Association between self-reported menstrual disorders and occupational exposures in female healthcare workers: a university hospital experience from Turkey

Year 2023, Volume: 9 Issue: 4, 800 - 810, 04.07.2023

Nejdiye Güngördü , Seher Kurtul

https://doi.org/10.18621/eurj.1186212

Cited By: 2

Abstract

Objectives: This study aims to demonstrate the relationship between menstrual disorders and occupational exposures in female healthcare workers, and to contribute to the regulation and improvement of working conditions of female healthcare workers.

Methods: A cross-sectional study among 503 female healthcare workers at university hospital in Turkey was conducted during December 2020-April 2021. The questionnaire prepared using the Google Forms program was sent electronically.

Results: Prevalence of dysmenorrhea was 59%, abnormal amount of menstrual bleeding 48.7%, abnormal menstrual duration 32%, and abnormal menstrual cycle length 154 30.6% in 503 participants. Dysmenorrhea risk was 0.79-fold (95% CI = 0.64-0.83) lower in those with advanced age and 1.56-fold (95% CI = 1.02-2.37) higher in smokers; risk of abnormal amount of menstrual bleeding was 3.91-fold (95% CI = 1.24-12.30) higher in those with total employment time of ≥ 20 years and 1.56-fold (95% CI = 1.07-2.26) higher in those who worked with display screens for > 20 hours a week; risk of abnormal menstrual cycle length was 3.46-fold (95% CI = 1.41-8.43) higher in technicians, 2.86-fold (95% CI = 1.24-6.61) higher in nurses, 2.63-fold (95% CI = 1.19-5.79) higher in other healthcare workers, and 2.14-fold (95% CI = 1.42-3.21) higher in those who were unsatisfied with their job.

Conclusions: It was found that occupational exposures may increase the risk of menstrual disorders. A plan of action is needed to reduce the frequency of menstrual disorders by preventing occupational exposures experienced by healthcare workers.

