Objective: To investigate the reproductive health status of female workers in petrochemical industry, and to provide a reference for improving reproductive health status and developing preventive and control measures for female workers in petrochemical industry. Methods: A face-to-face questionnaire survey was performed from January to October, 2016. The Questionnaire on Women's Reproductive Health was used to investigate the reproductive health of female workers in petrochemical industry. The multivariate logistic regression model was used to identify the influencing factors for reproductive health of female workers in petrochemical industry. Results: Among the 7485 female workers, 1 268 (40.9%) had abnormal menstrual period, 1 437 (46.4%) had abnormal menstrual volume, 177 (28.5%) had hyperplasia of mammary glands, and 1 807 (24.6%) had gynecological inflammation. The reproductive system diseases in female workers in petrochemical industry were associated with the factors including age, marital status, education level, unhealthy living habits, abortion, overtime work, work shift, workload, video operation, occupational exposure, positive events, and negative events, and among these factors, negative events (odds ratio[OR]= 1.856) , unhealthy living habits (OR=1.542) , and positive events (OR=1.516) had greater impact on reproductive system diseases. Conclusion: Many chemical substances in the occupational environment of petrochemical industry can cause damage to the reproductive system, which not only affects the health of the female workers, but also poses potential threats to the health of their offspring. Occupational exposure, unhealthy living habits, overtime work, and work shift have great influence on reproductive system diseases in female workers.
目的: 了解石油化工行业女职工生殖健康状况,为改善石油化工行业女职工生殖健康状况和制定预防控制措施提供参考依据。 方法: 于2016年1~10月采用妇女生殖健康调查问卷,采用面对面问卷调查方式,在石油化工行业7 485名女职工进行女职工的生殖健康调查,采用多因素logistic回归模型分析石油化工行业女职工生殖健康的影响因素。 结果: 7 485名女职工中1 268人出现经期异常,占总人数的40.9%;1 437人出现经量异常,占总人数的46.4%;177人患乳腺增生,占总人数的28.5%。1 807人患妇科炎症,占总人数的24.6%。石油化工行业女工生殖系统疾病与年龄、婚姻状况、文化程度、不良生话习惯、流产情况、加班、轮班、工作负荷、视屏作业、职业暴露、正向事件、负向事件等因素有关;负向事件、不良生活习惯、正向事件对生殖系统疾病患病影响较大,OR值分别为1.856、1.542、1.516。 结论: 石油化工行业职业环境中多种化学物质具有生殖损伤效应,不仅直接影响职工自身的健康,同时对后代的健康造成潜在危害。职业暴露、不良生活习惯、加班、轮班等对女工的生殖系统疾病患病影响较大。.
Keywords: Female worker; Occupational hazard; Petrochemical Industry; Reproductive system disease.