Cargando…
Effectiveness of interventions to promote pesticide safety and reduce pesticide exposure in agricultural health studies: A systematic review
OBJECTIVE: There is a relationship between pesticide exposure and farmworkers’ health. Well-conducted evaluations can provide an insight into how to develop and implement more effective interventions to prevent farmers and farmworkers’ exposure to pesticides. This review aimed to summarize the liter...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837484/ https://www.ncbi.nlm.nih.gov/pubmed/33497407 http://dx.doi.org/10.1371/journal.pone.0245766 |
_version_ | 1783642964647477248 |
---|---|
author | Afshari, Maryam Karimi-Shahanjarini, Akram Khoshravesh, Sahar Besharati, Fereshteh |
author_facet | Afshari, Maryam Karimi-Shahanjarini, Akram Khoshravesh, Sahar Besharati, Fereshteh |
author_sort | Afshari, Maryam |
collection | PubMed |
description | OBJECTIVE: There is a relationship between pesticide exposure and farmworkers’ health. Well-conducted evaluations can provide an insight into how to develop and implement more effective interventions to prevent farmers and farmworkers’ exposure to pesticides. This review aimed to summarize the literature on the effectiveness of interventions to promote pesticide safety and reduce pesticide exposure among farmers and farmworkers. METHODS: A comprehensive search on PubMed, Embase, ISI Web of Science, Scopus, Science Direct, Agricola, NIOSHTIC, and Agris databases was performed to identify relevant studies published from 2000 to 2019. Randomized controlled trials (RCTs) and quasi-experimental studies assessing the effectiveness of interventions on a variety of outcomes related to pesticide exposure were considered. The searches were restricted to articles written in English. The methodological quality of included reviews was appraised using the Effective Public Health Practice Project quality assessment tool (EPHPP). RESULTS: The initial search led to 47912 records, 31 studies of which including nine RCTs and twenty-two quasi-experimental studies met the criteria. The majority of the included studies focused on the educational/ behavioral approach. The studies that applied this approach were effective in improving the participants’ knowledge and attitude; however, these interventions were less effective in terms of making changes in participants’ behaviors and their risk of exposure to toxic pesticides. Multifaceted interventions were moderately effective in terms of improving farmers’ and farmworkers’ behaviors and reduction in exposure to toxic pesticides. We did not find any studies that had evaluated the effectiveness of engineering/technological, and legislation/enforcement interventions. CONCLUSIONS: Although the majority of studies were based on an educational/behavioral approach and did not assess the effect of interventions on objective measures, the results of this review highlight the significant effectiveness of educational programs and some potential key elements of these interventions. These findings may inform policymakers to develop interventions to reduce pesticide exposure among farmers and farmworkers. |
format | Online Article Text |
id | pubmed-7837484 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-78374842021-02-02 Effectiveness of interventions to promote pesticide safety and reduce pesticide exposure in agricultural health studies: A systematic review Afshari, Maryam Karimi-Shahanjarini, Akram Khoshravesh, Sahar Besharati, Fereshteh PLoS One Research Article OBJECTIVE: There is a relationship between pesticide exposure and farmworkers’ health. Well-conducted evaluations can provide an insight into how to develop and implement more effective interventions to prevent farmers and farmworkers’ exposure to pesticides. This review aimed to summarize the literature on the effectiveness of interventions to promote pesticide safety and reduce pesticide exposure among farmers and farmworkers. METHODS: A comprehensive search on PubMed, Embase, ISI Web of Science, Scopus, Science Direct, Agricola, NIOSHTIC, and Agris databases was performed to identify relevant studies published from 2000 to 2019. Randomized controlled trials (RCTs) and quasi-experimental studies assessing the effectiveness of interventions on a variety of outcomes related to pesticide exposure were considered. The searches were restricted to articles written in English. The methodological quality of included reviews was appraised using the Effective Public Health Practice Project quality assessment tool (EPHPP). RESULTS: The initial search led to 47912 records, 31 studies of which including nine RCTs and twenty-two quasi-experimental studies met the criteria. The majority of the included studies focused on the educational/ behavioral approach. The studies that applied this approach were effective in improving the participants’ knowledge and attitude; however, these interventions were less effective in terms of making changes in participants’ behaviors and their risk of exposure to toxic pesticides. Multifaceted interventions were moderately effective in terms of improving farmers’ and farmworkers’ behaviors and reduction in exposure to toxic pesticides. We did not find any studies that had evaluated the effectiveness of engineering/technological, and legislation/enforcement interventions. CONCLUSIONS: Although the majority of studies were based on an educational/behavioral approach and did not assess the effect of interventions on objective measures, the results of this review highlight the significant effectiveness of educational programs and some potential key elements of these interventions. These findings may inform policymakers to develop interventions to reduce pesticide exposure among farmers and farmworkers. Public Library of Science 2021-01-26 /pmc/articles/PMC7837484/ /pubmed/33497407 http://dx.doi.org/10.1371/journal.pone.0245766 Text en © 2021 Afshari et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Afshari, Maryam Karimi-Shahanjarini, Akram Khoshravesh, Sahar Besharati, Fereshteh Effectiveness of interventions to promote pesticide safety and reduce pesticide exposure in agricultural health studies: A systematic review |
title | Effectiveness of interventions to promote pesticide safety and reduce pesticide exposure in agricultural health studies: A systematic review |
title_full | Effectiveness of interventions to promote pesticide safety and reduce pesticide exposure in agricultural health studies: A systematic review |
title_fullStr | Effectiveness of interventions to promote pesticide safety and reduce pesticide exposure in agricultural health studies: A systematic review |
title_full_unstemmed | Effectiveness of interventions to promote pesticide safety and reduce pesticide exposure in agricultural health studies: A systematic review |
title_short | Effectiveness of interventions to promote pesticide safety and reduce pesticide exposure in agricultural health studies: A systematic review |
title_sort | effectiveness of interventions to promote pesticide safety and reduce pesticide exposure in agricultural health studies: a systematic review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837484/ https://www.ncbi.nlm.nih.gov/pubmed/33497407 http://dx.doi.org/10.1371/journal.pone.0245766 |
work_keys_str_mv | AT afsharimaryam effectivenessofinterventionstopromotepesticidesafetyandreducepesticideexposureinagriculturalhealthstudiesasystematicreview AT karimishahanjariniakram effectivenessofinterventionstopromotepesticidesafetyandreducepesticideexposureinagriculturalhealthstudiesasystematicreview AT khoshraveshsahar effectivenessofinterventionstopromotepesticidesafetyandreducepesticideexposureinagriculturalhealthstudiesasystematicreview AT besharatifereshteh effectivenessofinterventionstopromotepesticidesafetyandreducepesticideexposureinagriculturalhealthstudiesasystematicreview |