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Original Articles

Gynecologic pain related to occupational stress among female factory workers in Tianjin, China

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Abstract

Background: Dysmenorrhea, dyspareunia, and non-cyclic pelvic pain are health concerns for factory workers in China and may be increased by occupational stress.

Objectives: To estimate the prevalence and demographic and occupational factors associated with three types of gynecologic pain among female factory workers in Tianjin.

Methods: The study included 651 female workers from three factories in Tianjin, China. Logistic regression models were estimated to determine associations between occupational stress and gynecologic pain.

Results: Occupational stress including high job strain, exhaustion, and stress related to working conditions was a risk factor for gynecologic pain. High job strain and poor job security were associated with an increased risk for dysmenorrhea. Compulsory overtime and exhaustion were associated with increased non-cyclic pelvic pain. Working overtime and exhaustion were associated with increased dyspareunia.

Conclusions: As China’s population of female factory workers grows, research on the reproductive health of this population is essential.

The University of Michigan Office for Public Health Practice, the Tianjin Centers for Disease Control and Prevention, the 1990 Institute, and the Overseas Young Chinese Forum financially supported this research. We would like to acknowledge the NATIONAL CHINA CENTERS FOR DISEASE CONTROL AND PREVENTION, the Tianjin Centers for Disease Control and Prevention and the following people for their contributions to this research: Matthew L. Boulton, JIANLI KAN, JINFANG SUN, Xiexie Wang, Ming Zhang, Jing Liu, Mary E. Gallagher, and Min Zhang. Lastly we would especially like to thank the participants of our study.

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