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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
51

LULEÅS FOLKBIBLIOTEKSUTVECKLING UR ETT GENUSPERSPEKTIV : - med fokus på centralbibliotekarien Olga Bardh

Bergenudd, Linnéa January 2020 (has links)
Uppsatsen syftar till att synliggöra folkbiblioteksutvecklingen i Luleå, samt att lyfta fram fler kvinnor som bidragit till folkbiblioteksutvecklingen i Sverige. Studien undersöker vilka faktorer som påverkat progressionen av Luleå kommuns folkbibliotek, samtidigt som dessa sätts i relation till Sveriges biblioteksutveckling. Trots att Valfrid Palmgren beundrade och framhävde Luleås folkbibliotek i sin skrift år 1911, är Norrbottens bibliotekshistoria tämligen dold för omvärlden. Luleås bibliotek var bland de första biblioteken i Sverige som utsågs till centralbibliotek, där bibliotekarien Olga Bardh anställdes som chef. Olga Bardh var en välutbildad kvinna med stora visioner om att skapa ett modernt och framstående bibliotek i Luleå och Norrbotten. Denna studie ämnar undersöka vilken betydelse hennes arbete hade för biblioteksutvecklingen, och på vilket sätt detta i så fall yttrade sig. Uppsatsens teoretiska utgångspunkter utgår från Christina Florins (1987) teorier om den svenska folkskolans feminiserings- och professionaliseringsprocess i början på 1900-talet, Yvonne Hirdmans (2004) teorier om genussystemet, samt Hanna Westberg-Wohlgemuths (1996) teorier om könsmärkning. Med hjälp av kritisk diskursanalys har det empiriska materialet analyserats i hopp om att verka för social förändring, där undertryckta samhällsgrupper synliggörs.
52

A comunicação pública no século XXI: epistemologias educomunicativas nas redes sociais digitais / -

Caetano, Liliane Moiteiro 25 July 2018 (has links)
O presente trabalho de pesquisa propôs-se, ao final do doutorado, uma pesquisa-ação-participante, objetivando a constituição de ítens metodológicos para pesquisas empíricas em deliberação online, nos grupos de redes sociais digitais. Inicialmente o objetivo era desenvolver um aplicativo que possibilitasse a coleta de dados online, para que perfis participantes de grupos de redes sociais digitais pudessem deliberar sobre temas de políticas públicas, notadamente na área educacional. Durante o trabalho de pesquisa, os cenários políticos e econômicos indicaram mudanças sociais que refletiram nas possibilidades de coletas dos dados. Algumas noções sobre liberdade de expressão, censura, autocensura e novas epistemologias, aqui denominadas educomunicativas, guiaram as decisões sobre observação das conversações digitais e o resultado para a elaboração de políticas públicas. Concluímos com a indicação de formatos para design de ferramentas online para deliberação pública nas redes sociais digitais, e observamos que esses espaços não aumentam ou diminuem a democracia, mas somente são um recurso a mais para aquelas pessoas que acreditam na importância da participação cívica e política. / At the end of the PhD, the research was proposed as an action-participant research, aiming at the constitution of methodological items for empirical research in online deliberation in digital social network groups. Initially, the objective was to develop an application that would allow the collection of data online, so that profiles from digital social networking groups could deliberate on public policy issues, especially in the educational area. During the research work, the political and economic scenarios indicated social changes that reflected in the possibilities of collecting the data. Some notions about freedom of expression, censorship, self-censorship and new epistemologies, here denominated educomunicativas, guided the decisions about observation of the digital conversations and the result for the elaboration of public policies. We conclude with the indication of formats for designing online tools for public deliberation in digital social networks, and we note that these spaces do not increase or decrease democratic spaces, but they are only an additional resource for those who believe in the importance of civic participation and policy.
53

Saúde e segurança no trabalho das mulheres: a perspectiva de gênero para a proteção e promoção do meio ambiente equilibrado / Safety and health at womens work: gender equality as na essential condition to the construction of a balanced work environment.

