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1.
Artigo em Inglês | MEDLINE | ID: mdl-38928931

RESUMO

Agricultural producers have worse mental health than the general population; however, recent research has not considered differences in stressors and mental health conditions by gender. A survey was mailed to a random sample of farmers in Illinois to screen for symptoms of anxiety and depression and identify sources of stress and social support. Men experienced more stress related to environmental and economic conditions than women, while women tended to have slightly higher levels of geographic isolation stress than men. Overall, there were no significant differences by gender in the proportion meeting the criteria for depression or anxiety; however, the results are higher than what is observed in the general population. Among those farmers who experience higher levels of stress about geographic isolation, the odds for women farmers to experience depressive symptoms are four times more than men farmers (OR 4.46 (0.91, 21.8); p = 0.06). Additional research should examine the relationship between social support and mental health. Interventions to reduce stress by gender should be considered.


Assuntos
Depressão , Fazendeiros , Saúde Mental , Apoio Social , Humanos , Feminino , Masculino , Fazendeiros/psicologia , Fazendeiros/estatística & dados numéricos , Pessoa de Meia-Idade , Adulto , Saúde Mental/estatística & dados numéricos , Depressão/epidemiologia , Depressão/psicologia , Estresse Psicológico/psicologia , Ansiedade/epidemiologia , Ansiedade/psicologia , Idoso , Fatores Sexuais , Illinois , Adulto Jovem , Estresse Ocupacional/psicologia , Estresse Ocupacional/epidemiologia , Agricultura
2.
Front Public Health ; 12: 1322884, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38903585

RESUMO

Farmers are considered a high-risk group for intentional and unintentional injuries. This review identified significant risk factors for agricultural injuries in farmers and explored injury prevention countermeasures based on the literature. Therefore, CiteSpace software was used to analyze the relevant literature in this field. Additionally, we identified both key risk factors and countermeasures using the Haddon matrix and the 5 E's risk reduction strategies conceptual framework, respectively. The risk factors were identified from four categories (host, agent, physical environment, and social environment) corresponding to three phases (pre-event, event, and post-event). Interventions of 5 E's risk reduction strategies including education, engineering, enforcement, economic, and emergency response have been proven effective in preventing injuries or reducing their severity. Our findings provide a comprehensive foundation and research direction for the study and prevention of injuries among farmers.


Assuntos
Fazendeiros , Traumatismos Ocupacionais , Humanos , Fazendeiros/estatística & dados numéricos , Fatores de Risco , Traumatismos Ocupacionais/prevenção & controle , Traumatismos Ocupacionais/epidemiologia , Comportamento de Redução do Risco , Agricultura/estatística & dados numéricos , Acidentes de Trabalho/prevenção & controle , Acidentes de Trabalho/estatística & dados numéricos
3.
Vet Med Sci ; 10(4): e1502, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38853587

RESUMO

BACKGROUND: Antimicrobial resistance (AMR) is a One Health issue and a major threat to animal and human health. Antibiotic use (ABU) drives AMR development, and several hotspots for ABU, and AMR, in livestock have been identified in Southeast Asia, including Vietnam. There are often multiple drivers of ABU at farms, and to identify all of them there is a need to look beyond farm level. OBJECTIVES: The overall aim of this study was to identify routines and/or competencies, related to antibiotic sales, among veterinary drug shop workers that may be improved in order to decrease the medically non-rational use of antibiotics in livestock production. METHODS: A questionnaire-based survey was conducted at 50 veterinary drug shops in northern Vietnam. RESULTS: Results showed high education and knowledge levels. According to the respondents, antibiotic treatment advice was almost always provided to the farmers, and the recommended treatment was most commonly based on recommendations for the specific disease. However, farmers had almost never had their animals properly diagnosed. Antibiotics were the most sold drug category, penicillins being the most common. Several broad-spectrum antibiotics were also quite frequently sold. Further, >50% of respondents recommended antibiotics for disease prevention. CONCLUSIONS: Even though education and knowledge levels might be high, several challenges can prevent drug shop workers from contributing to more prudent ABU at farms, for example, lack of proper diagnosis, commercial interests and individual farmer motives, often in combination with poor compliance to regulations.


