Diagnosed Skin Diseases Among Migrant Farmworkers in North Carolina: Prevalence and Risk Factors
Diagnosed Skin Diseases Among Migrant Farmworkers in North Carolina: Prevalence and Risk Factors
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DOI：
10.13031/2013.23926
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发表时间：
2007-11-01
影响因子：
1
通讯作者：
Quandt, S. A.
中科院分区：
文献类型：
--
作者：
Arcury, T. A.;Feldman, S. R.;Quandt, S. A.
皮肤病在农场工人中很常见，但很少有研究记录它们的患病率和危险因素。这项分析记录了北卡罗来纳州农场工人皮肤病的流行情况，检查了整个农业季节皮肤病患病率的变化，并描述了与皮肤病相关的因素。数据来自一项纵向监测研究，从2005年5月至10月，每隔大约三周进行一次评估。样本包括来自45个营地的304名农场工人，拥有1048个数据点。数据收集包括一次结构化访谈和一组标准的10张数码照片。委员会认证的皮肤科医生审阅了这些照片，并做出了五个类别的具体诊断：炎症性疾病、感染、色素紊乱、肿瘤和创伤。描述了五种皮肤病类别和具体诊断的流行情况，以及整个季节和六个时间段的计数和频率。炎症性疾病和传染病类别是用Logistic回归的扩展来模拟的，该回归考虑了重复测量和农场工人在营地内的聚集。农场工人经历了高水平的炎症性皮肤病(57.2%)，包括痤疮、毛囊炎和接触性皮炎；传染性皮肤病(73.8%)，包括足癣、甲真菌病和疣；色素紊乱(19.1%)；以及创伤(34.5%)。患炎症性皮肤病的几率随着年龄的增长而降低，而患感染性皮肤病的几率随着年龄的增长而增加。患炎症性皮肤病的几率随着农药暴露和住房质量下降而增加。皮肤病在农场工人中非常普遍。需要进行研究，以确定在这一人群中导致高水平感染和炎症的特定因素。
Skin diseases are common among farmworkers, yet little research documents their prevalence and risk factors. This analysis documents the prevalence of skin diseases among farmworkers in North Carolina, examines variation in the prevalence across the agricultural season, and delineates factors associated with skin disease. Data are from a longitudinal surveillance study with assessments at approximately three-week intervals from May through October 2005. The sample included 304 farmworkers from 45 camps with 1048 data points. Data collection included a structured interview and a standard set of ten digital photographs. A board-certified dermatologist reviewed the photographs and made specific diagnoses in five categories: inflammatory disease, infection, pigmentary disorder, tumor, and trauma. The prevalences of the five skin disease categories and specific diagnoses are described with counts and frequencies for the entire season and for six time periods. The inflammatory disease and infectious disease categories are modeled with an extension of logistic regression that accounts for repeated measures and clustering of farmworkers within camps. Farmworkers experience high levels of inflammatory skin disease (57.2%) including acne, folliculitis, and contact dermatitis; infectious skin disease (73.8%) including tinea pedis, onychomycosis, and warts; pigmentary disorders (19.1%); and trauma (34.5%). The odds of inflammatory skin disease decreased with age, while those for infectious skin disease increased with age. The odds of inflammatory skin disease increased with pesticide exposure and decreasing housing quality. Skin diseases are highly prevalent among farmworkers. Research is needed to delineate specific factors causing high levels of infection and inflammation in this population.