Risk Factors for Declines in Kidney Function in Sugarcane Workers in Guatemala

被引：0

作者：

Butler-Dawson, Jaime ^{[1
,2
]}

Krisher, Lyndsay ^{[1
,2
]}

Asensio, Claudia ^{[3
]}

Cruz, Alex ^{[3
]}

Tenney, Liliana ^{[1
,2
]}

Weitzenkamp, David ^{[1
,4
]}

Dally, Miranda ^{[1
,2
]}

Asturias, Edwin J. ^{[2
,5
,6
,7
]}

Newman, Lee S. ^{[1
,2
,6
,7
,8
]}

机构：

[1] Ctr Hlth Work & Environm, Dept Environm & Occupat Hlth, Aurora, CO USA

[2] Colorado Consortium Climate Change & Human Hlth, Boulder, CO USA

[3] Pantaleon, Guatemala City, Guatemala

[4] Colorado Sch Publ Hlth, Dept Biostat & Informat, Aurora, CO USA

[5] Colorado Sch Publ Hlth, Div Pediat Infect Dis, Aurora, CO USA

[6] Colorado Sch Publ Hlth, Ctr Global Hlth, Aurora, CO USA

[7] Colorado Sch Publ Hlth, Dept Epidemiol, Aurora, CO USA

[8] Univ Colorado Denver, Sch Med, Div Pulm Sci & Crit Care Med, Dept Med, Aurora, CO USA

来源：

JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE | 2018年 / 60卷 / 06期

关键词：

agricultural workers; chronic kidney disease; international occupational health; GLOMERULAR-FILTRATION-RATE; CHRONIC INTERSTITIAL NEPHRITIS; MESOAMERICAN NEPHROPATHY; EL-SALVADOR; AGRICULTURAL COMMUNITIES; HEAT-STRESS; CENTRAL-AMERICA; SRI-LANKA; DISEASE; EPIDEMIC;

D O I：

10.1097/JOM.0000000000001284

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives:To characterize kidney function of sugarcane workers in Guatemala over the 6-month harvest and identify risk factors associated with changes in kidney function.Methods:Demographic and biological data were collected for 330 sugarcane cutters at the beginning and end of the harvest. Multivariable regression analyses were used to assess factors related to kidney function.Results:A decline in kidney function across the harvest was observed in 36% of the participants. Risk factors associated with this decline included working at a particular plantation mill, local area workers compared with highland workers, and current smokers.Conclusion:Results showed both occupational and behavioral factors play significant roles in declines in kidney function. These results underline the need for a comprehensive approach to the epidemic as well as further investigation of risk factors to guide research and interventions.

引用

页码：548 / 558

页数：11

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