Vieira, Regina Stela Corrêa 01 December 2014 (has links)
Pensar na saúde e segurança no trabalho remete diretamente às medidas de proteção para evitar acidentes graves ou mortes em decorrência do trabalho, associadas a profissões geralmente masculinas. Os riscos ocupacionais a que as mulheres estão expostas são geralmente invisibilizados, fazendo crer que proteger o trabalhador é também proteger todas as trabalhadoras. No entanto, não existe o indivíduo padrão, tampouco ciência neutra, pois quem necessita de proteção são seres humanos concretos, e o processo saúde-trabalho é mediado por fatores sociais, econômicos e culturais, em especial, pelas relações de gênero. A compreensão dessas imbricações só é possível com o emprego do gênero como categoria de análise do meio ambiente do trabalho, o que possibilita romper com a abordagem da saúde das mulheres trabalhadoras estritamente da perspectiva da maternidade ou da fragilidade. Esta dissertação propõe-se a ampliar o conhecimento das influências das relações de gênero na saúde e segurança no trabalho, desconstruindo naturalizações e estereótipos sobre feminilidade arraigados no Direito do Trabalho, na busca por compreender se as mulheres precisam de tutela especial, se sua saúde e segurança está de fato protegida pelas normas hoje vigentes e se essas normas promovem igualdade ou discriminação. Três grandes temas que interferem na relação das mulheres com o trabalho nos servirão de eixos para a análise das principais normas e questões trabalhistas que envolvem sua saúde e segurança: a maternidade; o corpo feminino e sua capacidade física; e a saúde mental. Objetiva-se contribuir para o aprofundamento da pesquisa acadêmica sobre a relação entre gênero e saúde e segurança no trabalho, bem como desconstruir preconceitos e apresentar algumas propostas para que as normas do Direito do Trabalho superem paradigmas sexistas e possam evoluir no sentido da promoção da igualdade entre homens e mulheres, essencial para a construção do equilíbrio do meio ambiente de trabalho. / To think about safety and health at work leads to inquiry what protective measures can prevent major accidents or deaths due to work, usually associated with professions dominated by men. The occupational hazards to which women are exposed are usually invisible, since it is believed that protecting the worker encompasses protecting all female workers. However, there is neither a standard individual, nor a neutral science, because those who are in need of protection are concrete human beings, and the health-work process is mediated by social, economic and cultural factors, in particular, gender relations. The understanding of these overlaps is only possible if gender is mobilized as a category of analysis of the work environment. Moreover, gender makes it possible to break with the approach of womens health at work strictly from the perspective of motherhood or fragility. This dissertation intends to extend the knowledge about the influence of gender relations on safety and health at work, and to deconstruct naturalizations and stereotypes built around femininity that are rooted in Labour Law. It seeks to understand whether women need special protection, if their health and security is actually protected by today\'s current standards, and if those standards promote equality or discrimination. Three major themes that mediate the relationship between women and work guide the analysis of the main standards and labor issues involving their safety and health: motherhood; the female body and its physical ability; and mental health. This work aims at contributing to the scholarship on the relationship between gender and safety and health at work, as well as to deconstruct prejudices and present some proposals for labor law standards to overcome sexist paradigms towards the promotion of gender equality an essential condition to the construction of a balanced work environment.
54

A comunicação pública no século XXI: epistemologias educomunicativas nas redes sociais digitais / -

Liliane Moiteiro Caetano 25 July 2018 (has links)
O presente trabalho de pesquisa propôs-se, ao final do doutorado, uma pesquisa-ação-participante, objetivando a constituição de ítens metodológicos para pesquisas empíricas em deliberação online, nos grupos de redes sociais digitais. Inicialmente o objetivo era desenvolver um aplicativo que possibilitasse a coleta de dados online, para que perfis participantes de grupos de redes sociais digitais pudessem deliberar sobre temas de políticas públicas, notadamente na área educacional. Durante o trabalho de pesquisa, os cenários políticos e econômicos indicaram mudanças sociais que refletiram nas possibilidades de coletas dos dados. Algumas noções sobre liberdade de expressão, censura, autocensura e novas epistemologias, aqui denominadas educomunicativas, guiaram as decisões sobre observação das conversações digitais e o resultado para a elaboração de políticas públicas. Concluímos com a indicação de formatos para design de ferramentas online para deliberação pública nas redes sociais digitais, e observamos que esses espaços não aumentam ou diminuem a democracia, mas somente são um recurso a mais para aquelas pessoas que acreditam na importância da participação cívica e política. / At the end of the PhD, the research was proposed as an action-participant research, aiming at the constitution of methodological items for empirical research in online deliberation in digital social network groups. Initially, the objective was to develop an application that would allow the collection of data online, so that profiles from digital social networking groups could deliberate on public policy issues, especially in the educational area. During the research work, the political and economic scenarios indicated social changes that reflected in the possibilities of collecting the data. Some notions about freedom of expression, censorship, self-censorship and new epistemologies, here denominated educomunicativas, guided the decisions about observation of the digital conversations and the result for the elaboration of public policies. We conclude with the indication of formats for designing online tools for public deliberation in digital social networks, and we note that these spaces do not increase or decrease democratic spaces, but they are only an additional resource for those who believe in the importance of civic participation and policy.
55

