Document Detail

Job control, substantive complexity, and risk for low birth weight and preterm delivery: an analysis from a state birth registry.
MedLine Citation:
PMID:  17676587     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Indices of job strain have demonstrated a variable relationship to low birth weight (LBW) and prematurity, with conflicting study results. This study sought to examine the associations of psychosocial work environment characteristics with adverse pregnancy outcomes using and comparing the demand-control model and job attributes derived from the O*NET. METHODS: Job characteristics were imputed to maternal occupation recorded in the 2000 Connecticut state birth registry for 26,408 singleton births, using scores for psychological job demands, control, and physical demands derived from the Job Content Questionnaire, and for substantive complexity of work and physical demands using variables derived from O*NET job attributes. Odds ratios for LBW and preterm delivery were estimated while controlling for relevant covariates. RESULTS: High psychological demands were not associated with pregnancy outcomes, while high physical demand scores from the O*NET were associated with LBW. Associations of term- and all-LBW with both low control and low substantive complexity were attenuated by adjustment for educational and demographic covariates. A gradient with lower scores was seen for term LBW and substantive complexity, and for prematurity and control. Both constructs were correlated with maternal education. CONCLUSIONS: These results suggest that low maternal job control and substantive complexity may be modestly associated with LBW and, to a lesser extent, prematurity. A greater association with control may explain why a weak link of birth outcomes to high-strain work has been noted in past studies. Observed associations with occupational are reduced after adjustment for relevant confounding variables, in particular educational level and race/ethnicity.
John D Meyer; Nicholas Warren; Susan Reisine
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  American journal of industrial medicine     Volume:  50     ISSN:  0271-3586     ISO Abbreviation:  Am. J. Ind. Med.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-29     Completed Date:  2007-11-06     Revised Date:  2007-12-03    
Medline Journal Info:
Nlm Unique ID:  8101110     Medline TA:  Am J Ind Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  664-75     Citation Subset:  IM    
Copyright Information:
(c) 2007 Wiley-Liss, Inc.
Section of Occupational and Environmental Health, Division of Public Health and Population Sciences, University of Connecticut Health Center, Farmington, Connecticut, USA.
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MeSH Terms
Burnout, Professional / complications*
Connecticut / epidemiology
Infant, Low Birth Weight / psychology*
Infant, Newborn
Internal-External Control
Job Description
Odds Ratio
Premature Birth / epidemiology,  psychology*
Registries / statistics & numerical data
Retrospective Studies
Risk Factors
Workload / psychology*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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