Volume 8, Issue 3 (Jul- Sep 2019)
JCHR 2019, 8(3): 177-185 |
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Halvani G H, Jafari Nodoushan R, Halvani E, Anoosheh V S. Evaluation of respiratory symptoms and lung function disorders of farmers in Yazd Province . JCHR 2019; 8 (3) :177-185
URL: http://jhr.ssu.ac.ir/article-1-572-en.html
URL: http://jhr.ssu.ac.ir/article-1-572-en.html
1- Department of Occupational Health Engineering, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- Department of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Department of Occupational Health Engineering, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yad, Iran ,anooshehvida@gmail.com
2- Department of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Department of Occupational Health Engineering, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yad, Iran ,
Abstract: (4399 Views)
Abstract
Introduction:
Respiratory disorders are common problems in farmers which have a high mortality rate in Yazd city. The aim of this study was to evaluate and compare respiratory parameters as well as the prevalence of respiratory symptoms in three age groups in farmers and non-farmers.
Methods:
This case-control study was conducted on 300 farmers and 300 non-farmers in Yazd. Questionnaires including cognitive knowledge and symptoms of respiratory diseases were completed for all participants and lung function tests were also performed. Data were analyzed using T-student, Chi square test or Fisher's exact test.
Results:
Spirometric results showed a significant reduction in respiratory capacity in the farmer group compared to non-farmer. In all three age groups, the prevalence of respiratory symptoms in farmers were higher than non-farmer groups and as the age increased, the prevalence of symptoms also increased. In the age group over 55, the risk of cough, phlegm, dyspnea and wheezing were 17,10/ 78,3/58 and 6/61 times more than non-farmers respectively which were statistically significant at 95% confidence interval P value < (0.05). Among the symptoms of respiratory, cough had the highest and shortness of breath had the lowest prevalence.
Discussion and conclusion:
Regarding the prevention of high prevalence of respiratory disorders in farmers, the mechanization of agricultural practices, the promotion of health awareness of farmers by health professionals, appropriate implementation of training programs by the health department and assistance of Jihad-e-Agriculture are necessary
Introduction:
Respiratory disorders are common problems in farmers which have a high mortality rate in Yazd city. The aim of this study was to evaluate and compare respiratory parameters as well as the prevalence of respiratory symptoms in three age groups in farmers and non-farmers.
Methods:
This case-control study was conducted on 300 farmers and 300 non-farmers in Yazd. Questionnaires including cognitive knowledge and symptoms of respiratory diseases were completed for all participants and lung function tests were also performed. Data were analyzed using T-student, Chi square test or Fisher's exact test.
Results:
Spirometric results showed a significant reduction in respiratory capacity in the farmer group compared to non-farmer. In all three age groups, the prevalence of respiratory symptoms in farmers were higher than non-farmer groups and as the age increased, the prevalence of symptoms also increased. In the age group over 55, the risk of cough, phlegm, dyspnea and wheezing were 17,10/ 78,3/58 and 6/61 times more than non-farmers respectively which were statistically significant at 95% confidence interval P value < (0.05). Among the symptoms of respiratory, cough had the highest and shortness of breath had the lowest prevalence.
Discussion and conclusion:
Regarding the prevention of high prevalence of respiratory disorders in farmers, the mechanization of agricultural practices, the promotion of health awareness of farmers by health professionals, appropriate implementation of training programs by the health department and assistance of Jihad-e-Agriculture are necessary
Review: Research |
Subject:
General
Received: 2019/10/7 | Accepted: 2019/10/7 | Published: 2019/10/2
Received: 2019/10/7 | Accepted: 2019/10/7 | Published: 2019/10/2
References
1. Linaker C, Smedley J. Respiratory illness in agricultural workers. Occupational medicine. 2002;52(8):451-9. [DOI:10.1093/occmed/52.8.451]
2. Schenker M. Exposures and health effects from inorganic agricultural dusts. Environmental health perspectives. 2000;108(Suppl 4):661. [DOI:10.1289/ehp.00108s4661]
3. Omland O. Exposure and respiratory health in farming in temperate zones-a review of the literature. Annals of Agricultural and Environmental Medicine. 2002;9(2):119-36.
4. Schenker M, Christiani D, Cormier Y. Respiratory health hazards in agriculture. Occupational Health and Industrial Medicine. 1999;2(40):86.
5. Von Essen SG, McCurdy SA. Health and safety risks in production agriculture. Western Journal of Medicine. 1998;169(4):214.
