Department of Preventive Medicine, College of Medicine, Korea University, Seoul, South Korea.
Am J Ind Med. 2012 Sep;55(9):799-807. doi: 10.1002/ajim.22024. Epub 2012 Feb 21.
Pesticide poisoning from agricultural labor has been recognized as a major public health problem among farmers worldwide. The objective of this study was to examine the incidence of acute occupational pesticide poisoning among male farmers in South Korea.
A nationwide sampling survey of male farmers was conducted in South Korea. This survey used a stratified multistage probability sampling design and adopted the face-to-face interview method. A total of 1,958 male farmers were interviewed in order to estimate the incidence of acute occupational pesticide poisoning in rural areas in 2010. Based on a self-reported definition, the incidence rate in 2010 and the lifetime hospitalization rate due to acute occupational pesticide poisoning among male farmers were estimated.
The incidence rate of acute occupational pesticide poisoning was 24.7 (95% CI 22.1-27.2) per 100 male farmers, which corresponds to 209,512 cases across South Korea in 2010. About 12% of the pesticide poisoning cases included either visiting a medical doctor or hospitalization. The lifetime rate of hospitalization due to occupational pesticide poisoning was 6.1 (95% CI 4.9-7.3) among male farmers. Poisoning occurred mainly when farmers were applying pesticides during summer.
Our nationwide sampling survey demonstrated that acute occupational pesticide poisonings are highly prevalent among male South Korean farmers. Intensive intervention efforts to reduce occupational pesticide poisoning are urgently needed in South Korea.
农业劳动中的农药中毒已被认为是全球范围内农民的一个主要公共卫生问题。本研究旨在调查韩国男性农民急性职业性农药中毒的发生率。
在韩国进行了一项针对男性农民的全国抽样调查。该调查采用分层多阶段概率抽样设计,并采用面对面访谈方法。共对 1958 名男性农民进行了访谈,以估计 2010 年农村地区急性职业性农药中毒的发生率。根据自我报告的定义,估计了 2010 年的发生率和男性农民因急性职业性农药中毒而住院的终身发生率。
急性职业性农药中毒的发生率为每 100 名男性农民 24.7(95%CI 22.1-27.2),相当于 2010 年韩国有 209512 例病例。约 12%的农药中毒病例包括看医生或住院治疗。男性农民因职业性农药中毒而住院的终身发生率为 6.1(95%CI 4.9-7.3)。中毒主要发生在农民夏季施药时。
我们的全国抽样调查表明,急性职业性农药中毒在韩国男性农民中非常普遍。韩国迫切需要采取强化干预措施来减少职业性农药中毒。