Assuntos
Antibacterianos , Conhecimentos, Atitudes e Prática em Saúde , Gado , Vietnã , Antibacterianos/uso terapêutico , Animais , Criação de Animais Domésticos/métodos , Criação de Animais Domésticos/estatística & dados numéricos , Humanos , Drogas Veterinárias , Fazendeiros/psicologia , Fazendeiros/estatística & dados numéricos , Inquéritos e Questionários , Adulto , Masculino , Feminino , Médicos Veterinários/estatística & dados numéricos , Médicos Veterinários/psicologia , População do Sudeste Asiático
4.
BMC Public Health ; 24(1): 1562, 2024 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-38858688

RESUMO

BACKGROUND: The Ayeyarwady Basin in Myanmar, a critical economic zone, faces severe ecological degradation due to unsustainable agricultural practices. These practices pose significant threats to human health and marine biodiversity. Environmental threats persist despite the Myanmar government's efforts to implement biodiversity protection policies. This research explores the limited compliance with environmental protection policies among farmers in the Ayeyarwady Basin and its implications for sustainable agricultural practices and ecological conservation. METHODS: This research employs an exploratory phenomenological approach, utilizing semi-structured, in-depth interviews with government officials and farmers (N = 30). The data collected were subjected to thematic analysis using Atlas 23. RESULTS: Preliminary findings reveal a gap in farmers' awareness and understanding of these policies, hindered by insufficient financing, poor communication infrastructure, and uncoordinated policy monitoring. These factors and existing unrest contribute to a top-down policy approach that neglects frontline stakeholders. The study suggests the need for clear stakeholder roles, adequate policy financing, and diverse communication strategies to effectively implement environmental policies and protect human and marine life. CONCLUSIONS: Environmental policy shortcomings in Myanmar are attributable to governmental oversight and insufficient stakeholder engagement. To mitigate pollution and safeguard river basin ecosystems, the government must delineate stakeholder responsibilities, allocate appropriate policy funding, and adopt varied communication approaches with farmers.


Assuntos
Agricultura , Conservação dos Recursos Naturais , Política Ambiental , Poluição da Água , Humanos , Mianmar , Poluição da Água/prevenção & controle , Fazendeiros/psicologia , Fazendeiros/estatística & dados numéricos , Pesquisa Qualitativa , Entrevistas como Assunto , Rios , Masculino
5.
Acta Trop ; 256: 107253, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38782108

RESUMO

The Bovine Leukemia Virus (BLV) affects mainly cattle, is transmitted by exposure to contaminated biological fluids, and generates lymphomas in 5 % of infected animals. The zoonotic potential of BLV has been studied, and it is currently unknown if it circulates in human workers on dairy herds in Antioquia. Objective: To determine the frequency of BLV detection, the genotypes of the virus, and the factors associated with its detection in workers for dairy herds in Antioquia, Colombia. Through a cross-sectional study in 51 dairy herds, 164 adults were recruited. A peripheral blood sample was collected from each participant for molecular detection of the BLV env and tax genes, and associated factors were explored through bivariate and multivariate mixed Poisson model analyses. The analysis showed that 82 % (134/164) of the participants were men, with an average age of 40. Using qPCR, the constitutive gene GAPDH was amplified to evaluate the presence of amplification inhibitors in the DNA samples. Using nested PCR, the amplification of the env viral gene was obtained in 13 % (22/164) of the total samples analyzed, while all the samples tested negative for tax. The amplicons of the env gene were sequenced, and the identity compatible with BLV was verified by BLAST analysis (NCBI). Using molecular phylogeny analysis, based on maximum likelihood and haplotype network analysis, it was identified that BLV genotype 1 is present in the evaluated population. 16 % (26/164) of the participants reported having ever had an accident with surgical material during work with cattle; this variable was associated with BLV positivity even after adjusting for other variables (PRa =2.70, 95 % CI= 1.01- 7.21). Considering that other studies have reported the circulation of BLV genotype 1 in cattle from this same region and the present report in humans from dairy herds, the results suggest a possible zoonotic transmission of BLV genotype 1 in Antioquia, reinforcing the need to continue investigating to determine the potential role of this virus as an etiological agent of disease in livestock farmers in the department.


Assuntos
Indústria de Laticínios , Leucose Enzoótica Bovina , Genótipo , Vírus da Leucemia Bovina , Vírus da Leucemia Bovina/genética , Vírus da Leucemia Bovina/isolamento & purificação , Vírus da Leucemia Bovina/classificação , Colômbia/epidemiologia , Humanos , Feminino , Estudos Transversais , Adulto , Animais , Masculino , Bovinos , Pessoa de Meia-Idade , Leucose Enzoótica Bovina/virologia , Leucose Enzoótica Bovina/epidemiologia , Adulto Jovem , Filogenia , Zoonoses/virologia , Zoonoses/transmissão , Fazendeiros/estatística & dados numéricos
6.
Vet Med Sci ; 10(4): e1418, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38818783

