Effects Of Work And Family Stress On Mental And Reproductive Health In Railway Female Workers

Objective To know about work and family stress level.To evaluated mental and reproductive health condition and to examine reveal the effects of work and family stress on mental and reproductive health in railway female workers,help female workers reduce work and family stress,to provides theoretical basis for promoting their health.Methods The validated Chinese version of Effort-Reward Imbalance(ERI) and Short Family Stress Scale(FSS) Questionnaire was used to measure work stress and family stress,respectively,in a sample of 1679 railway female workers,mental health status was evaluated by General Health Questionnaire-12(GHQ-12),and the reproductive conditions were evaluated with Gynecologic interview and medical check-up.The dataset was built with Epidata3.1 and analyzed by SPSS.We applied t test,χ~2 test and logistic regression to analyze the association between stress and objective indicators.Results 768 female workers were found to suffer with menstrual disorders,in a sample of 1679 railway female workers,accounting for 46%,rate of abnormal vulvar was 1%,abnormal vaginal was 3%,abnormal smear was 5%,abnormal uterine was 8%,attachment abnormal was 2%,abnormal breast was 56%by galactophore infrared ray scanning and 690 female workers were found to have poor mental health.Work stress and family stress were divided lowest,lower,higher and highest-level. Compared with lowest work stress and lowest family stress,Highest-level work stress, higher- and highest-level family stress were all significantly associated with menstrual disorders(OR were 1.45,95%CI:1.11-2.43;1.28(1.04-2.29);and 1.60(1.16-2.40), respectively).Compared with low work stress-low family stress,low work stress-high family stress,and high work stress-high family stress were significantly associated with menstrual disorders(OR=1.38,95%CI:1.12-2.37) and 1.76(1.23-2.58), respectively).Particularly,high work stress-high family stress had significant impact on dysmenorrhea(OR=1.39,95%CI:1.10-2.12).Compared with good mental health group,The scores of work stress(1.34±0.29) was higher in poor mental health group (1.04±0.24),(P＜0.001);The scores of family stress(13.20±1.74) was higher in poor mental health group(12.26±1.84),(P＜0.001);Higher and highest work stress were apparently related to poor mental health(OR=2.03,95%CI:1.47～2.80),OR=3.04, 95%CI:2.17～4.28).Higher and Highest family stress were also related to poor mental health(OR=1.64,95%CI:1.21～2.23,OR=2.48,95%CI:1.47～4.49).High work stress-low family stress,Low work stress-High family stress and high work stress-high family stress were significantly related to poor mental health(OR=1.90, 95%CI:1.32～2.74),OR=1.79,95%CI:1.21～2.67,OR=3.54,95%CI:2.21～5.01).Conelusion Work stress and family stress might be the important risk factors of mental and reproductive health in the railway female workers.Compared with work stress,the effects of family stress was more obvious.The effects of both work stress-family stress was more obvious than independent action.