"Du i tornet, han bakom plogen." : En undersökning om kvinnors beredskapsarbete i Skaraborg under andra världskriget

Jonsson, Anna January 2023 (has links)
No description available.
56

Contraintes psychosociales au travail et symptômes dépressifs majeurs chez les femmes enceintes

Fall, Aïssatou 03 1900 (has links)
Notre thèse de doctorat a pour but d’évaluer les contraintes psychosociales au travail et les symptômes dépressifs majeurs chez les femmes enceintes. Plus spécifiquement, il est question d’identifier les facteurs associés aux symptômes dépressifs majeurs, à une tension psychologique au travail ou travail "tendu" ("high-strain" job), à un travail "tendu" avec un faible soutien social au travail ("Iso-strain"), et enfin d’évaluer l’association entre ces contraintes psychosociales au travail et les symptômes dépressifs majeurs chez les femmes enceintes au travail. Les données analysées sont issues de l’Étude Montréalaise sur la Prématurité, une étude de cohorte prospective menée entre mai 1999 et avril 2004, auprès de 5 337 femmes enceintes interviewées à 24-26 semaines de grossesse dans quatre hôpitaux de l’île de Montréal (Québec, Canada). L’échelle CES-D (Center for Epidemiological Studies Depression Scale) a été utilisée pour mesurer les symptômes dépressifs majeurs (score CES-D ≥23). L’échelle abrégée de Karasek a été utilisée pour mesurer les contraintes psychosociales au travail. La présente étude a conduit à la rédaction de quatre articles scientifiques qui seront soumis à des revues avec comité de pairs. Le premier article a permis de comparer la prévalence des symptômes dépressifs majeurs dans différents sous-groupes de femmes enceintes : femmes au foyer, femmes au travail, femmes en arrêt de travail, femmes aux études et de rechercher les facteurs de risque associés aux symptômes dépressifs majeurs pendant la grossesse. À 24-26 semaines de grossesse, la prévalence des symptômes dépressifs majeurs était de 11,9% (11,0-12,8%) pour l’ensemble des femmes enceintes à l’étude (N=5 337). Les femmes enceintes au travail avaient une proportion de symptômes dépressifs moins élevée [7,6% (6,6-8,7%); n=2 514] par rapport aux femmes enceintes au foyer qui avaient les prévalences les plus élevées [19,1% (16,5-21,8%); n=893], suivi des femmes enceintes en arrêt de travail [14,4% (12,7-16,1%); n=1 665] et des femmes enceintes aux études [14,3% (10,3-19,1%); n=265]. Les caractéristiques personnelles (non professionnelles) associées aux symptômes dépressifs majeurs étaient, après ajustement pour toutes les variables, le statut d’emploi, un faible niveau d’éducation, un faible soutien social en dehors du travail, le fait d’avoir vécu des événements stressants aigus, d’avoir manqué d’argent pour les besoins essentiels, les difficultés relationnelles avec son partenaire, les problèmes de santé chronique, le pays de naissance et le tabagisme. Le deuxième article avait pour objectif de décrire l’exposition aux contraintes psychosociales au travail et d’identifier les facteurs qui y sont associés chez les femmes enceintes de la région de Montréal, au Québec (N=3 765). Au total, 24,4% des travailleuses enceintes se trouvaient dans la catégorie travail "tendu" ("high-strain" job) et 69,1% d’entre elles avaient eu un faible soutien social au travail ("Iso-strain"). Les facteurs de risque associés à un travail "tendu" étaient : un faible soutien social au travail, certains secteurs d’activité et niveaux de compétences, le fait de travailler plus de 35 heures par semaine, les horaires irréguliers, la posture de travail, le port de charges lourdes, le jeune âge des mères, une immigration ≥ 5 ans, un bas niveau d’éducation, la monoparentalité et un revenu annuel du ménage <50 000$. Le troisième article a évalué l’association entre les contraintes psychosociales au travail et les symptômes dépressifs majeurs