RESUMO

BACKGROUND: Abortion in ewes causes high economic losses and represents a threat for human health due to abortive zoonotic pathogens. OBJECTIVE: The present study aimed to assess the knowledge, attitudes and practices (KAP) among sheep owners in the northern Tunisia regarding ewes' abortions. METHODS: Between February 2021 and May 2022, a structured questionnaire containing both close and open-ended questions was applied to 120 sheep owners in northern Tunisia. The data collected were analysed by chi-square test using Epi info 6 software. RESULTS: The majority (75%) of participants reported a history of abortion in their sheep flocks. Sheep owners thought that the most frequent cause of abortion was physical factors, such as trauma, climate and stress (60% ± 5.5%; 48/80), followed by toxicity (15% ± 4%; 12/80), metabolic and nutritional conditions (12.5% ± 3.7%; 10/80), vaccination (5% ± 2.4%; 4/80) and infectious causes (7.5% ± 2.9%; 6/80) (p < 0.001). The majority of animal owners reported that abortions occurred mainly during autumn (39.6% ± 5%; 38/96), followed by summer (27% ± 4.5%; 26/96), winter (23% ± 4.3%; 22/96) and spring (10.4% ± 3.1%; 10/96) (p < 0.001). Approximately, half (45.8% ± 5%; 55/120) of interviewed farmers would not take any action if an abortion occurred. Half of the interviewed farmers (50.5% ± 5.1%; 48/95) did not apply any preventive measures when manipulating aborted ewes, and most of the sheep owners (77.3% ± 3.8%; 92/119) did not know that aborted ewes could transmit zoonotic pathogens. CONCLUSIONS: Our survey concluded that sheep owners in Northern Tunisia had poor knowledge and attitudes as well as applied limited actions concerning several health aspects related to abortion. Education programmes should be established in order to improve Tunisian sheep owners' KAP regarding abortion.


Assuntos
Aborto Animal , Criação de Animais Domésticos , Conhecimentos, Atitudes e Prática em Saúde , Animais , Ovinos , Tunísia , Aborto Animal/epidemiologia , Feminino , Criação de Animais Domésticos/métodos , Criação de Animais Domésticos/estatística & dados numéricos , Doenças dos Ovinos/epidemiologia , Fazendeiros/psicologia , Fazendeiros/estatística & dados numéricos , Humanos , Masculino , Gravidez , Inquéritos e Questionários , Adulto
7.
Front Public Health ; 12: 1380254, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38711761

RESUMO

Introduction: In the context of the deep coupling and synergistic development of digital villages and healthy villages, the development of China's rural society harbors a huge potential for medical and healthcare consumption. Methods: On the basis of theoretical research, a framework was constructed to analyze the influence mechanism of farmers' medical and healthcare consumption in the context of Internet medical information overflow, and empirically examines the research and analysis framework by using the 2020 China Household Tracking Survey data with the OLS model, mediation effect model, and instrumental variable method. Results: It is found that Internet medical information spillover has a "crowding-in effect" on farmers' healthcare consumption; Medical attendance behavior, economic capital utilize the intermediary effect between Internet medical information spillover and farmers' healthcare consumption. And there is age group heterogeneity in the effect of Internet medical information spillover on farmers' healthcare consumption, The ability of rural middle-aged and old-aged groups to recognize new things such as Internet medical information needs to be improved, so the overflow of Internet medical information will induce rural middle-aged and old-aged groups to generate a certain amount of medical and health care consumption. However, the impact on healthcare consumption is not sensitive to the youth cohort group. Discussion: The sinking of Internet medical resources should be accelerated in the future to promote the high-quality development of rural medical and health services, at the same time the "Internet + healthcare services" should be optimized to promote scientific and rational stratification of farmers' access to healthcare, and economic capital for farmers' access to health care should be improved in order to alleviate the burden of health care, etc.


Assuntos
Fazendeiros , Internet , População Rural , Humanos , China , Fazendeiros/estatística & dados numéricos , População Rural/estatística & dados numéricos , Pessoa de Meia-Idade , Inquéritos e Questionários , Masculino , Feminino , Adulto , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
8.
J Agromedicine ; 29(3): 477-485, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38704610

RESUMO

OBJECTIVE: To improve water access while working and contribute to fewer heat-related illnesses (HRI), backpack hydration systems were provided to over 200 farmworkers to use during the 2022 growing season. Acceptability of the water intake intervention was assessed among farmworkers in eastern North Carolina, USA. METHODS: With a pre-established community-university partnership, the acceptability of the intervention was assessed using a cross-sectional survey. The backpack brand selected included a 3-liter water bladder and attached drinking hose. Data analysis included descriptive and correlation statistics. RESULTS: Among 47 male, migrant farmworkers, most (90%) reported the hydration backpack to be acceptable or completely acceptable to workplace fluid intake. Most (53%) reported using the backpack some of the time, compared to 28% who used it often. The participants reported an average of 4.8 (SD 2.2) liters of water intake from the backpack on a typical workday. Most reported the backpack improved the quantity and frequency of their water consumption. CONCLUSION: This study was an important first step in implementation of hydration backpack systems as an HRI-preventative intervention among farmworkers. Future interventional studies could assess the efficacy of the backpacks on health outcomes, including incidence of dehydration and symptoms of HRI.


