Choi Jihee, Moon Sun-In, Roh Sangchul
Center for Farmers' Safety and Health, Dankook University Hospital, Cheonan, Republic of Korea.
Department of Occupational and Environment Medicine, College of Medicine, Dankook University, Cheonan, Republic of Korea.
Environ Anal Health Toxicol. 2020 Sep;35(3):e2020015. doi: 10.5620/eaht.2020015. Epub 2020 Sep 8.
The purpose of this study was to evaluate the relationship between farmer's syndrome and neurotoxic symptoms in farming couples. The study was conducted on 348 farmers (174 couples) in Chungnam Province of South Korea. We obtained information on general and agricultural characteristics, farmer's syndrome, and neurotoxic symptoms through face-to-face surveys from 2014 to 2019. The Korean version of the diagnostic standard scale was used for farmer's syndrome, and the Swedish Q16 questionnaire was used for neurotoxic symptoms. Logistic regression analysis was used to identify neurotoxic symptoms affected by farmer's syndrome. The prevalence of 'positive' neurotoxic symptoms was higher in wives (72.4%) than in husbands (56.9%). Compared with husbands with 'negative and probable' farmer's syndrome (reference), husbands with 'positive' farmer's syndrome were more likely to have 'positive' neurotoxic symptoms (odds ratio [OR] = 5.37, 95% confidence interval [CI] = 2.01-14.30). Compared with wives with 'negative and probable' farmer's syndrome (reference), wives with 'positive' farmer's syndrome were more likely to have 'positive' neurotoxic symptoms (OR = 7.07, 95% CI = 2.58-19.38). Therefore, neurotoxic symptoms in both husbands and wives were significantly associated with farmer's syndrome. However, wives had a higher risk of neurotoxic symptoms than husbands. The findings of this study might be useful as important data for establishing and training agricultural safety and health policy.
本研究的目的是评估务农夫妇中农民综合征与神经毒性症状之间的关系。该研究在韩国忠南省的348名农民(174对夫妇)中进行。我们通过2014年至2019年的面对面调查获取了有关一般和农业特征、农民综合征以及神经毒性症状的信息。农民综合征使用韩文版诊断标准量表,神经毒性症状使用瑞典Q16问卷。采用逻辑回归分析来确定受农民综合征影响的神经毒性症状。“阳性”神经毒性症状的患病率在妻子中(72.4%)高于丈夫(56.9%)。与“阴性和可能”农民综合征的丈夫(参照组)相比,“阳性”农民综合征的丈夫更有可能出现“阳性”神经毒性症状(优势比[OR]=5.37,95%置信区间[CI]=2.01-14.30)。与“阴性和可能”农民综合征的妻子(参照组)相比,“阳性”农民综合征的妻子更有可能出现“阳性”神经毒性症状(OR=7.07,95%CI=2.58-19.38)。因此,丈夫和妻子的神经毒性症状均与农民综合征显著相关。然而,妻子出现神经毒性症状的风险高于丈夫。本研究的结果可能作为制定和培训农业安全与健康政策的重要数据。