6. Hoppin JA, Valcin M, Henneberger PK, et al. Pesticide use and chronic bronchitis among farmers in the Agricultural Health Study. American journal of industrial medicine. 2007;50(12):969-79. [DOI:10.1002/ajim.20523]
7. Becklake MR. Occupational exposures: evidence for a causal association with chronic obstructive pulmonary disease. American Review of Respiratory Disease. 1989;140(3_pt_2):S85-S91. [DOI:10.1164/ajrccm/140.3_Pt_2.S85]
8. Zock J-P, Sunyer J, Kogevinas M,et al. Occupation, chronic bronchitis, and lung function in young adults: an international study. American journal of respiratory and critical care medicine. 2001;163(7):1572-7. [DOI:10.1164/ajrccm.163.7.2004195]
9. Skórska C, Mackiewicz B, Dutkiewicz J, et al. Effects of exposure to grain dust in Polish farmers: work-related symptoms and immunologic response to microbial antigens associated with dust. Annals of Agricultural and Environmental Medicine. 1998;5:147-54.
10. Lacey J, Crook B. Fungal and actinomycete spores as pollutants of the workplace and occupational allergens. Annals of Occupational Hygiene. 1988;32(4):515-33.
11. Milanowski J, Dutkiewicz J, Potoczna H, et al. Allergic alveolitis among agricultural workers in eastern Poland: A study of twenty cases. Annals of Agricultural and Environmental Medicine. 1998;5(1):31-43.
12. Pepys J. Hypersensitivity diseases of the lungs due to fungi and organic dusts. Hypersensitivity diseases of the lungs due to fungi and organic dusts. 1969.
13. Dutkiewicz J. Studies on endotoxin of Erwinia herbicola and their biological activity. Zentralblatt fur Bakteriologie, Parasitenkunde, Infektionskrankheiten und Hygiene Erste Abteilung Originale Reihe A: Medizinische Mikrobiologie und Parasitologie. 1976;236(4):487-508.
14. Lacey J. Grain dust and health. Postharvest News and Information. 1990;1(2):113-7.
15. Olenchock SA, May JJ, Pratt DS,et al. Presence of endotoxins in different agricultural environments. American journal of industrial medicine. 1990;18(3):279-84. [DOI:10.1002/ajim.4700180307]
16. Lacey J, Dutkiewicz J. Bioaerosols and occupational lung disease. Journal of Aerosol Science. 1994;25(8):1371-404. [DOI:10.1016/0021-8502(94)90215-1]
17. Michel O, Ginanni R, Bon BL, et al. Inflammatory response to acute inhalation of endotoxin in asthmatic patients. American Review of Respiratory Disease. 1992;146(2):352-7. [DOI:10.1164/ajrccm/146.2.352]
18. Dosman J, Graham B, Hall D, et al. Respiratory symptoms and pulmonary function in farmers. Journal of occupational medicine: official publication of the Industrial Medical Association. 1987;29(1):38-43.
19. Langley RL. Consequences of respiratory exposures in the farm environment. North Carolina medical journal. 2011;72(6):477-80.
20. Sterling T, Weinkam J. Smoking patterns by occupation, industry, sex, and race. Archives of Environmental Health: An International Journal. 1978;33(6):313-7. [DOI:10.1080/00039896.1978.10667354]
21. Paulin LM, Diette GB, Blanc PD, et al. Occupational exposures are associated with worse morbidity in patients with chronic obstructive pulmonary disease. American journal of respiratory and critical care medicine. 2015;191(5):557-65. [DOI:10.1164/rccm.201408-1407OC]
22. Heller R, Kelson M. Respiratory disease mortality in agricultural workers in eight member countries of the European Community. International journal of epidemiology. 1982;11(2):170-4. [DOI:10.1093/ije/11.2.170]
23. Toren K, Hörte L-G, Järvholm B. Occupation and smoking adjusted mortality due to asthma among Swedish men. Occupational and Environmental Medicine. 1991;48(5):323-6. [DOI:10.1136/oem.48.5.323]
24. Disease GIfCOL. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease. 2015.
25. Hogg JC, Macklem PT, Thurlbeck W. Site and nature of airway obstruction in chronic obstructive lung disease. New England Journal of Medicine. 1968;278(25):1355-60. [DOI:10.1056/NEJM196806202782501]
26. Cosio M, Ghezzo H, Hogg J, et al. The relations between structural changes in small airways and pulmonary-function tests. New England Journal of Medicine. 1978;298(23):1277-81. [DOI:10.1056/NEJM197806082982303]
27. Eduard W, Pearce N, Douwes J. Chronic Bronchitis, COPD, and Lung Function in FarmersThe Role of Biological Agents. CHEST Journal. 2009;136(3):716-25. [DOI:10.1378/chest.08-2192]
28. Blair A, Zahm SH. Agricultural exposures and cancer. Environmental Health Perspectives. 1995;103(Suppl 8):205. [DOI:10.1289/ehp.95103s8205]
29. Hernandez-Peck MC. Older farmers: Factors affecting their health and safety. Centre for Studies in Aging School of Social Work and Human Services, Estern Washington University Available at< http://www cdc gov/nasd/docs/d001701-d001800/d001760/d001760 pdf Accessed. 2008;2(12):2008.
30. Hosseini M, Ramazani A, Tavasolian H,et al. Survey of knowledge and attitude of farmers of Southern Khorasan province regarding agriculture related OHS issues in 2008. Iran Occupational Health. 2011;8(1):24-9.