Assuntos
Fazendeiros , Humanos , Masculino , Fazendeiros/estatística & dados numéricos , Adulto , North Carolina , Estudos Transversais , Pessoa de Meia-Idade , Migrantes/estatística & dados numéricos , Ingestão de Líquidos , Transtornos de Estresse por Calor/prevenção & controle , Adulto Jovem
9.
Artigo em Inglês | MEDLINE | ID: mdl-38791820

RESUMO

Tobacco farm laborers are primarily women and children working for very low wages. The aim of this study was to explore occupational and reproductive health challenges faced by women tobacco farm laborers in Mysore District, India. We conducted interviews and six focus group discussions among 41 women tobacco farm laborers. Codes and themes were generated based on deductive and inductive approaches using the socioecological model. Participants reported symptoms of green tobacco sickness including headaches, back pain, gastric problems, weakness, and allergies during menstruation, pre-natal, and post-natal periods. Participants had poor awareness about the health effects of tobacco farming, and there were gender inequalities in wages and the use of personal protective equipment. Participants received support from family and community health workers during their pregnancy and post-natal period. Women reported wanting maternity benefits from the tobacco board, as well as monetary support and nutritional supplements. There is a need for health education about the environmental dangers of tobacco among farm laborers, and more supportive policies for women farmworkers during pregnancy and post-natal periods.


Assuntos
Fazendeiros , Saúde Reprodutiva , Humanos , Feminino , Índia , Adulto , Adulto Jovem , Fazendeiros/estatística & dados numéricos , Fazendeiros/psicologia , Grupos Focais , Pessoa de Meia-Idade , Nicotiana , Pesquisa Qualitativa , Gravidez , Saúde Ocupacional , Adolescente
11.
Proc Natl Acad Sci U S A ; 121(21): e2312519121, 2024 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-38739799

RESUMO

Drawing on a harmonized longitudinal dataset covering more than 55,000 smallholder farms in six African countries, we analyze changes in crop productivity from 2008 to 2019. Because smallholder farmers represent a significant fraction of the world's poorest people, agricultural productivity in this context matters for poverty reduction and for the broader achievement of the UN Sustainable Development Goals. Our analysis measures productivity trends for nationally representative samples of smallholder crop farmers, using detailed data on agricultural inputs and outputs which we integrate with detailed data on local weather and environmental conditions. In spite of government commitments and international efforts to strengthen African agriculture, we find no evidence that smallholder crop productivity improved over this 12-y period. Our preferred statistical specification of total factor productivity (TFP) suggests an overall decline in productivity of -3.5% per year. Various other models we test also find declining productivity in the overall sample, and none of them finds productivity growth. However, the different countries in our sample experienced varying trends, with some instances of growth in some regions. The results suggest that major challenges remain for agricultural development in sub-Saharan Africa. They complement previous analyses that relied primarily on aggregate national statistics to measure agricultural productivity, rather than detailed microdata.


Assuntos
Agricultura , Produtos Agrícolas , África Subsaariana , Produtos Agrícolas/crescimento & desenvolvimento , Agricultura/métodos , Agricultura/tendências , Humanos , Produção Agrícola/estatística & dados numéricos , Produção Agrícola/tendências , Fazendeiros/estatística & dados numéricos , Fazendas , Desenvolvimento Sustentável/tendências
12.
Acta Trop ; 255: 107240, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38705342

