Longitudinal Renal Function Degradation Among Florida Agricultural Workers

Chicas, Roxana C.; Elon, Lisa; Xiuhtecutli, Nezahualcoyotl; Liang, Donghai; Houser, Madelyn C.; Mwarumba, Tuzo; Berra, Liris; Hertzberg, Vicki; Sands, Jeff M.; McCauley, Linda

doi:10.1097/JOM.0000000000003142

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CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners. As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.

Longitudinal Renal Function Degradation Among Florida Agricultural Workers

9-01-
By Chicas, Roxana C. ; Elon, Lisa ; Xiuhtecutli, Nezahualcoyotl ; ...
Source: J Occup Environ Med. 66(9):694-705

Public Access Version Available on: September 01, 2025, 12:00 AM

Please check back on the date listed above.

English

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Details:

Alternative Title:

J Occup Environ Med
Personal Author:

Chicas, Roxana C. ; Elon, Lisa ; Xiuhtecutli, Nezahualcoyotl ; Liang, Donghai ; Houser, Madelyn C. ; ... More +

Chicas, Roxana C. ; Elon, Lisa ; Xiuhtecutli, Nezahualcoyotl ; Liang, Donghai ; Houser, Madelyn C. ; Mwarumba, Tuzo ; Berra, Liris ; Hertzberg, Vicki ; Sands, Jeff M. ; McCauley, Linda Less -
Description:

Objective:

This longitudinal study evaluated renal function and acute kidney injury (AKI) over time in U.S. agricultural workers.

Methods:

We followed Florida agricultural workers from January 2020 to August 2022, collecting blood and urine pre- and post-workday during 5 visits.

Results:

Pre-workday eGFR function in all participants was lower in summers but relatively consistent over time. In participants who worked almost exclusively in fernery operations (piece-rate compensation), we observed a high incidence of post-workday AKI in 2020 (21%) that increased to 43% by the end of the study. In comparison, 11% of nursery workers (hourly compensation) had AKI, and this rate was fairly stable.

Conclusion:

AKI risk over time differs according to the type of agricultural work. Piece rate workers who are incentivized to forgo rest breaks and hydration to earn higher wages demonstrate steadily increasing rates of AKI.
Subjects:

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Acute Kidney Injury Adult Agricultural Workers' Diseases Agriculture Farmers Female Florida Glomerular Filtration Rate Humans Incidence Longitudinal Studies Male Middle Aged
Keywords:

[+]

Acute Kidney Injury Agricultural Workers Dehydration Heat Piece-rate
Source:

J Occup Environ Med. 66(9):694-705
Pubmed ID:

38748403
Pubmed Central ID:

PMC11371535
Document Type:

Journal Article
Funding:

K23 NR020356/NR/NINR NIH HHSUnited States/ ; R01 OH011782/OH/NIOSH CDC HHSUnited States/

K23 NR020356/NR/NINR NIH HHSUnited States/ ; R01 OH011782/OH/NIOSH CDC HHSUnited States/ Less -
Volume:

66
Issue:

9
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha-512:e1bf626cccbfb258ceac4cf8817803821b5982a21b5675e2320c6cec4be08d0c093b010b311c57b47d45c0af82cc3ec819832dde8c9a98059f3ee5ba494362f7
File Type:

Supporting Files:

No Additional Files

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