2019
DOI: 10.1136/oemed-2018-105518
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Pesticide use and incident hyperthyroidism in farmers in the Agricultural Health Study

Abstract: BackgroundFew studies have evaluated associations between pesticides and hyperthyroidism.ObjectiveWe evaluated associations between specific pesticides and incident hyperthyroidism in private pesticide applicators in the Agricultural Health Study.MethodsWe used Cox proportional hazards models to estimate HRs and 95% CIs for associations between pesticide use at enrolment and hyperthyroidism (n=271) in 35 150 applicators (mostly men), adjusting for potential confounders.ResultsEver use of several pesticides (or… Show more

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Cited by 6 publications
(3 citation statements)
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“…Twenty-five percent of these women lived within 50 m from a banana plantation, 60% had a partner working at a banana plantation, and 8% worked themselves at a banana plantation while pregnant [ 115 ]. As a counterfactual test of the hypothesis, Sheshtra et al analysed hyperthyroidism among AHS farmers exposed to Maneb/Mancozeb [ 116 ]. Their results showed that the risk was halved (HR 0.50, 95% CI 0.30–0.83), which was consistent with an important inhibiting effect of EBDC fungicides at the thyroid receptor level.…”
Section: Resultsmentioning
confidence: 99%
“…Twenty-five percent of these women lived within 50 m from a banana plantation, 60% had a partner working at a banana plantation, and 8% worked themselves at a banana plantation while pregnant [ 115 ]. As a counterfactual test of the hypothesis, Sheshtra et al analysed hyperthyroidism among AHS farmers exposed to Maneb/Mancozeb [ 116 ]. Their results showed that the risk was halved (HR 0.50, 95% CI 0.30–0.83), which was consistent with an important inhibiting effect of EBDC fungicides at the thyroid receptor level.…”
Section: Resultsmentioning
confidence: 99%
“…Shrestha et al (2019) evaluated the impacts specific pesticides on the incident hyperthyroidism in private pesticide applicators in the Agricultural Health Study. Ever use of several pesticides included organophosphate insecticide Malathion, fungicide Maneb/Mancozeb, herbicides Dicamba, Metolachlor, and Atrazine in overall sample and Chlorimuron ethyl among those ≤62 years was associated with reduced hyperthyroidism risk [ 30 ]. Shrestha et al (2018) reported the insecticide Diazinon, the fungicides Maneb/Mancozeb, and the herbicide Metolachlor were associated with increased risk (HR ranging 1.35–2.01) and the herbicide Trifluralin with decreased risk (HR: 0.57) of hyperthyroidism in female spouses of private pesticide applicators [ 31 ].…”
Section: Discussionmentioning
confidence: 99%
“…The relationships between farm-related exposures to different classes of pesticides and thyroid disease and/or thyroid hormone disruption have been examined in a series of recent studies using the cohort of the US Agricultural Health Survey (Table 2) [13][14][15][16]18]. Weak association between long-term use of permethrin applied to crops and an increased risk of hypothyroidism was found among female spouses of farmers aged over 60 years [14].…”
Section: Thyroid Functionmentioning
confidence: 99%