RESUMO

Cystic echinococcosis (CE), caused by the tapeworm Echinococcus granulosus, is a zoonotic parasitic disease that still represents a serious threat to human and animal health worldwide. The Mediterranean basin is recognized as one of the major hotspots of CE due to several factors, including the presence of diverse intermediate host species as well as socio-economic and cultural conditions of local communities. This study aims to take a closer look at epidemiological data on CE in the Mediterranean area and assess the knowledge attitudes and practices of shepherds towards this disease in four countries (Algeria, Greece, Italy and Tunisia), highly endemic for CE, with the final goal of identifying highly endemic risk areas and practices in use which might potentially allow the persistence of E. granulosus infection in these areas. To update the epidemiological scenario of CE in Mediterranean areas, a comprehensive review of peer-reviewed literature on CE prevalence data published during the 2017-2023 period was carried out and, through a geographical information system (GIS), a map displaying the current CE distribution in the Mediterranean area was generated. In addition, a questionnaire survey was conducted through in-depth interviews of the farmers to collect information on their management system as well as knowledge attitudes and practices towards CE. From the farmer-participatory survey some risky practices emerged including the non-regular deworming of dogs or the use of ineffective drugs or dosing, as well as the provision of uncooked animal viscera to dogs. Finally, lower levels of knowledge and awareness of the disease was observed among farmers from North Africa compared with those of European countries. In conclusion, the results obtained highlight that CE is still a very serious problem in Mediterranean areas and increased efforts are needed to promote awareness among farmers and to turn research results into policy in order to reduce the spread of this disease, according to the One Health perspective.


Assuntos
Equinococose , Echinococcus granulosus , Conhecimentos, Atitudes e Prática em Saúde , Gado , Animais , Equinococose/epidemiologia , Equinococose/veterinária , Equinococose/prevenção & controle , Gado/parasitologia , Cães , Região do Mediterrâneo/epidemiologia , Doenças do Cão/epidemiologia , Doenças do Cão/parasitologia , Doenças do Cão/prevenção & controle , Grécia/epidemiologia , Zoonoses/epidemiologia , Zoonoses/parasitologia , Zoonoses/prevenção & controle , Humanos , Itália/epidemiologia , Prevalência , Bovinos , Tunísia/epidemiologia , Argélia/epidemiologia , Inquéritos e Questionários , Ovinos , Fazendeiros/estatística & dados numéricos
13.
Am J Trop Med Hyg ; 110(6): 1180-1190, 2024 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-38653218

RESUMO

Farmworkers, a group of essential workers, experience a disproportionately high burden of COVID-19 due to their living and working conditions. This project characterized farmworker mobility in and around Yuma County, Arizona, to identify opportunities to improve farmworker access to COVID-19 vaccination. We collected qualitative and geospatial data through a series of in-person and virtual focus group discussions, key informant interviews, and intercept interviews with participatory mapping. Participants included farmworkers, employers, and representatives of local institutions who serve or interact with farmworkers. We identified participants through purposive and referential sampling and grouped people by sociodemographic characteristics for interviews. We used qualitative and geospatial analyses to identify common themes and mobility patterns. The team interviewed 136 people from February 26 to April 2, 2021. Common themes emerged about how farmworkers have little or no access to COVID-19 vaccination unless offered at their workplaces or at locations where they congregate at convenient times. Further, farmworkers described how their demanding work schedules, long commute times, and caretaker commitments make it challenging to access vaccination services. Geospatial analyses identified three geographic areas in Yuma County where farmworkers reported living and working that did not have a COVID-19 vaccine clinic within walking distance. Coordination between local public health authorities and key partners, including employers and trusted representatives from local community-based organizations or the Mexican consulate, to offer vaccination at worksites or other locations where farmworkers congregate can help improve access to COVID-19 vaccines and booster doses for this population.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Fazendeiros , SARS-CoV-2 , Vacinação , Humanos , Arizona/epidemiologia , COVID-19/prevenção & controle , COVID-19/epidemiologia , Masculino , Feminino , Vacinas contra COVID-19/administração & dosagem , Adulto , Fazendeiros/estatística & dados numéricos , Pessoa de Meia-Idade , SARS-CoV-2/imunologia , Vacinação/estatística & dados numéricos , Adulto Jovem , Acessibilidade aos Serviços de Saúde
14.
J Agromedicine ; 29(3): 432-450, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38651537

