(3.238.7.202) 您好!臺灣時間:2021/03/03 22:36
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:江宜庭
研究生(外文):Chiang Yi-Ting
論文名稱:晶圓製造廠女性員工自訴健康狀況之探討
論文名稱(外文):Research of Self-reported Complaints among Female Worker in Semiconductor Industry
指導教授:宋鴻樟宋鴻樟引用關係
指導教授(外文):Sung Fung-Chang
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:環境衛生研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2002
畢業學年度:90
語文別:英文
論文頁數:101
中文關鍵詞:無塵室工作壓力生理週期
外文關鍵詞:fabrication workwork stressmenstrual cycle
相關次數:
  • 被引用被引用:6
  • 點閱點閱:210
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:30
  • 收藏至我的研究室書目清單書目收藏:2
摘 要
半導體製造業雖然已經改用異丙醇、丙酮、甲醚及丙二醇醚等替代乙二醇醚做為製程溶劑,但化學溶劑職業暴露的生殖影響仍然受到關切。為調查晶圓製造廠無塵室作業及工作壓力和女性員工生理週期及員工自訴健康狀況之關係,我們完成820人的問卷訪視。排除5位年齡不介於18-45歲間的員工,共有716無塵室員工及83非無塵室員工納入分析。
結果顯示無塵室女性員工比非無塵室的有較盛行的自訴肌肉骨骼系統不適(42.3﹪對30.1﹪,p=0.03)。月經週期天數< 24天者,無塵室女性員工有12.7﹪,非無塵室6.0﹪。以logistic迴歸分析工作壓力與月經週期之相關,校正年齡、籍貫、抽菸、喝酒、體質量指數、懷孕史、工作區域(分為無塵室與非無塵室)後,顯示精神壓力中度與月經週期異常(OR=2.22,95﹪CI=1.25-3.94)及月經規則性異常(OR=1.94,95﹪CI=1.05-3.56)之相關明顯;高度精神壓力則增加月經週期規則性異常(OR=3.75,1.33-10.57)及經前精神性症狀異常(OR=3.53,95﹪CI=1.13-11.08),顯示工作壓力與月經週期之間具有相當程度之相關。另一方面,校正年齡、籍貫、抽菸、喝酒、工作壓力、精神壓力、自覺社會支持度、BMI、懷孕史後,顯示擴散區的員工比非無塵室員工月經量過多之危險性較低(OR=0.42,95﹪CI=0.22-0.79)。
感受壓力的女性員工較有月經週期異常的現象。
關鍵詞:無塵室、工作壓力、生理週期
Abstract
Potential reproductive effects from occupational exposure to solvents remain of concern, particularly in the semiconductor manufacturing industry, regardless that isopropyl alcohol, acetone, methyl ether and propylene glycol ether are substituted for ethylene glycol ether. This cross-sectional study was to examine the relationship between female menstrual cycle and work environment in fabrication occupation and work stress. With informed consents, 820 study subjects were recruited in this study and completed health questionnaires. Excluding five subjects not aged between 18-45 years, information obtained from 716 fabrication (fab) workers and 83 non-fabrication (non-fab) workers was included in this study.
In the present study, we found that fab workers were more likely than non-fab workers to have complains for musculoskeletal disorders (42.3% vs. 30.1%, p = 0.03). Fab workers were at higher risk than non-fab workers to have the menstrual period shorter than 24 days (12.7% vs. 6.0%). The multivariate logistic regression analyses showed that moderate psychological stress was associated with irregular menstrual cycle length (odds ratio (OR) = 2.22, 95% confidence interval (CI) = 1.25-3.94), the disorder of menstrual period (OR =1.94, 95% CI = 1.05-3.56). Higher psychological stress was associated with menstrual period disorder (OR = 3.75, 95% CI = 1.33-10.57) and disorder in premenstrual psychological syndrome (OR = 3.53, 95% CI = 1.13-11.08). On the other hand, study subjects working in the diffusion area were at lowered risk of hypermenorrhea (OR = 0.42, 95% CI = 0.22-0.79), compared with working in the non-fab site.
