Health status of Italian children living close to cultivations sprayed with pesticides.

IF 3.4 3区 医学 Q2 INFECTIOUS DISEASES International Journal of Tuberculosis and Lung Disease Pub Date : 2024-10-01 DOI:10.5588/ijtld.24.0104
G Sarno, S Maio, S Baldacci, I Stanisci, A Angino, S Tagliaferro, P Silvi, G Viegi
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Abstract

BACKGROUNDPesticides are used to control pests, but they are toxic and may severely harm children's health. We assessed health outcomes in Italian children living close to cultivations sprayed with pesticides.METHODSIn 2011-2012, 2,367 schoolchildren (6-14 years) living in eight Italian cities participated in the Indoor-School observational study. Parents filled in a standardised questionnaire on children's health and related risk factors. Children were classified as exposed to pesticides if living close to cultivations sprayed with pesticides. The association between the last three months of respiratory, allergic or systemic symptoms and pesticide exposure was assessed by multinomial logistic regression models, accounting for host/environmental risk factors.RESULTSOverall, 14% of children were exposed to pesticides, with significant differences among geographical areas: 21.2% in Northern Italy, 11.6% in Central Italy, and 9.7% in Southern Italy. Pesticide exposure was significantly associated with having: 1) 'often': eye symptoms (OR 3.81, 95% CI 2.06-7.05), skin symptoms (OR 2.60, 95% CI 1.34-5.03), lower airway symptoms (OR 2.38, 95% CI 1.41-4.01), systemic symptoms (OR 1.56, 95% CI 0.96-2.53, borderline); 2) 'daily': upper airways symptoms (OR 2.25, 95% CI 1.25-4.07) and systemic symptoms (OR 2.76, 95% CI 1.43-5.34).CONCLUSIONSSelf-reported pesticide exposure was associated with respiratory, allergic or systemic symptoms in children. Public authorities should be aware of and intervene to mitigate this health risk..

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生活在喷洒过杀虫剂的农田附近的意大利儿童的健康状况。
背景杀虫剂用于控制害虫,但它们具有毒性,可能会严重危害儿童健康。我们对居住在喷洒过杀虫剂的农田附近的意大利儿童的健康状况进行了评估。方法 2011-2012年,居住在意大利八个城市的2367名学龄儿童(6-14岁)参加了室内-学校观察研究。家长填写了一份关于儿童健康和相关风险因素的标准化问卷。如果儿童居住的地方靠近喷洒过杀虫剂的农田,则被归类为接触过杀虫剂的儿童。通过多项式逻辑回归模型评估了最近三个月出现的呼吸道、过敏或全身症状与接触杀虫剂之间的关系,并考虑了宿主/环境风险因素:意大利北部为 21.2%,意大利中部为 11.6%,意大利南部为 9.7%。接触杀虫剂与以下情况有明显关系2)"每日":上呼吸道症状(OR 2.25,95% CI 1.25-4.07)和全身症状(OR 2.76,95% CI 1.43-5.34)。公共当局应该意识到并采取干预措施来降低这种健康风险。
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来源期刊
CiteScore
4.90
自引率
20.00%
发文量
266
审稿时长
2 months
期刊介绍: The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.
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