Arcury T A, Quandt S A, Cravey A J, Elmore R C, Russell G B
Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem NC 27157-1084, USA.
Am J Ind Med. 2001 May;39(5):487-98. doi: 10.1002/ajim.1042.
Migrant and seasonal farmworkers are at risk for occupational illnesses from pesticide exposure, and the effectiveness of pesticide safety regulations has not been evaluated. It is important to learn from farmworker safety experiences to develop effective measures to improve agricultural workplace safety.
Formative research included in-depth interviews with farmworkers, farmers, extension agents, and health care providers. Survey research included interviews with 270 minority farmworkers during 1998, and 293 during 1999.
Farmworkers and farmers hold different beliefs concerning pesticide safety which affect sanitation practices. Farmworkers report in survey data that farmers do not adhere to regulations mandating training and basic sanitation facilities.
Several points of intervention are available to improve pesticide safety and sanitation. Additional regulation by itself is not an advantageous starting point. The emphasis for intervention must include educating farmers as well as farmworkers.
流动和季节性农场工人面临因接触农药而患职业病的风险,且农药安全法规的有效性尚未得到评估。借鉴农场工人的安全经验以制定有效措施来改善农业工作场所安全非常重要。
形成性研究包括对农场工人、农民、推广人员和医疗服务提供者的深入访谈。调查研究包括在1998年对270名少数族裔农场工人进行访谈,以及在1999年对293名进行访谈。
农场工人和农民在农药安全方面持有不同信念,这影响了卫生习惯。农场工人在调查数据中报告称,农民不遵守要求培训和基本卫生设施的规定。
有几个干预点可用于改善农药安全和卫生状况。仅靠额外的监管并非有利的起点。干预的重点必须包括对农民和农场工人进行教育。