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  • Alhanti, BrookeNorth Carolina State University (author)

Environmental exposures contribute to respiratory and allergic symptoms among women living in the banana growing regions of Costa Rica

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

  • 2021-12-30
  • BMJ,2022
  • 8 s.

Numbers

  • LIBRIS-ID:oai:lup.lub.lu.se:14884716-1879-480f-841c-38f4d1228824
  • https://lup.lub.lu.se/record/14884716-1879-480f-841c-38f4d1228824URI
  • https://doi.org/10.1136/oemed-2021-107611DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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Classification

  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • OBJECTIVES: This research evaluates whether environmental exposures (pesticides and smoke) influence respiratory and allergic outcomes in women living in a tropical, agricultural environment. METHODS: We used data from 266 mothers from the Infants' Environmental Health cohort study in Costa Rica. We evaluated environmental exposures in women by measuring seven pesticide and two polycyclic aromatic hydrocarbons metabolites in urine samples. We defined 'high exposure' as having a metabolite value in the top 75th percentile. We collected survey data on respiratory and allergic outcomes in mothers as well as on pesticides and other environmental exposures. Using logistic regression models adjusted for obesity, we assessed the associations of pesticide exposure with multiple outcomes (wheeze, doctor-diagnosed asthma, high (≥2) asthma score based on symptoms, rhinitis, eczema and itchy rash). RESULTS: Current pesticide use in the home was positively associated with diagnosed asthma (OR=1.99 (95% CI=1.05 to 3.87)). High urinary levels of 5-hydroxythiabendazole (thiabendazole metabolite) and living in a neighbourhood with frequent smoke from waste burning were associated with a high asthma score (OR=1.84 (95%CI=1.05 to 3.25) and OR=2.31 (95%CI=1.11 to 5.16), respectively). Women who worked in agriculture had a significantly lower prevalence of rhinitis (0.19 (0.01 to 0.93)), but were more likely to report eczema (OR=2.54 (95%CI=1.33 to 4.89)) and an itchy rash (OR=3.17 (95%CI=1.24 to 7.73)). CONCLUSIONS: While limited by sample size, these findings suggest that environmental exposure to both pesticides and smoke may impact respiratory and skin-related allergic outcomes in women.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • van Wendel de Joode, BernaNational University Of Costa Rica (author)
  • Soto Martinez, ManuelHospital Nacional de Niños (CCSS) (author)
  • Mora, Ana M.National University Of Costa Rica (author)
  • Córdoba Gamboa, LeonelNational University Of Costa Rica (author)
  • Reich, BrianNorth Carolina State University (author)
  • Lindh, Christian H.Lund University,Lunds universitet,Avdelningen för arbets- och miljömedicin,Institutionen för laboratoriemedicin,Medicinska fakulteten,Tillämpad masspektrometri inom miljömedicin,Forskargrupper vid Lunds universitet,Division of Occupational and Environmental Medicine, Lund University,Department of Laboratory Medicine,Faculty of Medicine,Applied Mass Spectrometry in Environmental Medicine,Lund University Research Groups(Swepub:lu)ymed-cli (author)
  • Quirós Lépiz, MarcelaNational University Of Costa Rica (author)
  • Hoppin, Jane A.North Carolina State University (author)
  • North Carolina State UniversityNational University Of Costa Rica (creator_code:org_t)

Related titles

  • In:Occupational and Environmental Medicine: BMJ79:7, s. 469-4761470-79261351-0711

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