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农场家庭接触研究:一项农药接触生物监测研究的方法与招募实践

Farm Family Exposure Study: methods and recruitment practices for a biomonitoring study of pesticide exposure.

作者信息

Baker Beth A, Alexander Bruce H, Mandel Jack S, Acquavella John F, Honeycutt Richard, Chapman Pamela

机构信息

Regions Hospital, St Paul, Minnesota, USA.

出版信息

J Expo Anal Environ Epidemiol. 2005 Nov;15(6):491-9. doi: 10.1038/sj.jea.7500427.

Abstract

PURPOSE

The Farm Family Exposure Study was initiated to characterize pesticide exposure to farm family members around the time of one pesticide application in a manner that will facilitate exposure assessment in epidemiologic studies of pesticides.

METHODS

A sample of farm families with children was recruited by randomly selecting farmers from lists of licensed pesticide applicators in Minnesota and South Carolina. Eligible families were selected from among those who planned to apply one of three chemicals, glyphosate, 2,4-D, or chlorpyrifos, as part of their normal operations. The applicator, spouse, and all children in the family ages 4-17 years were included in the study. The applicator and spouse completed self-administered questionnaires addressing demographics, farming practices and potential exposures to them and their children. Field observers documented the application, recorded application practices, equipment, potential exposures, and the presence of children or spouses in the immediate vicinity of pesticide activities. All study participants were asked to collect each urine void for 5 days, 1 day before through 3 days after the application. Pesticides were measured in 24-h composite urine samples with a one part per billion limit of detection.

RESULTS

Of 11,164 applicators screened, 994 families met the inclusion criteria. Of these, 95 families were enrolled. Enrollees were similar in most characteristics to their peers who were not participants in the study. In total, there were 106 applications, 10 of which involved more than one chemical. This resulted in urinary data for 48 farmers and spouses and their 79 children for glyphosate, 34 farmers and spouses and their 50 children for chlorpyrifos, and 34 farmers and spouses and their 53 children for 2,4-D. Compliance with the 24-h urine collection was particularly good for the adult participants. There were more missing samples for children than for adults, but overall compliance was high.

CONCLUSION

The Farm Family Exposure Study should provide insights about pesticide exposure under real world conditions and thereby facilitate improved exposure assessment in epidemiologic studies of agricultural populations.

摘要

目的

开展农场家庭接触研究,旨在描述在一次农药施用期间农场家庭成员接触农药的情况,以便为农药流行病学研究中的接触评估提供便利。

方法

通过从明尼苏达州和南卡罗来纳州持牌农药施用者名单中随机选择农民,招募有孩子的农场家庭样本。符合条件的家庭从计划施用草甘膦、2,4-滴或毒死蜱这三种化学品之一作为其正常作业一部分的家庭中选取。施用者、配偶以及家庭中所有4至17岁的孩子都纳入研究。施用者和配偶完成了自我管理问卷,内容涉及人口统计学、耕作方式以及他们及其子女可能接触的情况。实地观察员记录了施用过程,记录了施用方式、设备、可能的接触情况以及在农药活动附近是否有孩子或配偶。所有研究参与者被要求在施用前1天至施用后3天的5天时间里收集每次排尿的尿液。采用十亿分之一的检测限对24小时混合尿液样本中的农药进行测量。

结果

在筛查的11,164名施用者中,994个家庭符合纳入标准。其中,95个家庭被纳入研究。纳入者在大多数特征上与其未参与研究的同龄人相似。总共进行了106次施用,其中10次涉及不止一种化学品。这产生了草甘膦相关的48名农民及其配偶和79名子女、毒死蜱相关的34名农民及其配偶和50名子女以及2,4-滴相关的34名农民及其配偶和53名子女的尿液数据。成年参与者对24小时尿液收集的依从性特别好。儿童缺失的样本比成人多,但总体依从性较高。

结论

农场家庭接触研究应能提供有关现实世界条件下农药接触情况的见解,从而有助于改进农业人群流行病学研究中的接触评估。

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