江苏省农村居民生产性农药中毒危险因素的配对病例对照研究

涂志斌; 崔梦晶; 么鸿; 雁胡国清; HuiyunXiang; LorannStallones; 张徐军

Abstract

涂志斌,崔梦晶,么鸿,雁胡国清,HuiyunXiang,LorannStallones,张徐军.江苏省农村居民生产性农药中毒危险因素的配对病例对照研究[J].Chinese journal of Epidemiology,2012,33(4):382-385

江苏省农村居民生产性农药中毒危险因素的配对病例对照研究

Pesticide poisoning;Risk factors;Farmers;Case-control study

Received:October 21, 2011

DOI：

KeyWord: 农药中毒危险因素农民病例对照研究

English Key Word: Pesticide poisoning Risk factors Farmers Case-control study

FundProject:美国国立卫生研究院(NIH)资助(1D43TW007257-01A2)

Author Name	Affiliation	E-mail
TU Zhi-bin	Southeast University Injury Prevention Research Institute/School of Public Health, Southeast University, Nanjing 210009, China
CUI Meng-jing	Southeast University Injury Prevention Research Institute/School of Public Health, Southeast University, Nanjing 210009, China
YAO Hong-yan	Epidemiology Offwe, Chinese Center for Disease Control and Prevention
HU Guo-qing	Department of Epidemiology and Health Statistics, School of Public Health, Central South University
XIANG Hui-yun	Center for Injury Research and Policy, The Ohio State University
Lorann Stallones	Colorado Injury Control Research Center, Colorado State University
ZHANG Xu-jun	Southeast University Injury Prevention Research Institute/School of Public Health, Southeast University, Nanjing 210009, China	xjzhang@seu.edu.cn

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Abstract:

目的探讨江苏省农民生产性农药中毒的危险因素.方法采用以人群为基础的1∶2病例对照研究,按同性别、同村庄和年龄相差不超过3岁的匹配原则,对121例生产性农药中毒病例和242名对照进行统一问卷调查.用EpiData 3.1软件建立数据库,SPSS 16.0软件进行单因素、多因素条件logistic回归分析.结果单因素分析结果显示,缺乏安全指导、喷洒农药前不阅读标签、不退步打药、用手擦汗、药械滴漏、打药时身体受到污染和打药过程中身体感到不适仍继续打药与生产性农药中毒有关；多因素logistic回归分析结果表明,缺乏安全指导、喷洒农药前不阅读标签、用手擦汗、药械滴漏4项为农民生产性农药中毒的危险因素,其OR值分别为2.25(95％CI:1.35～3.74)、1.95 (95％CI:1.19 ～ 3.18)、1.97 (95％CI:1.20 ～ 3.24)、1.82 (95％CI:1.10～3.01).结论江苏省农民生产性农药中毒与缺乏安全指导、喷洒农药前不阅读标签、用手擦汗、药械滴漏等危险因素有关.

English Abstract:

Objective To explore the risk factors on cases regarding work-related acute pesticide poisoning among farmers of Jiangsu province.Methods A population-based,1 ∶ 2 matched case-control study was carried out,with 121 patients as case-group paired by 242 persons with same gender,district and age less then difference of 3 years,as controls.Cases were the ones who had suffered from work-related acute pesticide poisoning.A unified questionnaire was used.Data base was established by EpiData 3.1,and SPSS 16.0 was used for both data single factor and multi-conditional logistics regression analysis.Results Results from the single factor logistic regression analysis showed that the related risk factors were:lack of safety guidance,lack of readable labels befores praying pesticides,no regression during application,using hand to wipe sweat,using leaking knapsack,body contaminated during application and continuing to work when feeling ill after the contact of pesticides.Results from multi-conditional logistic regression analysis indicated that the lack of safety guidance (OR=2.25,95％ CI:1.35-3.74),no readable labels befores praying pesticides (OR=1.95,95％ CI:1.19-3.18),wiping the sweat by hand during application (OR=1.97,95％CI:1.20-3.24)and using leaking knapsack during application (OR=1.82,95％ CI:1.10-3.01) were risk factors for the occurrence of work-related acute pesticide poisoning.Conclusion The lack of safety guidance,no readable labels befores praying pesticides,wiping the sweat by hand or using leaking knapsack during application were correlated to the occurrence of work-related acute pesticide poisoning.

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