Risk factors for resignation from work after starting infertility treatment among Japanese women: Japan-Female Employment and Mental health in Assisted reproductive technology (J-FEMA) study
Autor: | Yuko Ikemoto, Atsuo Itakura, Kiyohide Tomooka, Setsuko Sato, Kiyomi Mitsui, Koji Nakagawa, Gautam A. Deshpande, Satoru Takeda, Takeshi Tanigawa, Motoki Endo, Yuya Imai, Rikikazu Sugiyama, Keiji Kuroda, Yuito Ueda, Yasushi Kuribayashi, Atsushi Tanaka, Yuichi Sato |
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Rok vydání: | 2020 |
Předmět: |
occupational health practice
Infertility medicine.medical_specialty Cross-sectional study medicine.medical_treatment Logistic regression cross sectional studies 03 medical and health sciences 0302 clinical medicine medicine obs and gynae 030212 general & internal medicine Workplace Socioeconomic status 030219 obstetrics & reproductive medicine Assisted reproductive technology business.industry Public Health Environmental and Occupational Health sickness absence medicine.disease Mental health Fertility clinic Family medicine Harassment women business |
Zdroj: | Occupational and Environmental Medicine |
ISSN: | 1470-7926 1351-0711 |
DOI: | 10.1136/oemed-2020-106745 |
Popis: | ObjectiveTo elucidate the risk factors associated with resignation from work of Japanese women undergoing infertility treatment.MethodsA total of 1727 female patients who attended a private fertility clinic in Japan participated in the Japan-Female Employment and Mental health in Assisted reproductive technology study. Questions related to demographic, clinical and socioeconomic characteristics were employed in the questionnaire. Out of the 1727 patients, 1075 patients who were working at the time of initiating infertility treatment and felt infertility treatment incompatible with work were included in the analysis. Risk factors for resignation were assessed by using multivariable logistic regression models.ResultsAmong 1075 working women who started infertility treatment, 179 (16.7%) subsequently resigned. Multivariable-adjusted ORs for resignation in those with lower educational background and infertility for ≥2 years were 1.58 (95% CI: 1.07 to 2.34) and 1.82 (95% CI: 1.15 to 2.89), respectively. The OR for resignation in non-permanent workers undergoing infertility treatment was 2.65 (95% CI: 1.61 to 4.37). While experiencing harassment in the workplace approached significance, lack of support from the company was significantly associated with resignation after starting infertility treatment, with ORs of 1.71 (95% CI: 0.98 to 2.99) and 1.91 (95% CI: 1.28 to 2.86), respectively.ConclusionOne-sixth of women resigned after starting infertility treatments. It was found that factors related to education, infertility duration and work environment were significantly associated with resignation. Reducing the physical and psychological burden endured by women, for example, by increasing employer-provided support, is vitally important in balancing infertility treatment with maintenance of work life. |
Databáze: | OpenAIRE |
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