Occupational exposure to pesticides and health symptoms among family farmers in Brazil



Título del documento: Occupational exposure to pesticides and health symptoms among family farmers in Brazil
Revista: Revista de saude publica
Base de datos:
Número de sistema: 000536021
ISSN: 0034-8910
Autores: 1
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Instituciones: 1Universidade de São Paulo, Faculdade de Saúde Pública, São Paulo, São Paulo. Brasil
2Universidad de Chile, Escuela de Salud Pública, Santiago, Santiago de Chile. Chile
3Universidad Católica del Maule, Facultad de Ciencias de la Salud, Talca, Maule. Chile
4Universidade Federal de Minas Gerais, Centro de Tecnologia em Nanomateriais e Grafeno, Belo Horizonte, Minas Gerais. Brasil
5Universidade Federal do Rio de Janeiro, Centro Multidisciplinar, Macaé, Rio de Janeiro. Brasil
6Universidade Federal da Bahia, Instituto de Ciências da Saúde, Salvador, Bahia. Brasil
7Universidade Federal do Rio de Janeiro, Instituto de Biofísica Carlos Chagas Filho, Rio de Janeiro, Rio de Janeiro. Brasil
Año:
Volumen: 54
País: Brasil
Idioma: Inglés
Resumen en inglés OBJECTIVE: To explore the association of occupational pesticide exposure with acute and mental health symptoms. METHODS: Cross-sectional survey carried out with 78 Brazilian family farmers, who were pesticide applicators and helpers conveniently selected. Symptoms and exposure data were collected by interviews, and mental health outcomes by the Self-Reporting Questionnaire. Blood samples were analyzed to assess cholinesterase levels. Exposure indicators and symptoms were compared between applicators and helpers, and Poisson regression was performed to estimate prevalence ratios. RESULTS: Farmers reported exposure to multiple pesticides from early ages; they worked without safety training, technical support, and full protective equipment, and they had a high prevalence of acute and mental health symptoms (e.g., headache, mucosal irritation, tachycardia, and depressive signs). Applicators had more cholinesterase changes than helpers, but less symptoms. Helpers used less personal protection and had significantly higher prevalence ratio of headache, dyspnea, wheezing, cough, poor digestion, tiredness, and feeling worthless, after adjustment. CONCLUSIONS: Acute and mental health symptoms were observed, both among farmers and helpers. Thus, surveillance actions must be reinforced in Brazil, technical support and safety training improved, focused on applicators and helpers, who are occupationally and environmentally exposed to pesticides. Agricultural practices of these groups with less pesticide use should receive incentive.
Keyword: Farmers,
Pesticide Exposure,
Mental Disorders, epidemiology,
Occupational Health
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