Association between pesticide exposure intensity and self-rated health among greenhouse vegetable farmers in Ningxia, China.

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  • Additional Information
    • Source:
      Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
    • Publication Information:
      Original Publication: San Francisco, CA : Public Library of Science
    • Subject Terms:
      Farmers* ; Health Status* ; Self Report*; Pesticides/*adverse effects; Adult ; China ; Diagnostic Self Evaluation ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Surveys and Questionnaires ; Vegetables
    • Abstract:
      Background: Self-rated health (SRH) has been shown to be a stronger comprehensive predictor of health status than the clinical record. Although an association between specific pesticide exposures and health conditions has been reported in different populations, data on the relationship between pesticides exposure intensity (PEI) and SRH in greenhouse farmers is scarce. The aim of the current study was to evaluate this association among vegetable greenhouse farmers in Yinchuan City, western China.
      Methods: Three consecutive cross-sectional studies were conducted in the years 2015, 2016 and 2017. Face-to-face interviews by trained investigators, using questionnaires, were performed. PEI was calculated by a validated method and then categorized into high, middle and low groups. SRH was measured via a single ten-point scale question and then divided into excellent (score >5) and poor SRH (score ≤5). A multivariable logistic regression model was used to evaluate the association. Meanwhile, the dose-response and interaction effects were estimated.
      Results: A steady association between high PEI and poor SRH (OR: 1.55, 95% CI: 1.05-2.28 in the full model) was identified. Although high PEI was significantly associated with poor SRH in males and the Han ethnicity group, no significant association was found with poor SRH in females or those of Hui ethnicity. Interaction effects of education level and frequency of breakfast with PEI were determined (Pinteraction = 0.04 and 0.02, respectively); synergistic enhanced effects for poor SRH were observed.
      Conclusion: These findings indicate that high PEI might be associated with poor SRH among vegetable greenhouse farmers. A lower education level and never eating breakfast contributed to an increased likelihood of poor SRH in those with high PEI. The local government should be making great efforts to promote healthy behaviors and improve protection awareness.
      Competing Interests: The authors have declared that no competing interests exist.
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    • Accession Number:
      0 (Pesticides)
    • Publication Date:
      Date Created: 20181222 Date Completed: 20190516 Latest Revision: 20200309
    • Publication Date:
      20240105
    • Accession Number:
      PMC6303074
    • Accession Number:
      10.1371/journal.pone.0209566
    • Accession Number:
      30576364