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职业性接触农药与血液学改变:对巴西南部农场居民的一项调查

Occupational exposure to pesticides and hematological alterations: A survey of farm residents in the South of Brazil.

作者信息

Piccoli Camila, Cremonese Cleber, Koifman Rosalina, Koifman Sérgio, Freire Carmen

机构信息

Escola Nacional de Saúde Pública, Fiocruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.

Centro Universitário da Serra Gaúcha. Caxias do Sul RS Brasil.

出版信息

Cien Saude Colet. 2019 Jun 27;24(6):2325-2340. doi: 10.1590/1413-81232018246.13142017.

Abstract

This study sought to investigate the association of exposure to organochlorine (OC) and non-persistent pesticides with hematological parameters in an agricultural population in Southern Brazil. A cross-sectional study was conducted with a random sample of 275 farm workers and their families in Farroupilha-RS. A questionnaire was used to collect information on sociodemographic and lifestyle factors, duration, frequency and type of pesticide used, among others. Blood samples were collected and analyzed for serum concentration of 24 OC pesticides and hematological parameters. Associations were explored through linear regression, controlling for confounders. Lifetime use of chemical classes other than organophosphates and dithiocarbamates were associated with decreased number of lymphocytes, while subjects sampled in the high pesticide use season showed higher number of erythrocytes and hemoglobin level. Detectable serum levels of many OC pesticides were associated with lower counts of white blood cells, particularly eosinophils. Although mostly null associations were observed between pesticide use and hematological parameters, findings may suggest that OC pesticides could lead to hematological alterations among agricultural workers.

摘要

本研究旨在调查巴西南部农业人口接触有机氯(OC)和非持久性农药与血液学参数之间的关联。对南里奥格兰德州法鲁皮利亚市的275名农场工人及其家属进行了随机抽样的横断面研究。使用问卷收集社会人口学和生活方式因素、使用农药的持续时间、频率和类型等信息。采集血样并分析24种OC农药的血清浓度和血液学参数。通过线性回归探索关联,并控制混杂因素。除有机磷酸酯和二硫代氨基甲酸盐外的其他化学类别农药的终生使用与淋巴细胞数量减少有关,而在农药使用高峰期采样的受试者红细胞数量和血红蛋白水平较高。许多OC农药的可检测血清水平与白细胞计数降低有关,尤其是嗜酸性粒细胞。尽管在农药使用与血液学参数之间大多观察到无关联,但研究结果可能表明OC农药会导致农业工人出现血液学改变。

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