,000 USD per year, 32-44 peak weekly working hours, and from racial/ethnic minority groups had higher odds of gestational diabetes compared with single-job holders in respective categories. Detailed occupational information is important for studies of occupation and maternal health. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Occupational Health Pregnancy Safety
• Keywords:
  Author Keywords: Gestational Diabetes Diabetes Hypertension Hypertensive Disorders Of Pregnancy Job Change Maternal Morbidity Multiple-job Holding SDOH Social Determinants Of Health Work Arrangements Work Schedules

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• ISSN:
  1660-4601
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Georgia ; Iowa ; Ohio ; OSHA Region 4 ; OSHA Region 5 ; OSHA Region 6 ; OSHA Region 7 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DFSE - Division of Field Studies and Engineering
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  21
• Issue:
  5
• NIOSHTIC Number:
  nn:20069757
• Citation:
  Int J Environ Res Public Health 2024 May; 21(5):619
• Contact Point Address:
  Amel Omari, Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, OH 45213, USA
• Email:
  rlx9@cdc.gov
• Federal Fiscal Year:
  2024
• Peer Reviewed:
  True
• Source Full Name:
  International Journal of Environmental Research and Public Health
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ce445fad5343d3c169cc5dc321502e303012fba0394fdbf0f50ee174d0ad968903f1b4184b2a4185ce3bb530d88eca47b78a8a41bed2c2866b9af923a33475b9
• Download URL:
  https://stacks.cdc.gov/view/cdc/208117/cdc_208117_DS1.pdf
• File Type:
  [PDF - 328.76 KB ]