Pesticide Exposure and Respiratory Health of Indigenous Women in Costa Rica
A cross-sectional study was conducted in 2007 to evaluate the relation between pesticide exposure and respiratory health in a population of indigenous women in Costa Rica. Exposed women (n ¼ 69) all worked at plantain plantations. Unexposed women (n ¼ 58) worked at organic banana plantations or oth...
| Autores Principales: | Fieten, Karin, Kromhout, Hans, Heederik, Dick, van Wendel de Joode, Berna |
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| Formato: | Artículo |
| Idioma: | Inglés |
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Published by the Johns Hopkins Bloomberg School of Public Health and American Journal of Epidemiology
2016
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| Acceso en línea: |
http://hdl.handle.net/11056/13016 |
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RepoUNACR13016 |
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RepoUNACR130162021-11-08T14:33:48Z Pesticide Exposure and Respiratory Health of Indigenous Women in Costa Rica Fieten, Karin Kromhout, Hans Heederik, Dick van Wendel de Joode, Berna SUSTANCIAS TÓXICAS RIESGOS PARA LA SALUD SALUD PÚBLICA ENFERMEDADES DEL APARATO RESPIRATORIO TOXIC SUBSTANCES HEALTH RISKS PUBLIC HEALTH DISEASES OF THE RESPIRATORY SYSTEM PROGRAMA INFANTES Y SALUD AMBIENTAL ISA A cross-sectional study was conducted in 2007 to evaluate the relation between pesticide exposure and respiratory health in a population of indigenous women in Costa Rica. Exposed women (n ¼ 69) all worked at plantain plantations. Unexposed women (n ¼ 58) worked at organic banana plantations or other locations without pesticide exposure. Study participants were interviewed using questionnaires to estimate exposure and presence of respiratory symptoms. Spirometry tests were conducted to obtain forced vital capacity and forced expiratory volume in 1 second. Among the exposed, prevalence of wheeze was 20% and of shortness of breath was 36% versus 9% and 26%, respectively, for the unexposed. Prevalence of chronic cough, asthma, and atopic symptoms was similar for exposed and unexposed women. Among nonsmokers (n ¼ 105), reported exposures to the organophosphate insecticides chlorpyrifos (n ¼ 25) and terbufos (n ¼ 38) were strongly associated with wheeze (odd ratio ¼ 6.7, 95% confidence interval: 1.6, 28.0; odds ratio ¼ 5.9, 95% confidence interval: 1.4, 25.6, respectively). For both insecticides, a statistically significant exposure-effect association was found. Multiple organophosphate exposure was common; 81% of exposed women were exposed to both chlorpyrifos and terbufos. Consequently, their effects could not be separated. All findings were based on questionnaire data. No relation between pesticide exposure and ventilatory lung function was found. En 2007 se realizó un estudio transversal para evaluar la relación entre la exposición a los plaguicidas y la salud respiratoria en una población de mujeres indígenas de Costa Rica. Las mujeres expuestas (n ¼ 69) trabajaban todas en la plantación de plátanos plantaciones. Las mujeres no expuestas (n ¼ 58) trabajaban en plantaciones de banano orgánico u otros lugares sin pesticida exposición. Se entrevistó a los participantes en el estudio mediante cuestionarios para estimar la exposición y la presencia de síntomas respiratorios. Se realizaron pruebas de espirometría para obtener la capacidad vital forzada y el volumen espiratorio forzado en un segundo. Entre los expuestos, la prevalencia de las sibilancias fue del 20% y la de la dificultad respiratoria del 36% frente al 9% y el 26%, respectivamente, para los no expuestos. La prevalencia de la tos crónica, el asma y los síntomas atópicos fue similar para las mujeres expuestas y no expuestas. Entre los no fumadores (n ¼ 105), las exposiciones reportadas al organofosfato Los insecticidas clorpirifos (n ¼ 25) y terbufos (n ¼ 38) estaban fuertemente asociados con las sibilancias (proporción impar ¼ 6.7, intervalo de confianza del 95%: 1,6, 28,0; odds ratio ¼ 5,9, intervalo de confianza del 95%: 1,4, 25,6, respectivamente). Para ambos insecticidas, se encontró