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农药使用与农业健康研究中农场妇女心肌梗死发病率。

Pesticide use and myocardial infarction incidence among farm women in the agricultural health study.

机构信息

School of Public Health, University of Nevada Reno, Reno, Nev, USA.

出版信息

J Occup Environ Med. 2010 Jul;52(7):693-7. doi: 10.1097/JOM.0b013e3181e66d25.

Abstract

OBJECTIVE

To evaluate the relationship between pesticide use and myocardial infarction (MI) among farm women.

BACKGROUND

Little is known about the potential association between pesticide use and cardiovascular outcomes.

METHODS

We used logistic regression to evaluate pesticide use and self-reported incident nonfatal MI among women in the Agricultural Health Study.

RESULTS

Of those MI-free at enrollment (n = 22,425), 168 reported an MI after enrollment. We saw no association with pesticide use overall. Six of 27 individual pesticides evaluated were significantly associated with nonfatal MI, including chlorpyrifos, coumaphos, carbofuran, metalaxyl, pendimethalin, and trifluralin, which all had odds ratios >1.7. These chemicals were used by <10% of the cases, and their use was correlated, making it difficult to attribute the risk elevation to a specific pesticide.

CONCLUSION

Pesticides may contribute to MI risk among farm women.

摘要

目的

评估农药使用与农场女性心肌梗死(MI)之间的关系。

背景

关于农药使用与心血管结局之间潜在关联的了解甚少。

方法

我们使用逻辑回归评估了农业健康研究中女性的农药使用与自我报告的非致命性 MI 事件之间的关系。

结果

在无 MI 的入组者(n=22425)中,有 168 人在入组后报告了 MI。我们没有发现总体上农药使用与 MI 之间存在关联。评估的 27 种单独农药中有 6 种与非致命性 MI 显著相关,包括毒死蜱、氯菊酯、克百威、甲霜灵、二甲戊灵和氟乐灵,其比值比均>1.7。这些化学物质仅被<10%的病例使用,且它们的使用相互关联,使得难以将风险升高归因于特定的农药。

结论

农药可能会增加农场女性的 MI 风险。

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