Risk factors associated with indicators of dehydration among migrant farmworkers.

Autor: Abasilim C; Division of Environmental and Occupational Health Sciences, School of Public Health, University of Illinois Chicago, Chicago, IL, USA., Friedman LS; Division of Environmental and Occupational Health Sciences, School of Public Health, University of Illinois Chicago, Chicago, IL, USA., Martin MC; Department of Agricultural Education and Communication, University of Florida, Gainesville, FL, USA., Madigan D; Division of Environmental and Occupational Health Sciences, School of Public Health, University of Illinois Chicago, Chicago, IL, USA. Electronic address: dmadig2@uic.edu., Perez J; Department of Agricultural Education and Communication, University of Florida, Gainesville, FL, USA., Morera M; Department of Agricultural Education and Communication, University of Florida, Gainesville, FL, USA., Tovar A; Farmworker Association of Florida, Apopka, FL, USA., Roka F; Florida Gulf Coast University, Ft. Myers, FL, USA., Xiuhtecutli N; Farmworker Association of Florida, Apopka, FL, USA., Forst L; Division of Environmental and Occupational Health Sciences, School of Public Health, University of Illinois Chicago, Chicago, IL, USA., Monaghan P; Department of Agricultural Education and Communication, University of Florida, Gainesville, FL, USA.
Jazyk: angličtina
Zdroj: Environmental research [Environ Res] 2024 Jun 15; Vol. 251 (Pt 2), pp. 118633. Date of Electronic Publication: 2024 Mar 09.
DOI: 10.1016/j.envres.2024.118633
Abstrakt: Objective: Farmworkers are at increased risk of adverse health outcomes related to occupational heat exposure and inadequate access to water, shade, or rest breaks. Presently, there is a dearth of studies examining the prevalence of dehydration and related factors in U.S. farmworkers. Our objectives were to characterize hydration status during typical workdays and to identify risk factors associated with increased dehydration in migrant farmworkers employed in Florida.
Methods: Urine samples were collected and analyzed for urine specific gravity (USG) 2-3 times per person per day over five days in May 2021 and 2022. Data collection included demographic characteristics, wet-bulb-globe-temperature (WBGT), and information on working conditions (task type, duration, and crop units harvested), fluid intake, clothing worn, and heat safety behaviors. Multivariable mixed regression models were used to evaluate risk factors associated with change in USG levels (continuous) during a work shift.
Results: A total of 111 farmworkers participated in this study providing 1020 cumulative USG measurements, of which 96.8% of end-of-shift USG samples were above 1.020 indicating potential dehydration. In multivariable models, dehydration assessed using change in USG levels significantly declined with age (β = -0.078; 95%CI: 0.150, -0.006) but showed significant increase with body mass index (β = 0.016; 95%CI: 0.003, 0.028), WGBT (β = 0.054; 95%CI:0.044, 0.064), mean shift duration, and state of primary residence. We did not find significant associations of dehydration with type of clothing worn, intake of employer-provided water, or crop units harvested during a shift in this sample of farmworkers.
Conclusion: Our findings underscore the need for additional research to evaluate adverse outcomes related to dehydration and to better understand recovery patterns from chronic dehydration across workweeks and harvest seasons in migrant farmworkers.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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