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佛罗里达州农业工人中的纵向功能退化
Roxana C Chicas1, Lisa Elon, Nezahualcoyotl Xiuhtecutli
1From the Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia (R.C.C., N.X., M.C.H., V.H., L.M.C.); Rollins School of Public Health, Department of Biostatistics and Bioinformatics, Emory University, Atlanta, Georgia (L.E.); Farmworker Association of Florida, Apopka, Florida (N.X.); Rollins School of Public Health, Emory University, Atlanta, Georgia (D.L., L.B.); Department of Medicine, Emory University, Atlanta, Georgia (T.M.); and Division of Renal Medicine, Department of Medicine, Emory University, Atlanta, Georgia (J.M.S.).
农业工人面临损伤的风险日益增加,特别是那些按件薪的工人,他们被鼓励跳过休息和补水. 这一趋势凸显了农业中的职业危险.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 腎臟病學 (nephrology) 是一種醫學專業.
- 环境健康 环境健康
背景情况:
- 农业工人面临着独特的职业健康挑战.
- 功能和急性损伤 (AKI) 是这一群体的关键健康结果.
- 了解脏健康的时间趋势对于有针对性的干预措施至关重要.
研究的目的:
- 纵向评估美国农业工人的功能和AKI发病率.
- 为了在不同农业工作类型和薪酬结构中比较AKI风险.
主要方法:
- 一项纵向研究跟踪佛罗里达州农业工人从2020年1月到2022年8月.
- 在五次访问期间,在工作日前后收集了血液和尿液样本.
- 评估了功能 (例如,估计的膜过率) 和AKI.
主要成果:
- 工作日前的功能在夏天较低,但随着时间的推移而稳定.
- 费尔纳里工人 (单位率) 的工作后日AKI显著增加,从2020年的21%增加到研究结束时的43%.
- 托儿所工作者 (每小时) 的AKI率稳定在11%.
结论:
- 根据农业工作类型,AKI风险的进展有很大差异.
- 在农业工作中,分工补偿与AKI率的增加有关,这可能是由于不鼓励休息和补水的激励措施.
- 职业安全干预应考虑薪酬结构和工作实践.
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