A study was conducted on the effects of occupational stress on the female reproductive system. Female employees of three cotton mills in China responded to questionnaires about job stress, menstrual and reproductive histories, occupational exposures, personal habits, and indoor coal combustion. A significant correlation was seen between age and reported stress with higher levels of occupational stress reported by older workers. In addition, higher degrees of occupational stress were reported by manufacturing workers compared with administrators, those with heavy work loads, rotating shift workers, workers who worked in standing positions for long periods of time, and those reporting a history of induced abortion. The overall prevalence of dysmenorrhea was 60%, with 74% of those with the highest level of stress reporting this problem. A consistent relationship was seen between occupational stress and the presence of dysmenorrhea. Statistical analysis revealed significant associations between high or moderate stress levels, history of spontaneous abortion, and manufacturing workers and the presence of dysmenorrhea. The authors conclude that female workers who perceive high levels of occupational stress are at risk for dysmenorrhea.
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