chez les femmes enceintes au travail (N=3 765). Dans les analyses bivariées et multivariées, les femmes enceintes qui avaient un "high-strain job" ou un "Iso-strain" présentaient davantage de symptômes dépressifs majeurs que les autres sous-groupes. Les contraintes psychosociales au travail étaient associées aux symptômes dépressifs majeurs lorsqu’on prenait en compte les autres facteurs organisationnels et les facteurs personnels auxquels elles étaient confrontées à l’extérieur de leur milieu de travail. Notre étude confirme les évidences accumulées en référence aux modèles théoriques "demande-contrôle" et "demande-contrôle-soutien" de Karasek et Theorell. L’impact de ce dernier et le rôle crucial du soutien social au travail ont été mis en évidence chez les femmes enceintes au travail. Cependant, l’effet "buffer" du modèle "demande-contrôle-soutien" n’a pas été mis en évidence. Le quatrième article a permis d’évaluer l’exposition aux contraintes psychosociales au travail chez les femmes enceintes au travail et en arrêt de travail pour retrait préventif et de mesurer l’association entre les contraintes psychosociales au travail et les symptômes dépressifs majeurs en fonction du moment du retrait préventif (N=3 043). À 24-26 semaines de grossesse, les femmes enceintes en retrait préventif du travail (31,4%) avaient été plus exposées à un "high-strain job" (31,0% vs 21,1%) et à un "Iso-strain" (21,0% vs 14,2%) que celles qui continuaient de travailler (p<0,0001); et elles avaient des proportions plus élevées de symptômes dépressifs majeurs. Après ajustement pour les facteurs de risque personnels et professionnels, "l’Iso-strain" restait significativement associé aux symptômes dépressifs majeurs chez les femmes qui continuaient de travailler tout comme chez celles qui ont cessé de travailler, et cela quel que soit leur durée d’activité avant le retrait préventif du travail (4 à 12 semaines/ 13 à 20 semaines/ ≥ 21 semaines). Les contraintes psychosociales au travail représentent un important facteur de risque pour la santé mentale des travailleuses enceintes. Malgré l’application du programme "pour une maternité sans danger" il s’avère nécessaire de mettre en place dans les milieux de travail, des mesures de prévention, de dépistage et d’intervention afin de réduire la prévalence des symptômes dépressifs prénataux et l’exposition aux contraintes psychosociales au travail pour prévenir les complications maternelles et néonatales. D’autant plus que, la dépression prénatale est le principal facteur de risque de dépression postpartum, de même que les enfants nés de mères souffrant de dépression sont plus à risque de prématurité et de petit poids de naissance. / The goal of our thesis was to evaluate psychosocial work demands and major depressive symptoms among pregnant women. More specifically, we evaluated factors associated with major depressive symptoms, "high-strain" or "Iso-strain" jobs, and measure the association between those psychosocial work demands and major depressive symptoms among pregnant workers. Data analyzed are from the Montreal Prematurity Study, a prospective cohort study conducted in Montréal from May 1999 to April 2004. The study looked at prematurity among 5337 pregnant women recruited at 24-26 weeks of pregnancy in four hospitals in Montréal (Québec, Canada). The CES-D scale (Center for Epidemiological Studies Depression Scale) was used to measure major depressive symptoms (CES-D score ≥23). Karasek's abbreviated scale was used to measure psychosocial work demands. Four scientific articles have been written about the current study and will be submitted to peer-reviewed journals. The objectives of the first article were to compare the prevalence of major depressive symptoms between subgroups of pregnant women: working women, women who had stopped working, housewives and