Anemia, Weight Status, and Fatigue Among Farmworkers in California: A Cross-Sectional Study.

Anemia, Weight Status, and Fatigue Among Farmworkers in California: A Cross-Sectional Study.
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加利福尼亚农民工的贫血,体重状况和疲劳:一项横断面研究。

DOI:
10.1097/jom.0000000000002578
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发表时间:
2022-08-01
影响因子:
3.2
通讯作者:
Schenker, Marc B.
Schenker, Marc B.
中科院分区:
医学4区
文献类型:
--
作者:
Olivares, Leslie, V;Engle-Stone, Reina;Arnold, Charles D.;Langer, Chelsea E.;Schenker, Marc B.

文献摘要

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贫血影响体力劳动能力,因此可能对农场工人产生健康和经济影响,可能加剧其他职业危害的影响,如受伤风险。本研究为该人群的贫血患病率及相关因素提供了新的信息。本研究旨在确定加州农场工人样本中贫血和超重/肥胖的患病率,并评估红细胞压积(Hct)和体重指数(BMI)之间的关系,以及疲劳和Hct之间的关系。我们估计了587名农场工人贫血(使用Hct)、超重/肥胖(BMI≥25 kg/m2)和自我报告疲劳的患病率。使用多变量线性和逻辑回归模型来检验Hct与BMI之间以及疲劳与Hct之间的关系。贫血患病率为3.1%,超重/肥胖患病率为80.7%,78%的工人报告工作疲劳。Hct与BMI或Hct与报告的疲劳之间没有关联。女性比男性更有可能有较低的Hct和较高的BMI。该样本中大多数农场工人超重/肥胖,但贫血不常见。应探讨较为脆弱的农场工人亚群体中的贫血问题。
Anemia affects physical work capacity and may therefore have health and economic impacts for farmworkers, possibly exacerbating the effects of other occupational hazards such as risk of injury. This study contributes new information on the prevalence of anemia and associated factors in this population. This study aimed to determine the prevalence of anemia and overweight/obesity and assess the relationships between hematocrit (Hct) and body mass index (BMI), and between fatigue and Hct, among a sample of farmworkers in California. We estimated the prevalence of anemia (using Hct), overweight/obesity (BMI ≥25 kg/m2), and self-reported fatigue in 587 farmworkers. Multivariable linear and logistic regression models were used to examine the associations between Hct and BMI, and between fatigue and Hct. Anemia prevalence was 3.1%, overweight/obesity prevalence was 80.7%, and 78% of workers reported fatigue at work. There was no association between Hct and BMI or between Hct and reported fatigue. Women were more likely than men to have lower Hct and higher BMI. A majority of farmworkers in this sample were overweight/obese, but anemia was uncommon. Anemia among more vulnerable subgroups of farmworkers should be explored.