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职业性接触农药与睡眠障碍的关系。

Occupational Exposure to Pesticides as a Risk Factor for Sleep Disorders.

机构信息

Department of Nursing, Physiotherapy, and Medicine, University of Almería, 04120 Almería, Spain.

Torrecárdenas Hospital, 04009 Almería, Spain.

出版信息

Int J Environ Res Public Health. 2023 Feb 10;20(4):3149. doi: 10.3390/ijerph20043149.

DOI:10.3390/ijerph20043149
PMID:36833840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9964445/
Abstract

Inadequate sleep has been linked to a variety of impairments in bodily functions, including endocrine, metabolic, higher cortical function, and neurological disorders. For this reason, the aim of this study was to analyze the link between occupational pesticide exposure and sleep health among farmers in Almeria. A cross-sectional study was conducted among a population living on the coast of Almeria (southeastern Spain), where about 33,321 hectares of land are used for intensive agriculture in plastic greenhouses. A total of 380 individuals participated in the study: 189 greenhouse workers and 191 control subjects. The participants were contacted during their annual scheduled occupational health survey. Data on sleep disturbances were collected using the Spanish version of the Oviedo Sleep Questionnaire. Agricultural workers were found to be at a significantly higher risk of insomnia, especially among those who did not wear protective gloves (OR = 3.12; 95% C.I. = 1.93-3.85; = 0.04) or masks (OR = 2.43; 95% C.I. = 1.19-4.96; = 0.01). The highest risk of insomnia related to pesticide applicators was observed in those who did not wear a mask (OR = 4.19; 95% C.I. = 1.30-13.50; = 0.01) or goggles (OR = 4.61; 95% C.I. = 1.38-10.40; = 0.01). This study supports previous findings indicating an increased risk of sleep disorder in agricultural workers exposed to pesticides at work.

摘要

睡眠不足与身体机能的各种障碍有关,包括内分泌、代谢、高级皮质功能和神经紊乱。出于这个原因,本研究的目的是分析职业性农药暴露与阿尔梅里亚农民睡眠健康之间的联系。在阿尔梅里亚(西班牙东南部)沿海地区的人群中进行了一项横断面研究,大约有 33321 公顷的土地用于塑料温室的集约化农业。共有 380 人参加了这项研究:189 名温室工人和 191 名对照者。研究人员在他们每年的定期职业健康检查期间联系了这些参与者。使用西班牙版的奥维耶多睡眠问卷收集了关于睡眠障碍的数据。研究发现,农业工人失眠的风险明显更高,尤其是那些不戴防护手套(OR = 3.12;95% CI = 1.93-3.85; = 0.04)或口罩(OR = 2.43;95% CI = 1.19-4.96; = 0.01)的人。在那些不戴口罩(OR = 4.19;95% CI = 1.30-13.50; = 0.01)或护目镜(OR = 4.61;95% CI = 1.38-10.40; = 0.01)的农药施药者中,失眠的风险最高。这项研究支持了之前的发现,即接触工作场所农药的农业工人睡眠障碍的风险增加。

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