Multiple Job Holding, Job Changes, and Associations with Gestational Diabetes and Pregnancy-Related Hypertension in the National Birth Defects Prevention Study

Amel Omari; Miriam Siegel; Carissa Rocheleau; Kaori Fujishiro; Kristen Van Buren; Dallas Shi; A Agopian; Suzanne Gilboa; Paul Romitti

doi:10.3390/ijerph21050619

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Multiple Job Holding, Job Changes, and Associations with Gestational Diabetes and Pregnancy-Related Hypertension in the National Birth Defects Prevention Study

Journal article

Open access

Peer reviewed

Multiple Job Holding, Job Changes, and Associations with Gestational Diabetes and Pregnancy-Related Hypertension in the National Birth Defects Prevention Study

Amel Omari, Miriam Siegel, Carissa Rocheleau, Kaori Fujishiro, Kristen Van Buren, Dallas Shi, A Agopian, Suzanne Gilboa and Paul Romitti

International journal of environmental research and public health, Vol.21(5), 619

01/01/2024

DOI: 10.3390/ijerph21050619

PMCID: PMC11121455

PMID: 38791833

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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.

Hypertension

Polls & Surveys

Pregnancy

Birth defects

Blood pressure

Employment

Ethnicity

Family income

Gestational diabetes

Health surveillance

Maternal & child health

Medical records

Preeclampsia

Prevention

Self report

Variables

Workers

Working hours

Details

Title: Subtitle: Multiple Job Holding, Job Changes, and Associations with Gestational Diabetes and Pregnancy-Related Hypertension in the National Birth Defects Prevention Study
Creators: Amel Omari - National Institute for Occupational Safety and Health
Miriam Siegel - National Institute for Occupational Safety and Health
Carissa Rocheleau - National Institute for Occupational Safety and Health
Kaori Fujishiro - National Institute for Occupational Safety and Health
Kristen Van Buren - National Institute for Occupational Safety and Health
Dallas Shi - National Institute for Occupational Safety and Health
A Agopian - The University of Texas Health Science Center at Houston
Suzanne Gilboa - Centers for Disease Control and Prevention
Paul Romitti - University of Iowa
Resource Type: Journal article
Publication Details: International journal of environmental research and public health, Vol.21(5), 619
DOI: 10.3390/ijerph21050619
PMID: 38791833
PMCID: PMC11121455
NLM abbreviation: Int J Environ Res Public Health
ISSN: 1661-7827
eISSN: 1660-4601
Publisher: MDPI AG
Language: English
Date published: 01/01/2024
Academic Unit: Epidemiology; Biostatistics
Record Identifier: 9984628221802771

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