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Sugarcane workers: morbidity and mortality

F D Miller1, D M Reed, J Banta

  • 1Department of Public Health Sciences, School of Public Health, University of Hawaii, Honolulu 96822.

Hawaii Medical Journal
|November 1, 1993
PubMed
Summary
This summary is machine-generated.

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Working on Hawaiian sugarcane plantations did not increase mortality or the incidence of chronic diseases like heart disease, stroke, or cancer in Japanese-ancestry men. This study found no significant health hazards associated with sugarcane employment.

Area of Science:

  • Occupational Health
  • Epidemiology
  • Agricultural Science

Background:

  • Sugarcane is a major industry in Hawaii, but concerns exist regarding potential health hazards for plantation workers.
  • Previous reports suggested possible health risks associated with sugarcane cultivation.

Purpose of the Study:

  • To investigate the relationship between sugarcane plantation employment and health outcomes in Hawaii.
  • To examine the association of sugarcane work with total mortality, coronary heart disease (CHD), stroke, cancer, and risk factors.

Main Methods:

  • A cohort of men of Japanese ancestry from the Honolulu Heart Program was studied.
  • Follow-up over 18 years examined mortality, disease incidence (CHD, stroke, cancer, lung cancer), and risk factors.
  • Lung function (FEV1) and mesothelioma incidence were also assessed.

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Main Results:

  • No significant differences in age-adjusted mortality or incidence of CHD, stroke, cancer, or lung cancer were found between sugarcane workers and non-workers.
  • No differences in measured risk factors or lung function (FEV1) were observed.
  • No cases of mesothelioma were reported in exposed individuals, and findings were robust after adjusting for confounders.

Conclusions:

  • Employment on Hawaiian sugarcane plantations is not associated with elevated rates of chronic diseases.
  • The study refutes concerns about significant health hazards linked to sugarcane industry employment.
  • Findings were not influenced by "healthy worker bias".