Women with stress at work are more likely to have irregular menstrual cycle.
.
Key word: fabrication work, work stress, menstrual cycle
目 錄
致 謝 I
摘 要 II
Abstract IV
圖 目 錄 VII
表目錄 VIII
第一章 序論 1
第一節 前言 1
第二節 研究動機 2
第三節 研究目的 3
第二章 文獻探討 4
第一節 無塵室 4
一、無塵室定義及其製程 4
(一) 何謂無塵室 4
(二) 晶圓製程 4
二、無塵室工作型態及其危害 5
(一)薄膜區(Thin Film) 6
(二)黃光區(Photolithography) 6
(三)擴散區(Diffusion) 7
(四)蝕刻區(Etch) 7
(五)測試區(Testing) 7
第二節 月經週期 8
一、月經週期定義 8
二、影響月經週期的因子 9
(一)年齡 9
(二)運動 9
(三)體重 9
(四)心理壓力 9
(五)環境中的危害因子 10
(六)藥物 10
(七)疾病 10
(八)輪班 10
(九)其他 11
第三節 工作及精神生活壓力和月經週期 12
第四節 職業與健康危害 14
一、生殖危害 14
(一) 月經週期的危害 14
(二)自然流產的危害 16
二、呼吸系統危害 20
三、皮膚系統危害 20
四、人因工程危害 21
第三章 材料與方法 22
第一節 研究設計 22
第二節 研究對象 22
第三節 工作暴露評估 22
第四節 問卷設計 23
第五節 問卷測量 24
一、月經功能測量 24
二、心理社會壓力之測量 26
第六節 統計分析 27
第四章 結果 29
第一節 人口學資料 29
基本資料 29
第二節 工作暴露對女性健康影響之探討 32
一、健康系統之影響 32
二、月經功能之影響 34
第三節 月經功能影響因子之分析 38
第四節 工作暴露對於女性員工月經功能影響之探討 51
第五節 工作壓力對女性月經功能影響之探討 57
第五章 討論 64
第一節 研究族群分析 64
第二節 工作暴露對月經功能影響之比較 66
第三節 工作、精神壓力及社會支持度對月經功能影響分析比較 70
第四節 研究限制 75
第六章 結論與建議 77
附錄一 附表 78
附錄二 問卷 86
參考文獻 96
1.行政院勞工委員會,勞動檢查法規,1994
2.Correa A, Gray RH, Cohen R, et al. Ethylene glycol ethers and
risks of spontaneous abortion and subfertility. Am J
Epidemiol 1996;143:707-717.
3.Harlow SD, Ephrose SA. Epidemiology of Menstrual and Its
Relevance to Women’s Health. Epidemiol Rev 1995; 17:265-286.
4.LaDou J.The microelectronics industry.State of the art
reviews.Occup Med 1986;1:1-197.
5.Kline J, Stein Z. Spontaneous abortion. In Bracken MB:
Perinatal Epidemiology . New York :Oxford University Press
1984;23-51.
6.資料來源:台灣應用材料股份有限公司
http://www.amt.com.tw/product/process/product_process.html
7.涂立人:某半導體製造廠安全衛生潛在危害之調查。國立台灣大學職業
醫學暨工業衛生研究所碩士論文,1996年。
8.馮容莊等著:最新婦產科護理。台北:匯華圖書,1993年。
9.Gary Rh, Doyle PE. The epidemiology of conception and
fertility. In Barron SL, Thomson Am, eds. Obstetrical
epidemiology. London, England:Academic Press 1983; 25-60.
10.Dale E, Gerlach DH, Wilhite Al. Menstrual dysfuction in
distance runners. Obstet Gynecol 1979; 54: 47-53.
11.Abraham SF, Beumont PJ, Fraser IS, et al. Body weight,
exercise and menstrual status among ballet dancers in
training.Br J Obstect Gynaecol 1982; 89: 507-510.
