Potential Effects on Mental Health Status Associated with Occupational Exposure to Pesticides among Thai Farmers.
Potential Effects on Mental Health Status Associated with Occupational Exposure to Pesticides among Thai Farmers.
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DOI：
10.3390/ijerph19159654
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发表时间：
2022-08-05
影响因子：
--
通讯作者：
Juntarawijit, Chudchawal
中科院分区：
文献类型：
--
作者：
Ong-Artborirak, Parichat;Boonchieng, Waraporn;Juntarawijit, Yuwayong;Juntarawijit, Chudchawal
在泰国这个中高收入国家，与农药有关的心理健康问题并不为人所知。本研究旨在探讨农药职业接触史与泰国农民心理健康之间的关系。在2020年6月至2021年1月期间，在泰国北部大城市清迈周边地区进行了一项横断面研究。通过自报告问卷（SRQ-20）对来自6个地区的6974名农民进行了访谈，以确定他们是否定期出现与心理健康相关的症状，以及他们的农药暴露史，包括31种有效成分和5种功能类别：杀虫剂、除草剂、杀菌剂、杀鼠剂和杀软体剂。6的临界值用于评估可能的精神障碍。接受调查的农民多数为男性（53.8%），平均年龄为55.2（11.7）岁，主要从事水稻、水果和蔬菜种植。约86.7%的人报告说，他们在生命的某个阶段对作物使用过农药，主要是草甘膦、百草枯、2,4- d、灭多威和呋喃。基于暴露时间、频率、个人防护装备的使用和卫生行为，所有官能团以及农药类别（如有机氯、有机磷和氨基甲酸酯）与可能出现精神障碍的较高风险显著相关。在多种农药的模型中，精神障碍与暴露于硫丹（AOR = 2.27, 95%CI = 1.26-4.08）和甲基对硫磷（AOR = 2.26, 95%CI = 1.26-4.06）之间存在关联。由于以前报告的农药中毒症状与精神障碍有关（AOR = 7.97, 95%CI = 5.16-12.31），研究结果提供了农药暴露对农民心理健康构成风险的证据，特别是长期和高强度暴露。
Pesticide-related mental health issues in Thailand, an upper-middle-income country, are not well known. This study aimed to investigate the association between the history of occupational exposure to pesticides and the mental health of Thai farmers. A cross-sectional study was carried out in the areas around Chiang Mai, a large city in Northern Thailand, between June 2020 and January 2021. A total of 6974 farmers from six districts were interviewed to determine whether they regularly experienced symptoms related to mental health by the Self-Reporting Questionnaire (SRQ-20) as well as their lifetime history of agricultural pesticide exposure from 31 active ingredients and five functional categories: insecticides, herbicides, fungicides, rodenticides, and molluscicides. The cut-off of 6 was used to evaluate probable mental disorder. Most of the farmers under investigation were men (53.8%), with a mean age of 55.2 (11.7) years, and were involved mainly in the planting of rice, fruit, and vegetables. About 86.7% reported having used pesticides on their crops at some point in their lives—mostly glyphosate, paraquat, 2,4-D, methomyl, and carbofuran. All functional groups, as well as pesticide classes like organochlorines, organophosphates, and carbamates, were significantly associated with a higher risk of probable mental disorder based on exposure duration, frequency, personal protective equipment usage, and hygienic behavior. In a model with multiple pesticides, there was an association between mental disorder and exposure to endosulfan (AOR = 2.27, 95%CI = 1.26–4.08) and methyl parathion (AOR = 2.26, 95%CI = 1.26–4.06). Having previously reported pesticide poisoning symptoms was related to mental disorder (AOR = 7.97, 95%CI = 5.16–12.31), the findings provided evidence of pesticide exposure posing a risk to farmers’ mental health, particularly long-term and high-intensity exposure.
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DOI：
10.1177/011719681302200304
发表时间：
2013-12-01
期刊：
Asian and Pacific migration journal : APMJ
影响因子：
--
作者：
Jampaklay A;Vapattanawong P
通讯作者：
Vapattanawong P
影响因子：
8.3
作者：
Harrison, Virginia;Ross, Sarah Mackenzie
通讯作者：
Ross, Sarah Mackenzie
影响因子：
5.1
作者：
Cherry, N.;Burstyn, I.;Senthilselvan, A.
通讯作者：
Senthilselvan, A.
影响因子：
10.4
作者：
Lee WJ;Alavanja MC;Hoppin JA;Rusiecki JA;Kamel F;Blair A;Sandler DP
通讯作者：
Sandler DP
影响因子：
2
作者：
Mundhe, Sanjay A.;Birajdar, Siddheshwar V.;Pawar, Nikhil R.
通讯作者：
Pawar, Nikhil R.