Faculty, Staff and Student Publications
Publication Date
5-14-2024
Journal
International Journal of Environmental Research and Public Health
DOI
10.3390/ijerph21050619
PMID
38791833
PMCID
PMC11121455
PubMedCentral® Posted Date
5-14-2024
PubMedCentral® Full Text Version
Post-print
Abstract
We used National Birth Defects Prevention Study data to investigate associations between working patterns shortly before and during pregnancy and gestational diabetes and pregnancy-related hypertension. We analyzed working patterns (multiple-job holders, job changers, single-job holders) during the three months before and during pregnancy for 8140 participants who delivered a live-born child without a birth defect. "Multiple-job holders" worked more than one job simultaneously, "job changers" worked more than one job with no overlap, and "single-job holders" (referent) worked one job. We used multivariable logistic regression to estimate associations between working pattern and each outcome, adjusting for maternal age and educational attainment at delivery. We explored effect measure modification by household income, peak weekly working hours, and maternal race/ethnicity. Multiple-job holders had higher odds of gestational diabetes (adjusted odds ratio [aOR]: 1.5; 95% confidence interval [CI]: 1.1-2.1) and pregnancy-related hypertension (aOR: 1.5; 95% CI: 1.0-2.2) compared with single-job holders. Multiple-job holders with a household income of more than 30,000 USD per year, 32-44 peak weekly working hours, and from racial/ethnic minority groups had higher odds of gestational diabetes compared with single-job holders in respective categories. Detailed occupational information is important for studies of occupation and maternal health.
Keywords
Humans, Female, Pregnancy, Diabetes, Gestational, Adult, Hypertension, Pregnancy-Induced, Employment, United States, Young Adult, gestational diabetes, hypertensive disorders of pregnancy, job change, maternal morbidity, multiple-job holding
Published Open-Access
yes
Recommended Citation
Omari, Amel; Siegel, Miriam R; Rocheleau, Carissa M; et al., "Multiple Job Holding, Job Changes, and Associations with Gestational Diabetes and Pregnancy-Related Hypertension in the National Birth Defects Prevention Study" (2024). Faculty, Staff and Student Publications. 1124.
https://digitalcommons.library.tmc.edu/uthsph_docs/1124