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职业性急性农药中毒:一项基于自我报告症状和工作特征的土耳其蔬菜和水果种植农民横断面研究。

Occupational acute pesticide poisoning: a cross-sectional study of Turkish vegetable and fruit farmers based on self-reported symptoms and job characteristics.

作者信息

Cevik Celalettin, Ozdemir Raziye, Ari Sezgin

机构信息

Balikesir University, Faculty of Health Sciences, Department of Public Health Nursing, Balikesir, Turkey.

Assistant professor, Karabuk University Health Sciences Faculty, Midwifery Department, Demir Çelik Campus, Karabuk, Turkey. .

出版信息

Med Lav. 2020 Aug 31;111(4):296-305. doi: 10.23749/mdl.v111i4.9394.

Abstract

BACKGROUND

Occupational pesticide poisoning is an important public health concern worldwide, especially in developing countries.

OBJECTIVES

This study was aimed at determining the prevalence and risk factors of acute pesticide poisoning (APP) among the vegetable and fruit farmers in Karacabey District in northwest Turkey.

METHODS

The study group consisted of 565 farmers. The dependent variable of the study is APP defined according to the World Health Organization's APP case definition matrix. The study's independent variables are the farmers' sociodemographic characteristics and the preventive measures they use when they are applying pesticides. The chi-square and logistic regression analysis analyzed the relationship between the dependent and independent variables.

RESULTS

A total of 64 (11.3%) farmers reported APP and 75% of them presented to a health institution due to symptoms. The factors associated with increased risk of APP were: illiteracy (odds ratio (OR)=2.5), 14 years and less farming experience (OR=3.3), not reading the pesticide labels (OR=6.4), and contact with liquid pesticides (OR=2.3). -Conclusions: The study shows that approximately one out of ten farmers experience APP. Training programs should be planned and monitored to improve farmers' awareness of the dangers of pesticides, and they should be encouraged to adopt and implement protective measures.

摘要

背景

职业性农药中毒是全球重要的公共卫生问题,在发展中国家尤为如此。

目的

本研究旨在确定土耳其西北部卡拉卡贝区蔬菜水果种植农户中急性农药中毒(APP)的患病率及危险因素。

方法

研究组由565名农户组成。研究的因变量是根据世界卫生组织急性农药中毒病例定义矩阵界定的急性农药中毒。研究的自变量是农户的社会人口学特征以及他们在施用农药时采取的预防措施。采用卡方检验和逻辑回归分析来分析因变量与自变量之间的关系。

结果

共有64名(11.3%)农户报告发生急性农药中毒,其中75%因出现症状而前往医疗机构就诊。与急性农药中毒风险增加相关的因素包括:文盲(比值比(OR)=2.5)、务农经验14年及以下(OR=3.3)、不阅读农药标签(OR=6.4)以及接触液体农药(OR=2.3)。

结论

研究表明,约十分之一的农户经历过急性农药中毒。应规划并监督培训项目以提高农户对农药危害的认识,并鼓励他们采用和实施保护措施。

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