una asociación estadísticamente significativa de efecto de exposición. Exposición a múltiples organofosfatos era común; el 81% de las mujeres expuestas estaban expuestas tanto a clorpirifos como a terbufos. En consecuencia, sus efectos no podía ser separado. Todas las conclusiones se basaron en los datos del cuestionario. No hay relación entre la exposición a los plaguicidas y se encontró una función pulmonar ventilada. Universidad Nacional, Costa Rica Instituto Regional de Estudios en Sustancias Tóxicas, Universidad Nacional 2016-04-27T15:35:27Z 2016-04-27T15:35:27Z 2009-02-18 http://purl.org/coar/resource_type/c_6501 DOI: 10.1093/aje/kwp060 http://hdl.handle.net/11056/13016 en Atribución-NoComercial-SinDerivadas 3.0 Costa Rica http://creativecommons.org/licenses/by-nc-nd/3.0/cr/ application/pdf Published by the Johns Hopkins Bloomberg School of Public Health and American Journal of Epidemiology Johns Hopkins Bloomberg School of Public Health American Journal of Epidemiology 2009 |
| institution |
Universidad Nacional de Costa Rica |
| collection |
Repositorio UNA-Costa Rica |
| language |
Inglés |
| topic |
SUSTANCIAS TÓXICAS RIESGOS PARA LA SALUD SALUD PÚBLICA ENFERMEDADES DEL APARATO RESPIRATORIO TOXIC SUBSTANCES HEALTH RISKS PUBLIC HEALTH DISEASES OF THE RESPIRATORY SYSTEM PROGRAMA INFANTES Y SALUD AMBIENTAL ISA |
| spellingShingle |
SUSTANCIAS TÓXICAS RIESGOS PARA LA SALUD SALUD PÚBLICA ENFERMEDADES DEL APARATO RESPIRATORIO TOXIC SUBSTANCES HEALTH RISKS PUBLIC HEALTH DISEASES OF THE RESPIRATORY SYSTEM PROGRAMA INFANTES Y SALUD AMBIENTAL ISA Fieten, Karin Kromhout, Hans Heederik, Dick van Wendel de Joode, Berna Pesticide Exposure and Respiratory Health of Indigenous Women in Costa Rica |
| description |
A cross-sectional study was conducted in 2007 to evaluate the relation between pesticide exposure and respiratory health in a population of indigenous women in Costa Rica. Exposed women (n ¼ 69) all worked at plantain
plantations. Unexposed women (n ¼ 58) worked at organic banana plantations or other locations without pesticide
exposure. Study participants were interviewed using questionnaires to estimate exposure and presence of respiratory symptoms. Spirometry tests were conducted to obtain forced vital capacity and forced expiratory volume
in 1 second. Among the exposed, prevalence of wheeze was 20% and of shortness of breath was 36% versus 9%
and 26%, respectively, for the unexposed. Prevalence of chronic cough, asthma, and atopic symptoms was similar
for exposed and unexposed women. Among nonsmokers (n ¼ 105), reported exposures to the organophosphate
insecticides chlorpyrifos (n ¼ 25) and terbufos (n ¼ 38) were strongly associated with wheeze (odd ratio ¼ 6.7,
95% confidence interval: 1.6, 28.0; odds ratio ¼ 5.9, 95% confidence interval: 1.4, 25.6, respectively). For both
insecticides, a statistically significant exposure-effect association was found. Multiple organophosphate exposure
was common; 81% of exposed women were exposed to both chlorpyrifos and terbufos. Consequently, their effects
could not be separated. All findings were based on questionnaire data. No relation between pesticide exposure and
ventilatory lung function was found. |
| format |
Artículo |
| author |
Fieten, Karin Kromhout, Hans Heederik, Dick van Wendel de Joode, Berna |
| author_sort |
Fieten, Karin |
| title |
Pesticide Exposure and Respiratory Health of Indigenous Women in Costa Rica |
| title_short |
Pesticide Exposure and Respiratory Health of Indigenous Women in Costa Rica |
| title_full |
Pesticide Exposure and Respiratory Health of Indigenous Women in Costa Rica |
| title_fullStr |
Pesticide Exposure and Respiratory Health of Indigenous Women in Costa Rica |
| title_full_unstemmed |
Pesticide Exposure and Respiratory Health of Indigenous Women in Costa Rica |
| title_sort |
pesticide exposure and respiratory health of indigenous women in costa rica |
| publisher |
Published by the Johns Hopkins Bloomberg School of Public Health and American Journal of Epidemiology |
| publishDate |
2016 |
| url |
http://hdl.handle.net/11056/13016 |
| _version_ |
1796097504369967104 |
| score |
12.041648 |