Evidence map›Paper›PMID 37907929›Full record

ArticleReproductive health2023

Associations between maternal occupational exposures and pregnancy outcomes among Chinese nurses: a nationwide study.

Zhaoqiang Jiang, Junfei Chen, Lingfang Feng, Mingying Jin, Shuang Liu, Lina Wang, Jing Wang, Changyan Yu, Jianhong Zhou, Yan Ye and 4 more

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 1 country.

Zhaoqiang JiangSchool of Public Health, Hangzhou Medical College, 182 Tianmushan Road, Hangzhou, 310013, China.
Junfei ChenSchool of Public Health, Hangzhou Medical College, 182 Tianmushan Road, Hangzhou, 310013, China.
Lingfang FengSchool of Public Health, Hangzhou Medical College, 182 Tianmushan Road, Hangzhou, 310013, China.
Mingying JinSchool of Public Health, Hangzhou Medical College, 182 Tianmushan Road, Hangzhou, 310013, China.
Shuang LiuSchool of Public Health, Hangzhou Medical College, 182 Tianmushan Road, Hangzhou, 310013, China.
Lina WangSchool of Medicine, The First Affiliated Hospital, Huzhou University, Huzhou, Zhejiang Province, China.
Jing WangSchool of Public Health, Hangzhou Medical College, 182 Tianmushan Road, Hangzhou, 310013, China.
Changyan YuChinese Center for Disease Control and Prevention, National Institute of Occupational Health and Poison Control, Beijing, China.
Jianhong ZhouDepartment of Gynecology, Women's Hospital, Zhejiang University School of Medicine, Xueshi Road, Hangzhou, 310006, China. zhoujh1117@zju.edu.cn.
Yan YeDepartment of Occupational Health, Beijing Center for Diseases Prevention and Control, Beijing, China.
Liangying MeiHubei Provincial Center for Disease Control and Prevention, Wuhan, China.
Wenlan YuChinese Center for Disease Control and Prevention, National Institute of Occupational Health and Poison Control, Beijing, China.
Xing ZhangSchool of Public Health, Hangzhou Medical College, 182 Tianmushan Road, Hangzhou, 310013, China.
Jianlin LouSchool of Public Health, Hangzhou Medical College, 182 Tianmushan Road, Hangzhou, 310013, China. jianlinlou@163.com.
Hangzhou Medical College · CNHuzhou University · CNNational Institute for Occupational Health and Poison Control · CNBeijing Center for Disease Prevention and Control · CNHubei Provincial Center for Disease Control and Prevention · CNWomen's Hospital, School of Medicine, Zhejiang University · CN

Funding

Basic and Public Welfare Research Project of Zhejiang Province LTGY23H260008Decision Advisory Project of All-China Women's Federation, National Working Committee on Children and Women under State Council, and Women's Staff Committee of All-China Federation of Trade Unions FH20151101Demography Project of National Social and Science Fund 18BRK038Hangzhou Medical College Key Discipline of Zhejiang Province in Public Health and Preventive Medicine (First Class, Category A)Hangzhou Medical College KYYB202113
6 · The paper itself

Abstract

backgroundSeveral studies have provided evidence about adverse pregnancy outcomes of nurses involved in occupational exposure. However, the pregnancy outcomes among nurses in middle-income countries are not well demonstrated. The main aim of this study is to present the prevalence and influencing factors of pregnancy outcomes among female nurses in China.

methodsWe included 2243 non-nurse health care workers, and 4230 nurses in this national cross-sectional study in China. Information on occupational exposures and pregnancy outcomes was collected using a face-to-face investigation. Odds ratios (ORs) were estimated through logistic regression.

resultsThe proportion of threatened abortion, spontaneous abortion, and stillbirth of female nurses was 2.6%, 7%, and 2.1%, respectively. We found an increased risk of threatened abortion among nurses with overtime work (OR = 1.719, 95% CI 1.158-2.550). The risk of threatened abortion and spontaneous abortion was elevated among nurses handling disinfectant (OR = 2.293 and 1.63, respectively). We found a nearly twofold increased risk of premature birth (OR = 2.169, 95% CI 1.36-3.459) among nurses handling anti-cancer drugs.

conclusionsOur findings suggested that maternal occupational exposures might be associated with the risk of adverse pregnancy outcomes among female nurses in China. We recommend that policy-markers and hospital managers work together to reduce exposure to occupational hazards and improve pregnancy outcomes among female nurses.

Indexed as

Maternal ExposureNursingOccupational ExposureAbortion, SpontaneousAbortion, ThreatenedChinaCross-Sectional StudiesEast Asian PeopleFemaleHumansPregnancyPregnancy OutcomeFemaleNursesOccupational exposurePregnancy outcome

Identifiers

PMID37907929
PMCPMC10617240
OpenAlexW4388081075

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.