Rohlman Diane S, Lasarev Michael, Anger W Kent, Scherer Jennifer, Stupfel Jeffrey, McCauley Linda
Center for Research on Occupational and Environmental Toxicology (CROET), L606, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
Neurotoxicology. 2007 Mar;28(2):374-80. doi: 10.1016/j.neuro.2006.10.006. Epub 2006 Dec 4.
There are many occupational hazards associated with working in agriculture including risk of injury and exposure to pesticides. Research examining neurobehavioral effects of pesticide exposure have focused primarily on the acute effects in adults working in agriculture. Organophosphate poisoned populations have shown a consistent pattern of deficits when compared to a non-exposed or non-poisoned population on measures of motor speed and coordination, sustained attention, and information processing speed. Fewer studies have examined the effect of long-term low-level exposure on nervous system functioning in agricultural workers. Pesticides are thought to pose a considerably higher risk to children than to adults, yet little is known about the extent or magnitude of health problems related to occupational exposure to pesticides in children and adolescents. The present study compared the neurobehavioral performance of adolescents and adults working in agriculture and examined the impact of years working in agriculture on neurobehavioral performance. One hundred seventy-five Hispanic adolescent and adults completed a neurobehavioral test battery consisting of 10 computer-based tests measuring attention, response speed, coordination and memory. Age, gender, school experience, and years working in agriculture all impacted performance on the neurobehavioral tests. Comparison of adult and adolescents did not reveal decreased neurobehavioral performance in adolescents. On several tests the adolescents performed better than adult counterparts. The adolescents and adults were engaged in comparable agricultural working environments at the time of the neurobehavioral testing. These findings suggest that, at the time of exposure to pesticides, adolescents are not more vulnerable to the effects of working in agriculture. Evidence from this study suggests that cumulative exposure to low levels of pesticides over many years of agricultural work is associated with neurological impairment as measured by the Selective Attention, Symbol-Digit, Reaction Time tests. Experience handling pesticides was also associated with deficits in neurobehavioral performance.
从事农业工作存在许多职业危害,包括受伤风险和接触杀虫剂。研究杀虫剂接触对神经行为影响的主要集中在从事农业工作的成年人的急性影响上。与未接触或未中毒人群相比,有机磷中毒人群在运动速度和协调性、持续注意力以及信息处理速度等测量指标上呈现出一致的缺陷模式。较少有研究考察长期低水平接触对农业工人神经系统功能的影响。人们认为杀虫剂对儿童构成的风险比对成年人高得多,但对于儿童和青少年因职业接触杀虫剂而产生的健康问题的程度或规模却知之甚少。本研究比较了从事农业工作的青少年和成年人的神经行为表现,并考察了从事农业工作的年限对神经行为表现的影响。175名西班牙裔青少年和成年人完成了一组神经行为测试,该测试由10项基于计算机的测试组成,测量注意力、反应速度、协调性和记忆力。年龄、性别、学校经历以及从事农业工作的年限均对神经行为测试的表现产生影响。对成年人与青少年的比较并未发现青少年的神经行为表现有所下降。在几项测试中,青少年的表现优于成年对照组。在进行神经行为测试时,青少年和成年人所处的农业工作环境相当。这些发现表明,在接触杀虫剂时,青少年并非更容易受到从事农业工作的影响。本研究的证据表明,多年农业工作中累积接触低水平杀虫剂与通过选择性注意力、符号数字、反应时间测试所测量的神经损伤有关。接触杀虫剂的经历也与神经行为表现的缺陷有关。