Assessment of Primary Health Care for rural workers exposed to pesticides
ABSTRACT OBJECTIVE To evaluate the attributes of Primary Health Care (PHC) for rural workers; to analyze sociodemographic conditions, history of poisoning and hospitalizations for pesticides and use of personal protective equipment; and to verify exposure to pesticides by determining bioindicators....
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| Format: | Article |
| Language: | English |
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Universidade de São Paulo
2020-01-01
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| Series: | Revista de Saúde Pública |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100207&tlng=en |
| _version_ | 1798021373548822528 |
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| author | Alessandra Cristina Pupin Silvério Isarita Martins Denismar Alves Nogueira Marco Antônio Santos Mello Edilaine Assunção Caetano de Loyola Miriam Monteiro de Castro Graciano |
| author_facet | Alessandra Cristina Pupin Silvério Isarita Martins Denismar Alves Nogueira Marco Antônio Santos Mello Edilaine Assunção Caetano de Loyola Miriam Monteiro de Castro Graciano |
| author_sort | Alessandra Cristina Pupin Silvério |
| collection | DOAJ |
| description | ABSTRACT OBJECTIVE To evaluate the attributes of Primary Health Care (PHC) for rural workers; to analyze sociodemographic conditions, history of poisoning and hospitalizations for pesticides and use of personal protective equipment; and to verify exposure to pesticides by determining bioindicators. METHODS Cross-sectional, descriptive-analytical study with a sample of 1,027 rural workers living in municipalities belonging to a regional health department in Southern Minas Gerais, whose PHC is governed by the Family Health Strategy model. We used the adult version of the Primary Care Assessment Tool (PCATool Brazil) and a structured questionnaire to collect socioeconomic data, history of poisoning and hospitalization for pesticides and use of personal protective equipment. Blood samples were collected to measure biomarkers of pesticide exposure and signs of renal and hepatic sequelae. RESULTS Low education was prevalent, as well as the intense contact of workers with pesticides. Frequent use of personal protective equipment was higher among men, as was the history of poisoning and hospitalizations for pesticides. Rates of 20% poisoning, 15% liver disease and 2% nephropathy were detected. Signs of hepatotoxicity were more frequent in men. Gender differences were all statistically significant. Regarding PHC, only the attribute “degree of affiliation” had a high score. None of the poisoning cases detected in the study were previously diagnosed. CONCLUSIONS Despite the high coverage of the Family Health Strategy, occupational risk and its consequences have not been detected by health services, which do not seem oriented to primary care, even lacking their essential attributes. There is a need for immediate and effective adaptation of public policies regarding the health of rural workers, with adequate training of teams and review of the portfolio of PHC services offered. |
| first_indexed | 2024-04-11T17:12:12Z |
| format | Article |
| id | doaj.art-9e3b40e1f49e4e269fb1c434f1155a12 |
| institution | Directory Open Access Journal |
| issn | 1518-8787 |
| language | English |
| last_indexed | 2024-04-11T17:12:12Z |
| publishDate | 2020-01-01 |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Revista de Saúde Pública |
| spelling | doaj.art-9e3b40e1f49e4e269fb1c434f1155a122022-12-22T04:12:52ZengUniversidade de São PauloRevista de Saúde Pública1518-87872020-01-015410.11606/s1518-8787.2020054001455Assessment of Primary Health Care for rural workers exposed to pesticidesAlessandra Cristina Pupin Silvériohttps://orcid.org/0000-0003-2093-2713Isarita Martinshttps://orcid.org/0000-0001-7471-3773Denismar Alves Nogueirahttps://orcid.org/0000-0003-2285-8764Marco Antônio Santos Mellohttps://orcid.org/0000-0002-4966-9958Edilaine Assunção Caetano de Loyolahttps://orcid.org/0000-0002-4441-1229Miriam Monteiro de Castro Gracianohttps://orcid.org/0000-0003-2764-6891ABSTRACT OBJECTIVE To evaluate the attributes of Primary Health Care (PHC) for rural workers; to analyze sociodemographic conditions, history of poisoning and hospitalizations for pesticides and use of personal protective equipment; and to verify exposure to pesticides by determining bioindicators. METHODS Cross-sectional, descriptive-analytical study with a sample of 1,027 rural workers living in municipalities belonging to a regional health department in Southern Minas Gerais, whose PHC is governed by the Family Health Strategy model. We used the adult version of the Primary Care Assessment Tool (PCATool Brazil) and a structured questionnaire to collect socioeconomic data, history of poisoning and hospitalization for pesticides and use of personal protective equipment. Blood samples were collected to measure biomarkers of pesticide exposure and signs of renal and hepatic sequelae. RESULTS Low education was prevalent, as well as the intense contact of workers with pesticides. Frequent use of personal protective equipment was higher among men, as was the history of poisoning and hospitalizations for pesticides. Rates of 20% poisoning, 15% liver disease and 2% nephropathy were detected. Signs of hepatotoxicity were more frequent in men. Gender differences were all statistically significant. Regarding PHC, only the attribute “degree of affiliation” had a high score. None of the poisoning cases detected in the study were previously diagnosed. CONCLUSIONS Despite the high coverage of the Family Health Strategy, occupational risk and its consequences have not been detected by health services, which do not seem oriented to primary care, even lacking their essential attributes. There is a need for immediate and effective adaptation of public policies regarding the health of rural workers, with adequate training of teams and review of the portfolio of PHC services offered.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100207&tlng=enRural WorkersOccupational HealthAgrochemicals, poisoningPersonal Protection EquipmentWorking ConditionsPrimary Health CareRural Health Services |
| spellingShingle | Alessandra Cristina Pupin Silvério Isarita Martins Denismar Alves Nogueira Marco Antônio Santos Mello Edilaine Assunção Caetano de Loyola Miriam Monteiro de Castro Graciano Assessment of Primary Health Care for rural workers exposed to pesticides Revista de Saúde Pública Rural Workers Occupational Health Agrochemicals, poisoning Personal Protection Equipment Working Conditions Primary Health Care Rural Health Services |
| title | Assessment of Primary Health Care for rural workers exposed to pesticides |
| title_full | Assessment of Primary Health Care for rural workers exposed to pesticides |
| title_fullStr | Assessment of Primary Health Care for rural workers exposed to pesticides |
| title_full_unstemmed | Assessment of Primary Health Care for rural workers exposed to pesticides |
| title_short | Assessment of Primary Health Care for rural workers exposed to pesticides |
| title_sort | assessment of primary health care for rural workers exposed to pesticides |
| topic | Rural Workers Occupational Health Agrochemicals, poisoning Personal Protection Equipment Working Conditions Primary Health Care Rural Health Services |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100207&tlng=en |
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