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Determinants of Pesticide Exposure in Occupational Studies: A Meta-Analysis

Authors :
Christelle Oltramare
Zakia Mediouni
Yara Shoman
Nancy B. Hopf
Halshka Graczyk
Aurélie Berthet
Source :
Toxics, Vol 11, Iss 7, p 623 (2023)
Publication Year :
2023
Publisher :
MDPI AG, 2023.

Abstract

Few epidemiological studies use exposure determinants specifically tailored to assess pesticide or plant protection product (PPP) exposures when assessing presumed association between occupational exposure and health outcomes among agricultural workers. This lack of exposure specificity could lead to results that fail to detect an association. It could be related to the lack of consensus on exposure assessment methods and the choice of exposure determinants. We conducted a meta-analysis following the PRISMA checklist to identify PPP exposure determinants used in occupational studies and identified exposure determinants that best characterized agricultural exposures to PPPs. Out of 1436 studies identified, 71 were included. The exposure determinants identified were active ingredients, chemical classes, types of PPP, crops, tasks, frequencies, duration, lifetime exposure days, and intensity-weighted exposure days. Only six over 17 associations between exposure determinants and health outcomes were found with moderate quality of evidence. Overall, epidemiological studies had difficulty defining relevant determinants to characterize PPP exposures for agricultural workers. We recommend that a standardized list of determinants for PPP exposures in occupational exposure studies should include information on formulations, intensity, duration, and frequency of PPP exposure. Harmonized data collection on exposure and health outcomes are required as well as standard units for each exposure determinant.

Details

Language :
English
ISSN :
23056304
Volume :
11
Issue :
7
Database :
Directory of Open Access Journals
Journal :
Toxics
Publication Type :
Academic Journal
Accession number :
edsdoj.487c4e6a6b7d4f4890cd52fc83c2a498
Document Type :
article
Full Text :
https://doi.org/10.3390/toxics11070623