Pesticide Exposure and Respiratory Health of Indigenous Women in Costa Rica

dc.creatorFieten, Karin
dc.creatorKromhout, Hans
dc.creatorHeederik, Dick
dc.creatorvan Wendel de Joode, Berna
dc.date2016-04-27T15:35:27Z
dc.date2016-04-27T15:35:27Z
dc.date2009-02-18
dc.date.accessioned2018-03-14T19:05:30Z
dc.date.available2018-03-14T19:05:30Z
dc.identifierDOI: 10.1093/aje/kwp060
dc.identifierhttp://hdl.handle.net/11056/13016
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1107565
dc.descriptionA 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.
dc.languageen
dc.publisherPublished by the Johns Hopkins Bloomberg School of Public Health and American Journal of Epidemiology
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 Costa Rica
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/3.0/cr/
dc.subjectResearch Subject Categories::MEDICINE::Social medicine::Public health medicine research areas::Epidemiology
dc.subjectResearch Subject Categories::TECHNOLOGY::Other technology::Environmental engineering
dc.subjectResearch Subject Categories::MEDICINE::Social medicine::Public health medicine research areas
dc.subjectoccupational exposure
dc.subjectrespiratory function tests
dc.subjectsigns and symptoms
dc.subjectrespiratory
dc.titlePesticide Exposure and Respiratory Health of Indigenous Women in Costa Rica
dc.typeArtículos de revistas


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