RESUMO

OBJECTIVES: Farmworkers in Michigan face precarious and exploitative labor conditions that affect their access to affordable, fair, and quality housing, which are key social determinants of health. We sought to assess the health, working conditions, and housing access, affordability, and quality of farmworkers living in and outside of employer-provided housing during the COVID-19 pandemic. METHODS: We conducted a mixed methods cross-sectional study in collaboration with community partners from the Michigan Farmworker Project and the Michigan Department of Civil Rights. We assessed housing, labor conditions, and general health through in-depth phone interviews with seasonal, migrant, and H-2A farmworkers (n = 63) during the height of the COVID-19 pandemic (2020-2021) in Michigan. Descriptive analyses of these data included comparisons by type of farmworker and type of housing (employer-provided or other). RESULTS: The majority of farmworkers interviewed were women and seasonal farmworkers and spoke primarily Spanish. A significant share of farmworker participants reported living in poverty (38.3%) and had low or very low food security (27.0%). Nearly half of farmworkers (47.6%) rated their health as "fair" or "poor" during the year prior to the interview, and more than a third reported 3 or more chronic conditions (39.6%) and lack of health insurance coverage (38.7%). Among the 43 workers tested, 25.6% reported testing positive for COVID-19. Farmworkers reported experiences of objectification and dehumanization. Three-quarters of workers reported feeling that they were treated as less than human by supervisors and one-third reported verbal abuse. Farmworkers also experienced challenges exacerbated by their social vulnerability that impeded them from finding affordable, quality housing. Regarding housing quality, the majority of workers (80.6%) reported one or more environmental hazards around their residence, and about a third reported not having air conditioning (33.%) and lacking a functioning washing machine (33.9%). Concerns about the quality of drinking water accessible to workers and exposure to chemicals were shared by participants. CONCLUSION: This study adds valuable knowledge to the understanding of the systemic barriers to housing and work conditions for female and male seasonal, migrant, and H-2A farmworkers in Michigan. Shortcomings in the regulatory and policy environment result in precarious housing and work conditions, including exploitative labor practices. These conditions negate equality, fairness, and health equity, important tenants for public health.


Assuntos
COVID-19 , Fazendeiros , Habitação , Migrantes , Humanos , COVID-19/epidemiologia , Michigan , Feminino , Masculino , Fazendeiros/estatística & dados numéricos , Fazendeiros/psicologia , Estudos Transversais , Adulto , Migrantes/estatística & dados numéricos , Pessoa de Meia-Idade , Pobreza , SARS-CoV-2 , Adulto Jovem , Pandemias
15.
Am J Ind Med ; 67(6): 551-555, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38624268

RESUMO

OBJECTIVES: Research shows the highest rates of occupational heat-related fatalities among farm laborers and among Black and Hispanic workers in North Carolina (NC). The Hispanic population and workforce in NC have grown substantially in the past 20 years. We describe the epidemiology of heat-related fatal injuries in the general population and among workers in NC. METHODS: We reviewed North Carolina death records and records of the North Carolina Office of the Chief Medical Examiner to identify heat-related deaths (primary International Classification of Diseases, Tenth Revision diagnosis code: X30 or T67.0-T67.9) that occurred between January 1, 1999, and December 31, 2017. Decedent age, sex, race, and ethnicity were extracted from both the death certificate and the medical examiner's report as well as determinations of whether the death occurred at work. RESULTS: In NC between 1999 and 2017, there were 225 deaths from heat-related injuries, and 25 occurred at work. The rates of occupational heat-related deaths were highest among males, workers of Hispanic ethnicity, workers of Black, multiple, or unknown race, and in workers aged 55-64. The highest rate of occupational heat-related deaths occurred in the agricultural industry. CONCLUSIONS: Since the last report (2001), the number of heat-related fatalities has increased, but fewer were identified as workplace fatalities. Rates of occupational heat-related deaths are highest among Hispanic workers. NC residents identifying as Black are disproportionately burdened by heat-related fatalities in general, with a wider apparent disparity in occupational deaths.


Assuntos
Transtornos de Estresse por Calor , Humanos , North Carolina/epidemiologia , Masculino , Pessoa de Meia-Idade , Feminino , Adulto , Idoso , Adulto Jovem , Transtornos de Estresse por Calor/mortalidade , Adolescente , Hispânico ou Latino/estatística & dados numéricos , Doenças Profissionais/mortalidade , Temperatura Alta/efeitos adversos , Negro ou Afro-Americano/estatística & dados numéricos , Distribuição por Sexo , Fazendeiros/estatística & dados numéricos , Distribuição por Idade , Exposição Ocupacional/efeitos adversos , Exposição Ocupacional/estatística & dados numéricos
16.
Health Info Libr J ; 41(2): 195-200, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38616382

RESUMO

Community health workers are responsible for finding, processing, and transferring health information to communities with limited access to health-related resources, including farmworkers. This paper is the culmination of an undergraduate student research project to explore the learning processes and preferences of farmworker-serving community health workers in the USA. The project was designed for students from farmworker or agricultural backgrounds at two North Carolina universities and was supported by a North Carolina Department of Health and Human Services workforce development grant. Semi-structured interviews were conducted, in person and virtually, with a convenience sample of 17 current and former community health workers. The interview data were analysed thematically and identified a preference for a combination of learning styles, with visual and hands-on learning being the most preferred. Community health workers also identified the importance of learning preferences in relation to their responsibilities as health educators. This study provides librarians, along with public health and medical professionals, with useful information about learning preferences to inform the creation of new and varied learning materials for community health workers.


