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Published on: July 29, 2020
Multimorbidity and complex multimorbidity in Brazilian rural workers
Glenda Blaser Petarli1, Monica Cattafesta1, Monike Moreto Sant'Anna2
1Postgraduate Program in Collective Health, Health Sciences Center, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil.
A high prevalence of multimorbidity was found in rural farmers, linked to age, pesticide exposure, and self-assessed health. These findings highlight the need for targeted public health interventions for this vulnerable population.
Area of Science:
- Epidemiology
- Occupational Health
- Public Health
Background:
- Multimorbidity, the presence of multiple chronic diseases, poses a significant health challenge, particularly in occupational groups.
- Rural workers, such as farmers, face unique exposures and lifestyle factors that may influence their health outcomes.
- Understanding the prevalence and risk factors for multimorbidity in farmers is crucial for developing effective health strategies.
Purpose of the Study:
- To estimate the prevalence of multimorbidity and complex multimorbidity among farmers.
- To investigate the association between multimorbidity and sociodemographic characteristics, pesticide exposure, lifestyle, and clinical condition in this population.
- To identify risk factors contributing to the development of multiple chronic diseases in agricultural workers.
Main Methods:
- A cross-sectional epidemiological study was conducted with 806 farmers in Espírito Santo, Brazil.
- Multimorbidity was defined as two or more chronic diseases; complex multimorbidity as three or more conditions across three systems.
- Data were collected via questionnaire, and binary logistic regression was used to identify risk factors.
Main Results:
- The prevalence of multimorbidity was 41.5%, and complex multimorbidity was 16.7%.
- Key risk factors included being 40 years or older, a history of pesticide poisoning, high waist circumference, and poor self-assessed health.
- These associations were consistent for both multimorbidity and complex multimorbidity.
Conclusions:
- A high prevalence of multimorbidity and complex multimorbidity exists among farmers.
- Increased age, abdominal obesity, pesticide poisoning history, and poor health self-assessment are significant associated factors.
- Public health policies are essential for the prevention, control, and treatment of multimorbidity in this occupational group.
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