Wheezing in tobacco farm workers in Southern Brazil

Fiori, Nádia Spada; Fassa, Anaclaudia Gastal; Faria, Neice Müller Xavier; Meucci, Rodrigo Dalke; Miranda, Vanessa Iribarrem Avena; Christiani, David C.

doi:10.1002/ajim.22447

Cited by 19 publications

(27 citation statements)

References 38 publications

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“…Not only does working in tobacco farming increase the risk of established smoking, but tobacco related illnesses caused by smoking may be compounded by the occupational hazards of tobacco farming. For example, respiratory illnesses caused by particles and microorganisms growing on tobacco leaves may exacerbate damage to lung cells [19,18]. Future studies should evaluate synergistic adverse health effects between smoking and occupational hazards in tobacco farming.…”

Section: Discussionmentioning

confidence: 99%

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Youth working in tobacco farming: effects on smoking behavior and association with health status

et al. 2020

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Background Cultivation of tobacco raises concerns about detrimental health and social consequences for youth, but tobacco producing countries only highlight economic benefits. We compared sociodemographic and health-related characteristics of school-age youth who worked and did not work in tobacco farming and assessed the effects on smoking behavior and health at 1 year. Methods We used existing data collected in the province of Jujuy, Argentina where 3188 youth 13 to 17 years of age from a random middle school sample responded to longitudinal questionnaires in 2005 and 2006. Multivariate logistic regression models predicted association of tobacco farming work with health status and smoking behavior at 1 year. Results 22.8% of youth in the tobacco growing areas of the province were involved in tobacco farming. The mean age of initiation to tobacco farming was 12.6 years. Youth working in farming had higher rates of fair or poor versus good or excellent self-perceived health (30.3% vs. 19.0%), having a serious injury (48.5% vs. 38.5%), being injured accidentally by someone else (7.5% vs. 4.6%), being assaulted (5.5% vs. 2.6%), and being poisoned by exposure to chemicals (2.5% vs. 0.7%). Youth working in tobacco farming also had higher prevalence of ever (67.9% vs. 55.2%), current (48.0% vs. 32.6%) and established smoking (17.8% vs. 9.9%). In multivariate logistic regression models tobacco farming in 2005 was associated with significant increased reporting of serious injury (OR = 1.4; 95%CI 1.1–2.0), accidental injury by someone else (OR = 1.5; 95% 1.0–2.1), assault (OR = 2.2; 95% CI 1.3–3.8), and poisoning by exposure to chemicals (OR = 2.5; 95% CI 1.2–5.4). Tobacco farming in 2005 predicted established smoking 1 year later (OR = 1.5; 95% CI 1.1–2.0). Conclusion Youth who work in tobacco faming face a challenging burden of adversities that increase their vulnerability. Risk assessments should guide public policies to protect underage youth working in tobacco farming. (298 words).

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Section: Discussionmentioning

confidence: 99%

“…Dermal absorption of nicotine from contact with wet tobacco leaves can cause green tobacco sickness [14,15]. Other health effects associated with tobacco farming include, respiratory disorders, musculoskeletal injuries and psychiatric disorders [16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Youth working in tobacco farming: effects on smoking behavior and association with health status

et al. 2020

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“…Dermal absorption of nicotine from contact with wet tobacco leaves can cause green tobacco sickness [14] [15]. Other health effects associated with tobacco farming include, respiratory disorders, musculoskeletal injuries and psychiatric disorders [16] [17] [18] [19] [20].…”

