Tobacco farming in rural Vietnam: questionable economic gain but evident health risks.

Tobacco farming in rural Vietnam: questionable economic gain but evident health risks.
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DOI:
10.1186/1471-2458-9-24
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发表时间:
2009-01-20
期刊:
影响因子:
4.5
通讯作者:
Huong NT
Huong NT
中科院分区:
医学2区
文献类型:
--
作者:
Van Minh H;Giang KB;Bich NN;Huong NT

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为了提供烟草业对越南种植者健康影响的证据,本研究旨在比较越南农村选定地区与烟草种植相关的收入和支出,并研究烟草种植与研究人群自我报告疾病之间的关系。本研究选择了两个烟草种植公社和两个非烟草种植公社。在每个选定的公社,采用两阶段整群抽样技术对 120 户家庭进行了抽样。招募并培训了当地卫生工作者,以使用结构化问卷进行家庭访谈。如果支出数字不包括人员成本(因为农活几乎总是由家庭成员自己负责),那么看来普通烟农确实从烟草种植中获得了经济利益。然而,如果加上个人机会成本来赋予他们的劳动力经济价值,那么烟草种植的利润被认为是微乎其微的。与非烟草种植者相比,16 种健康问题中的 9 种在烟草种植者中的发生率显着高于非烟草种植者。烟草种植被证明是农民自我报告的健康问题的第二个强有力的预测因素(仅次于老年的影响)。本研究提供的证据可用于提高公众对烟草种植有害影响的认识。
In order to provide evidence on health impacts of the tobacco industry on cultivators in Vietnam, this study aims to provide comparison between tobacco cultivation related revenue and expenditure in selected areas in rural Vietnam and examine the relationship between tobacco cultivation and self-reported illness in the study population. Two tobacco farming communes and two non-tobacco farming communes were selected for this study. In each selected commune, 120 households were sampled using two-stage cluster sampling technique. Local health workers were recruited and trained to conduct household interviews using structured questionnaire. Where the expenditure figures do not include personnel costs (as the farming work was almost always responsible by the family members themselves), it appeared that the average tobacco farmer did benefit financially from tobacco cultivation. However, if a personal opportunity cost was added to give a financial value to their labour, the profit from tobacco cultivation was seen to be minimal. The occurrences of 9 out of the 16 health problems were statistically significant higher among tobacco growing farmers compared to that among non-tobacco farmers. Tobacco farming was shown to be the second strong predictor of self-reported health problems among the farmer (after the effect of old age). The present study provides evidence that can be used to increase public awareness about the harmful effects of tobacco growing.
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