与农业健康研究中的养牛业相关的神经系统症状。
Neurologic symptoms associated with cattle farming in the agricultural health study.
机构信息
Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
出版信息
J Occup Environ Med. 2012 Oct;54(10):1253-8. doi: 10.1097/JOM.0b013e31825a2574.
OBJECTIVE
Infection with Campylobacter jejuni, a bacterium carried by poultry and livestock, is the most frequently identified antecedent to the autoimmune neurologic condition Guillain-Barré Syndrome. We used Agricultural Health Study data to assess whether cattle farming was associated with prevalence of neurologic symptoms.
METHODS
Prevalence of self-reported symptoms in cattle farmers (n = 8878) was compared with farmers who did not work with animals (n = 7462), using multivariate regression.
RESULTS
Prevalence of numbness and weakness were increased for beef and dairy farmers compared with the reference group (P < 0.0001). Of cattle farmers, 48% did not report raising other animal species, and prevalence of numbness and weakness were also increased in this subgroup compared with the reference group (P < 0.02).
CONCLUSIONS
Occupational exposure to cattle was associated with increased prevalence of self-reported symptoms associated with peripheral neuropathy.
目的
空肠弯曲菌是一种存在于家禽和家畜中的细菌，感染空肠弯曲菌是自身免疫性神经系统疾病格林-巴利综合征最常见的病因。我们利用农业健康研究的数据来评估养牛是否与神经系统症状的流行有关。
方法
采用多元回归分析的方法，比较了奶牛养殖户（8878 人）和非动物养殖户（7462 人）中自我报告症状的流行率。
结果
与对照组相比，肉牛和奶牛养殖户出现麻木和无力的比例更高（P<0.0001）。在奶牛养殖户中，48%的人没有报告饲养其他动物，与对照组相比，这个亚组中出现麻木和无力的比例也更高（P<0.02）。
结论
职业性接触牛与自我报告的周围神经病变相关症状的流行率增加有关。
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