Cargando…
Factors associated with self-reported, pesticide-related visits to health care providers in the agricultural health study.
To investigate factors associated with pesticide-related visits to health care providers (i.e., doctor or hospital visits), responses to self-administered questionnaires received from 35,879 licensed restricted-use pesticide applicators participating in the Agricultural Health Study were analyzed. (...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
1998
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1533128/ https://www.ncbi.nlm.nih.gov/pubmed/9637799 |
_version_ | 1782128987082850304 |
---|---|
author | Alavanja, M C Sandler, D P McDonnell, C J Lynch, C F Pennybacker, M Zahm, S H Lubin, J Mage, D Steen, W C Wintersteen, W Blair, A |
author_facet | Alavanja, M C Sandler, D P McDonnell, C J Lynch, C F Pennybacker, M Zahm, S H Lubin, J Mage, D Steen, W C Wintersteen, W Blair, A |
author_sort | Alavanja, M C |
collection | PubMed |
description | To investigate factors associated with pesticide-related visits to health care providers (i.e., doctor or hospital visits), responses to self-administered questionnaires received from 35,879 licensed restricted-use pesticide applicators participating in the Agricultural Health Study were analyzed. (In Iowa, applicators are actually certified, whereas in North Carolina they are licensed; for ease of reference, the term license will be used for both states in this paper.) The cohort reported a total of more than 10.9 million pesticide-application days. These applications were associated with one or more pesticide-related health care visits by 2,214 applicators (7.0% of the applicator cohort for whom health care visit data were available). The odds of a pesticide-related health care visit were increased for commercial applicators compared to private applicators [odds ratio (OR = 1.77; 95% confidence interval (CI), 1.52-2.06) and for applicators who used insecticides 70 times or more in their lifetime compared to those who used insecticides less frequently (OR = 1.43; CI, 1.26-1.63). After adjusting for the number of applications in a logistic regression model, significantly higher odds of health care visits were observed among North Carolina applicators compared to Iowa applicators (OR = 1.35; CI, 1.17-1.52), among applicators who mixed their own pesticides (OR = 1.65; CI, 1. 22-2.23), and among applicators who personally repaired their pesticide application equipment at least once per year (OR = 1.12; CI, 1.06-1.25). Significantly lower odds were found among female versus male applicators (OR = 0.68; CI, 0.46-0.99) and among applicators who graduated from high school versus those who did not (OR = 0.82; CI, 0.71-0.94 for high school graduates and OR = 0.79; CI, 0.68-0.91 for those with at least some college). Several methods of pesticide application to crops, seed, or stored grain were also associated with significantly elevated odds ratios of health care visits. These observations suggest that several steps can be taken to reduce the number of health care visits resulting from occupational exposure to pesticides. The implications of this pattern of pesticide-related health care visits may have etiologic implications for cancer and other chronic diseases. |
format | Text |
id | pubmed-1533128 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 1998 |
record_format | MEDLINE/PubMed |
spelling | pubmed-15331282006-08-08 Factors associated with self-reported, pesticide-related visits to health care providers in the agricultural health study. Alavanja, M C Sandler, D P McDonnell, C J Lynch, C F Pennybacker, M Zahm, S H Lubin, J Mage, D Steen, W C Wintersteen, W Blair, A Environ Health Perspect Research Article To investigate factors associated with pesticide-related visits to health care providers (i.e., doctor or hospital visits), responses to self-administered questionnaires received from 35,879 licensed restricted-use pesticide applicators participating in the Agricultural Health Study were analyzed. (In Iowa, applicators are actually certified, whereas in North Carolina they are licensed; for ease of reference, the term license will be used for both states in this paper.) The cohort reported a total of more than 10.9 million pesticide-application days. These applications