Objective: To investigate the prevalence of reproductive system diseases among female workers in a city and related occupational influencing factors. Methods: From June to September, 2016, a cross-sectional survey was used to select 9 944 female workers from six districts of Beijing and then a face-to-face questionnaire survey was performed. Univariate analysis using chi-square test and multivariate logistic regression analysis were used to investigate the risk factors for reproductive system diseases. Results: The age of 9944 female workers ranged from 18 to 65 years (mean 35.53±9.52 years) , and among them, 7 351 (73.92%) were married. The overall prevalence rate of reproductive system diseases among these 9944 female workers during the past three months was 28.29%, and the prevalence rates of hyperplasia of mammary glands, vaginitis, and hysteromyoma were 15.54%, 11.25%, and 6.77%, respectively. After adjustment for age, marital status, education level, and annual family income, the multivariate logistic regression analysis showed that frequent overtime work (odds ratio[OR]=1.119, 95% confidence interval[CI]: 1.070-1.343) , frequent night shifts (OR=1.198, 95%CI: 1.054-1.361) , standing for a long time (OR=1.197, 95%CI: 1.063-1.347) , sitting for a long time (OR=1.327, 95%CI: 1.191-1.479) , heavy workload (OR=1.429, 95%CI: 1.262-1.615) , exposure to lead (OR=1.696, 95%CI: 1.307-2.201) , exposure to mercury (OR=1.452, 95%CI: 1.086-1.940) , and exposure to ionizing radiation (OR=1.679, 95%CI: 1.424-1.980) were associated with reproductive system diseases. Conclusion: The prevalence of reproductive system diseases among female workers in Beijing is not optimistic. Reproductive system diseases are associated with frequent overtime work, frequent night shifts, standing for a long time, sitting for a long time, heavy workload, and exposure to lead, mercury, and ionizing radiation.
目的： 了解某市女职工生殖系统疾病患病情况，探讨职业相关因素。 方法： 采用横断面调查的方法，于2016年6月~9月对北京市6个区共9 944名女职工进行面对面问卷调查，采用单因素卡方检验和多因素logistic回归分析生殖系统疾病的相关因素。 结果： 9 944名女职工年龄在18~65岁间，平均（35.53±9.52）岁，婚姻状况已婚7 351人（73.92%）。9 944名女职工近三个月内生殖系统疾病总患病率为28.29%，其中乳腺增生、阴道炎、子宫肌瘤患病率分别为15.54%，11.25%，6.77%。多因素logistic回归分析结果显示在调整了年龄、婚姻状况、文化程度和家庭年收入影响后，经常加班、经常上夜班、长时间站立、长时间坐位、工作负荷大、接触铅、汞、接触电离辐射与生殖系统疾病相关（OR=1.119、1.198、1.197、1.327、1.429、1.696、1.452、1.679）。 结论： 北京市不同行业女职工生殖系统患病情况不容乐观，生殖系统患病与经常加班、经常上夜班、长时间站立、长时间坐位、工作负荷大、接触铅、接触汞、接触电离辐射有关。.
Keywords: Female worker; Occupational hazard; Related factor; Reproductive health.