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Occupational pesticide exposure, cancer and chronic neurological disorders: A systematic review of epidemiological studies in greenspace workers
- Source :
- Environmental Research, Environmental Research, Elsevier, 2021, 203, pp.111822. ⟨10.1016/j.envres.2021.111822⟩
- Publication Year :
- 2022
- Publisher :
- Elsevier BV, 2022.
-
Abstract
- Context The greenspace sector includes a broad range of occupations: gardeners, landscapers, municipal workers, maintenance operators of public facilities, golf-course employees and other sports facilities, horticulturists, plant and tree nursery workers etc. The health impact of occupational pesticide exposure has mainly been studied among farmers. Other professionals such as greenspace workers are also extremely exposed, presenting specific exposure features (practices, types of pesticide used). The aim of this review was to summarize epidemiological literature that examine the relationship between pesticide exposure and the risk of cancer and long-term health effects in greenspace workers. Method Six main groups of greenspace workers were identified and examined through a systematic literature review based on PubMed and Scopus. The studies were then grouped according to their design, health outcomes and the type of population studied. Results Forty-four articles were selected among the 1679 identified. Fifteen studies were conducted exclusively among greenspace workers, while ten also studied these workers with other pesticide applicators. Six were cohorts from the general population in which greenspace workers were identified. Elevated risks were found in several studies for leukaemia, soft-tissue sarcoma, multiple myeloma, non-Hodgkin lymphoma and Parkinson's disease. Discussion The majority of studies used rough parameters for defining exposure such as job titles which could lead to the misclassification of exposure, with the risk of false or positive negative conclusions. Health outcomes were mainly collected through registries or death certificates, and information regarding potential confounders was often missing. Conclusion The review identified only 15 studies conducted exclusively among greenspace workers. Elevated risk was found for several sites of cancer and Parkinson's diseases. Further epidemiological research is needed, conducted specifically on these workers, to better characterize this population, its exposure to pesticides and the related health effects.
- Subjects :
- medicine.medical_specialty
Parks, Recreational
Population
Scopus
Context (language use)
Disease
Biochemistry
Greenspace workers
03 medical and health sciences
0302 clinical medicine
Neoplasms
Environmental health
Epidemiology
medicine
Humans
Pesticides
education
Non-agricultural workers
General Environmental Science
2. Zero hunger
education.field_of_study
business.industry
Confounding
Cancer
Occupational exposure
medicine.disease
030210 environmental & occupational health
Agricultural Workers' Diseases
3. Good health
Epidemiologic Studies
Occupational epidemiology
Systematic review
030220 oncology & carcinogenesis
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
Nervous System Diseases
business
Subjects
Details
- ISSN :
- 00139351 and 10960953
- Volume :
- 203
- Database :
- OpenAIRE
- Journal :
- Environmental Research
- Accession number :
- edsair.doi.dedup.....c4d9406ae5e0f5bacefc151fda98f83f