Depressive symptoms and severity of acute occupational pesticide poisoning among male farmers

Ko, Yousun; Lee, Won Jin

doi:10.1136/oemed-2012-101005

Cited by 43 publications

(36 citation statements)

References 37 publications

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“…Furthermore, it has been suggested that the exposure to high levels of pesticides, including poisoning, experienced by agriculture workers and rural residents may result in an elevated risk of neuropsychiatric sequelae such as mood disorders, depression, and suicide attempts [32], [33]. Recently, we found that depressive symptoms [34] and suicidal ideation [35] were significantly associated with a history of acute occupational pesticide poisoning and that this relationship was further associated with the severity of the symptoms of poisoning among Korean male farmers.…”

Section: Discussionmentioning

confidence: 94%

Mortality from and Incidence of Pesticide Poisoning in South Korea: Findings from National Death and Health Utilization Data between 2006 and 2010

Shil

Khang

2014

PLoS ONE

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Pesticide poisoning has been recognized as an important public health issue around the world. The objectives of this study were to report nationally representative figures on mortality from and the incidence of pesticide poisoning in South Korea and to describe their epidemiologic characteristics. We calculated the age-standardized rates of mortality from and the incidence of pesticide poisoning in South Korea by gender and region from 2006 through 2010 using registered death data obtained from Statistics Korea and national healthcare utilization data obtained from the National Health Insurance Review and Assessment Service of South Korea. During the study period of 2006 through 2010, a total of 16,161 deaths and 45,291 patients related to pesticide poisoning were identified, marking respective mortality and incidence rates of 5.35 and 15.37 per 100,000 population. Intentional self-poisoning was identified as the major cause of death due to pesticides (85.9%) and accounted for 20.8% of all recorded suicides. The rates of mortality due to and incidence of pesticide poisoning were higher in rural than in urban areas, and this rural-urban discrepancy was more pronounced for mortality than for incidence. Both the rate of mortality due to pesticide poisoning and its incidence rate increased with age and were higher among men than women. This study provides the magnitude and epidemiologic characteristics for mortality from and the incidence of pesticide poisoning at the national level, and strongly suggests the need for further efforts to prevent pesticide self-poisonings, especially in rural areas in South Korea.

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Section: Discussionmentioning

confidence: 94%

Mortality from and Incidence of Pesticide Poisoning in South Korea: Findings from National Death and Health Utilization Data between 2006 and 2010

Shil

Khang

2014

PLoS ONE

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“…Those who had experienced occupational pesticide poisoning had a higher risk of experiencing symptoms. The risk was even higher with more severe poisoning, in cases where the victim had visited medical institutions, or had multiple poisonings [27]. Therefore, providing early detection and treatment for pesticide poisoning victims is crucial for preventing depression.…”

Section: Discussionmentioning

confidence: 99%

Risk factors associated with depression and suicidal ideation in a rural population

Joo

Roh

2016

Environ Health Toxicol

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ObjectivesThis study aimed to evaluate the risk factors associated with depression and suicidal ideation in a rural population.MethodsA survey was conducted with 543 farmers from Chungcheongnam-do Province using the Center for Epidemiologic Studies Depression Scale (CES-D) for depression, Lubben Social Network Scale (LSNS) for social support, Swedish Q16 for neurotoxicity symptoms and a survey tool for farmer’s syndrome.ResultsAfter adjusting for socioeconomic factors using logistic regression analysis, poor self-rated health, low social support and neurotoxicity were positively associated with the risk of depression (odds ratio [OR], 15.96; 95% confidence interval [CI], 3.11 to 81.97; OR, 3.14; 95% CI, 1.26 to 7.82; and OR, 3.68; 95% CI, 1.08 to 12.57, respectively). The risk of suicidal ideation significantly increased with low social support, neurotoxicity and farmer’s syndrome (OR, 2.28; 95% CI, 1.18 to 4.40; OR, 6.17; 95% CI, 2.85 to 13.34; and OR, 3.70; 95% CI, 1.51 to 9.07, respectively).ConclusionsGiven the overall results of this study, there is a need to establish programs which can improve the health and social relationships of farmers. Also, when farmers have neurological symptoms from pesticide exposure and characteristic symptoms of farmer’s syndrome, a monitoring system for depression and suicide must be made available.Conclusions: Given the overall results of this study, there is a need to establish programs which can improve the health and social relationships of farmers. Also, when farmers have neurological symptoms from pesticide exposure and characteristic symptoms of farmer's syndrome, a monitoring system for depression and suicide must be made available.

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“…In addition to this self-report questionnaire, a more objective judgment of depressive symptoms was attempted by extracting the depression index from the short version of the Geriatric Depression Scale, which consists of 15 items (GDS-15). For the GDS-15, scoring is conducted by assigning 1 point to each affirmative response to 10 items and 1 point to each negative response to 5 items; a total depression score <5 is considered normal, and scores of 5 to 7 and ≥8 suggest suspected and demonstrated depression, respectively [ 11 - 13 ]. The questionnaire used in this study was also used for the survey on health effects of environmental exposure in the elderly population conducted by the National Institute of Environmental Research, the quality of which has been verified in a number of studies.…”

Section: Methodsmentioning

confidence: 99%

Association of urinary 3-phenoxybenzoic acid levels with self-reported depression symptoms in a rural elderly population in Asan, South Korea

Kim

Jung

Yun

et al. 2015

Environ Health Toxicol

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Objectives:This study aimed to evaluate the association between presence of depression symptoms and the exposure level to insecticides among aged population in rural area, determined via measured levels of urinary 3-phenoxybenzoic acid (3-PBA), after controlling for socioeconomic confounding factors. Methods:Using a cross-sectional study design, we randomly recruited participants for our study (161 male and 239 female) from rural areas of Asan, Chungnam, Korea. Environmental risk factor exposure was assessed using a questionnaire, and gas chromatography- mass spectrometry was used to analyze urinary 3-PBA levels. We used a logistic regression analysis to assess the association of urinary 3-PBA levels with the presence of self-reported depression symptoms. Results:After controlling for creatinine levels, the median (interquartile range) concentration of 3-PBA was approximately 1.5 times (p<0.05) higher among female (1.54 [0.90 to 2.35]) μg/g) than among male (1.06 [0.64 to 1.81] μg/g). Our study found that among female participants, the unit increase in 3-PBA levels exhibited a likely positive association (odds ratio, 1.12; 95% confidence interval, 1.00 to 1.25) with an increased risk of presence of self-reported depression symptoms, after adjusting for socioeconomic insurance type, daily physical condition, marital status, smoking status, and age. Conclusions:Given our finding of a potential association between the presence of selfreported depression symptoms and 3-PBA levels, precautions should be considered to minimize exposure to insecticides and thus protect the health of aged residents in rural areas.

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Depressive symptoms and severity of acute occupational pesticide poisoning among male farmers

Abstract: Our findings suggest that the risk of depression appears to be related to the severity of symptoms of poisoning, type of care received and the number of previous episodes of acute poisonings.

Cited by 43 publications

References 37 publications

Mortality from and Incidence of Pesticide Poisoning in South Korea: Findings from National Death and Health Utilization Data between 2006 and 2010

Mortality from and Incidence of Pesticide Poisoning in South Korea: Findings from National Death and Health Utilization Data between 2006 and 2010

Risk factors associated with depression and suicidal ideation in a rural population

Association of urinary 3-phenoxybenzoic acid levels with self-reported depression symptoms in a rural elderly population in Asan, South Korea

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