students; and to identify risk factors for major depressive symptoms during pregnancy. At 24-26 weeks of pregnancy, prevalence of major depressive symptoms was 11.9% (11.0–12.8%) for all pregnant women (N=5 337). Working women had lower rates of major depressive symptoms [7,6% (6,6-8,7%); n=2 514] than housewives, for whom prevalence was highest [19,1% (16,5-21,8%); n=893], followed by women who had stopped working [14,4% (12,7-16,1%); n=1 665] and students [14,3% (10,3-19,1%); n=265]. Personal characteristics (non-occupational) associated with major depressive symptoms were, after adjusting for all variables, employment status, low level of education, low social support outside of work, having experienced acute stressful events, lack of money for basic needs, experiencing marital strain, chronic health problem, country of birth, and smoking. The objective of the second article was to describe the exposure to psychosocial work demands and to identify factors that are associated among pregnant women in Montréal, Québec (N=3 765). In total, 24.4% of pregnant women were exposed to "high-strain" jobs and the proportion of workers exposed to "Iso-strain" was 69.1%. Risk factors associated with "high-strain" jobs were as follows: low social support at work, some sector of activity and skill level, working over 35 hours a week, irregular schedules, posture at work, lifting loads, young age of mothers, immigration ≥ 5 years, low level of education, single parenthood, and annual household income <$50,000. The third article evaluated the association between psychosocial work demands and major depressive symptoms among working pregnant women (N=3 765). In bivariate and multivariate analyses, pregnant women who had "high-strain" or "Iso-strain" jobs were more likely to have major depressive symptoms. Psychosocial work demands were associated with the mental health of pregnant women, when other organizational and personal factors which they encountered outside the work settings were taken into account. Our study confirms accumulated findings related to Karasek and Theorell's "demand-control" and "demand-control-support" theoretical models. The impact of the "demand-control-support" model and the critical role of social support at work have been demonstrated among working pregnant women. The "buffer" hypothesis of "demand-control-support" model was refuted. The objectives of the fourth article were as follows: assess exposure to psychosocial work demands among working pregnant women and women on preventive withdrawal from work; and measure the association between psychosocial work demands and major depressive symptoms, according to time of withdrawal from work (N=3 043). At 24-26 weeks of pregnancy, women on preventive withdrawal from work (31.4%) had been more exposed to "high-strain" jobs (31.1% vs. 21.1%) and "Iso-strain" (21.0% vs. 14.2%) than those who continued to work (p<0.0001), and had higher proportions of major depressive symptoms. After adjustment for personal and professional risk factors, "Iso-strain" remained significantly associated with major depressive symptoms in working women and women on preventive withdrawal from work, regardless of duration of activity before withdrawal (4 to 12 weeks/ 13 to 20 weeks/ ≥21 weeks). Psychosocial work demands are an important risk factor for the mental health of pregnant workers. Despite the application of preventive measures during pregnancy, screening and intervention measures should be implemented in workplaces to reduce the prevalence of prenatal mental health problems and exposure to psychosocial work demands so as to prevent maternal and neonatal complications. In addition, prenatal depression is the main risk factor for postpartum depression, and infants born of mothers who suffer from depression are at higher risk of prematurity and low birth weight.
57