Keywords

Healthcare workers, menstrual disorders, occupational exposures

References

• 1. T.C. Aile ve Sosyal Politikalar Bakanlığı Kadının Statüsü Genel Müdürlüğü, Türkiye’de kadın işgücü profili ve istatistiklerinin analizi. 2014. Available from: https://dspace.ceid.org.tr/xmlui/bitstream/handle/1/355/ekutuphane3.5.1.5.1.pdf?sequence=1&is%20Allowed=y.
• 2. OECD, OECD Family Database. SF2.3: Age of mothers at child birth and age-specific fertility. 2018. Available from: https://www.oecd.org/els/soc/SF_2_3_Age_mothers_childbirth.pdf.
• 3. Rostami Dovom M, Ramezani Tehrani F, Djalalinia S, Cheraghi L, Behboudi Gandavani S, Azizi F. Menstrual cycle irregularity and metabolic disorders: A population-based prospective study. PLoS One 2016;11:e0168402.
• 4. Sasaki RS, Approbato MS, Maia MC, Fleury EA, Giviziez CR, Zanluchi N. Patients' auto report of regularity of their menstrual cycles. Medical history is very reliable to predict ovulation. A cross-sectional study. JBRA Assist Reprod 2016;20:118-22.
• 5. Hahn KA, Wise LA, Riis AH, Mikkelsen EM, Rothman KJ, Banholzer K, et al. Correlates of menstrual cycle characteristics among nulliparous Danish women. Clin Epidemiol 2013;5:311-9.
• 6. Shinde CD, Patil PG, Katti K, Geetha KN. Study of endometrial thickness by ultrasonography in regular and irregular menstrual cycles. J Indian Med Assoc 2013;111:674-7.
• 7. Ju H, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epidemiol Rev 2014;36:104-13.
• 8. Chung FF, Yao CC, Wan GH. The associations between menstrual function and life style/working conditions among nurses in Taiwan. J Occup Health 2005;47:149-56.
• 9. Chalupka S, Chalupka AN. The impact of environmental and occupational exposures on reproductive health. J Obstet Gynecol Neonatal Nurs 2010;39:84-102.
• 10. Nishihama Y, Yoshinaga J, Iida A, Konishi S, Imai H, Yoneyama M, et al. Association between paraben exposure and menstrual cycle in female university students in Japan. Reprod Toxicol 2016;63:107-13.
• 11. Smith DR. Menstrual disorders and their adverse symptoms at work: an emerging occupational health issue in the nursing profession. Nurs Health Sci 2008;10:222-8.
• 12. Yang HJ, Kao FY, Chou YJ, Huang N, Chang KY, Chien LY. Do nurses have worse pregnancy outcomes than non-nurses? Birth 2014;41:262-7.
• 13. Jiang Z, Wang J, Guo X, Feng L, Yu M, Zhou J, et al. Menstrual disorders and occupational exposures among female nurses: a nationwide cross-sectional study. Int J Nurs Stud 2019;95:49-55.
• 14. Chiu MH, Wang HH, Hsu SC, Liu IP. Dysmenorrhoea and self-care behaviours among hospital nurses: a questionnaire survey. J Clin Nurs 2013;22:3130-40.
• 15. Yöndem ZN, Bilgin NÇ. Dysmenorrhea among hospital nurses and its effects on work life. Health Care Women Int 2020;43:997-1014.
• 16. Shortridge LA, Lemasters GK, Valanis B, Hertzberg V. Menstrual cycles in nurses handling antineoplastic drugs. Cancer Nurs 1995;18:439-44.
• 17. Lawson CC, Whelan EA, Lividoti Hibert EN, Spiegelman D, Schernhammer ES, Rich-Edwards JW. Rotating shift work and menstrual cycle characteristics. Epidemiology 2011;22:305-12.
• 18. Frank C, Kondrashov D, Meyer SC, Dix G, Lorio M, Kovalsky D, et al. Work intensity in sacroiliac joint fusion and lumbar microdiscectomy. Clinicoecon Outcomes Res 2016;8:367-76.
• 19. Kim TH, Kang JW, Kim KH, Lee MH, Kim JE, Kim JH, et al. Cupping for treating neck pain in video display terminal (VDT) users: a randomized controlled pilot trial. J Occup Health 2012;54:416-26.
• 20. Waters TR, Dick RB. Evidence of health risks associated with prolonged standing at work and intervention effectiveness. Rehabil Nurs 2015;40:148-65.
• 21. Rigon F, De Sanctis V, Bernasconi S, Bianchin L, Bona G, Bozzola M, et al. Menstrual pattern and menstrual disorders among adolescents: an update of the Italian data. Ital J Pediatr 2012;38:38.
• 22. Snook ML, Henry LC, Sanfilippo JS, Zeleznik AJ, Kontos AP. Association of concussion with abnormal menstrual patterns in adolescent and young women. JAMA Pediatr 2017;171:879-86.
• 23. Hoffman BL, Schorge JO, Bradshaw KD, Halvorson LM, Schaffer JI, Corton MM. Williams Gynecology, 3rd ed. New York(USA): McGrawHill Education; 2016: pp. 334-68.
• 24. Das D, Ray S. Variation in menstrual characters: a study between married and unmarried women of West Bengal. Coll Antropol 2010;34:989-94.
• 25. Gompel A. Progesterone, progestins and the endometrium in perimenopause and in menopausal hormone therapy. Climacteric 2018;21:321-5.
• 26. Chuamoor K, Kaewmanee K, Tanmahasamut P. Dysmenorrhea among Siriraj nurses; prevalence, quality of life, and knowledge of management. J Med Assoc Thai 2012;95:983-91.
• 27. Pitts MK, Ferris JA, Smith AM, Shelley JM, Richters J. Prevalence and correlates of three types of pelvic pain in a nationally representative sample of Australian women. Med J Aust 2008;189:138-43.
• 28. Tavallaee M, Joffres MR, Corber SJ, Bayanzadeh M, Rad MM. The prevalence of menstrual pain and associated risk factors among Iranian women. J Obstet Gynaecol Res 2011;37:442-51.
• 29. Akiyama S, Tanaka E, Cristeau O, Onishi Y, Osuga Y. Evaluation of the treatment patterns and economic burden of dysmenorrhea in Japanese women, using a claims database. Clinicoecon Outcomes Res 2017;9:295-306.
• 30. Vlachou E, Owens DA, Lavdaniti M, Kalemikerakis J, Evagelou E, Margari N, et al. Prevalence, wellbeing, and symptoms of dysmenorrhea among University Nursing Students in Greece. Diseases 2019;7:5.
• 31. Jenabi E, Khazaei S, Veisani Y. The relationship between smoking and dysmenorrhea: a meta analysis. Women Health 2019;59:524-33.
• 32. Yücel U, Ozdemir R, Gülhan I, Çeber E, Eser S. [The prevalence of dysmenorrhea and influencing factors in three urban neighbourhoods of Bornova, Izmir: a population based study]. Turkiye Klinikleri J Nurs Sci 2014;6:87-93. [Article in Turkish]
• 33. Arafa AE, Khamis Y, Hassan HE, Saber NM, Abbas AM. Epidemiology of dysmenorrhea among workers in Upper Egypt; A cross sectional study. Middle East Fertil Soc J 2018;23:44-7.
• 34. Kim I, Kim MH, Lim S. Reproductive hazards still persist in the microelectronics industry: increased risk of spontaneous abortion and menstrual aberration among female workers in the microelectronics industry in South Korea. PLoS One 2015;10:e0123679.
• 35. Stocker LJ, Macklon NS, Cheong YC, Bewley SJ. Influence of shift work on early reproductive outcomes: a systematic review and meta-analysis. Obstet Gynecol 2014;124:99- 110.
• 36. Delara M, Woodgate RL. Psychological distress and its correlates among university students: a cross-sectional study. J Pediatr Adolesc Gynecol 2015;28:240-4.
• 37. Nishikitani M, Nakao M, Tsurugano S, Inoure M, Yano E. Relationship between menstruation status and work conditions in Japan. Biopsychosoc Med 2017;11:26.
• 38. Lawson CC, Johnson CY, Chavarro JE, Lividoti Hibert EN, Whelan EA, Rocheleau CM, et al. Work schedule and physically demanding work in relation to menstrual function: the Nurses' Health Study 3. Scand J Work Environ Health 2015;41:194-203.
• 39. Peinado-Molina RA, Peinado-Molina MD, Molina-Ibañez MD, Martínez-Galiano JM. Association between non-competitive physical exercise and menstrual disorders. Afr J Reprod Health 2020;24:81-6.
• 40. Saito R, Virji MA, Henneberger PK, Humann MJ, LeBouf RF, Stanton ML, et al. Characterization of cleaning and disinfecting tasks and product use among hospital occupations. Am J Ind Med 2015;58:101-11.