Socio-environmental risks associated with the green tobacco sickness in farmers: a case-control study

Cargnin, Marcia Casaril dos Santos; Cezar-Vaz, Marta Regina; Getelina, Caroline Ottobelli; Bonow, Clarice Alves

doi:10.1590/0034-7167-2018-0803

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 72 (6) • Nov-Dec 2019 • https://doi.org/10.1590/0034-7167-2018-0803 copy

Socio-environmental risks associated with the green tobacco sickness in farmers: a case-control study

Riesgos socioambientales asociados a la enfermedad del tabaco verde en agricultores: un estudio caso-control

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to determine the presence of socio-environmental risk factors for the development of Green Tobacco Sickness in workers who grow Burley tobacco.

Method:

matched case-control study. The data collection took place in two moments: from December 2016 to January 2017 and December 2017, when the Burley tobacco was collected, through a household survey with interview application and urine collection for urinary cotinine.

Results:

the socio-environmental risk factors that remained associated with the disease were: bundling tobacco (p=0.047) and wearing socks (p=0.011); with protective effect were found sticking tobacco seeding of the day (p=0.006) and number of tobacco harvested per day (p=0.021).

Conclusion:

the steps in the Burley tobacco work process increase the exposure and risk of developing the disease. By identifying these factors, it is possible to address interdisciplinary control and prevention measures.

Descriptors:
Risk; Farmers; Tobacco; Occupational Exposure; Nursing

Variables ^* * Categorical variables expressed in n (%) and continuous variables expressed as mean ± SD or median (25-75 percentiles);	Cases (n=20)	Controls (n=91)	p value^ comparison of means by means of the t-student test, of medians by means of the Mann-Whitney Test, and of proportions by Chi-Square or Fisher’s Exact;
Age range			0.676
<30	3 (15.0)	9 (9.9)
30 – 39	5 (25.0)	13 (14.3)
40 – 49	4 (20.0)	24 (26.4)
50 – 59	6 (30.0)	37 (40.7)
≥ 60	2 (10.0)	8 (8.8)
Schooling (years)	7.35 ± 2.77	7.06 ± 3.33	0.713
Main activity			0.540
Tobacco	7 (35.0)	40 (44.0)
Dairy cattle	7 (35.0)	30 (33.0)
Housewife/day laborer	3 (15.0)	13 (14.3)
Pig Industry	2 (10.0)	1 (1.1)
Corn/soy	1 (5.0)	5 (5.5)
Bakery	0 (0.0)	1 (1.1)
Fruticulture	0 (0.0)	1 (1.1)
Work activity carried out^* ***** Multiple answer.
Tobacco harvesting	20 (100)	91 (100)	-
Loading tobacco into shed	13 (65.0)	82 (90.1)	0.009
Hanging tobacco of the day	10 (50.0)	80 (87.9)	<0.001
Hanging tobacco in the shed	17 (85.0)	76 (83.5)	1.000
Cutting tobacco stem	9 (45.0)	67 (73.6)	0.026
Cutting pre-wilting tobacco	5 (25.0)	20 (22.0)	0.772
Sticking pre-wilting tobacco	8 (40.0)	17 (18.7)	0.072
Collecting pre-wilting tobacco	5 (25.0)	12 (13.2)	0.186
Transporting the pre-wilting tobacco from the greenhouse	2 (10.0)	6 (6.6)	0.633
Bundling the tobacco	4 (20.0)	3 (3.3)	0.019
Transport the tobacco from the greenhouse to another shed	0 (0.0)	4 (4.4)	1.000
Tobacco thinning	0 (0.0)	2 (2.2)	1.000
Number of stems harvested/day	710 ± 240	1106.6 ± 691.6	0.013
Time (hours) with hands dirty with tobacco	6.15 ± 2.66	6.90 ± 2.31	0.203

Variables^* * Categorical variables expressed in n (%) and continuous variables expressed as mean ± SD or median (25-75 percentiles);	Cases (n=20)	Controls (n=91)	p value^ comparison of means by means of the t-student test, of medians by means of the Mann-Whitney Test, and of proportions by Chi-Square or Fisher’s Exact;
Clothes/PPE^* ***** Multiple answer.
Hat	16 (80.0)	75 (82.4)	0.756
Long pants	17 (85.0)	67 (73.6)	0.392
Boots	12 (60.0)	55 (60.4)	1.000
Long shirt	14 (70.0)	47 (51.6)	0.213
Short shirt	6 (30.0)	44 (48.4)	0.213
Flip flop	4 (20.0)	28 (30.8)	0.490
Bermudas	3 (15.0)	25 (27.5)	0.380
Shoes/sneakers/boots	7 (35.0)	23 (25.3)	0.543
Cap	7 (35.0)	22 (24.2)	0.474
Socks	9 (45.0)	14 (15.4)	0.006
Sunscreen	2 (10.0)	7 (7.7)	0.664
Waterproof long sleeve	0 (0.0)	2 (2.2)	1.000
Arabic cap	0 (0.0)	1 (1.1)	1.000
Polyurethane sleeve	7 (35.0)	25 (27.5)	0.689
Cotton sleeve	1 (5.0)	1 (1.1)	0.329
Latex sleeve	1 (5.0)	3 (3.3)	0.554
Latex + cotton sleeve	2 (10.0)	5 (5.5)	0.607
Work with wet/humid tobacco	14 (70.0)	63 (69.2)	1.000
Cloth got wet	17 (85.0)	74 (81.3)	1.000
Changed clothes	8 (47.1)	42 (56.8)	0.650
Smoking Status			1.000
Smoker	1 (5.0)	8 (8.8)
Non-smoker/Ex-smoker	19 (95.0)	83 (91.2)
Applies agrotoxin	11 (55.0)	58 (63.7)	0.635
Working time with tobacco (years)	20 (8-35)	24 (18-29)	0.452
Had signals and symptoms in previous years	12 (60.0)	40 (44.0)	0.292
Air humidity	52.6 ± 13.4	51.8 ± 13.7	0.870

Variables	OR (95%CI)	p value
Sticking tobacco stems of the day	0.13 (0.03 – 0.57)	0.006
Bundling the tobacco	9.45 (1.03 – 86.6)	0.047
Number of stems harvested/day	0.997 (0.994 – 1.000)	0.021
Use of socks	6.32 (1.52 – 26.2)	0.011

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding Author: Marcia Casaril dos Santos Cargnin. E-mail: marciacasaril@hotmail.com