Assuntos
Agentes Comunitários de Saúde , Fazendeiros , Humanos , Agentes Comunitários de Saúde/psicologia , North Carolina , Fazendeiros/psicologia , Fazendeiros/estatística & dados numéricos , Entrevistas como Assunto/métodos , Aprendizagem , Pesquisa Qualitativa , Masculino , Feminino , Adulto
17.
J Agromedicine ; 29(3): 404-414, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38573032

RESUMO

OBJECTIVES: Using pesticides in the An Giang province is widespread. However, studies on the health effect of organophosphate pesticide have not been updated within the past 12 years. This study aimed to assess exposure to organophosphate pesticides and their effects on sperm quality among farmers in the An Giang Province, Mekong Delta, Vietnam. METHODS: During the winter - spring crop season of December 2021 to February 2022, a cross-sectional study was conducted on farmers aged 18 to 60 years-old based on seven communes' health checkup programs. The pesticide spray group included farmers who had sprayed pesticides in the previous week and had a history of working in agriculture for more than 2 years. The control group was defined as those who lived in the same community, had not worked in agriculture, and had never sprayed pesticides. Demographic characteristics and blood, urine, and semen samples were collected and analyzed. RESULTS: Data for 184 eligible participants were analyzed, including 116 farmers in the pesticide spray group and 68 non-farmers in the control group. Pesticide spray contributed to a decrease in the sperm quality index of 6.253 units (95% CI, 4.472-8.749). Increasing each pseudocholinesterase (PChE) unit (kIU/L) was associated with an increase of 1.181 units in the sperm quality index (95% CI, 0.757-0.947). CONCLUSIONS: Preventive methods for organophosphate pesticide exposure, such as administrative controls, engineering controls, substitution, and personal protective equipment should be applied to control health risks. In the An Giang setting, personal protective equipment is feasible, but most types of equipment are not used. The immediate priority is to determine the cause of personal protective equipment not being used and to find solutions to encourage people to use them.


Assuntos
Fazendeiros , Exposição Ocupacional , Praguicidas , Análise do Sêmen , Espermatozoides , Humanos , Masculino , Fazendeiros/estatística & dados numéricos , Adulto , Vietnã , Estudos Transversais , Pessoa de Meia-Idade , Adulto Jovem , Espermatozoides/efeitos dos fármacos , Organofosfatos , Adolescente , Compostos Organofosforados , Agricultura
18.
J Agromedicine ; 29(3): 426-431, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38578000

RESUMO

OBJECTIVES: Korea's aquaculture sector primarily cultivates aquatic life, with fish seed production as a focus. Formalin, a parasiticide, consists of 37% formaldehyde mixed with yellow No. 4 dye. Formaldehyde vaporization poses cancer risks, classified as a carcinogen. Korea regulates formaldehyde as a hazardous substance, requiring workplace environment measurements. Few aquaculture farms have conducted these checks in recent years. In this study, we investigated actual formaldehyde exposure levels among Korean aquaculture workers, highlighting a critical safety concern. METHODS: A field survey was conducted to measure formaldehyde exposure at 10 aquaculture farms in areas where Korean aquaculture is concentrated. Short-term and long-term personal samples, local samples, and direct-reading measurements were conducted. Formaldehyde exposure levels were detected in short-term personal samples from six farms and in long-term personal samples from two farms, and formaldehyde was detected in all local samples. In direct-reading measurements, a high concentration of formaldehyde was sustained for short periods. RESULTS: Long-term (8-hour) personal samples were mostly non-detectable, except for farms A and D, which had levels of 0.0009 ppm and 0.0017 ppm, respectively. Short-term (15-minute) samples were non-detectable in four farms, with an average of 0.0158 (±0.0130) ppm in the remaining six farms. Local samples from all farms had an average of 0.0384 (±0.0957) ppm of formaldehyde. For farms A and D, where long-term sampling detected formaldehyde, real-time measurements showed a sustained high concentration in farm A for about 48 minutes before decreasing. Farm D had no detectable formaldehyde throughout the monitoring period. CONCLUSION: According to the formaldehyde exposure level assessment, short term exposure to formaldehyde during and immediately after application of formalin nearly exceeded the ACGIH TLV STEL in one farm. However, concentration of long term samples appeared at 10% of ACGIH TLV TWA. Additional study is recommended to determine whether exposure to formaldehyde poses a health risk for aquaculture workers during application of formalin.


