Ann Occup Environ Med.  2015 ;27(1):8. 10.1186/s40557-015-0059-y.

Effect of maternal job strain during pregnancy on infant neurodevelopment by gender at 6 and 12 months: Mothers and Children's Environmental Health (MOCEH) study

Affiliations
  • 1Department of Preventive Medicine, Ewha Medical Research Center, Ewha Womans University, Seoul, South Korea. eunheeha@ewha.ac.kr
  • 2Department of Preventive Medicine, College of Medicine, Seoul National University College of Medicine, Seoul, South Korea.
  • 3Department of Preventive Medicine, College of Medicine, Dankook University, Cheonan, South Korea.
  • 4Department of Occupational and Environmental Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea.
  • 5Environmental Health Research Division, National Institute of Environmental Research, Incheon, South Korea.

Abstract


OBJECTIVES
Limited evidence is available regarding the association between prenatal job strain and infant neurodevelopment. Most studies used stress indicators other than job strain to explain the relationship between prenatal maternal stress and child development. The objective of this study was to investigate the association between maternal job strain during pregnancy and neurodevelopment in infancy.
METHODS
Mothers and Children's Environmental Health (MOCEH) study, an on-going prospective birth cohort study, has been conducted in South Korea since 2006. Job strain during pregnancy was measured using Korean version of Job Content Questionnaire (JCQ). Infant neurodevelopment was assessed using Korean Bayley Scale of Infant Development II (K-BSID-II) at 6 and 12 months of age. A total of 343 mother-child pairs that completed JCQ and K-BSID-II more than once were included. Mental Developmental Index (MDI) and Psychomotor Developmental Index (PDI) defined in the K-BSID-II were used as outcome variables.
RESULTS
Compared to infants from mothers with low job strain, significant (p < 0.05) decreases in PDI were found in infants from mothers with active and passive job at 6 months of age. After stratification by infant sex, boys in the high strain group had a lower MDI score than boys in the low job strain group at 12 months. On the other hand, girls in the high strain and active groups had higher MDI scores than girls in the low job strain group at 12 months. PDI at 12 months also showed different results by sex. Boys in the high strain and passive job groups had lower PDI scores than boys in the low job strain group. However, such difference was not observed in girls.
CONCLUSIONS
The findings of this study suggest that prenatal job strain affects infant neurodevelopment in a gender-dependent manner.

Keyword

Cognition; Job strain; Infant neurodevelopment; Prenatal psychosocial stress

MeSH Terms

Child
Child Development
Cognition
Cohort Studies
Environmental Health*
Female
Hand
Humans
Infant*
Korea
Mothers*
Parturition
Pregnancy*
Prospective Studies
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