12.Speroff L, Redwine DB. Exercise and menstrual dysfuction.
Physician Sport Med 1979; 8: 42-52.
13.Akita A. Ultrasonographical assessment of follicular growth
in delayed ovulation.(In Japanese English abstract). Nippon
Sanka Fujinka Gakkai Zasshi 1984; 36: 2575-2582.
14.Drew Fl. The epidemiology of secondary amenorrhea. J Chronic
Dis 1961;14:396-407.
15.Facchinetti F, Fava M, Fioroni L. Stress life events and
affective disorders inhibit pulsatile LH secretion in
hypothalamic amenorrhea. Psychoneuroendocinology 1993;18:397-
404.
16.Harlow SD. Function and dysfunction : a historical critique
of the lterature on menstruation and work. Health Care Women
Int 1986; 7: 39-50.
17.Back DJ, Orme MLE. Pharmacokinetic drug interactions with
oral contraceptives. In: Snow R, Hall P, eds. Steroid
contraceptives and pharmacokinetics. New York, NY: Plenum
Press 1994; 103-24.
18.Gingel KH, Darley JS , Lengua CA, et al. Menstrual changes
with antipsychotic drugs. (Letter) .Br J Psychiatry 1993;
162: 127.
19.Totterdell P,Spelten E, Pokorski J. The effects of night
work on psychological changes during the menstrual cycle. J
Advan Nurs 1995;21:996-1005.
20.Hatch MC, Figa-Talamanca l, Salerno S. Work stress and
menstrual patterns among American and Ltalian nurses. Scand
J Work Environ Health 1999;25:144-150.
21.Michnovicz JJ, Hershcopf RJ, Naganuma H, et al. Increased 2-
hydroxylation of estradiol as a possible mechanism for the
anti-estrogenic effect of cigarette smoking. N Engl J Med
1986; 315:1305-1309.
22.Zumoff B, Miller L, Levit CD, et al. The effect of smoking
on serum progesterone, estradiol, and luteinizing hormone
levels over a menstrual cycle in normal women. Steroids
1990; 55:507-511.
23.Kalo-Klein A, Witkin SS. Candida albicans: cellular immune
system interactions during different stages of the menstrual
cycle. Am J of Obstet Gynecol. 1989; 61:1132-1136.
24.Gold EB, Eskenazi B, Hammond SK, et al. Prospectively
assessed menstrual cycle characteristics in female wafer-
fabrication and nonfabrication semiconductor employees. Am J
Ind Med 1995;28:799-815.
25.Gordley LB, Lemasters G, Simpson SR, et al. Menstrual
disorders and occupational, stress, and racial factors among
military personnel. J Occup Environ 2000; 42:871-881.
26.Fenster L, Waller K, Chen J , et al. Psychological stress in
the workplace and menstrual function. Am J Epidemiol 1999;
149:127-134.
27.Jeyaseelan L , Rao PS. Effect of occupation on menstrual
cycle length: causal model. Human Biology 1995; 67:283-290.
28.Harlow SD, Matanoski GM. The association between weight,
physical activity, and stress and variation in the length of
the menstrual cycle. Ame J Epidemiol 1991; 133:38-49.
29.Blatter BM, Zielhuis GA. Menstrual disorders due to chemical
exposure among hair dressers. Occup Med 1993; 43:105-106.
30.Chia SE, Foo SC, Khoo NY, et al. Menstrual patterns of
workers exposed to low levels of 2-ethoxyethylacetate
(EGEEA). Am J Ind Med1997; 31:148-152.
31.Kersemaekers WM, Roeleveld N, Zielhuis GA. Reproductive
disorders due to chemical exposure among hairdressers. Scand
J Work Environ Health 1995; 21:325-334.
32.Shortridge LA, Lemasters GK, Valanis B, et al. Menstrual
cycles in nurses handling antineoplastic drugs. Cancer
Nursing 1995; 18:439-444.