Assuntos
Aquicultura , Formaldeído , Exposição Ocupacional , Formaldeído/análise , Formaldeído/toxicidade , Formaldeído/efeitos adversos , Humanos , República da Coreia , Exposição Ocupacional/análise , Monitoramento Ambiental , Fazendeiros/estatística & dados numéricos , Poluentes Ocupacionais do Ar/análise , Adulto
19.
J Agromedicine ; 29(3): 461-476, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38618909

RESUMO

OBJECTIVES: This study examined factors related to perceived health risks in confined spaces (PCSHR) and their correlation with the mental workload among farmers managing agricultural wells in northern Thailand. METHODS: A cross-sectional, multi-stage sample of 356 farmers was selected from four rural districts' agricultural areas. Data were collected through interviews conducted from August to December 2022, using a self-administered structured questionnaire. The five-part questionnaire gathered demographic data, information on experiences and operations in agricultural wells, knowledge of confined spaces, PCSHR, and the six-dimension NASA Task Load Index (TLX) mental workload. Linear regression and multi-variable analyses were used to investigate factors associated with PCSHR, while Pearson correlations tested the association between PCSHR and mental workload variables. RESULTS: Most farmers were male (92.4%), worked in wells to install pumping systems (81.7%) and maintain equipment (73.3%), averaging 3.80 times per year, with an average duration of 25.81 minutes. Physical symptoms reported included difficulty breathing (72.8%), feeling swelteringly hot (55.9%), and sweating excessively (27.8%), as well as accidents such as being struck by falling soil or objects (20.2%), and falling into the well while climbing down (14.9%). Farmers' perceived risk scores were high when working while physically exhausted or unprepared and when assisting an unconscious worker without knowing the gas concentration. In addition, the maximal mental workload scores were mental demand and effort subscale. Factors significantly associated with PCSHR (adj.R2 = 60.6%, p < .05) encompassed education higher than lower secondary level, current alcohol consumption, smaller well width, assisted operations, number of physical symptoms experienced, absence of environmental accidents, and confined space knowledge, while increased PCSHR was positively associated with mental workload (Overall r = 0.711, p < .01). CONCLUSION: Comprehensive education about potential hazards can improve farmers' risk perception, potentially reducing mental workload and preventing fatal accidents. Field studies are recommended to develop community-specific work protocols and accurate measuring instruments suitable for rural settings are needed.


Assuntos
Fazendeiros , Carga de Trabalho , Humanos , Tailândia , Masculino , Fazendeiros/psicologia , Fazendeiros/estatística & dados numéricos , Feminino , Adulto , Estudos Transversais , Carga de Trabalho/psicologia , Pessoa de Meia-Idade , Inquéritos e Questionários , Espaços Confinados , Poços de Água , Agricultura , População Rural/estatística & dados numéricos , Percepção
20.
J Agromedicine ; 29(3): 516-530, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38643490

RESUMO

Workplace sexual harassment (WSH) is a systemic problem in agricultural employment. In the United States, where most research on the topic has been conducted, studies have suggested the rate of WSH against women farmworkers may be as high as 95%. Women who are immigrants, younger, have precarious immigration status, and come from indigenous communities are particularly vulnerable to WSH. The purpose of this study was to identify and describe the factors that contribute to such high rates of WSH in waged employment in the agricultural sector. To achieve this, we completed a systematic review of the empirical literature on sexual harassment in agricultural workplaces. Our review includes 29 empirical studies on WSH in agriculture, including 13 studies conducted in countries within the Global North and 16 from the Global South. The paper presents a typology of WSH in agriculture, categorizing its emotional and physical forms and describing what the literature reveals about its impacts on those who experience it. We then present our analysis of the structural and cultural factors contributing to high WSH rates in waged agricultural employment. We found that migration policies, the organizational and physical characteristics of agricultural work, the informality of employment relationships, traditional masculinity norms, and weak enforcement of workplace regulations were the principal factors facilitating high rates of WSH in agriculture. However, the study has limitations: it primarily focuses on literature in English and Spanish, risking geographical bias towards the Americas and potentially overlooking significant research in other languages or published in less accessible databases, including grey literature and regional reports. These limitations highlight the need for broader research to fill these empirical gaps, particularly from the Global South.


Assuntos
Agricultura , Fazendeiros , Assédio Sexual , Local de Trabalho , Humanos , Assédio Sexual/estatística & dados numéricos , Fazendeiros/estatística & dados numéricos , Fazendeiros/psicologia , Feminino , Emprego/estatística & dados numéricos , Estados Unidos , Adulto
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