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标题：Serum Cholinesterase Levels of Thai Chilli-Farm Workers Exposed to Chemical Pesticides: Prevalence Estimates and Associated Factors
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作者：Prasit Kachaiyaphum ; Nopporn Howteerakul ; Dusit Sujirarat 等
期刊名称：Journal of Occupational Health
印刷版ISSN：1341-9145
电子版ISSN：1348-9585
出版年度：2010
卷号：52
期号：1
页码：89-98
DOI：10.1539/joh.Q9003
出版社：Japan Society for Occupational Health
摘要：Objective: To estimate the prevalence of, and factors associated with, abnormal serum cholinesterase (SChE) levels among chilli-farm workers in Chatturat District, Chaiyaphum Province. Methods: A total of 350 chilli-farm workers aged 18-60 yr were randomly sampled and interviewed. A reactive-paper finger-blood test was used to assess SChE levels. Results: The prevalence of abnormal SChE levels was 32.0%. The most common pesticide-related symptoms were dizziness (38.0%), headache (30.9%), nausea/vomiting (26.9%), and fever (26.9%). Multiple logistic regression analysis revealed 7 factors were independently associated with abnormal SChE level: male gender, single/separated/divorced, being a permanent worker, spraying pesticide more than 3 times per month, having moderate or poor pesticide-use behaviors, and low perceived susceptibility and severity of pesticide use. Conclusions: The prevalence of abnormal SChE levels among chilli-farm workers was quite high. It would be beneficial to decrease pesticide use and encourage alternative measures. Effective preventive interventions to increase correct perceptions of pesticide use, the use of personal protective measures and continuing monitoring for blood cholinesterase, especially for male permanent farm workers, are recommended.
关键词：Chemical pesticides;Chilli-farm workers;Pesticide-related symptoms;Serum cholinesterase;Thailand