Contraintes psychosociales au travail et symptômes dépressifs majeurs chez les femmes enceintes

Fall, Aïssatou 03 1900 (has links)
Notre thèse de doctorat a pour but d’évaluer les contraintes psychosociales au travail et les symptômes dépressifs majeurs chez les femmes enceintes. Plus spécifiquement, il est question d’identifier les facteurs associés aux symptômes dépressifs majeurs, à une tension psychologique au travail ou travail "tendu" ("high-strain" job), à un travail "tendu" avec un faible soutien social au travail ("Iso-strain"), et enfin d’évaluer l’association entre ces contraintes psychosociales au travail et les symptômes dépressifs majeurs chez les femmes enceintes au travail. Les données analysées sont issues de l’Étude Montréalaise sur la Prématurité, une étude de cohorte prospective menée entre mai 1999 et avril 2004, auprès de 5 337 femmes enceintes interviewées à 24-26 semaines de grossesse dans quatre hôpitaux de l’île de Montréal (Québec, Canada). L’échelle CES-D (Center for Epidemiological Studies Depression Scale) a été utilisée pour mesurer les symptômes dépressifs majeurs (score CES-D ≥23). L’échelle abrégée de Karasek a été utilisée pour mesurer les contraintes psychosociales au travail. La présente étude a conduit à la rédaction de quatre articles scientifiques qui seront soumis à des revues avec comité de pairs. Le premier article a permis de comparer la prévalence des symptômes dépressifs majeurs dans différents sous-groupes de femmes enceintes : femmes au foyer, femmes au travail, femmes en arrêt de travail, femmes aux études et de rechercher les facteurs de risque associés aux symptômes dépressifs majeurs pendant la grossesse. À 24-26 semaines de grossesse, la prévalence des symptômes dépressifs majeurs était de 11,9% (11,0-12,8%) pour l’ensemble des femmes enceintes à l’étude (N=5 337). Les femmes enceintes au travail avaient une proportion de symptômes dépressifs moins élevée [7,6% (6,6-8,7%); n=2 514] par rapport aux femmes enceintes au foyer qui avaient les prévalences les plus élevées [19,1% (16,5-21,8%); n=893], suivi des femmes enceintes en arrêt de travail [14,4% (12,7-16,1%); n=1 665] et des femmes enceintes aux études [14,3% (10,3-19,1%); n=265]. Les caractéristiques personnelles (non professionnelles) associées aux symptômes dépressifs majeurs étaient, après ajustement pour toutes les variables, le statut d’emploi, un faible niveau d’éducation, un faible soutien social en dehors du travail, le fait d’avoir vécu des événements stressants aigus, d’avoir manqué d’argent pour les besoins essentiels, les difficultés relationnelles avec son partenaire, les problèmes de santé chronique, le pays de naissance et le tabagisme. Le deuxième article avait pour objectif de décrire l’exposition aux contraintes psychosociales au travail et d’identifier les facteurs qui y sont associés chez les femmes enceintes de la région de Montréal, au Québec (N=3 765). Au total, 24,4% des travailleuses enceintes se trouvaient dans la catégorie travail "tendu" ("high-strain" job) et 69,1% d’entre elles avaient eu un faible soutien social au travail ("Iso-strain"). Les facteurs de risque associés à un travail "tendu" étaient : un faible soutien social au travail, certains secteurs d’activité et niveaux de compétences, le fait de travailler plus de 35 heures par semaine, les horaires irréguliers, la posture de travail, le port de charges lourdes, le jeune âge des mères, une immigration ≥ 5 ans, un bas niveau d’éducation, la monoparentalité et un revenu annuel du ménage <50 000$. Le troisième article a évalué l’association entre les contraintes psychosociales au travail et les symptômes dépressifs majeurs chez les femmes enceintes au travail (N=3 765). Dans les analyses bivariées et multivariées, les femmes enceintes qui avaient un "high-strain job" ou un "Iso-strain" présentaient davantage de symptômes dépressifs majeurs que les autres sous-groupes. Les contraintes psychosociales au travail étaient associées aux symptômes dépressifs majeurs lorsqu’on prenait en compte les autres facteurs organisationnels et les facteurs personnels auxquels elles étaient confrontées à l’extérieur de leur milieu de travail. Notre étude confirme les évidences accumulées en référence aux modèles théoriques "demande-contrôle" et "demande-contrôle-soutien" de Karasek et Theorell. L’impact de ce dernier et le rôle crucial du soutien social au travail ont été mis en évidence chez les femmes enceintes au travail. Cependant, l’effet "buffer" du modèle "demande-contrôle-soutien" n’a pas été mis en évidence. Le quatrième article a permis d’évaluer l’exposition aux contraintes psychosociales au travail chez les femmes enceintes au travail et en arrêt de travail pour retrait préventif et de mesurer l’association entre les contraintes psychosociales au travail et les symptômes dépressifs majeurs en fonction du moment du retrait préventif (N=3 043). À 24-26 semaines de grossesse, les femmes enceintes en retrait préventif du travail (31,4%) avaient été plus exposées à un "high-strain job" (31,0% vs 21,1%) et à un "Iso-strain" (21,0% vs 14,2%) que celles qui continuaient de travailler (p<0,0001); et elles avaient des proportions plus élevées de symptômes dépressifs majeurs. Après ajustement pour les facteurs de risque personnels et professionnels, "l’Iso-strain" restait significativement associé aux symptômes dépressifs majeurs chez les femmes qui continuaient de travailler tout comme chez celles qui ont cessé de travailler, et cela quel que soit leur durée d’activité avant le retrait préventif du travail (4 à 12 semaines/ 13 à 20 semaines/ ≥ 21 semaines). Les contraintes psychosociales au travail représentent un important facteur de risque pour la