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Demographic, clinical and occupational characteristics associated with early onset of delivery: Findings from the duke health and safety surveillance system, 2001–2004
Author(s) -
Schoenfisch Ashley L.,
Dement John M.,
RodríguezAcosta Rosa L.
Publication year - 2008
Publication title -
american journal of industrial medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 104
eISSN - 1097-0274
pISSN - 0271-3586
DOI - 10.1002/ajim.20637
Subject(s) - medicine , pregnancy , preterm delivery , population , multivariate analysis , cross sectional study , prenatal care , obstetrics , environmental health , pediatrics , gestation , genetics , pathology , biology
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. Am. J. Ind. Med. 51:911–922, 2008. © 2008 Wiley‐Liss, Inc.