Stallones Lorann
Colorado Injury Control Research Center, Department of Psychology, Colorado State University. Fort Collins, CO 80523-1876, USA. USA.
J Agromedicine. 2006;11(3-4):107-12. doi: 10.1300/J096v11n03_11.
A number of occupational studies have reported high rates of suicide among selected occupations, including farmers. Limited work has focused on occupational exposures that may increase the risk of suicide. The purpose of this study is to describe suicide among individuals potentially exposed to pesticides through their occupation. Data from Colorado death certificate files for the period 1990-1999 were obtained. Eligible records were those individuals who were Colorado residents at the time of death who had an occupation listed on their death certificates. Cases had suicide listed as the primary cause of death on the death certificates. The comparison group included Colorado residents who died from any cause during the same period other than cancer, mental disorders and injuries. A total of 4,991 suicide deaths were included and a total of 107,692 other deaths served as the comparison group. Occupations considered pesticide exposed included: veterinarians; pest control occupations; farmers and farm workers; farm managers and supervisors; marine life cultivators; nursery workers; groundskeepers and gardeners; animal caretakers; graders, sorters and inspectors of agricultural products; and forestry workers, supervisors and loggers. All other occupational categories were coded as unexposed. Logistic regression was used to compare the groups, separately for males and females. After controlling for age, race, Hispanic ethnicity, years of education, and marital status, males who were in pesticide exposed occupations had higher odds of suicide (odds ratio 1.14; 95% confidence interval 0.97, 1.34) and females in pesticide exposed occupations also had higher odds of suicide (odds ratio 1.98; 95% confidence interval 1.01, 3.88).
多项职业研究报告称，某些职业（包括农民）的自杀率很高。有限的研究工作聚焦于可能增加自杀风险的职业暴露。本研究的目的是描述因职业原因可能接触农药的个体中的自杀情况。获取了科罗拉多州1990年至1999年期间死亡证明文件中的数据。符合条件的记录是那些在死亡时为科罗拉多州居民且死亡证明上列出了职业的个体。病例的死亡证明上自杀被列为主要死因。对照组包括同期因癌症、精神障碍和伤害以外的任何原因死亡的科罗拉多州居民。总共纳入了4991例自杀死亡病例，共有107692例其他死亡病例作为对照组。被认为接触农药的职业包括：兽医；害虫防治职业；农民和农场工人；农场经理和主管；海洋生物养殖者；苗圃工人；场地管理员和园丁；动物饲养员；农产品分级员、分拣员和检查员；以及林业工人、主管和伐木工。所有其他职业类别被编码为未接触。使用逻辑回归分别对男性和女性的两组进行比较。在控制了年龄、种族、西班牙裔、受教育年限和婚姻状况后，从事接触农药职业的男性自杀几率更高（优势比1.14；95%置信区间0.97, 1.34），从事接触农药职业的女性自杀几率也更高（优势比1.98；95%置信区间1.01, 3.88）。
