Ana Laura Sica Cruzeiro Szortyka1, Neice Muller Xavier Faria2, Maitê Peres Carvalho2, Fernando Ribas Feijó3, Rodrigo Dalke Meucci4, Betina Daniele Flesch2, Nadia Spada Fiori2, Anaclaudia Gastal Fassa2. 1. Postgraduate Program in Epidemiology, Department of Social Medicine, Federal University of Pelotas, Pelotas, Brazil; Psychology Course, Federal University of Pelotas, Pelotas, Brazil. Electronic address: alcruzeiro@gmail.com. 2. Postgraduate Program in Epidemiology, Department of Social Medicine, Federal University of Pelotas, Pelotas, Brazil. 3. Postgraduate Program in Epidemiology, Department of Social Medicine, Federal University of Pelotas, Pelotas, Brazil; Postgraduate Program in Health, Environment and Work, Federal University of Bahia, Brazil. 4. Postgraduate Program in Epidemiology, Department of Social Medicine, Federal University of Pelotas, Pelotas, Brazil; Postgraduate Program in Public Health, Foundation Federal University of Rio Grande, Rio Grande, Brazil.
Abstract
OBJECTIVE: To assess prevalence of suicidal ideation and suicide attempt among South Brazilian tobacco growers and to analyze the associated factors related to the suicidal ideation. METHODS: A cross-sectional study was conducted in 2011 with a random sample of 2469 tobacco growers in São Lourenço do Sul/RS. Suicidal ideation was characterized by the question "Has the thought of ending your life been on your mind?". Suicide attempt was assessed by the question "Have you ever tried to kill yourself?". Investigation of factors associated with suicidal ideation was done by means of Poisson regression. RESULTS: Prevalence of suicidal ideation and suicide attempt was 2.5 % and 1.2 % respectively. In the adjusted analysis, suicidal ideation was associated with being female, older age, moderate participation in religious activities and difficulty in paying debts. Those who worked in activities that required inadequate postures (hunched over or other forced positions), as well as farmers who performed 6-9 pesticide-related tasks demonstrated greater risk of suicidal ideation. Regarding health conditions, medical diagnosis of asthma, chronic low back pain, number of lifetime green tobacco sickness episodes and lifetime pesticide poisoning were positively associated with suicidal ideation. CONCLUSION: Suicidal thoughts and attempts are relevant mental health problems among tobacco growers. Reducing pesticide use, as well as exposure to nicotine and improving socio-economic conditions, can reduce suicidal ideation and improve the mental health of exposed workers.
OBJECTIVE: To assess prevalence of suicidal ideation and suicide attempt among South Brazilian tobacco growers and to analyze the associated factors related to the suicidal ideation. METHODS: A cross-sectional study was conducted in 2011 with a random sample of 2469 tobacco growers in São Lourenço do Sul/RS. Suicidal ideation was characterized by the question "Has the thought of ending your life been on your mind?". Suicide attempt was assessed by the question "Have you ever tried to kill yourself?". Investigation of factors associated with suicidal ideation was done by means of Poisson regression. RESULTS: Prevalence of suicidal ideation and suicide attempt was 2.5 % and 1.2 % respectively. In the adjusted analysis, suicidal ideation was associated with being female, older age, moderate participation in religious activities and difficulty in paying debts. Those who worked in activities that required inadequate postures (hunched over or other forced positions), as well as farmers who performed 6-9 pesticide-related tasks demonstrated greater risk of suicidal ideation. Regarding health conditions, medical diagnosis of asthma, chronic low back pain, number of lifetime green tobacco sickness episodes and lifetime pesticide poisoning were positively associated with suicidal ideation. CONCLUSION: Suicidal thoughts and attempts are relevant mental health problems among tobacco growers. Reducing pesticide use, as well as exposure to nicotine and improving socio-economic conditions, can reduce suicidal ideation and improve the mental health of exposed workers.
Authors: Liliana A Zúñiga-Venegas; Carly Hyland; María Teresa Muñoz-Quezada; Lesliam Quirós-Alcalá; Mariana Butinof; Rafael Buralli; Andres Cardenas; Ricardo A Fernandez; Claudia Foerster; Nelson Gouveia; Juan P Gutiérrez Jara; Boris A Lucero; María Pía Muñoz; Muriel Ramírez-Santana; Anna R Smith; Noemi Tirado; Berna van Wendel de Joode; Gloria M Calaf; Alexis J Handal; Agnes Soares da Silva; Sandra Cortés; Ana M Mora Journal: Environ Health Perspect Date: 2022-09-29 Impact factor: 11.035
Authors: Anaclaudia Gastal Fassa; Neice Muller Xavier Faria; Ana Laura Sica Cruzeiro Szortyka; Rodrigo Dalke Meucci; Nadia Spada Fiori; Maitê Peres de Carvalho Journal: Int J Environ Res Public Health Date: 2021-11-22 Impact factor: 3.390