were associated with one or more pesticide-related health care visits by 2,214 applicators (7.0% of the applicator cohort for whom health care visit data were available). The odds of a pesticide-related health care visit were increased for commercial applicators compared to private applicators [odds ratio (OR = 1.77; 95% confidence interval (CI), 1.52-2.06) and for applicators who used insecticides 70 times or more in their lifetime compared to those who used insecticides less frequently (OR = 1.43; CI, 1.26-1.63). After adjusting for the number of applications in a logistic regression model, significantly higher odds of health care visits were observed among North Carolina applicators compared to Iowa applicators (OR = 1.35; CI, 1.17-1.52), among applicators who mixed their own pesticides (OR = 1.65; CI, 1. 22-2.23), and among applicators who personally repaired their pesticide application equipment at least once per year (OR = 1.12; CI, 1.06-1.25). Significantly lower odds were found among female versus male applicators (OR = 0.68; CI, 0.46-0.99) and among applicators who graduated from high school versus those who did not (OR = 0.82; CI, 0.71-0.94 for high school graduates and OR = 0.79; CI, 0.68-0.91 for those with at least some college). Several methods of pesticide application to crops, seed, or stored grain were also associated with significantly elevated odds ratios of health care visits. These observations suggest that several steps can be taken to reduce the number of health care visits resulting from occupational exposure to pesticides. The implications of this pattern of pesticide-related health care visits may have etiologic implications for cancer and other chronic diseases. 1998-07 /pmc/articles/PMC1533128/ /pubmed/9637799 Text en |
spellingShingle | Research Article Alavanja, M C Sandler, D P McDonnell, C J Lynch, C F Pennybacker, M Zahm, S H Lubin, J Mage, D Steen, W C Wintersteen, W Blair, A Factors associated with self-reported, pesticide-related visits to health care providers in the agricultural health study. |
title | Factors associated with self-reported, pesticide-related visits to health care providers in the agricultural health study. |
title_full | Factors associated with self-reported, pesticide-related visits to health care providers in the agricultural health study. |
title_fullStr | Factors associated with self-reported, pesticide-related visits to health care providers in the agricultural health study. |
title_full_unstemmed | Factors associated with self-reported, pesticide-related visits to health care providers in the agricultural health study. |
title_short | Factors associated with self-reported, pesticide-related visits to health care providers in the agricultural health study. |
title_sort | factors associated with self-reported, pesticide-related visits to health care providers in the agricultural health study. |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1533128/ https://www.ncbi.nlm.nih.gov/pubmed/9637799 |
work_keys_str_mv | AT alavanjamc factorsassociatedwithselfreportedpesticiderelatedvisitstohealthcareprovidersintheagriculturalhealthstudy AT sandlerdp factorsassociatedwithselfreportedpesticiderelatedvisitstohealthcareprovidersintheagriculturalhealthstudy AT mcdonnellcj factorsassociatedwithselfreportedpesticiderelatedvisitstohealthcareprovidersintheagriculturalhealthstudy AT lynchcf factorsassociatedwithselfreportedpesticiderelatedvisitstohealthcareprovidersintheagriculturalhealthstudy AT pennybackerm factorsassociatedwithselfreportedpesticiderelatedvisitstohealthcareprovidersintheagriculturalhealthstudy AT zahmsh factorsassociatedwithselfreportedpesticiderelatedvisitstohealthcareprovidersintheagriculturalhealthstudy AT lubinj factorsassociatedwithselfreportedpesticiderelatedvisitstohealthcareprovidersintheagriculturalhealthstudy AT maged factorsassociatedwithselfreportedpesticiderelatedvisitstohealthcareprovidersintheagriculturalhealthstudy AT steenwc factorsassociatedwithselfreportedpesticiderelatedvisitstohealthcareprovidersintheagriculturalhealthstudy AT wintersteenw factorsassociatedwithselfreportedpesticiderelatedvisitstohealthcareprovidersintheagriculturalhealthstudy AT blaira factorsassociatedwithselfreportedpesticiderelatedvisitstohealthcareprovidersintheagriculturalhealthstudy |