Objective To elucidate the risk factors associated with resignation from work of Japanese women undergoing infertility treatment.
Methods A total of 1727 female patients who attended a private fertility clinic in Japan participated in the Japan-Female Employment and Mental health in Assisted reproductive technology study. Questions related to demographic, clinical and socioeconomic characteristics were employed in the questionnaire. Out of the 1727 patients, 1075 patients who were working at the time of initiating infertility treatment and felt infertility treatment incompatible with work were included in the analysis. Risk factors for resignation were assessed by using multivariable logistic regression models.
Results Among 1075 working women who started infertility treatment, 179 (16.7%) subsequently resigned. Multivariable-adjusted ORs for resignation in those with lower educational background and infertility for ≥2 years were 1.58 (95% CI: 1.07 to 2.34) and 1.82 (95% CI: 1.15 to 2.89), respectively. The OR for resignation in non-permanent workers undergoing infertility treatment was 2.65 (95% CI: 1.61 to 4.37). While experiencing harassment in the workplace approached significance, lack of support from the company was significantly associated with resignation after starting infertility treatment, with ORs of 1.71 (95% CI: 0.98 to 2.99) and 1.91 (95% CI: 1.28 to 2.86), respectively.
Conclusion One-sixth of women resigned after starting infertility treatments. It was found that factors related to education, infertility duration and work environment were significantly associated with resignation. Reducing the physical and psychological burden endured by women, for example, by increasing employer-provided support, is vitally important in balancing infertility treatment with maintenance of work life.
- occupational health practice
- obs and gynae
- cross sectional studies
- sickness absence
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Contributors IY provided substantial contribution to the conception, analysing data, drafting of the manuscript. ME contributed to the substantial design of the work, acquisition of data, drafting of the manuscript and critical revisions and obtained the funding of the study. KK contributed to the design of the work and made critical revisions. KT contributed to the analysis of data and also participated in the critical revisions in the paper. YI helped in the analysis of data and made critical revisions. SS helped in the interpretation of the data and critical revision. KM contributed to the interpretation of data and critical revision. YU, GAD, AI, ST and TT helped in the interpretation of data and critical revision. AT, RS and YK contributed to the acquisition of data and critical revision. KN and YS helped in the acquisition of data and critical revision of the paper.
Funding This study was supported by a Grant-in-Aid for Scientific Research from ‘KAKENHI’ (grant number: 18K17395) to ME.
Competing interests None declared.
Patient consent for publication Not required.
Ethics approval The study protocol was reviewed and approved by the Ethics Review Committee of Juntendo University Graduate School of Medicine (No. 18–008, Tokyo, Japan).
Provenance and peer review Not commissioned; externally peer reviewed.
Data availability statement No data are available.
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