The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.
Psychologic Stress in the Workplace and Spontaneous Abortion
Abstract
The relation of work-related psychologic stress to spontaneous abortion was examined in a prospective study of 3,953 pregnant, employed members of a prepaid health plan in California, recruited between 1990 and 1991. Information on occupation, psychologic stress-related factors at work, social support at work, physical exertion at work, life events, pregnancy worries, and potential confounders was obtained by a telephone interview. Psychologic job stress and social support at work were assessed using an abbreviated version of the instrument developed by Karasek and colleagues (Los Angeles: University of Southern California, 1986). Results from the multivariate model indicated that, overall, stressful work was not associated with an increased risk of spontaneous abortion. However, interactions were observed between stressful work and maternal age over 32 years (p = 0.04), cigarette smoking (p = 0.02), and primigravidity (p = 0.06). Relative to the odds ratio for stressful work in young, nonsmoking, multigravid women without a history of two or more spontaneous abortions, the odds ratios for spontaneous abortion given stressful work were higher by 2.45 (95% confidence interval (CI) 1.03-5.81) for older women, 2.96 (95% CI 1.16-7.52) for smokers, and 2.27 (95% CI 0.97-5.27) for primigravid women.
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In the citing paper
“Prenatal psychological distress is widely associated with pregnancy complications, including preeclampsia [10], spontaneous abortion [11], preterm delivery [12], lower birth weight [13], and”
From Brain structural and functional outcomes in the offspring of women experiencing psychological distress during pregnancy (2024) · cites this paper as [11]
In the citing paper
“Our literature review found that alcohol use is also an important modifiable risk factor, as high alcohol consumption during the first trimester is associated with an increase in miscarriage risk (aOR 1·67; 95% CI 1·31-2·19; Table 6). 25,39,62-70”
From Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss (2021) · cites this paper as [62]
In the citing paper
“Our literature review found that alcohol use is also an important modifiable risk factor, as high alcohol consumption during the first trimester is associated with an increase in miscarriage risk (aOR 1·67; 95% CI 1·31-2·19; Table 6). 25,39,62-70”
From Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss (2021) · cites this paper as [62]
Citations
Cites
(1990) · Choice Reviews Online · doi:10.5860/choice.27-3338 · Cited by 35,305
The social readjustment rating scale
Holmes, T. H., & Rahe, R. H. (1967) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(67)90010-4 · Cited by 11,560
Modeling and variable selection in epidemiologic analysis
Greenland, S. (1989) · American Journal of Public Health · doi:10.2105/ajph.79.3.340 · Cited by 2,208
Cassel, J. C. (1995) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a117515 · Cited by 1,948
Statistical methods in cancer research. Vol. 1. The analysis of case-control studies
(1983) · Food and Chemical Toxicology · doi:10.1016/0278-6915(83)90281-8 · Cited by 1,727
Krieger, N. R. (1992) · American Journal of Public Health · doi:10.2105/ajph.82.5.703 · Cited by 1,661
Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men.
Karasek, R. A., Baker, D. B., Marxer, F., Ahlbom, A., & Theorell, T. (1981) · American Journal of Public Health · doi:10.2105/ajph.71.7.694 · Cited by 1,605
Karasek, R. A., Triantis, K. P., & Chaudhry, S. S. (1982) · Journal of Organizational Behavior · doi:10.1002/job.4030030205 · Cited by 392
Older Maternal Age and Pregnancy Outcome
HANSEN, J. P. (1986) · Obstetrical & Gynecological Survey · doi:10.1097/00006254-198611000-00024 · Cited by 246
Short-Term Catecholamine Response to Psychological Stress1
Dimsdale, J. E., & Moss, J. (1980) · Psychosomatic Medicine · doi:10.1097/00006842-198009000-00003 · Cited by 195
Cited by
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Karasek, R. A., Brisson, C., Kawakami, N., Houtman, I. L. D., Bongers, P. M., & Amick, B. C. (1998) · Journal of Occupational Health Psychology · doi:10.1037//1076-8998.3.4.322 · Cited by 4,196
Quenby, S., Gallos, I. D., Dhillon-Smith, R. K., Podesek, M., Stephenson, M. D., Fisher, J., Brosens, J. J., Brewin, J., Ramhorst, R., Lucas, E. S., et al. (2021) · The Lancet · doi:10.1016/s0140-6736(21)00682-6 · Cited by 1,560
Prenatal maternal stress: effects on pregnancy and the (unborn) child
Mulder, E. J. H., Robles de Medina, P. G., Huizink, A. C., Van den Bergh, B. R. H., Buitelaar, J. K., & Visser, G. H. A. (2002) · Early Human Development · doi:10.1016/s0378-3782(02)00075-0 · Cited by 779
Kramer, M. S., Lydon, J. E., Séguin, L., Goulet, L., Kahn, S. R., McNamara, H., Genest, J. J., Dassa, C., Chen, M. F., Sharma, S., et al. (2009) · American Journal of Epidemiology · doi:10.1093/aje/kwp061 · Cited by 395
Socio‐economic disparities in preterm birth: causal pathways and mechanisms
Kramer, M. S., Goulet, L., Lydon, J. E., Séguin, L., McNamara, H., Dassa, C., Platt, R. W., Chen, M. F., Gauthier, H., Genest, J. J., et al. (2001) · Paediatric and Perinatal Epidemiology · doi:10.1046/j.1365-3016.2001.00012.x · Cited by 369
Metadata
- Authors
- Fenster, L., Schaefer, C., Mathur, A., Hiatt, R. A., Pieper, C., Hubbard, A. E., Von Behren, J., & Swan, S. H.
- Affiliations
- California Health and Human Services Agency (US)
- Kaiser Permanente (US)
- Department of Health Services (US)
- Duke University (US)
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 1995-12-01
- Volume
- 142
- Issue
- 11
- Pages
- 1176-1183
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W2142686474
- Cited by
- 118
- References
- 26
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 6 · 2022: 2 · 2021: 5 · 2020: 2 · 2019: 3 · 2018: 5 · 2017: 4 · 2015: 4 · 2014: 4 · 2013: 3 · 2012: 2
- FWCI
- 10.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R3MH50508A)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Safety in Workplaces
- Keywords
- psychological stress, occupational stress, miscarriage, pregnancy, social support at work, maternal age, cigarette smoking, life events
- MeSH terms
- Abortion, Spontaneous, Adult, Female, Humans, Pregnancy, Pregnancy Outcome, Prospective Studies, Risk Factors, Social Support, Stress, Psychological, Confounding Factors, Epidemiologic, Multivariate Analysis, Logistic Models, Occupational Exposure, Workplace
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