33.Gray RH, Corn M, Cohen R, et al. Final report: The Johns
Hopkins University Retrospective and Prospective Studies of .
Reproductive Health Among IBM Employees in semiconductor
Manufacturing. Baltimore, MD:The Johns Hopkins University
1993.
34.Foster PMD, Creasy DM ,Foster JR, et al. Testicular
toxicology of ethylene glycol monomethyl and monoethyl
ethers in the rat. Toxicol Appl Pharmacol 1983;69:385-399.
35.Pastides H,Calabrese LJ, Hosmer DW Jr, et al. Spontaneous
abortion and general illness symptoms among semiconductor
manufacturers. J Occup Med 1988;14:509-526.
36.Shusterman D,Windham GC,Fenster L. Employment in electronics
manufacturing and risk of spontaneous abortion. J Occup Med
1993;35:381-386.
37.Swan SH. Beaumont JJ. Hammond Sk, et al. Historical cohort
study of spontaneous abortion among fabrication workers in
the Semiconductor Health Study: agent-level analysis. Am J
Ind Med 1995;28:751-69
38.Beaumont JJ, Swan SH, Hammond SK, et al. Historical cohort
investigation of spontaneous abortion in the Semiconductor
Health Study: epidemiologic methods and analyses of risk in
fabrication overall and in fabrication work groups. Am J Ind
Med 1995;28:735-750.
39.Elliott RC, Jones JR, McElvenny DM, et al. Spontaneous
abortion in the British semiconductor industry: An HSE
Investigation. Am J Ind Med 1999 ; 36:557-572.
40.Eskenazi B, Gold EB, Lasley BL, et al. Prospective
monitoring of early fetal loss and clinical spontaneous
abortion among female semiconductor workers. Am J Ind Med
1995;28:833-846.
41.Pinney SM, Lemasters GK. Spontaneous abortion and
stillbirths in semiconductor employees. Occup Hyg 1996;3:387-
401.
42.McCurdy SA, Pocekay D, Hammond SK, et al. A cross-sectional
survey of respiratory and general health outcomes among
semiconductor industry workers. Am J Ind Med 1995;28:847-860.
43.羅錦泉:半導體員工肺功能研究。1996年工業衛生學術研討會,八十
五年四月。
44.蕭淑銖:電子業從業人員職業性手部皮膚疾病之盛行率與相關因子調
查。勞工安全衛生研究季刊;1996;第四卷第四期:41-51。
45.McCurdy SA., Schenker MB., Lassiter DV, et al. Occupational
injury and illness in the semiconductor manufacturing
industry. Am J Ind Med 1989 ;15:499-510.
46.Pocekay D, McCurdy SA, Samules SJ, et al. A cross-sectional
study of musculoskeletal symptoms and risk factors in
semiconductor workers., Am J Ind. Med 1995; 28:861-871.
47.王茂駿:電子業重覆性工作傷害之調查分析。行政院勞工委員會,
1990年。
48.謝功毅:晶圓製造廠女性員工生殖健康之研究。國立台灣大學職業醫
學暨工業衛生研究所碩士論文,1998年。
49.Bennett N, Dodd T, Flatley J, et al. Health Survey for
England 1993. London:HMSO,1995.
50.Chong MY, Wilkinson G. Validation of 30- and 12-item
versions of the Chinese Health Questionnaire (CHQ) in
patients admitted for general health screening. Psychol Med
1989;19:495-505.
51.Cheng TA, Williams P. The design and development of a
screening questionnaire (CHQ) for use in community studies
of mental disorders in Taiwan. Psychol Med 1986;2:415-22.
52.Chan DW, Chan TSC. Reliability, validity and the structure
of the General Health Questionnaire in a Chinese context.
Psychol Med 1983;13:367-71.
53.Huel G, Mergler D, Bowler R. Evidence for adverse
reproductive outcomes among women microelectronic assembly
workers. Br J Ind Med 1990;47:400-404.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
系統版面圖檔 系統版面圖檔