31. Statistical Yearbook of 1395 [Internet]. CP&BO. 2016.
32. Stoleski S, Minov J, Mijakoski D,et al. Chronic Respiratory Symptoms and Lung Function in Agricultural Workers-Influence of Exposure Duration and Smoking. Open access Macedonian journal of medical sciences. 2015;3(1):158. [DOI:10.3889/oamjms.2015.014]
33. Stoleski S, Minov J, Karadzinska-Bislimovska J, et al. Chronic Respiratory Symptoms and Lung Function in a Sample of Agricultural Workers in Skopje Region. Macedonian Journal of Medical Sciences. 2014;7(2):329-36. [DOI:10.3889/oamjms.2014.057]
34. Stoleski S, Minov J, Mijakoski D. Bronchial hyperresponsiveness in farmers: severity and work-relatedness. Macedonian Journal of Medical Sciences. 2014;7(3):536-43. [DOI:10.3889/oamjms.2014.097]
35. Radon K, Danuser B, Iversen M, et al. Respiratory symptoms in European animal farmers. European Respiratory Journal. 2001;17(4):747-54. [DOI:10.1183/09031936.01.17407470]
36. Dalphin J-C, Dubiez A, Monnet E, et al. Prevalence of asthma and respiratory symptoms in dairy farmers in the French province of the Doubs. American journal of respiratory and critical care medicine. 1998;158(5):1493-8. [DOI:10.1164/ajrccm.158.5.9709108]
37. Dalphin J, Maheu M, Dussaucy A, et al. Six year longitudinal study of respiratory function in dairy farmers in the Doubs province. European Respiratory Journal. 1998;11(6):1287-93. [DOI:10.1183/09031936.98.11061287]
38. Dalphin J, Debieuvre D, Pernet D, et al. Prevalence and risk factors for chronic bronchitis and farmer's lung in French dairy farmers. British journal of industrial medicine. 1993;50(10):941-4. [DOI:10.1136/oem.50.10.941]
39. Kimbell‐Dunn M, Fishwick R, Bradshaw L,et al. Work‐related respiratory symptoms in New Zealand farmers. American Journal of Industrial Medicine. 2001;39(3):292-300.
https://doi.org/10.1002/1097-0274(200103)39:3<292::AID-AJIM1017>3.0.CO;2-F [DOI:10.1002/1097-0274(200103)39:33.0.CO;2-F]
40. Tutluoǧlu B, Atış S, Anakkaya A,et al. Sensitization to horse hair, symptoms and lung function in grooms. Clinical & Experimental Allergy. 2002;32(8):1170-3. [DOI:10.1046/j.1365-2745.2002.01439.x]
41. Heller R, Hayward D, Farebrother M. Lung function of farmers in England and Wales. Thorax. 1986;41(2):117-21. [DOI:10.1136/thx.41.2.117]
42. Dosman JA, Graham BL, Hall D, et al. Respiratory symptoms and alterations in pulmonary function tests in swine producers in Saskatchewan: results of a survey of farmers. Journal of occupational medicine: official publication of the Industrial Medical Association. 1988;30(9):715-20.
43. Cormier Y, Boulet L-P, Bedard G,et al. Respiratory health of workers exposed to swine confinement buildings only or to both swine confinement buildings and dairy barns. Scandinavian journal of work, environment & health. 1991:269-75. [DOI:10.5271/sjweh.1703]
44. Neghab M, Chobine A. The Relationship between occupational exposure to cement dust and prevalence of respiratory symptoms and disorders. Journal of Kermanshah University of Medical Sciences. 2007;11(2).
45. Danuser B, Weber C, KuÈnzli N, et al. Respiratory symptoms in Swiss farmers: an epidemiological study of risk factors. American journal of industrial medicine. 2001;39(4):410-8. [DOI:10.1002/ajim.1032]
46. Dalphin J, Bildstein F, Pernet D, et al. Prevalence of chronic bronchitis and respiratory function in a group of dairy farmers in the French Doubs province. CHEST Journal. 1989;95(6):1244-7. [DOI:10.1378/chest.95.6.1244]
47. CHEN Y, HORNE SL, MCDUFFIE HH, et al. Combined effect of grain farming and smoking on lung function and the prevalence of chronic bronchitis. International journal of epidemiology. 1991;20(2):416-23. [DOI:10.1093/ije/20.2.416]
48. Iversen M, Pedersen B. Relation between respiratory symptoms, type of farming, and lung function disorders in farmers. Thorax. 1990;45(12):919-23. [DOI:10.1136/thx.45.12.919]
49. Omland Ø, Sigsgaard T, Hjort C, et al. Lung status in young Danish rurals: the effect of farming exposure on asthma‐like symptoms and lung function. European Respiratory Journal. 1999;13(1):31-7 [DOI:10.1183/09031936.99.13103199]
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