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Cited by 49Occupational Health and Safety in WorkplacesWorkplace Health and Well-beingPregnancy and Medication Impact

Reproductive Health Outcomes Among Female Flight Attendants: An Exploratory Study

Cone, James E., Vaughan, Leah M., Huete, Alejandra, Samuels, Steven J.·1998·Journal of Occupational & Environmental Medicine
DOI 10.1097/00043764-199803000-00002
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Abstract

Recent studies have suggested that female flight attendants may experience increased rates of spontaneous abortion. We conducted a survey of female flight attendants who were pregnant at any time between January 1, 1990, and December 31, 1991 (n = 418) using a mailed self-administered interest survey (response rate, 60 %) and follow-up questionnaire regarding reproductive outcomes and potential risk factors for adverse outcomes (response rate, 64%). The cumulative hazard of spontaneous abortion was 17% when maternal age, smoking, alcohol use, and prior spontaneous abortions were control led for, using a Cox life-table regression model. Of the female flight attendants who worked outside the home, 47 of 321 (15%) experienced a spontaneous abortion, compared with 6 of 73 (8%) who did not work outside the home during the pregnancy period (odds ratio [OR] = 1.91, 95 % confidence interval [CI] = 0.78-4.66). Flight attendants who experienced a spontaneous abortion during their first pregnancy during the study period reported working significantly more flight hours per month during their pregnancy (74 hours per month) than did flight attendants who delivered a live birth (64 hours per month) (Student's t = -3.30, P = 0.002). We conclude that although the results of this study must be considered preliminary because of the relatively low overall response rate (38%), we did not find an overall increased risk for spontaneous abortion among flight attendants, compared with other working women (10%-20%). Women who continue working as flight attendants during pregnancy and those who work relatively higher numbers of flight hours during pregnancy may, however, be at increased risk for spontaneous abortion, compared with flight attendants who do not perform such work.

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Crossref · 10.1097/00043764-199803000-00002

Cites

16 of 16 references verified0 citation errors · 0 not checkable

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Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Epidemiological studies report increased risks of preterm delivery, low birthweights and miscarriage in pregnant women who are chronic shift-workers.

    “Epidemiological studies report increased risks of preterm delivery, low birthweights and miscarriage in pregnant women who are chronic shift-workers37–40.”

    From Rhythms of life: circadian disruption and brain disorders across the lifespan (2019) · cites this paper as [39]

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Related

Authors
Cone, J. E., Vaughan, L. M., Huete, A., & Samuels, S. J.
Affiliations
University of California, San Francisco (US)
Corresponding author
Cone, James E.
ORCID
Venue
Journal of Occupational & Environmental Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1998-03
Volume
40
Issue
3
Pages
210-216
ISSN
1076-2752 (ISSN-L)
DOI
10.1097/00043764-199803000-00002
OpenAlex
W2001952003
Cited by
49
References
16
Citations by year
2026: 2 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 3 · 2015: 2 · 2014: 1 · 2013: 5 · 2012: 2
FWCI
1.38
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Occupational and Environmental Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
  • Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
Keywords
flight attendants, miscarriage, pregnancy outcomes, occupational exposure, flight hours, maternal age, smoking, alcohol consumption, reproductive health
MeSH terms
Abortion, Spontaneous, Adult, Aerospace Medicine, Female, Humans, Infant, Low Birth Weight, Infant, Newborn, Infant, Premature, Occupational Diseases, Pregnancy, Pregnancy Outcome, Sex Ratio, United States, Cohort Studies

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