Emiral Gulsum Ozturk, Onsuz Muhammed Fatih, Ozay Ozkan, Isikli Burhanettin, Metintas Selma
District Health Directorate of Cankaya, Ankara, Turkey.
Department of Public Health, School of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.
Iran J Public Health. 2021 Apr;50(4):747-755. doi: 10.18502/ijph.v50i4.5999.
Seasonal agricultural workers group is one of the most disadvantageous groups of working life in Turkey same as many other countries. We aimed to determine the status of cardiovascular disease risk factors among migrant seasonal agricultural workers (MSAW) and to compare obtained data with local residents.
This study cross-sectional study was conducted among MSAW in Eskisehir, Turkey and closest town residents in 2015 during agricultural season. These 455 MSAW were living in camps composed of 20 or more tents. Local residents sample composed of 532 local residents were reached at their houses by using random sampling method with data acquired from health organization records. Both groups were subjected to same questionnaire.
The prevalence of overweight/obesity among MSAW women was 40.5%, hypertension 19.9%, diabetes 4.9% and hypercholesterolemia 6.5%. These prevalences were 68.0%, 38.6%, 13.9% and 20.8% respectively among local residents. The prevalence of smoking risk among local residents was 1.5 times more than MSAW. In addition, the prevalence of overweight/obese risk was 4 times more; hypertension risk 1.8 times more, diabetes risk 3.8 times more and hypercholesterolemia risk 2.7 times more among local residents than MSAW (<0.05).
The prevalence of cardiovascular disease risk factors of MSAW was lower than local residents in the study groups. Even though health risks that MSAW faced were more linked with environment and life conditions, cardiovascular disease risk factors should not be ignored. Health services should be guided by considering obstacles that MSAW experienced in accessing health services.
与许多其他国家一样,季节性农业工人群体是土耳其工作生活中最弱势的群体之一。我们旨在确定流动季节性农业工人(MSAW)中心血管疾病风险因素的状况,并将所得数据与当地居民进行比较。
本横断面研究于2015年农业季节期间在土耳其埃斯基谢希尔的MSAW以及最邻近城镇的居民中开展。这455名MSAW居住在由20顶或更多帐篷组成的营地中。通过使用随机抽样方法从卫生组织记录获取的数据,在当地居民家中选取了由532名当地居民组成的样本。两组均接受相同的问卷调查。
MSAW女性中超重/肥胖的患病率为40.5%,高血压为19.9%,糖尿病为4.9%,高胆固醇血症为6.5%。当地居民中这些患病率分别为68.0%、38.6%、13.9%和20.8%。当地居民中吸烟风险的患病率是MSAW的1.5倍。此外,当地居民中超重/肥胖风险的患病率是MSAW的4倍;高血压风险是1.8倍,糖尿病风险是3.8倍,高胆固醇血症风险是2.7倍(<0.05)。
在研究组中,MSAW心血管疾病风险因素的患病率低于当地居民。尽管MSAW面临的健康风险更多地与环境和生活条件相关,但心血管疾病风险因素不应被忽视。卫生服务应以考虑MSAW在获得卫生服务过程中遇到的障碍为导向。