Self-reported symptoms of neurotoxicity and agricultural injuries among Ohio cash-grain farmers
Self-reported symptoms of neurotoxicity and agricultural injuries among Ohio cash-grain farmers
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DOI：
10.1002/ajim.20172
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发表时间：
2005-06-01
影响因子：
3.5
通讯作者：
Bean, TL
中科院分区：
文献类型：
--
作者：
Atrubin, D;Wilkins, JR;Bean, TL
背景1993年，俄亥俄州农场家庭健康和危害监测计划（OFFHHSP）开始评估现金谷物农民及其家庭的健康状况。本研究的目的是检查神经毒性症状和农业相关伤害的风险之间的假设关系俄亥俄州现金谷物farmers.Methods从以前发表的现金谷物farmers. Crawford等人（1998）美国工业医学杂志34：588-599]的数据进行再分析。要求每个农场的主要经营者（PO）完成一份自填式问卷，其中包括过去一年中发生的伤害项目。问卷的一部分包含一个24项工具（“Q24”），询问过去12个月内发生的神经毒性症状。设计为基础的多元Logistic回归分析进行评估之间的关联神经心理子集（“域”）的24项工具和伤害风险之间的白色男性POs（谁占> 99%的所有POs）。对“你是否因缺乏协调或失去平衡而感到困扰？”的农民报告受伤的可能性是做出负面反应的PO的3.12倍（95%CI 1.68-5.81）。结论在Q24多个领域以及特定问卷项目上得分较高的农民似乎面临更高的农业伤害风险。(c)2005 Wiley-Liss，Inc.
Background In 1993, the Ohio Farm Family Health and Hazard Surveillance Program (OFFHHSP) was initiated to assess the health status of cash-grain farmers and their families. The objective of this study was to examine the postulated relationship between symptoms of neurotoxicity and risk of agriculture-related injury among Ohio cash-grain farmers.Methods A reanalysis of the data from a previously published case-control study of cash-grain farmers [Crawford et al. (1998) Am J Ind Med 34:588-599] was performed. The Principal Operator (PO) of each farm was asked to complete a self-administered questionnaire which included items about injuries experienced during the past year A section of the questionnaire contained a 24-item instrument ("Q24") that queried symptoms of neurotoxicity experienced during the previous 12 months. Design-based multiple logistic regression analyses were conducted to evaluate associations between neuropsychological subsets ("domains") of the 24-item instrument and injury risk among the white male POs (who accounted for > 99% of all POs).Results Significantly elevated odds ratios (ORs) were found in 8 of 11 domains. POs answering in the affirmative to the single item "Have you been bothered by lack of coordination or loss of balance?" were 3.12 times more likely to have reported an injury than POs responding negatively (95% CI 1.68-5.81).Conclusions Farmers with higher scores on several Q24 domains, and for particular questionnaire items, appear to be at increased risk of agricultural injury. (c) 2005 Wiley-Liss, Inc.