mentioning

confidence: 99%

Youth Working in Tobacco Farming: Effects on Smoking Behavior and Health

Pérez‐Stable

Alderete

Livaudais‐Toman

et al. 2019

Preprint

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Background Cultivation of tobacco leaf raises concerns about detrimental occupational health and social consequences especially for youth, but tobacco producing countries only highlight economic benefits. We examined sociodemographic and health-related characteristics of underage youth working in tobacco farming and assessed the effects of tobacco farming on smoking behavior and health at one year.Methods We used existing data collected in the province of Jujuy, Argentina where 3188 youth 13 to 17 years of age from a random middle school sample responded to longitudinal questionnaires in 2005 and 2006. Multivariate logistic regression models predicted association of tobacco farming work with smoking behavior and health status at one year.Results 22.8% of youth in the tobacco growing areas of the province were involved in tobacco farming. The mean age of initiation was 12.6 years. Tobacco farming was associated with higher rates of fair or poor versus good or excellent self-perceived health (30.3% vs. 19.0%), having a serious injury (48.5% vs. 38.5%), being injured accidentally by someone else (7.5% vs. 4.6%), being assaulted (5.5% vs. 2.6%), and being poisoned by exposure to chemicals (2.5% vs. 0.7%). Youth working in tobacco farming had higher prevalence of ever (67.9% vs. 55.2%), current (48.0% vs. 32.6%) and established smoking (17.8% vs. 9.9%). In multivariate logistic regression (MLR) models tobacco farming in 2005 significantly increased the likelihood of serious injury (OR=1.4; 95%CI 1.1-2.0), accidental injury by someone else (OR=1.5; 95% 1.0-2.1), assault (OR=2.2; 95% CI 1.3-3.8), poisoning by exposure to chemicals (OR=2.5; 95% CI 1.2-5.4), in the same year. Tobacco farming in 2005 predicted established smoking one year later (OR=1.5; 95% CI 1.1-2.0).Conclusion Youth who work in tobacco faming face a challenging burden of adversities that increase their vulnerability. Risk assessments should guide public policies to protect underage youth working in tobacco farming. (297 words)

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“…No Brasil, poucos estudos (e todos com desenhos transversais) avaliaram a prevalência de sintomas respiratórios em trabalhadores rurais expostos aos pesticidas (Alves de Souza et al, 2010;Buralli et al, 2018b;Fiori et al, 2015;.…”

Section: Uso De Pesticidas Agrícolas No Brasilunclassified

“…Muitos estudos epidemiológicos internacionais avaliaram os efeitos dos pesticidas em indivíduos expostos ocupacionalmente e ambientalmente, mas são escassos os estudos realizados no Brasil que consideram a complexidade do cenário de exposição, o uso de biomarcadores e os diferentes níveis de exposição. A maioria desses estudos avaliou áreas de plantio de fumo, café e soja nas regiões Sul, Centro-Oeste e Nordeste Chaves et al, 2017;Conti et al, 2018;Fiori et al, 2015;Kahl et al, 2018;Oliveira et al, 2014;Pasiani et al, 2012;Piccoli et al, 2016;Pignati et al, 2017), enquanto que muitos desfechos de saúde, culturas agrícolas e regiões ainda seguem pouco estudados. Esses estudos não esgotam a discussão sobre a exposição aos pesticidas de uso agrícola e mais evidências científicas são necessárias.…”

Section: Introductionunclassified

Efeitos à saúde por exposição ambiental e ocupacional aos pesticidas de uso agrícola

Buralli¹

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Agradeço primeiramente a Deus, que me protege, ampara e honra. À toda minha família, aos presentes e ausentes, que sempre me suportaram e estimularam, e ainda o fazem. A todos os meus amigos e amigas e à maior delas, Mayara, minha amiga, mulher, parceira... meus amigos de ontem, hoje e sempre, parceiros de muitas risadas e momentos. À minha filha Duda e afilhada Gigi, que mesmo longe se fazem sempre perto. À minha orientadora Dra. Helena, pela orientação preciosa e sempre oportuna. Aos muitos mestres que a vida acadêmica já me presenteou, a todos os professores e professoras da Faculdade de Saúde Pública da USP (FSP/USP) pelos muitos ensinamentos e discussões. Um agradecimento especial a todos os funcionários da FSP/USP pelo apoio de sempre. Agradeço por todas lições e orientações aos amigos e colaboradores Drs.

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Wheezing in tobacco farm workers in Southern Brazil

Cited by 19 publications

References 38 publications

Youth working in tobacco farming: effects on smoking behavior and association with health status

Youth working in tobacco farming: effects on smoking behavior and association with health status

Youth Working in Tobacco Farming: Effects on Smoking Behavior and Health

Efeitos à saúde por exposição ambiental e ocupacional aos pesticidas de uso agrícola

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