Risk Factors for Farm-Related Adverse Health Outcomes
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2009/05/01
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By Onwuameze OE
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Description:This study aimed to evaluate the prevalence, incidence and risk factors for farm-related disease symptoms (musculoskeletal disorders (MSD), skin diseases and depression) in a cohort of Iowa farmers using data from the Certified Safe Farm study. The prevalence of MSD at baseline was 41.1% and during the three-year follow-up period, the cumulative period prevalence (proportion of persons with symptoms) for all MSD symptoms was 70.2%. The cumulative prevalence was 68.0% for low-back pain and 14.2% for neck/shoulder pain. The incidence (cases per 100 person-years) was 8.1 for low back pain and 3.0 for neck/shoulder pain. Working >/= 42 hours weekly (OR=1.81; 95% CI: 1.40-2.35), heavy lifting (OR=1.45; 95% CI: 1.08-1.94), and exposure to loud noise (OR=1.51; 95% CI: 1.17-1.95) were risk factors for MSD even in multivariable models, while farming crop acres was protective (OR= 0.34; 95% CI: 0.19-0.59). The three-year cumulative prevalence of skin disorders was 16.3% and the incidence was 4.8 cases per 100 person-years during the follow-up consisting of 758 person-years. Exposure to pesticides (OR=1.92; 95% CI: 1.14-3.23) was a risk factor for skin disorders. Conversely, the use of hat with wide brim (OR=0.38; 95% CI: 0.18-0.77), wearing long sleeve clothing when working outside (OR=0.41; 95% CI: 0.20-0.83) and a history of allergy (OR=0.39; 95% CI: 0.24-0.65) were protective. Previous skin ulcer (OR=11.35; 95% CI: 5.82-22.14) was a risk factor for skin cancer while sunscreen use (OR=0.34; 95% CI: 0.25-0.46) decreased the risk. Pesticide application (OR=1.83; 95% CI: 1.38-2.43) was a risk factor for high depression, while education (= high school) (OR=0.58; 95% CI: 0.37-0.92) was protective. [Description provided by NIOSH]
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ISBN:9781124182032
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NIOSHTIC Number:nn:20056775
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Citation:Ann Arbor, MI: ProQuest LLC., 2009 May; :3421010
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Federal Fiscal Year:2009
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Performing Organization:University of Iowa
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Peer Reviewed:False
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Start Date:20050701
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Source Full Name:Risk factors for farm-related adverse health outcomes
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End Date:20290630
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Main Document Checksum:urn:sha-512:b34f18fe1e5dca96dafabed54c1e547a3d34eb606a2caabaf03f083b691cf644d4c7fc22558da2fc1eff39d116d3824dc453247456aa9de79ed4cb381b219506
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