Predictors of incidence and prevalence of green tobacco sickness among Latino farmworkers in North Carolina, USA

Predictors of incidence and prevalence of green tobacco sickness among Latino farmworkers in North Carolina, USA
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DOI:
10.1136/jech.55.11.818
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发表时间:
2001-11-01
影响因子:
6.3
通讯作者:
Preisser, JS
Preisser, JS
中科院分区:
医学2区
文献类型:
--
作者:
Arcury, TA;Quandt, SA;Preisser, JS

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研究目的-某些人群的特点使得流行病学测量极其困难。本研究的目的是确定危险因素,解释一种职业病,绿色烟草病,在这样一个特殊人群,拉丁美洲移民和季节性农场工人在美国的发病率密度和比例之间的变化。设计-前瞻性队列研究。设置- 37个农场工人住宅地点位于格兰维尔和威克县,北卡罗来纳州,美国。参与者- 182名移民和季节性农场工人,其中包括178名拉丁美洲男子,3名拉丁美洲妇女,和一名非西班牙裔白色man.Main结果-绿色烟草疾病的患病率为0.082,和事件的发病密度每100天的1.88之间的农场工人。从农业季节的早到晚,患病率和发病密度增加。主要风险因素包括缺乏工作经验、工作活动和穿着湿衣服工作。结论-绿色烟草病在农民工和季节性农民工中发病率较高。由于工人对大多数风险因素几乎没有控制力,因此需要进一步研究以确定预防这种职业病的方法。
Study objective - The characteristics of some populations make epidemiological measurement extremely difficult. The objective of this study is to identify risk factors that explain variation among incidence densities and proportions of one occupational illness, green tobacco sickness, within one such special population, Latino migrant and seasonal farmworkers in the United States.Design - Prospective cohort study.Setting - 37 farmworker residential sites located in Granville and Wake Counties, North Carolina, USA.Participants - 182 migrant and seasonal farmworkers that included 178 Latino men, three Latino women, and one non-Hispanic white man.Main results - Green tobacco sickness had a prevalence of 0.082, and an incidence density of events per 100 days of 1.88 among the farmworkers. Prevalence and incidence density increased from early to late agricultural season. Major risk factors included lack of work experience, work activities, and working in wet clothes. Tobacco use was protective.Conclusion - Green tobacco sickness has a high incidence among migrant and seasonal farmworkers. Because workers have little control over most risk factors, further research is needed to identify ways to prevent this occupational illness.