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“我没时间生病”:农业社区中兼职工作暴露与妇女健康风险感知。

"I Do Not Have the Time of Being sick": Para-Occupational Exposure and Women's Health Risk Perception in an Agricultural Community.

机构信息

Unidad Interinstitucional de Investigación Clínica y Epidemiológica (UIICE), Universidad Autónoma de Yucatán, Mérida, Yucatán, México.

Departamento de Ecología Humana, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional, Unidad Mérida, Mérida, Yucatán, México.

出版信息

J Agromedicine. 2024 Oct;29(4):561-571. doi: 10.1080/1059924X.2024.2366458. Epub 2024 Jun 14.

DOI:10.1080/1059924X.2024.2366458
PMID:38874286
Abstract

INTRODUCTION

Few studies have explored the relationship between para-occupational exposure and risk perception in farmers' families. Women are indirectly involved in agricultural activities, even though their roles most of the time are hidden. Women's para-occupational exposure and risk perceptions are important to describe, since women have a key gender role in the family's health care and possibly in the impact of acting regarding pesticide safety education. Furthermore, in farmer families, the impact of para-occupational pesticide exposure on women's health has been neglected.

AIM

Analyze pesticide para-occupational exposure scenario, knowledge, and health risk perception among women living in a farmer community.

METHODS

A mixed methodology was used. Two groups of women were identified to screen the exposure scenario: Women living in a farming family and women not living in a farming family. Data on para-occupational pesticide exposure and intradomicile practices were collected by questionnaire and semi-structured interviews to identify health risk perception and risk practices.

RESULTS

We observed a complex pesticide exposure scenario. All women were potentially exposed to pesticides through several pathways. One-third of the participants lived near a farming family or in proximity to neighbors that used pesticides at home, and one of every three women referred to spending time in a farmer's home. Among the group of women in a farming family ( = 18) stored pesticides inside the home was common; having the "safety practice" of storing pesticides in high places to avoid children being exposed. Women not living in farmimg families ( = 11) felt overexposed due to living in an agricultural community and agricultural drift exposure. Women from this group also mentioned feeling fear of developing cancerous diseases as well as fertility problems.

CONCLUSIONS

Knowledge and risk perception of pesticide exposure are similar between groups; however, women living in farming families were less willing to attend preventive health check-ups or educational programs than women not living in a farming family.

摘要

简介

很少有研究探讨农民家庭中兼职职业暴露与风险认知之间的关系。尽管女性的角色大部分时间是隐性的,但她们仍间接地参与农业活动。描述女性的兼职职业暴露和风险认知很重要,因为女性在家庭保健中扮演着关键的性别角色,并且可能在参与农药安全教育方面产生影响。此外,在农民家庭中,兼职职业性农药暴露对女性健康的影响被忽视了。

目的

分析生活在农民社区的女性的农药兼职职业暴露情况、知识和健康风险认知。

方法

采用混合方法。确定了两组女性来筛选暴露情况:生活在农民家庭中的女性和不生活在农民家庭中的女性。通过问卷调查和半结构化访谈收集兼职农药暴露和家庭内实践的数据,以确定健康风险认知和风险实践。

结果

我们观察到了一个复杂的农药暴露情况。所有女性都可能通过多种途径接触到农药。三分之一的参与者生活在一个农民家庭附近或与在家中使用农药的邻居相邻,三分之一的女性提到在农民家庭中度过时间。在生活在农民家庭中的女性群体(n=18)中,常见的情况是将农药存放在家中;有“将农药存放在高处以避免儿童接触”的安全做法。不生活在农民家庭中的女性(n=11)则因生活在农业社区和农业飘移暴露而感到过度暴露。这组女性还提到了对患癌症和生育问题的恐惧。

结论

两组女性对农药暴露的知识和风险认知相似;然而,生活在农民家庭中的女性比不生活在农民家庭中的女性更不愿意参加预防性健康检查或教育计划。

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