santé mentale des travailleuses enceintes. Malgré l’application du programme "pour une maternité sans danger" il s’avère nécessaire de mettre en place dans les milieux de travail, des mesures de prévention, de dépistage et d’intervention afin de réduire la prévalence des symptômes dépressifs prénataux et l’exposition aux contraintes psychosociales au travail pour prévenir les complications maternelles et néonatales. D’autant plus que, la dépression prénatale est le principal facteur de risque de dépression postpartum, de même que les enfants nés de mères souffrant de dépression sont plus à risque de prématurité et de petit poids de naissance. / The goal of our thesis was to evaluate psychosocial work demands and major depressive symptoms among pregnant women. More specifically, we evaluated factors associated with major depressive symptoms, "high-strain" or "Iso-strain" jobs, and measure the association between those psychosocial work demands and major depressive symptoms among pregnant workers. Data analyzed are from the Montreal Prematurity Study, a prospective cohort study conducted in Montréal from May 1999 to April 2004. The study looked at prematurity among 5337 pregnant women recruited at 24-26 weeks of pregnancy in four hospitals in Montréal (Québec, Canada). The CES-D scale (Center for Epidemiological Studies Depression Scale) was used to measure major depressive symptoms (CES-D score ≥23). Karasek's abbreviated scale was used to measure psychosocial work demands. Four scientific articles have been written about the current study and will be submitted to peer-reviewed journals. The objectives of the first article were to compare the prevalence of major depressive symptoms between subgroups of pregnant women: working women, women who had stopped working, housewives and students; and to identify risk factors for major depressive symptoms during pregnancy. At 24-26 weeks of pregnancy, prevalence of major depressive symptoms was 11.9% (11.0–12.8%) for all pregnant women (N=5 337). Working women had lower rates of major depressive symptoms [7,6% (6,6-8,7%); n=2 514] than housewives, for whom prevalence was highest [19,1% (16,5-21,8%); n=893], followed by women who had stopped working [14,4% (12,7-16,1%); n=1 665] and students [14,3% (10,3-19,1%); n=265]. Personal characteristics (non-occupational) associated with major depressive symptoms were, after adjusting for all variables, employment status, low level of education, low social support outside of work, having experienced acute stressful events, lack of money for basic needs, experiencing marital strain, chronic health problem, country of birth, and smoking. The objective of the second article was to describe the exposure to psychosocial work demands and to identify factors that are associated among pregnant women in Montréal, Québec (N=3 765). In total, 24.4% of pregnant women were exposed to "high-strain" jobs and the proportion of workers exposed to "Iso-strain" was 69.1%. Risk factors associated with "high-strain" jobs were as follows: low social support at work, some sector of activity and skill level, working over 35 hours a week, irregular schedules, posture at work, lifting loads, young age of mothers, immigration ≥ 5 years, low level of education, single parenthood, and annual household income <$50,000. The third article evaluated the association between psychosocial work demands and major depressive symptoms among working pregnant women (N=3 765). In bivariate and multivariate analyses, pregnant women who had "high-strain" or "Iso-strain" jobs were more likely to have major depressive symptoms. Psychosocial work demands were associated with the mental health of pregnant women, when other organizational and personal factors which they encountered outside the work settings were taken into account. Our study confirms accumulated findings related to Karasek and Theorell's "demand-control" and "demand-control-support" theoretical models. The impact of the "demand-control-support" model and the critical role of social support at work have been demonstrated among working pregnant women. The "buffer" hypothesis of "demand-control-support" model was refuted. The objectives of the fourth article were as follows: assess exposure to psychosocial work demands among working pregnant women and women on preventive withdrawal from work; and measure the association between psychosocial work demands and major depressive symptoms, according to time of withdrawal from work (N=3 043). At 24-26 weeks of pregnancy, women on preventive withdrawal from work (31.4%) had been more exposed to "high-strain" jobs (31.1% vs. 21.1%) and "Iso-strain" (21.0% vs. 14.2%) than those who continued to work (p<0.0001), and had higher proportions of major depressive symptoms. After adjustment for personal and professional risk factors, "Iso-strain" remained significantly associated with major depressive symptoms in working women and women on preventive withdrawal from work, regardless of duration of activity before withdrawal (4 to 12 weeks/ 13 to 20 weeks/ ≥21 weeks). Psychosocial work demands are an important risk factor for the mental health of pregnant workers. Despite the application of preventive measures during pregnancy, screening and intervention measures should be implemented in workplaces to reduce the prevalence of prenatal mental health problems and exposure to psychosocial work demands so as to prevent maternal and neonatal complications. In addition, prenatal depression is the main risk factor for postpartum depression, and infants born of mothers who suffer from depression are at higher risk of prematurity and low birth weight.

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