Lam Steven, Pham Giang, Nguyen-Viet Hung
a Hanoi University of Public Health , Center for Public Health and Ecosystem Research , Hanoi , Vietnam.
b Department of Population Medicine , University of Guelph , Guelph , ON , Canada.
Int J Occup Environ Health. 2017 Jul;23(3):250-260. doi: 10.1080/10773525.2018.1450923. Epub 2018 Mar 21.
Background Agricultural intensification is having profound impacts on food security and rural livelihoods; however, concerns remain about the potential implications on public health. Objectives We aim to examine and synthesize the evidence for human health risks of agricultural intensification in Southeast Asia. Methods We conducted a systematic review of peer-reviewed articles published between January 2000 and December 2015 from two electronic databases (PubMed, CAB Direct). Results A total of 73 relevant studies were included and evaluated. More than half of the studies used epidemiological methods while others applied alternative methods to quantify or estimate risks. Studies mainly focused on occupational and consumer exposure to pesticides, without often specifying the actual health risk. Conclusion Overall, the current knowledge on health risks appears to be limited. More research on long-term health implications and a wider range of contaminants are needed if sustainable benefits are to be obtained from agricultural intensification.
背景 农业集约化对粮食安全和农村生计产生着深远影响；然而，其对公众健康的潜在影响仍令人担忧。目的 我们旨在审查和综合东南亚农业集约化对人类健康风险的证据。方法 我们对2000年1月至2015年12月期间从两个电子数据库（PubMed、CAB Direct）发表的同行评议文章进行了系统综述。结果 共纳入并评估了73项相关研究。超过一半的研究使用了流行病学方法，而其他研究则采用替代方法来量化或估计风险。研究主要关注职业和消费者接触农药的情况，而往往没有具体说明实际的健康风险。结论 总体而言，目前关于健康风险的知识似乎有限。如果要从农业集约化中获得可持续的益处，就需要对长期健康影响和更广泛的污染物进行更多研究。
